Work–health–personal life conflicts in naive patients with chronic hepatitis B receiving initial treatment in China: a qualitative study
Objectives People with chronic hepatitis B (CHB) perform sick roles, work roles and personal roles simultaneously. At times, role conflicts arise because of failure to meet the expectations of different roles. Role conflicts may increase dissatisfaction in work and family and impair their physical a...
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| Format: | Article |
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BMJ Publishing Group
2020-09-01
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| Series: | BMJ Open |
| Online Access: | https://bmjopen.bmj.com/content/10/9/e035688.full |
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| author | Li Zhang Ying Chen Ying Li Hongmei Wang Lin Zhu Xiaoyang Lu Yingjing Zheng Donald Patrick Fengjiao Xu Mengna Song Xiao Cheng Boyan Chen |
| author_facet | Li Zhang Ying Chen Ying Li Hongmei Wang Lin Zhu Xiaoyang Lu Yingjing Zheng Donald Patrick Fengjiao Xu Mengna Song Xiao Cheng Boyan Chen |
| author_sort | Li Zhang |
| collection | DOAJ |
| description | Objectives People with chronic hepatitis B (CHB) perform sick roles, work roles and personal roles simultaneously. At times, role conflicts arise because of failure to meet the expectations of different roles. Role conflicts may increase dissatisfaction in work and family and impair their physical and mental health. This study aimed to explore the perceptions of role conflicts of treatment-naive patients with CHB in work, personal and sick roles, together with ameliorating factors in the Chinese cultural context.Design A qualitative descriptive study. Semistructured interviews were used to collect the experience of work–health–personal life conflicts (WHPLCs), and a brief questionnaire was used to collect demographic and clinical information. SPSS V.21.0 was used for descriptive analysis and Dedoose (V.7.5.9) was used to code and analyse interview transcripts. This study selected six cities with different socioeconomic levels in Zhejiang Province, China. Then, researchers chose one tertiary hospital from each city as the study site, so a total of six tertiary hospitals were involved.Participants We recruited 32 patients with CHB (59.38% male) who had just started antiviral therapy for no more than three months. Participants were within the age range of 19-57 years, and the average age was 36.03 (SD=9.56) years.Results Participants noted that having CHB influenced their daily life and intersected with work and personal roles, therefore causing role conflicts. Role conflicts focused on three types: time-based conflicts, strain-based conflicts and behaviour-based conflicts. The contextual factors contributing to role conflicts were identified, including personal characteristics, financial strain, traditional social roles and work environment.Conclusions These findings enhance our understanding of the WHPLCs experience of treatment-naive patients with CHB in China. Our findings suggest that multidimensional role conflicts should be taken into account in the intervention design and psychological counselling to improve role balance and well-being among patients with CHB. |
| format | Article |
| id | doaj-art-a5bbf68b10e8492298b437a73317e11c |
| institution | Kabale University |
| issn | 2044-6055 |
| language | English |
| publishDate | 2020-09-01 |
| publisher | BMJ Publishing Group |
| record_format | Article |
| series | BMJ Open |
| spelling | doaj-art-a5bbf68b10e8492298b437a73317e11c2025-01-06T13:20:09ZengBMJ Publishing GroupBMJ Open2044-60552020-09-0110910.1136/bmjopen-2019-035688Work–health–personal life conflicts in naive patients with chronic hepatitis B receiving initial treatment in China: a qualitative studyLi Zhang0Ying Chen1Ying Li2Hongmei Wang3Lin Zhu4Xiaoyang Lu5Yingjing Zheng6Donald Patrick7Fengjiao Xu8Mengna Song9Xiao Cheng10Boyan Chen11Hui Ya Hospital of The First Affiliated Hospital of Sun Yat-Sen University, Huizhou, Guangdong, China1 School of Public Health, Chongqing Medical University, Chongqing, ChinaSchool of Nursing, Sun Yat-Sen University, Guangzhou, China1 Department of Social Medicine of School of Public Health and Department of Pharmacy of the First Affiliated Hospital, Zhejiang University School of Medicine, Hangzhou, ChinaDepartment of