Diagnosis experiences from 50 hepatitis B patients in Chongqing, China: a qualitative study

Abstract Background The aim of this study was to provide recommendations for reducing the impact of hepatitis B infection on patients with chronic hepatitis B by describing their experiences during the diagnosis process. Methods We conducted face-to-face interviews with 50 hepatitis B patients recru...

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Autores principales: Xiangxi Zhou, Fan Zhang, Yongping Ao, Chunli Lu, Tingting Li, Xianglong Xu, Huan Zeng
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Lenguaje:EN
Publicado: BMC 2021
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Acceso en línea:https://doaj.org/article/65149d8eabd74c2ca484882d151c4f0a
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spelling oai:doaj.org-article:65149d8eabd74c2ca484882d151c4f0a2021-12-05T12:09:32ZDiagnosis experiences from 50 hepatitis B patients in Chongqing, China: a qualitative study10.1186/s12889-021-11929-91471-2458https://doaj.org/article/65149d8eabd74c2ca484882d151c4f0a2021-12-01T00:00:00Zhttps://doi.org/10.1186/s12889-021-11929-9https://doaj.org/toc/1471-2458Abstract Background The aim of this study was to provide recommendations for reducing the impact of hepatitis B infection on patients with chronic hepatitis B by describing their experiences during the diagnosis process. Methods We conducted face-to-face interviews with 50 hepatitis B patients recruited by convenient sampling from an infectious diseases department of a teaching hospital in Chongqing, China from July to August 2019. Thematic analysis framework included interviewees’ social demographic characteristics, diagnosis approach, signs and symptoms before diagnosis, feelings after diagnosis, and doctor’s instructions. Results Most patients first detected hepatitis B through various types of physical examinations when the patients were asymptomatic or had only mild symptoms. Most patients were shocked, scared, or overwhelmed when they were diagnosed with hepatitis B. They were able to remember the doctor’s instructions about maintaining a healthy lifestyle, but not impressed by the doctor’s advice about regular follow-up liver function tests. The lack of regular follow-up has caused irreversible damage to some patients. Conclusions Most patients are passively diagnosed with hepatitis B due to their lack of awareness on active hepatitis B prevention. Patients need professional mental health care to overcome the negative emotions that following the diagnosis. Physicians’ instruction should emphasize the importance of regular follow-up liver function tests in addition to a healthy lifestyle.Xiangxi ZhouFan ZhangYongping AoChunli LuTingting LiXianglong XuHuan ZengBMCarticleHepatitis BDiagnosis experienceLiver funtion testQualitative studyPublic aspects of medicineRA1-1270ENBMC Public Health, Vol 21, Iss 1, Pp 1-8 (2021)
institution DOAJ
collection DOAJ
language EN
topic Hepatitis B
Diagnosis experience
Liver funtion test
Qualitative study
Public aspects of medicine
RA1-1270
spellingShingle Hepatitis B
Diagnosis experience
Liver funtion test
Qualitative study
Public aspects of medicine
RA1-1270
Xiangxi Zhou
Fan Zhang
Yongping Ao
Chunli Lu
Tingting Li
Xianglong Xu
Huan Zeng
Diagnosis experiences from 50 hepatitis B patients in Chongqing, China: a qualitative study
description Abstract Background The aim of this study was to provide recommendations for reducing the impact of hepatitis B infection on patients with chronic hepatitis B by describing their experiences during the diagnosis process. Methods We conducted face-to-face interviews with 50 hepatitis B patients recruited by convenient sampling from an infectious diseases department of a teaching hospital in Chongqing, China from July to August 2019. Thematic analysis framework included interviewees’ social demographic characteristics, diagnosis approach, signs and symptoms before diagnosis, feelings after diagnosis, and doctor’s instructions. Results Most patients first detected hepatitis B through various types of physical examinations when the patients were asymptomatic or had only mild symptoms. Most patients were shocked, scared, or overwhelmed when they were diagnosed with hepatitis B. They were able to remember the doctor’s instructions about maintaining a healthy lifestyle, but not impressed by the doctor’s advice about regular follow-up liver function tests. The lack of regular follow-up has caused irreversible damage to some patients. Conclusions Most patients are passively diagnosed with hepatitis B due to their lack of awareness on active hepatitis B prevention. Patients need professional mental health care to overcome the negative emotions that following the diagnosis. Physicians’ instruction should emphasize the importance of regular follow-up liver function tests in addition to a healthy lifestyle.
format article
author Xiangxi Zhou
Fan Zhang
Yongping Ao
Chunli Lu
Tingting Li
Xianglong Xu
Huan Zeng
author_facet Xiangxi Zhou
Fan Zhang
Yongping Ao
Chunli Lu
Tingting Li
Xianglong Xu
Huan Zeng
author_sort Xiangxi Zhou
title Diagnosis experiences from 50 hepatitis B patients in Chongqing, China: a qualitative study
title_short Diagnosis experiences from 50 hepatitis B patients in Chongqing, China: a qualitative study
title_full Diagnosis experiences from 50 hepatitis B patients in Chongqing, China: a qualitative study
title_fullStr Diagnosis experiences from 50 hepatitis B patients in Chongqing, China: a qualitative study
title_full_unstemmed Diagnosis experiences from 50 hepatitis B patients in Chongqing, China: a qualitative study
title_sort diagnosis experiences from 50 hepatitis b patients in chongqing, china: a qualitative study
publisher BMC
publishDate 2021
url https://doaj.org/article/65149d8eabd74c2ca484882d151c4f0a
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