Abstract: Objective To investigate and analyze the self-management of 360 chronic hepatitis B patients and
make relevant recommendations. Methods With the informed consent, 180 outpatients and 180 hospitalized
patients with chronic hepatitis B were selected according to the convenience sampling method. All of them
were investigated by the patient self-management questionnaire. The questionnaire was designed on the
basis of reference literatures and expert consultation, the expert validity (CVI) of the preliminary experiment
questionnaire was 0.87 and the questionnaire Cronbach’s alpha = 0.82. Questionnaire contents included
prescribed medication, avoiding using medicines out of the doctor’s advice, providing medical history, regular
checking, family checking, emotional adjustment, lifestyle, etc. Results The regular check rate of the patients
was low (57.5%). The emotional adjustment and lifestyle were in the medium level. Smoking, drinking and
protection were in good condition. Diet, rest and sleep were in the medium level. Reasonable movement is
poor. Cultural level and economic conditions influenced the emotional adjustment and lifestyle of patients
with CHB. The course of disease influenced the lifestyle of patients with CHB. Conclusions Social basis of
patients with chronic hepatitis B is still low. Self-management behavior needs to be improved. Systematic
health management will help improving the level of self-management of chronic hepatitis B patients. High
quality clinical nurse specialists need to be nurtured. Clinical nurse specialists are needed to participate in the
individualized health management inside and outside hospital for treatment of chronic hepatitis B patients.
Information technologies for health management should be used.