ABSTRACT
Background@#Diabetes self-management is a fundamental aspect of diabetes care and has a significant impact on diabetes- related mortality and morbidity. Assessment of self-care management is thus essential for clinicians and educators seeking better outcomes. However, there are no Filipino-validated tools to objectively measure this.@*Methodology@#A cross-sectional analytic study was done among adult Type 2 diabetic mellitus (T2DM) patients at the Ilocos Training and Regional Medical Center (ITRMC) Department of Internal Medicine outpatient clinic and three private diabetes clinics to determine the reliability and validity of the Filipino-translated Diabetes Self-Management Questionnaire (DSMQ) and its association with glycemic control as measured using glycosylated hemoglobin (HbA1c) values and categorized into good (< 7%), moderate (7-8.9%) and poor (> 9%) control. The English version of the DSMQ was translated to Filipino using forward-backward translation. The pre-tested Filipino translated questionnaire was then distributed to the participants and the responses were analyzed using Cronbach’s alpha, Pearson’s coefficient, and one–way analyses of variance.@*Results@#There were a total of 78 respondents. The test-retest reliability showed a statistically significant correlation (p < 0.05). All the items showed a high difficulty index. Known group validity was computed based on categorized HbA1c values. DSMQ sum scores and subscales showed no significant differences among the three categories of glycemic control.@*Conclusion@#The Filipino-translated DSMQ is a reliable tool for measuring the self-care of Filipinos with type 2 diabetes mellitus. Future research using it with a larger sample size and analysis for other factors affecting diabetes control may be better able to demonstrate its association with glycemic control.
Subject(s)
Self-ManagementABSTRACT
Background@#Diabetes is one of the major health concerns worldwide. Self-care is one of the most important methods in controling this disease and preventing development of complications.@*Objective@#The study aimed to determine the level of adherence to self care behavior among Type 2 diabetic patients consulting at the Out Patient Department of Batangas Medical Center and Bolbok Health Center from January 2020 to December 2020@*Methods@#This analytic cross-sectional study consists of administration of a validated Behavior Score Instrument and Family APGAR questionnaire among 143 diagnosed Type 2 Diabetic patients in the Family Medicine OPD Clinic and Bolbok Health Center. A purposive nonprobability sampling method was used. Data obtained were encoded and analyzed using the Stata version 17. To compare the levels of adherence between family function groups, Chi-square test and Fisher Exact test were used.@*Results@#Over-all adherence to the self-care behaviors showed good adherence 94.4% (135) of the participants. None of the patients had poor adherence to self care behaviors. Majority had highly functional families (n 131; 91.6%) and none of the patients had severely dysfunctional families. Overall levels of adherence were comparable among family function groups. Good adherence to glucose monitoring was noted among higher proportions of participants with highly functional families.@*Conclusions@#The study showed that the least followed behavior was medication adherence and risk reduction. Having patients adhere to anti diabetic medications is important in achieving blood glucose control and following the behaviors under risk reduction can help them from developing more complications due to their disease.
Subject(s)
Diabetes Mellitus, Type 2ABSTRACT
Objective To explore the effect of health education based on behavioral phased transformation theory in remote peritoneal dialysis patients in remote mountainous areas. Methods Totally 84 cases of peritoneal dialysis catheterization in our hospital from April 2016 to May in-2018 were selected as the research subjects. After discharge, home peritoneal dialysis was performed. According to the random number table method, 42 cases in each group were divided into observation group and control group. The control group was given routine treatment and traditional health education. On the basis of conventional treatment, the observation group established a behavior based phased transformation of health education as a means of intervention. The two groups were all intervened for 6 months. Volume status and self-care behavior were evaluated and compared between the two groups within one week of admission and six months after intervention. Results Before intervention, there was no significant difference in the capacity load between the observation group and the control group (P>0.05). The systolic and diastolic blood pressures of the observation group after intervention were (131.21±11.73) mmHg (1 mmHg=0.133kPa) and (80.24 ±10.62) mmHg respectively, which were significantly lower than those of the control group (140.31 ± 12.87) mmHg and (85.75 ± 11.73) mmHg, with significant differences (t=3.455, 2.302, P < 0.05); and the ultrafiltration volume of the observation group after intervention was (385.15 ± 105.1.8) ml was significantly higher than that of the control group (320.02 ± 126.87) ml, with significant difference (t=2.561, P < 0.05); there was no significant difference in body mass and urine volume between the two groups after intervention (P>0.05).The total score of the self-care ability scale in the observation group was (122.11 ± 8.52) points, which was significantly higher than that in the control group (94.24 ± 10.71) points . The difference was statistically significant(t=313.198, P<0.01). Conclusion Health education based on the theory of behavioral phased transformation can help patients with peritoneal dialysis in remote mountainous areas to improve their capacity and improve their self-protection behavior, which has educational guiding significance.
