الفهرس 
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Abstract
The most well documented example of health-care-associated transmission is the generalized epidemic of HCV infection resulting from unsafe injection practices in Egypt, where HCV RNA prevalence was 15% in 2015(WHO,2016). HCV genotype 4 is the most common strain in Egypt followed by HCV genotype 1 (90% and 10% respectively) (Franciscus, 2014). Hepatitis C virus is present worldwide and approximately 130 to 170 million people are living with HCV infection
(WHO, 2015).
Treatments for hepatitis C have progressed to the point that more
than 90% of the people who take the treatment can be cured, and, for
many people, the treatment duration is much shorter than before. Medical
providers are much more knowledgeable about diagnosis, management and treatment of hepatitis C (Lucinda & Porter, 2014). Health education
is one of the tools to provide individuals with the knowledge, skills, and
motivation to make healthier targeted (Abd Al Azeem, et al., 2011).
The aim of this study
This study aimed to assess the perceived learning needs of patients
with hepatitis C, associated health problems, explain ways to control
existing health problems.
Descriptive design with pre-posttest was used to achieve the aim of
the study. This study was conducted at Outpatients Clinic of Fever
Hospital in Tanta city, El-Gharbia Governorate, Egypt. A purposive
sample consisted of 100 patients attended the outpatient clinic, diagnosed
with hepatitis C disease and was receiving hepatitis C treatment.
Tool of the study
Data collections were collected over a period of 6months starting
from the beginning of June, 2015 till the end of December, 2015. Data
were collected at the ward through an interview schedule with patients.
Data was collected by using the self-administered structured
questionnaire developed by researcher after reviewing literature to collect
the necessary data from the studied subjects and included the following:
Part 1: patient’s sociodemographic data.
Part 2: patient’s clinical data and Patient’s knowledge about hepatitis C.
Part 3: Patient’s knowledge about activity sleep and nutritional practice.
Intervention:-
Instructional booklet was designed based on analysis of the actual
educational need assessment in the pretest. The content was written
in simple Arabic language and consistent with the related literature,
met patient’s needs and their level of understanding.
The instructional booklet consisted of different elements; definition
of hepatitis c, side effect of treatment, diet, how to protect others,
risk factors and complications.
Health education session was conducted by the researcher through
explaining the contents of the booklet which was applied either on
one-to-one or to groups. This information included the right
answers of all questions in the pretest questionnaire.
The main results of this study showed that:
Eighty seven percent of the studied subjects have inadequate
knowledge at the pre intervention. Also, 35.5% have inadequate
knowledge regarding the causes and prevention of HCV compared
to 46.2% and 30.8% who have adequate Knowledge, the
difference was not statistically Significant
There was a statistical significant improvement in knowledge
related causes of hepatitis C patients, side effects of treatment,
prevention and definition after the educational intervention.
After implementation of the educational intervention, there was a
statistically significant in all situation regarding needs.
Statistically significant improvement in activity and sleep in
the post educational intervention than the pre educational
intervention.
The mean score of post educational intervention were significantly
higher (P=0.000) than the corresponding pre- intervention score in
all knowledge aspects.
The study concluded that:
The educational intervention was successful in building the
learning needs of hepatitis C patients to have the information about HCV.
Significant improvement was observed on reducing fatigue level,
improve knowledge about side effect of treatment, causes, mode of
transmission, prevention, and improvement in knowledge about nutrition
for hepatitis C patients.
Recommendations
Based on the result of this study, the following recommendations were
suggested:
Educational nursing intervention about hepatitis C for patients and
their family should be held periodically.
Educational intervention should be published through mass media.
There is a need to develop nursing intervention to improve patient’s
knowledge toward HCV treatment in the fever hospitals.
Further studies should be carried out on a large number of hepatitis
C patients for evidence of the results and generalization