{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,30]],"date-time":"2026-10-30T05:40:01Z","timestamp":1793338801795,"version":"4.5.0"},"reference-count":41,"publisher":"BMJ","issue":"2","license":[{"start":{"date-parts":[[2024,2,22]],"date-time":"2024-02-22T00:00:00Z","timestamp":1708560000000},"content-version":"unspecified","delay-in-days":21,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"funder":[{"name":"Hangzhou Science and Technology Bureau biological medicine and health industry development Supported Science and Technology Special Project","award":["2021WJCY049"],"award-info":[{"award-number":["2021WJCY049"]}]}],"content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Open"],"accepted":{"date-parts":[[2024,2,13]]},"published-print":{"date-parts":[[2024,2]]},"abstract":"<jats:sec>\n                    <jats:title>Objectives<\/jats:title>\n                    <jats:p>The prevalence of non-alcoholic fatty liver disease (NAFLD) in China has significantly increased due to changing lifestyles and rising obesity rates. Effective self-management behaviours are crucial for reversing NAFLD. This study aimed to assess the current self-management status and the influencing factors among the Chinese NAFLD population.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Design<\/jats:title>\n                    <jats:p>A cross-sectional study.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Setting<\/jats:title>\n                    <jats:p>This was a study conducted between 30 May 2022 and 30 May 2023 at a tertiary care hospital.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Participants<\/jats:title>\n                    <jats:p>A total of 380 patients diagnosed with NAFLD were included in this study. NAFLD patients included in this study were diagnosed by FibroScan and had a controlled attenuation parameter \u2265248 dB\/m.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Primary outcomes and measures<\/jats:title>\n                    <jats:p>The primary outcomes were self-management, demographic characteristics and clinical features of patients with NAFLD. Self-management-related domains were assessed using the self-management questionnaire of NAFLD.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>The study included 380 patients with an average age of 42.79\u00b113.77 years, with 62.89% being male. The mean score on the self-management scale was 80.92\u00b118.31, indicating a low level of self-management behaviours. Among the five dimensions of the self-management scale, lifestyle management received the highest score (10.68\u00b12.53), while disease knowledge management received the lowest score (9.29\u00b12.51). Furthermore, gender (\u03b2=0.118, p=0.009), education level (\u03b2=0.118, p=0.010), body mass index (BMI) (\u03b2=\u22120.141, p=0.002) and sleep quality (\u03b2=0.387, p&lt;0.001) were found to influence the self-management behaviours of patients to some extent.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>This cross-sectional survey in China revealed impaired self-management behaviours among adults with NAFLD. The study identified significant associations between self-management behaviours and gender, education level, BMI and sleep quality. Healthcare providers should focus on optimising the care of NAFLD patients to enhance their self-management behaviours.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1136\/bmjopen-2023-078333","type":"journal-article","created":{"date-parts":[[2024,2,22]],"date-time":"2024-02-22T21:20:39Z","timestamp":1708636839000},"page":"e078333","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":10,"title":["Self-management behaviours in adults with non-alcoholic fatty liver disease: a cross-sectional survey from China"],"prefix":"10.1136","volume":"14","author":[{"given":"Run","family":"Zhou","sequence":"first","affiliation":[{"name":"School of Nursing, Hangzhou Normal University, Hangzhou, Zhejiang, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Binbin","family":"Zhang","sequence":"additional","affiliation":[{"name":"Department of Infectious Diseases and Hepatology, The Affiliated Hospital of Hangzhou Normal 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