ABSTRACT
Objective@#To explore the effect of health education based on behavioral phased transformation theory in remote peritoneal dialysis patients in remote mountainous areas.@*Methods@#Totally 84 cases of peritoneal dialysis catheterization in our hospital from April 2016 to May in -2018 were selected as the research subjects. After discharge, home peritoneal dialysis was performed. According to the random number table method, 42 cases in each group were divided into observation group and control group. The control group was given routine treatment and traditional health education. On the basis of conventional treatment, the observation group established a behavior based phased transformation of health education as a means of intervention. The two groups were all intervened for 6 months. Volume status and self-care behavior were evaluated and compared between the two groups within one week of admission and six months after intervention.@*Results@#Before intervention, there was no significant difference in the capacity load between the observation group and the control group (P>0.05). The systolic and diastolic blood pressures of the observation group after intervention were (131.21±11.73) mmHg (1 mmHg=0.133kPa) and (80.24 ±10.62) mmHg respectively, which were significantly lower than those of the control group (140.31 ± 12.87) mmHg and (85.75 ± 11.73) mmHg, with significant differences (t=3.455, 2.302, P < 0.05); and the ultrafiltration volume of the observation group after intervention was (385.15 ± 105.1.8) ml was significantly higher than that of the control group (320.02±126.87) ml, with significant difference (t=2.561, P < 0.05); there was no significant difference in body mass and urine volume between the two groups after intervention (P > 0.05).The total score of the self-care ability scale in the observation group was (122.11 ± 8.52) points, which was significantly higher than that in the control group (94.24 ± 10.71) points. The difference was statistically significant (t=313.198, P<0.01) .@*Conclusion@#Health education based on the theory of behavioral phased transformation can help patients with peritoneal dialysis in remote mountainous areas to improve their capacity and improve their self-protection behavior, which has educational guiding significance.
ABSTRACT
BACKGROUND: Self-care of diabetes is an essential part for controlling the disease and improvement of quality of life in type 2 diabetes mellitus (T2DM) patients. This study aimed to analyze the associated factors of quality of life in patients with T2DM in order to design effective interventions. METHODS: This cross-sectional study was conducted on 120 T2DM patients referred to health centers of Chaldoran, West Azerbaijan Province, Iran. The quality of life's questionnaires from World Health Organization and the self-care behaviors' questionnaires were used for data collection. RESULTS: The mean age of patients was 46.30% and 53.30% of them were male. Among demographic variables, gender (P=0.002), age groups (P=0.007), and household monthly income (P=0.009) were significantly associated with total quality of life. Also, self-care nutrition (odds ratio [OR], 1.47; P=0.001), self-management of blood glucose control (OR, 1.29; P=0.002), and self-medication behavior (OR, 1.18; P=0.030) were identified as factors significantly associated with quality of life. CONCLUSION: Self-care behaviors were significantly associated with quality of life; among them, the greatest influence was observed in self-care nutrition behavior. According to the findings of this study, appropriate interventions on self-care behaviors about nutrition can improve the quality of life for T2DM patients.
Subject(s)
Humans , Male , Azerbaijan , Blood Glucose , Cross-Sectional Studies , Data Collection , Diabetes Mellitus, Type 2 , Family Characteristics , Iran , Quality of Life , Self Care , World Health OrganizationABSTRACT
Objective To investigate the effects of extended nursing based on relationship, information and management on the self-care behaviors of patients with heart valve replacement. Methods According to admission time, 37 patients with heart valve replacement were set as the control group, which was given routine nursing intervention and another 42 patients as the study group, which received extended nursing based on the trinity of relationship, information and management 2~8 weeks after discharge. Before and after intervention, patients were evaluated by using the improved version of self-care behavior evaluation scale of heart disease (SNBAOHD). Result There were significant differences between the two groups in other items of SNBAOHD, except two items of low salt diet and medication (P<0.05). Conclusions Extended nursing after discharge based on the trinity of relationship, information and management can help the patients to be continuously cared. In this case, it is effective for the enhancement of off-hospital self-care ability and prevention of disease relapses.