Pharmacy of the First Affiliated Hospital, Zhejiang University School of Medicine, Hangzhou, Zhejiang, ChinaDepartment of Clinical Pharmacy, First Affiliated Hospital, Zhejiang University School of Medicine, Hangzhou, Zhejiang, ChinaDepartment of Social Medicine of School of Public Health, Zhejiang University School of Medicine, Hangzhou, Zhejiang, ChinaDepartment of Health Services, University of Washington, Seattle, Washington, USADepartment of Social Medicine of School of Public Health, Zhejiang University School of Medicine, Hangzhou, Zhejiang, ChinaDepartment of Social Medicine of School of Public Health, Zhejiang University School of Medicine, Hangzhou, Zhejiang, ChinaDepartment of Pharmacy, Beijing Tongren Hospital, Capital Medical University, Beijing, ChinaDepartment of Social Medicine of School of Public Health, Zhejiang University School of Medicine, Hangzhou, Zhejiang, ChinaObjectives People with chronic hepatitis B (CHB) perform sick roles, work roles and personal roles simultaneously. At times, role conflicts arise because of failure to meet the expectations of different roles. Role conflicts may increase dissatisfaction in work and family and impair their physical and mental health. This study aimed to explore the perceptions of role conflicts of treatment-naive patients with CHB in work, personal and sick roles, together with ameliorating factors in the Chinese cultural context.Design A qualitative descriptive study. Semistructured interviews were used to collect the experience of work–health–personal life conflicts (WHPLCs), and a brief questionnaire was used to collect demographic and clinical information. SPSS V.21.0 was used for descriptive analysis and Dedoose (V.7.5.9) was used to code and analyse interview transcripts. This study selected six cities with different socioeconomic levels in Zhejiang Province, China. Then, researchers chose one tertiary hospital from each city as the study site, so a total of six tertiary hospitals were involved.Participants We recruited 32 patients with CHB (59.38% male) who had just started antiviral therapy for no more than three months. Participants were within the age range of 19-57 years, and the average age was 36.03 (SD=9.56) years.Results Participants noted that having CHB influenced their daily life and intersected with work and personal roles, therefore causing role conflicts. Role conflicts focused on three types: time-based conflicts, strain-based conflicts and behaviour-based conflicts. The contextual factors contributing to role conflicts were identified, including personal characteristics, financial strain, traditional social roles and work environment.Conclusions These findings enhance our understanding of the WHPLCs experience of treatment-naive patients with CHB in China. Our findings suggest that multidimensional role conflicts should be taken into account in the intervention design and psychological counselling to improve role balance and well-being among patients with CHB.https://bmjopen.bmj.com/content/10/9/e035688.full |
| spellingShingle | Li Zhang Ying Chen Ying Li Hongmei Wang Lin Zhu Xiaoyang Lu Yingjing Zheng Donald Patrick Fengjiao Xu Mengna Song Xiao Cheng Boyan Chen Work–health–personal life conflicts in naive patients with chronic hepatitis B receiving initial treatment in China: a qualitative study BMJ Open |
| title | Work–health–personal life conflicts in naive patients with chronic hepatitis B receiving initial treatment in China: a qualitative study |
| title_full | Work–health–personal life conflicts in naive patients with chronic hepatitis B receiving initial treatment in China: a qualitative study |
| title_fullStr | Work–health–personal life conflicts in naive patients with chronic hepatitis B receiving initial treatment in China: a qualitative study |
| title_full_unstemmed | Work–health–personal life conflicts in naive patients with chronic hepatitis B receiving initial treatment in China: a qualitative study |
| title_short | Work–health–personal life conflicts in naive patients with chronic hepatitis B receiving initial treatment in China: a qualitative study |
| title_sort | work health personal life conflicts in naive patients with chronic hepatitis b receiving initial treatment in china a qualitative study |
| url | https://bmjopen.bmj.com/content/10/9/e035688.full |
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