Factors affecting self-care behavior for delaying the deterioration of chronic kidney disease among type 2 diabetic patients, Plak Raet sub-district, Bang Rakam district, Phitsanulok province
DOI:
https://doi.org/10.14456/dcj.2021.58Keywords:
chronic kidney disease, self-care behaviors, type 2 diabetes mellitusAbstract
This predictive correlation research aimed to assess self-care behavior on delaying the deterioration of chronic kidney disease (CKD) and its related factors among 207 type 2 diabetes mellitus (T2DM) patients with stage 1-3 of CKD registered at NCD clinic of Palad-rad Health Promoting Hospital at least 6 months. Data were analyzed using frequency, percentage, mean and standard deviations and multiple linear regression. The results showed that 10.7% was at good level of self-care behaviors to CKD. The most 3 common risk behaviors were intake salty food, using non-steroidal anti-inflammatory drugs and steroid drugs and intake high-carbohydrate and high-fat diet. The factors affecting self-care behaviors were social support, duration of T2DM disease and perceived self-efficacy. These factors were able to explain variation of self-care behaviors on delaying the deterioration of CKD 24.3% (R2 =0.243, p- value<0.001). To promote self-care behaviors for delaying the deterioration of CKD among T2DM patients, the healthcare providers should focus on improving the social support from healthcare providers, family and peers and empower diabetic patients to realize their own self efficacy to delaying the deterioration of CKD especially among those more duration of DM patients.
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