A Personal Skill Development Model for Health Promotion for Stage 4 Chronic Kidney Disease Patients in Yala Municipality, Yala Province
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Abstract
Background: Chronic kidney disease (CKD) is a public health issue that significantly affects quality of life and whose main causes are rooted in individual behaviors.
Objectives: To develop and evaluate the effectiveness of a model for enhancing personal health promotion skills among patients with stage 4 chronic kidney disease.
Methods: This research and development study was conducted in three phases: 1) Situation analysis of health promotion among patients with stage 4 CKD, 2) Model development, and 3) Evaluation of the model’s effectiveness. The sample consisted of 33 stage 4 CKD patients. Research instruments included the developed model, a questionnaire on health promotion knowledge, health-promoting skill behaviors, and a glomerular filtration rate (GFR) record form. Data were analyzed using frequency, percentage, mean, standard deviation, paired t-test, and Wilcoxon signed-rank test.
Results: The model developed consists of the 4C components as follows: 1) Communication–interaction, communication, and knowledge provision; 2) Culture–understanding and consideration of the patient’s context; 3) Caregiver–support and empowerment of caregivers; and 4) Continuum of care provided by a multidisciplinary team. Evaluation of the model’s effectiveness revealed that the mean scores for health promotion knowledge and personal skill after implementing the model were significantly higher than those before, and the mean glomerular filtration rate (GFR) after implementing the model was significantly higher than that before, with statistical significance (p-value<.001).
Conclusions: The model developed for enhancing personal health promotion skills in patients with stage 4 CKD improved their knowledge and health-promoting behaviors, contributing to a delay in kidney function deterioration and improved glomerular filtration rate.
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บทความที่ได้รับการตีพิมพ์เป็นลิขสิทธิ์ของวิทยาลัยพยาบาลบรมราชชนนี จังหวัดนนทบุรี
ข้อความที่ปรากฏในบทความแต่ละเรื่องในวารสารวิชาการเล่มนี้เป็นความคิดเห็นส่วนตัวของผู้เขียนแต่ละท่านไม่เกี่ยวข้องกับวิทยาลัยพยาบาลบรมราชชนนี จังหวัดนนทบุรี และคณาจารย์ท่านอื่น ในวิทยาลัยฯ แต่อย่างใด ความรับผิดชอบองค์ประกอบทั้งหมดของบทความแต่ละเรื่องเป็นของผู้เขียนแต่ละท่าน หากมีความผิดพลาดใด ๆ ผู้เขียนแต่ละท่านจะรับผิดชอบบทความของตนเองแต่ผู้เดียว
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