The Effects of Self-Management Promotion on Service Outcomes among Patients with Chronic Diseases and Stage 3 Kidney Dysfunction at a Sub-district Health Promoting Hospital in Nonthaburi Province
Article Sidebar
Main Article Content
Abstract
Background: The number of patients with chronic diseases experiencing stage 3 kidney dysfunction has increased in sub-district health-promoting hospitals. Promoting appropriate self-management plays a significant role in slowing the progression of kidney dysfunction.
Objectives: To study the effects of self-management promotion on service outcomes among patients with chronic diseases and stage 3 kidney dysfunction.
Methods: This was a quasi-experimental study using a one-group pretest-posttest design. The sample consisted of 60 participants: 30 patients with stage 3 kidney dysfunction and 30 caregivers. Research instruments for the patient group included a personal information record form, a health behavior questionnaire, a satisfaction assessment form, and a blood test record for serum creatinine levels. For the caregiver group, tools included a knowledge and caregiving role assessment, and a satisfaction assessment form. Data were analyzed using frequency distribution, percentage, mean, standard deviation, and paired t-test.
Results: The mean health behavior score and patient satisfaction score after participating in the program were significantly higher than before the program (p<.01). Serum creatinine levels after the program were significantly lower than before (p<.05). Additionally, caregivers' knowledge and caregiving roles, as well as their satisfaction scores, were significantly higher after participating in the program (p<.01).
Conclusions: Self-management promotion among patients led to improved health behaviors and a reduction in serum creatinine levels. Caregivers also demonstrated increased knowledge and ability to provide comprehensive and accurate care for the patients.
Downloads
Article Details
This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.
บทความที่ได้รับการตีพิมพ์เป็นลิขสิทธิ์ของวิทยาลัยพยาบาลบรมราชชนนี จังหวัดนนทบุรี
ข้อความที่ปรากฏในบทความแต่ละเรื่องในวารสารวิชาการเล่มนี้เป็นความคิดเห็นส่วนตัวของผู้เขียนแต่ละท่านไม่เกี่ยวข้องกับวิทยาลัยพยาบาลบรมราชชนนี จังหวัดนนทบุรี และคณาจารย์ท่านอื่น ในวิทยาลัยฯ แต่อย่างใด ความรับผิดชอบองค์ประกอบทั้งหมดของบทความแต่ละเรื่องเป็นของผู้เขียนแต่ละท่าน หากมีความผิดพลาดใด ๆ ผู้เขียนแต่ละท่านจะรับผิดชอบบทความของตนเองแต่ผู้เดียว
References
Bang Phai Subdistrict Health Promoting Hospital. (2023). Report for chronic disease screening. Nonthaburi, Thailand.
Chen, S. H., Tsai, Y. F., Sun, C. Y., Wu, I. W., Lee, C. C., & Wu, M. S. (2011). The impact of self-management support on the progression of chronic kidney disease--a prospective randomized controlled trial. Nephrology Dialysis Transplantation, 26(11), 3560–6. https://doi.org/10.1093/ndt/gfr047
Cohen, J. (1988). Statistical power analysis for the behavioral sciences (2nd ed.). Lawrence Erlbaum Associates.
Department of Medical Sciences, Ministry of Public Health. (2020). Handbook for caring in early stage of chronic kidney disease patients. O Vit (Thailand) Co., Ltd.
Faul, F., Erdfelder, E., Lang, A. G., & Buchner, A. (2007). G*Power 3: A flexible statistical power analysis program for the social, behavioral, and biomedical sciences. Behavior Research Methods, 39(2), 175-191. https://doi.org/10.3758/BF03193146
Kanfer, F. H., & Gaelick-Buys, L. (1991). Self-management methods. In F. H. Kanfer & A. P. Goldstein (Eds.), Helping people change: a textbook of methods (4th ed., pp. 285-315). Pergamon Press.
Khuanphet, P., Kawila, R., & Makanantachote, M. (2019). Integrated health care results on clinical outcome in patients with renal disease level 3 from diabetes, Mae Lao hospital. Chiangrai Medical Journal, 11(2), 93-9. (in Thai)
Kunakote, N. (2024). Effects of self-management program among patients with chronic kidney disease stage 3 and 4 with diabetes mellitus and hypertension on self-management behaviours and clinical outcomes. Journal of Environmental and Community Health, 9(5), 117-28. (in Thai)
Maneenin, A. (2024). Model development of chronic kidney disease patients stage 3 care by self-management and case management for slow progression of chronic kidney disease in Wangyang hospital Nakhon Phanom province. Journal of Environmental and Community Health, 9(1), 79–89. (in Thai)
Naka, P. (2024). The effects of a self-management program on self-management behaviors, blood pressure, and eGFR in hypertensive patients with stage kidney disease. Academic Journal for Primary Care and Public Health Development, 2(2), 155-62. (in Thai)
Phulthong, S., Muangkote, S., & Lakkhet, w. (2023). The effect of a self-management behavior promoting program for delayed progression of kidney disease and clinical outcomes in patients with chronic kidney disease stage 3. Journal of Health Science, Boromarajonani College of Nursing, Saraphisitprasong, 7(1), 91-102. (in Thai)
Trisirichok, P., Uttarasart, L., & Kankarn, W. (2019). The impact of self-management support by a multidisciplinary team on delaying chronic kidney disease progression in primary care, Khon Kaen regional hospital. Srinagarind Medical Journal, 34(6), 552-7. (in Thai)
Vijitsoonthornkul, K. (Ed.). (2022). Epidemiology and review of preventive measures for chronic kidney disease. https://ddc.moph.go.th/dncd/journal_detail.php?publish=13088 (in Thai)
World Health Organization. (2002). Innovative Care for Chronic Conditions: Building Blocks for Action. https://www.who.int/publications/i/item/innovative-care-for-chronic-conditions-building-blocks-for-actions
World Health Organization. (2023). World health statistics 2023: Noncommunicable diseases. https://www.who.int/newsroom/factsheets/detail/noncommunicable-diseases