ABSTRACT
Objective To investigate the effect of patients′ health education needs analysis on health education . Methods One hundred and sixty-four type 2 diabetic patients who met the inclusion criteria and participated diabetes education management voluntarily into the control group and the observation group randomly with 82 cases in each group and the control group lost 2 patients and the observation group lost 3. The control group received traditional education. Based on the control group, the observation group also received patients′ health education needs analysis . The two groups were compared in terms of blood glucose level , diabetes knowledge scale score and self-care behavior. Results After 6 months′management, the patients in the observation group were better than the control group in terms of the blood glucose level, diabetes knowledge scale scores and self-care behavior(P<0.05). Conclusion Patients′health education needs analysis before education can enhance their diabetes knowledge and better self-care behavior , improve diabetic patients′control over blood glucose .
ABSTRACT
Objective To explore the effect of motivational interviewing on the self-care of type 2 diabetic patients . Methods Totally 96 inpatients with type 2 diabetes were randomly divided into the control group and the intervention group , each group containing 48 patients. The control group received routine diabetes education, while the intervention group received face-to-face and one-by-one motivational interviewing intervention for three months. The patients′self-care level were evaluated by using diabetes self-care scale after intervention. Result After intervention, the score on the self-care behaviors including diet control, exercise therapy, medication , blood glucose monitoring and foot care were significantly higher in the intervention group than those in the control group (P < 0.01). Conclusion Motivational interviewing can improve the ability of type 2 diabetic patients to control the glycemic level.
ABSTRACT
Objective To evaluate the effect of transtheoretical model(TTM)-based health education on the self-care behaviors of patients with heart failure.Methods One hundred and fifty heart failure patients from January 2012 to June 2013 were randomly assigned to two groups,75 cases in each group.The patients in the experimental group received TTM-based health education;the patients in the control group received conventional health education.All patients were investigated with the Self-Care of Heart Failure Index (SCHFI) at baseline,1 month and 3 months after intervention.Results After intervention,the scores of self-care maintaining,self care management and self care confidence in the experimental group were significantly higher than those in the control group.Conclusions TTM-based health education can effectively improve the self-care behaviors of patients with heart failure.
ABSTRACT
Objective To test the reliability and validity of the Chinese version Diabetea Self-Care Behavior(SDSCA)Questionnaire,and thus to provide an effective and convenient way of self-care behavior assessment for patients with type 2 diabetes.Methods The questionnaire based on the translation of SDSCA wag used in 20 cases of type 2 diabetes patients,in order to analyze the retest rehability,internal consistency and scale construct validity. Results The retest reliability of each dimension wag between 0.763 to 1.000;the scale correlation coeflicients between items in specific diet dimension Wag lowest(0.104),and the others were moderate to high degree of correlation between 0.555～0.933;exploratory factor analysis extracted 4 components,and the percentage of variance explained was 67.483% .Conclusions Chinese version SDSCA has a good reliability and validity,and is good for evaluating the self-care activities in type 2 diabetes patients.
ABSTRACT
PURPOSE: This study was to evaluate the effects of visiting nursing intervention on self care behavior and blood pressure with high risk of cerebrovascular diseases. METHOD: A one-group pretest-posttest was designed. Data collection was done in 150 participants from March, 2003 to November, 2003 at a public health center. Self care behavior was assessed by the scores of smoking, alcohol, diet, exercise, stress and medication compliance. The scores of knowledge related cerebrovascular diseases, blood pressure, blood glucose were estimated. The Participants were intervened in with basic assessment, emotional support, education. This program took a period ranging from 3 months to 7 months depending on the cerebrovascular risk level. The mean number of visiting times was 1.67 per month. RESULT: 1. Knowledge level was improved(t=-2.542, p=.012). 2. Systolic and diastolic pressure were lower(t=5.439, p<.001; t=4.966, p<.001). 3. Self care level was higher (t=-12.981, p=.001) after the intervention. CONCLUSION: The visiting nursing intervention was found to have an effect on the scores of knowledge, self care behavior and blood pressure with high risk of cerebrovascular diseases. The results provided evidences for the importance of visiting nursing intervention in the high risk factor of cerebrovascular disease for self care.
