Participatory action research to develop a nursing model to slow the progression of chronic kidney disease in Tambon Health Promoting Hospitals network, Sena District, Phra Nakhon Si Ayutthaya Province

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attaya amonprompukdee
Thasuk Junprasert
Amaraporn Surakarn


Background: Chronic kidney disease causes suffering and can lead to death. The best treatment involves slowing down the deterioration of the kidney and to maintain the functioning of the kidneys for as long as possible.

Objectives: To develop a nursing model to slow the progression of chronic kidney disease and study the effects of the model.

Methods: A participatory action research was designed to include the participants of 17 professional nurses. The sample of the experimental model consisted of 31 patients. The instruments used to develop the model were an observation recording form and a reflection recording form. The instruments used in the experiment were a general data interview form, a motivation interviewing recording form, a stage of change evaluation form, a clinical outcome evaluation form, and a satisfaction assessment form. The study went from May to December 2019. Qualitative data were analyzed by content analysis, quantitative data were analyzed by descriptive statistics and the comparative data by a paired t-test.

Results: The model consisted of 1) clinical practice guidelines for the treatment of chronic kidney disease, 2) classification of kidney disease with colored bands, 3) educating patients about renal degeneration, 4) motivational interviews, and 5) home visits. After using the model, it was found that the participants had decreased levels of creatinine and the rate of renal filtration increased significantly (p<0.05). The stage of change and satisfaction increased significantly (p<0.01).

Conclusions: This participatory action research process led to the nursing model for slowing the progression of chronic kidney disease and produced good results for patients with chronic kidney disease in Sena District.


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amonprompukdee, attaya, Junprasert, T. ., & Surakarn, A. . (2020). Participatory action research to develop a nursing model to slow the progression of chronic kidney disease in Tambon Health Promoting Hospitals network, Sena District, Phra Nakhon Si Ayutthaya Province . JOURNAL OF HEALTH SCIENCE RESEARCH, 14(2), 46–57. Retrieved from
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