The family patterns of response to slowing the rate of decline in kidney function in chronic kidney disease patients

Abstract

This research aimed to study the family patterns of response to slowing the rate of decline in kidney function in chronic kidney disease patients having chronic kidney disease (CKD) in Dong Bang village, therefore there were most of CKD patients in Dong-Muang-Amm Sub-District Khao Suan Kwang District, Khon Kaen Province amount 17 cases (53.1%) from total 32 cases. The data was collected by conducting in-depth interviews guidelines through the family member having CKD patients during December 1st, 2016 to June 30th, 2017. The quality of the data was verified by using triangulation methods and was analyzed by content analysis. The findings revealed that there were 17 cases of CKD patients. The majority of them were female (14 cases) with age range of 61-65 years. Fifteen cases were married, 13 cases graduated primary school, 10 cases were farmers, 16 cases developed diabetes and/or hypertension, and 12 cases were CKD patients no more than 2 years. The family patterns of response to slowing the rate of decline in kidney function in CKD patients contain 8 patterns; i.e. (1) Diet and Body weight control (2) Exercising (3) Un¬usual symptoms observation (4) Drug usage and compliance (5) Changing habits of using food additives (6) Disease surveillance (7) General management and (8) Stress management. In addition the family patterns were mixed the principles for health behavior to reduce the risk of chronic diseases with the perfect Health Belief Model. The majority of the patients could participate and cooperate very well. Even though, some patients were unable to cooperate on the family patterns, we could apply by adopting their social capital; i.e. family bonding and caring, family supporting and family inspiration to substitute at family level. Suggestions, the family care team or health personnel should properly apply the family patterns of response to slowing the rate of decline in kidney function in the patients having CKD that relate to the way of life of the patient, and the context of each family.