Subject(s)
Humans , Blood Pressure , Data Collection , Diet , Education , Glucose , Hematologic Diseases , Medication Adherence , Nursing , Public Health , Risk Factors , Self Care , Smoke , SmokingABSTRACT
PURPOSE: The purpose of this study is to investigate the effect of Self-Efficacy Promoting Program on Self-Efficacy, Metabolic Control and Self-Care Behaviors in Patients with NIDDM. METHOD: Data was collected from March 15th to July 15th, 2001. The subjects of the study consisted of 23 NIDDM patients who had visited regularly the endocrinology out-patient department of Gwangju Christian Hospital. The instrument used in the study Paek's self-efficacy measurement scale, was modified by the researcher, self-care behaviors were created by health care teams, and HbA1c for the sugar metabolic control were measured from the patients blood. The Interventions of the self efficacy promoting program were applied 4 hours a week for 6weeks. Data were analyzed with SPSS/PC+, using T-test and Wilcoxon rank sum test. RESULT: The mean score for self-efficacy was 70.61+/-15.48 of a 140 point scale, the mean score for HbA1c level was 8.07+/-1.86%. The self efficacy promoting program significantly increased the score of self efficacy (Z=-4.198, P=.000). And the self efficacy promoting program was significantly decreased in metabolic control (Z=-2.585, p=.010). Taking medicine and controlling alcohol were the best self care behaviors of this program. CONCLUSION: It was established that the self efficacy promoting program was effective for improving self efficacy, metabolic level and self care behaviors in patients with NIDDM.
Subject(s)
Humans , Diabetes Mellitus, Type 2 , Endocrinology , Outpatients , Patient Care Team , Self Care , Self EfficacyABSTRACT
PURPOSE: This study was conducted to develop and to test the effects of an educational program for coping with problem situations as a nursing intervention in the diabetic patient. METHOD: A non-equivalent control group pretest-posttest design was used in this study. Data were collected from January to March, 2002. The subjects of the study consisted of 31 diabetic patients(experimental group : 17 patients, control group : 14 patients). The intervention of an educational program for coping with problem situations was applied to the experimental group for 4weeks(total 8 hours). Data were collected before the educational program, immediately after and 1 months later and were analyzed with repeated measures ANOVA, t-test, and paired t-test. RESULT: 1. There was a significant difference in self efficacy between the experimental and control groups (F=13.793, p=0.001). 2. There was a significant difference in self care behavior between the experimental and control groups (F=4.583, p=0.041). 3. There was a significant difference in coping behavior of the problem situation between the experimental and control groups (F=62.018, p=0.000). There was a significant difference according to experimental stages(F=4.546, p=0.015) and interaction between education and experimental stages(F=12.039, p=0.000). 4. There was a significant difference in glycemic control between the experimental and control groups (t=-3.112, p=0.004). CONCLUSION: These results support that a diabetic educational program for coping with problem situations is effective in promoting and maintaining self efficacy, self care behavior, problem coping behaviors and in improving glycemic control. Thus this program can be recommended as an effective nursing intervention of in-depth education for diabetic patient.
Subject(s)
Adult , Aged , Female , Humans , Male , Middle Aged , Adaptation, Psychological , Blood Glucose/analysis , Diabetes Mellitus, Type 2/blood , Patient Education as Topic , Self Care , Self EfficacyABSTRACT
PURPOSE: This study was designed to explore pain and self-care behaviors and identify related variables in patients with chronic arthritis. METHOD: One hundred fifty patients with arthritis were recruited from two university based arthritis centers according to selection criteria. Collected data were analyzed using the SAS program to analyze the responses to the structured questionnaires of the study. RESULT: Most of the participants expressed pain and the intensity of the pain was moderate. There were significant differences according to age, educational level, diagnosis, duration of illness, number of affected joint, and use of complementary therapy. Self-care behavior scores were moderately high. The highest practice was for "regular visits to the hospital", and the lowest for "applying physical therapy at home". The mean self-care behavior scores showed significant differences according to economic status and educational level. Pain scores showed no correlation with self-care behavior. CONCLUSION: Developing self-management programs for patients with chronic arthritis should focus on self-care skills which are applicable in the relief of pain and enhancement of knowledge. The skills are recommended not only for better health practices but also for enhancing the level of well-being and life satisfaction.
