ผลของโปรแกรมการจัดการตนเองของบุคคลและครอบครัว ต่อภาวะน้ำเกินในผู้สูงอายุโรคไตวายเรื้อรัง ที่รับการฟอกเลือดด้วยเครื่องไตเทียม

Abstract

Purpose: The study aimed to examine the effect of an individual and family self-management program on volume overload in older persons with chronic kidney disease (CKD). Design: Quasi-experimental research.
Methods: Subjects were 40 older persons diagnosed with chronic kidney disease undergoing hemodialysis in a medical development clinic, paired with their caregivers. The older persons were matched by gender, age and income and equally divided into experimental and control groups, 20 in each group. The experimental group received the individual and family self-management program while the control group received routine nursing care. The experimental instrument was the individual and family self-management program based on Ryan and Sawin’s concept. Data were collected by interdialytic weight-gained record. Descriptive statistics and t-test were used in the data analysis.
Findings: 1) Mean volume overload in older persons receiving the individual and family self-management program was significantly lower after participating in the program, at the .05 level.
2) Mean difference of volume overload in older persons receiving the individual and family self-management program was significantly lower than in those who received regular nursing care, at the .05 level.
Conclusion: The program has been shown to be effective at lowering the volume overload in older persons with chronic kidney disease undergoing hemodialysis.