Effectiveness of Nutritional Support on Clinical Outcomes of Patients with Hepatitis C Virus | ||||
Egyptian Journal of Health Care | ||||
Article 36, Volume 10, Issue 2, June 2019, Page 455-472 PDF (487.98 K) | ||||
Document Type: Original Article | ||||
DOI: 10.21608/ejhc.2019.263011 | ||||
View on SCiNiTO | ||||
Authors | ||||
Jackleen Faheem Gendy1; Fatma Mustafa Mahrous1; Shereen El Shazly2 | ||||
1Medical-Surgical Nursing Department, Faculty of Nursing-Ain Shams University | ||||
2Therapeutic Nutrition Department, Ain Shams University Hospital, Egypt | ||||
Abstract | ||||
Background: Hepatitis C virus is a major cause of acute and chronic liver disease worldwide. Therefore, it is vitally important that patients infected with hepatitis C virus (HCV) try to maintain a balanced diet with adequate daily caloric, protein, carbohydrate, fat, vitamins, minerals and fluids. Eating well can become more of a challenge as liver disease progresses. Aim of the study was to evaluate the effectiveness of nutritional support on clinical outcomes of patients with hepatitis C virus. Research design: A quasi-experimental research design was used. Subjects: A purposeful sample of 120 adult patients was selected according to inclusion criteria and randomly divided alternatively into two equal groups and assessed at three visits; 60 in each group: Study group (I) received nutritional support as prescribed by the treating physician. Control group (II) received an ordinary hospital diet. Setting: The study was conducted in the clinic of Liver Disease at Ain Shams university hospital. Tools: Two tools were utilized for data collection. First tool was Hepatitis C virus Patients nutritional assessment and the second tool was Hepatitis C Patient's Clinical outcome: Results: the result indicates decreasing in daily caloric intake which is significant in one-month post instructions (P=0.000) and three months post instructions (P=0.000) comparing with base line. There was a positive relation between incidence and severity of the complications and nutritional support of studied patients in relation to daily dietary intake than control group. Conclusion: There was improved score of Child Pugh Scale in the study group than control group at base line, one- and three-month post diet regimen. The nutritional support has a positive impact on incidence and severity of complications of studied patients. Recommendations: Diet for patients with hepatitis C should be prescribed individually based on total caloric requirement. Manual guidelines about allowed nutritional support of patients with hepatitis C should be available to every nurse caring for patientsin liver disease unit. | ||||
Keywords | ||||
hepatitis C virus; nutritional support; caloric intake; nutritional management | ||||
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