Subject(s)
Humans , Arthritis , Diagnosis , Joints , Patient Selection , Surveys and Questionnaires , Self CareABSTRACT
PURPOSE: The purpose of this study was to investigate the relationship of self-efficacy, knowledge about the disease, and self-care behavior to the metabolic level in patients with NIDDM. METHOD: Data were collected from March 15 to April 15, 2001. Participants in the study were 48 patients with NIDDM who were seen regularly at the endocrinology out-patient department of Gwangju Christian Hospital. The data were collected through individual interviews and patient blood samples. The data were analyzed with SPSS/PC+, using t-test, ANOVA, Pearson correlation coefficients and Cronbach's Alpha. RESULT: 1. The mean score for self-efficacy was 71.37+/-15.56, knowledge 15.00+/-2.84, self-care behavior 63.18+/-13.10. The mean score for HbA1c level was 7.66+/-1.77%, HDL cholesterol level, 46.22+/-13.04 mg/dl and total cholesterol level, 187.93+/-41.45 mg/dl. 2. There was a significant difference between patients with a spouse and those without one (t=-2.08, p=0.042), in knowledge according to level of obesity (t=5.14, p=0.010), duration of illness (t=3.22, p=0.031) and presence of complications related to diabetes (t=-2.58, p= 0.013). There were no significant differences in self-care behavior, but there were significant differences in sugar metabolic level according to sex (t=-2.02, p=0.050). 3. The correlation between diabetic patients' self-efficacy, knowledge and self-care behaviour and metabolic control was significantly related only to self-efficacy and self-care behavior (r=.692, p=0.000). CONCLUSION: It is necessary to improve self-efficacy, knowledge, and self-care behavior for patients with NIDDM by using nursing intervention programs to promote and maintain metabolic control.
Subject(s)
Humans , Cholesterol , Cholesterol, HDL , Diabetes Mellitus, Type 2 , Endocrinology , Nursing , Obesity , Outpatients , Self Care , SpousesABSTRACT
PURPOSE: This study was conducted to evaluate the effects of foot care education program using foot-reflexo-massage in diabetic patients. METHOD: A convenience sample of non-equivalent control group time series design was used. It provided foot care education to diabetic patients through small book for both group. For the experimental group, foot-reflexo-massage was taught by a researcher and research assistants. Analysis was done by Repeated Measured ANOVA. RESULT: There was significant increase in foot care knowledge, self care behavior, between the experimental group and the control group over three different times. There was significant in skin temperature and pulse of foot over three different times and interaction by groups or over time, but there was no significant difference between groups. There was no significant difference in blood flow volume and capillary filling time over three different times, between groups, but there was interaction by groups or over time. But there was significant difference in discrimination in change of dosalis pedis artery blood flow. CONCLUSION: Findings indicate that this study may contribute to develop nursing intervention for foot care of diabetic patients.
ABSTRACT
The cause of essential hypertension is yet unknown, but in general is caused by interaction of hereditary factors, diet, obesity, lack of exercise and stress. The aging process influences various physiological mechanism related to regulation of blood pressure. So elderly hypertensives have a tendancy to consider the disease as a result of the physiological aging process. This attitude causes many complications, worsening of the disease and even early death because of inappropriate care. In order to improve self-management of elderly hypertensives in this study the researcher examined the effect of blood pressure regulation by an education program that improves self-care behavior, through increasing self-efficacy. The education program consisted of group education on hypertension and self-care strategies, and encouraging and reinforcing self-efficacy resources such as verbal persuation, performance accomplishment and vicarious experiences. A quasi-experimental pre-and post-test design was used. Thirty-two elderly hypertensives participated in the study. Eighteen in the education group and fourteen in the control group. The education program consisted of eight sessions twice a week for four weeks. There was no intervention for the control group. Data were analysed using SPSS for Windows(Version 8.0). The results were as follows. 1. There was a significant decrease in systolic and diastolic blood pressure between the experimental group and control group over three different times, and interaction by groups and over time. 2. There was no significant difference in the level of self-care behavior between the experimental group and control group over three different times, and interaction by groups and over time. 3. There was significant difference in self-efficacy of experimental and control group, depending on the measuring period, but there was no difference between these groups on interaction by groups and over time. 4. There was positive correlation between self efficacy and self care behavior depending on the measuring period. There was negative correlation between diastolic blood pressure and self-care behavior on the posttest of the program, and between systolic blood pressure and self-care behavior on the follow-up test of the program. Findings indicate that this study will contribute to develop nursing strategies for the regulation of blood pressure for the elderly, which is easy for the elderly to learn as a nonpharmacologic approach.
