الخلاصة

Background: Chronic viral hepatic infections are a major threat to public health worldwide. Chronic hepatitis B virus (HBV) and hepatitis C virus (HCV) are the leading causes of cirrhosis and hepatocellular carcinoma, two conditions with increasing mortality and burden of disease especially in the developing countries. Objectives: To assess self–esteem for patients with hepatitis B & C virus. To compare between patients with hepatitis B & those with hepatitis C virus regarding their self-esteem. Methodology: Descriptive comparative is adopted in the current study to achieve the early stated objectives. The study started from March 8th, 2018 until April, 29th, 2018. A Non-Probability (purposive Sample) of (40) HBV patients, (29) HCV patients, those who visit Al-Sadder Medical City in Al-Najaf Al-Ashraf., are included in the study sample. Data collected through using of a well-designed questionnaire consist of three parts: Part 1: Demographic Data: This part consists of (7) items, which includes age, gender, level of education, monthly income, residence, marital status, occupation status. Part 2: Clinical Data: This part consists of (6) items: (disease duration since diagnosis, associated disease, usedtreatment for long time, do you smoker, do you drink alcohol, body mass index) Part 3: Self Esteem: This is a 14 item scales which is rank on (4) point scale, but we modified it to three point scale due to expert's suggestion. Results: the study indicates not significance between self-esteem and demographic data in all items, except at item that are (age, and monthly income) their high significance at p-value < 0.01, in HBV and not significance in all items in HCV. Conclusions: Most patients with ESRD need moderate assistance in performing in dietary, exercise and psychological in their daily self-care activities. Recommendations: The study recommends A simple manual of guidelines of care for patients undergoing hemodialysis should be available in all units to be provided to newly admitted patients. Design and implement an educational program for nurses to help them to provide nursing interventions to ESRD patients undergoing hemodialysis to improve their self-care.