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Huang HC, Lin KC, Wu CS, et al. Health-promoting behaviors benefit the mental health of cirrhotic outpatients. Qual Life Res. 2018;27(6):1521-1532doi: 10.1007/s11136-018-1818-3.
Huang, H. C., Lin, K. C., Wu, C. S., Miao, N. F., & Chen, M. Y. (2018). Health-promoting behaviors benefit the mental health of cirrhotic outpatients. Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation, 27(6), 1521-1532. https://doi.org/10.1007/s11136-018-1818-3
Huang, Hui-Chuan, et al. "Health-promoting behaviors benefit the mental health of cirrhotic outpatients." Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation vol. 27,6 (2018): 1521-1532. doi: https://doi.org/10.1007/s11136-018-1818-3
Huang HC, Lin KC, Wu CS, Miao NF, Chen MY. Health-promoting behaviors benefit the mental health of cirrhotic outpatients. Qual Life Res. 2018 Jun;27(6):1521-1532. doi: 10.1007/s11136-018-1818-3. Epub 2018 Feb 27. PMID: 29488140.
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Qual Life Res. 2018 Jun;27(6):1521-1532. doi: 10.1007/s11136-018-1818-3. Epub 2018 Feb 27.

Health-promoting behaviors benefit the mental health of cirrhotic outpatients.

Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation

Hui-Chuan Huang, Kuan-Chia Lin, Chia-Shin Wu, Nae-Fang Miao, Ming-Yao Chen

Affiliations

  1. School of Nursing, College of Nursing, Taipei Medical University, Taipei, Taiwan, Republic of China.
  2. Institute of Hospital and Health Care Administration, Community Medicine Research Center, National Yang-Ming University, Taipei, Taiwan, Republic of China.
  3. Division of Gastroenterology and Hepatology, Department of Internal Medicine, School of Medicine, College of Medicine, Taipei Medical University, 291, Zhongzheng Road, Zhonghe District, New Taipei City, 235, Taiwan, Republic of China.
  4. Division of Gastroenterology and Hepatology, Department of Internal Medicine, Taipei Medical University-Shuang Ho Hospital, New Taipei City, Taiwan, Republic of China.
  5. Post-Baccalaureate Program in Nursing, College of Nursing, Taipei Medical University, Taipei, Taiwan, Republic of China.
  6. Division of Gastroenterology and Hepatology, Department of Internal Medicine, School of Medicine, College of Medicine, Taipei Medical University, 291, Zhongzheng Road, Zhonghe District, New Taipei City, 235, Taiwan, Republic of China. [email protected].
  7. Division of Gastroenterology and Hepatology, Department of Internal Medicine, Taipei Medical University-Shuang Ho Hospital, New Taipei City, Taiwan, Republic of China. [email protected].

PMID: 29488140 DOI: 10.1007/s11136-018-1818-3

Abstract

PURPOSE: The objectives of this study were to survey the frequency of engaging in a health-promoting lifestyle in patients with liver cirrhosis, and examine the mediating effects of a health-promoting lifestyle on relationships of symptoms and psychological distress with the quality of life (QOL).

METHODS: A cross-sectional study was conducted to recruit 148 cirrhotic outpatients from the gastroenterology outpatient department of one medical university hospital. All study participants completed self-administered questionnaires comprising a multidimensional symptoms scale, Hospital Anxiety and Depression Scale, short-form Chinese health-promoting lifestyle profile, and the Taiwanese version of the Short-Form 36. Hierarchical linear regression and mediation models were used to evaluate the effect of a health-promoting lifestyle on the QOL.

RESULTS: Results showed these cirrhotic outpatients reported low frequencies of health-promoting behaviors in their daily activities and had poor mental health but superior physical health. The hierarchical linear regression model found that depression, anxiety, and a health-promoting lifestyle were significant determinants of mental health. The mediation analysis further identified that a health-promoting lifestyle acted as a significant mediator which ameliorated the effects of depression and anxiety on the mental health aspect of the QOL.

CONCLUSIONS: A health-promoting lifestyle can improve the mental health of the QOL. Healthcare professionals can develop effective health-promoting interventions to manage and improve the mental health of cirrhotic patients.

Keywords: Anxiety; Depression; Health promotion; Liver cirrhosis; Quality of life

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