الفهرس | Only 14 pages are availabe for public view |
Abstract Hepatitis C is an infectious disease affecting primarily the liver. Typically acute hepatitis C develops after exposure to hepatitis C infected blood associated with intravenous drug use, poorly sterilized medical equipment and transfusions. The cause of transmission remains unknown in 20% of cases. In 67- 85% of infected individuals, acute hepatitis infection persists beyond six months and becomes chronic. chronic hepatitis C infection can then lead to liver fibrosis that can progress to cirrhosis, decompensate cirrhosis or hepatocellular carcinoma HCC. Spontaneous resolution of CHC infection appears to occur rarely (Ryan et al., 2004). Research Design: Descriptive analytic design was used Technical Design: The technical design for the study was included setting of the study subject and tools for data collection. Research Setting: The study was conducted at gastro-intestinal outpatient clinic of Police Hospital- Aguza.Subjects: A simple random sample comprised 1000 patients’ divided to 5 lists was used in this study. Attendant listed and every 5th patients having the following inclusion criteria was selected. According attending previously mentioned clinic records of year 2015 patients classified into three groups manly: chronic hepatitis C patients. Hepatitis C with compensated liver cirrhosis patients. Hepatitis C with liver cell failure. Tools of data collection: Two tools were used to data collection: First tool: Interview questionnaire was designed by investigator after reading related literature and taking expert’s opinions .It was written in Arabic Language and divided into four parts. Part (I): It concerned with Socio-Demographic characteristics of patients such as age, gender, marital status, education level Part (II): patients level of knowledge about the hepatitis C virus, It was developed by literatures reading, as definition,incubation period, communicability period, mode of transmission, clinical manifestations, complication, medical management. Correct answer =1 score Incorrect answer =0 Then divided total score for each patient to (Poor) 0 > 50% (Average) 50% > 75% (Good) 75% > 100% Part (III): To assess the patients practice toward disease transmission and protective measures. Correct answer =1 score Incorrect answer =0 Then divided total score for each patient to (Non satisfactory) 0 > 60 % (Satisfactory) 60% > 100% Part (IV): daily living activities of patients with hepatitis C virus using the daily living activity scale which composed of the following activities physical, social, and sexual.Physical activity: it was included, Physical health, personal hygiene, nutrition, exercise, grooming, clothing, and physical appearance. - Social activity: it was included, links with social environments and included the visits with others, family, friends, co-workers, neighborhoods and the community - Sexual activity: It was included, client sexual activities. Second tool: Auditing sheet review of medical record to assess past and present patient’s history as regards health problems. The finding of present study could be summarized as follows: Concerning patient’s knowledge regarding HCV, the result of the current study indicated that half of patient had average knowledge regarding HCV. Also, the majority of the sample achieved satisfactory score of life style practices and protection of others from spread of HCV. And as regards total patients daily living activities found, that majority of them had effect on their daily living activities while, less than one quarter of them hadn’t effect on physical and social activities. There were a highly statistical significant relation between the studied sample age, occupations and their knowledge about HCV; also, there were a statistical significant relation between their type of work and their knowledge about HCV, while there were astatistical insignificant relation between their gender, marital Status and their knowledge about HCV. There were a statistical significant relation between the studied sample age, marital Status, type of their work and their practices toward HCV while, there were a statistical insignificant relation between their gender, level of education and their practices toward HCV. There were a highly statistical significant relation between the studied sample knowledge about HCV and their practices toward HCV. |