Subject(s)
Aged , Humans , Aging , Blood Pressure , Diet , Education , Follow-Up Studies , Hypertension , Nursing , Obesity , Self Care , Self EfficacyABSTRACT
This study was designed to identify the relationship between perceived self-efficacy and self care behavioral compliance in type II diabetic patient. The subjects for this study were the 113 adults with type II diabetes that received hospital treatment or attended as outpatients in 2 general hospitals at Inchon City. The data were collected during the period from August 15 to semtember 15, 2000 by means of an interview. Collected data were analyzed by means of descriptive statistics, t-test, ANOVA, Pearson's correlation using the SPSS/PC+ program. The results of this study were as follows : 1. The mean score of self care behavioral compliance was 3.06. 2. There were statistically significant difference in self care behavioral compliance according to sex(p<0.05), age (p<0.001), BMI(p<0.05), education(p<0.001), occupation(p<0.001), experience of diabetic education(p<0.05) and complication(p<0.05). 3. The mean score of perceived self-efficacy was 3.45. Self care behavioral compliance and perceived self-efficacy had a positive correlation which was statistically significant (r=0.3879 p<0.001). 4. Stepwise multiple regression analysis was performed to identify the influencing factors for self care behavioral compliance. Education, experience of diabetic education and self-efficacy accounted for 41% of the variance in self care behavioral compliance. The results suggest that education, experience of diabetic education and self-efficacy are important variables in the compliance of self-care behavior with type II diabetes.
Subject(s)
Adult , Humans , Compliance , Education , Hospitals, General , Outpatients , Self CareABSTRACT
The purpose of this study was to identify the effects of phase 1 cardiac rehabilitation nursing care on cardiac rehabilitation knowledge, anxiety, and self-care behavior in patients with acture myocardial infarction. The study design was composed of a nonequivalent control group non-synchronized design and a non-equivalent control group post-test design. The subjects of the study consisted of thirty-four acute myocardial infarction patients hospitalized at a university hospital in Taegu between February 16, 1998 and May 12, 1998. the 34 research subjects were assigned to experimental( 17 patients ) and control( 17 patients ) groups. The phase 1 cardiac rehabilitation nursing care was composed of cardiac rehabilitation education taken from a rehabilitation manual and booklet, and participating in a progressive exercise program. After discharge, a phone interview was conducted in order to encourage the self-care behavior. The modified Knowledge Scale developed by Rahe et al.(1975) and translated into Korean by Hwang(1986), and the modified Self-Care Scale of exercise and diet based on Hickey et al.(1992), were used for data collection. Analysis of data was done by use of Chi-square test, t-test, Repeated measure ANOVA, Simple Main Effect, and Time contrast. The results of this study are as follows : 1. The first hypothesis, "The experimental group which received the phase 1 cardiac rehabilitation nursing care will have a higher level of knowledge than the control group", was supported(F=24.07, p=.000). 3. The third hypothesis, "The experimental group which received the phase 1 cardiac rehabilitation nursing care will have higher self-care behavior scores than the control group", was supported( t=-15.49, p=.000 ). From the above results, it can be concluded that phase 1 cardiac rehabilitation nursing care is an effective nursing intervention knowledge, reducing anxiety, and improving self-care behavior in patients with acute myocardial infarction.
Subject(s)
Humans , Anxiety , Data Collection , Diet , Education , Myocardial Infarction , Nursing , Pamphlets , Rehabilitation Nursing , Rehabilitation , Research Subjects , Self CareABSTRACT
The purpose of this study was to identify the effect of structured patient education on knowledge of Hepatitis B type and behavior about self care in chronic hepatitis B patients, and to fine the strategy to promote their self care behavior. The research design was quasi-experiment research. The study method had been done by investigating the experimental group and control group through the questionnaire on 50 patients who had been out patient medicine department in University hospital in Ulsan from september 1st 1997 to the end of October, 1997. The analysis of the collected material had been done for the homogeneity test in which general characteries of experimental group and control group had been tested by x2-test and the homogeneity test of the knowledge of hepatitis B type and self care behavior before by t-test. To test the hypothesis the t-test had been given for the difference of the knowledge of hepatitis B type and self care behavior between the two groups and the correlation between knowledge of hepatitis B type and self care behavior performance had been tested by Pearson's correlation coefficient. The results as follows : 1. The 1st hypothesis "The experimental group which received the structured education should be higher in the knowledge of hepatitis B type than the control group"was supported(t=-6.25, P=.000). 2. The 2nd hypothesis "The experimental group which received the structured education should be higher in the self care behavior performance than the control group" was supported(r=-5.15, P=.000). 3. The 3rd hypothesis "The higher the knowledge of hepatitis B type in the patient the higher the self care behavior performance degree" was supported(r=.492, P=.001) In conclusion, the patients who received the structured education showed the increase in the degree of knowledge of hepatitis B type and self care behavior performance. so the structured education had been judged the nursing intervention had been prerequisite in increasing knowledge of hepatitis B type and self care behavior performance of the chronic hepatitis B patients.