Effects of Development for Type II Diabetes Care Model in Preventing and Delaying the Progression of Diabetic Kidney Disease Bang pa-in Hospital

Abstract

     This study is a quasi-experimental research which was conducted on a single group pre-post research design basis. The objectives of this study was to find out the effects of development for type II diabetes care model in preventing and delaying the progression of Diabetic kidney disease which had been applied from the Health Belief Model theory. The population of this research consisted of 40 type II diabetes patients registering for medical  treatments at the diabetes clinic of Bang Pa-in Hospital, Phra Nakhon Si Ayutthaya Province, all of whom were selected on a purposive sampling basis. Pre-construction questionnaires and laboratory test were used as data collection tools, and the obtained data were analyzed with statistical methods namely frequency, percentage, Fisher ‘s exact Test, and paired t-test.
     The findings indicated that type II diabetes care model to prevent and delay kidney deterioration could be operated with the following process: 1) Screening for kidney diseases and evaluating stages of kidney diseases. 2) Educating about kidney diseases as well as food, exercises, medicines, and stresses. 3) Evaluating and monitoring to inform the population about changes in results. After monitoring and evaluating the results of the care model, it was apparent that the warnings for the population to take actions to prevent and delay kidney deterioration was that they were informed about their kidney levels and risk factors that affect kidneys. Besides, being warned about kidney diseases and receiving information and knowledge about kidney diseases was found in correlation with self-care behaviors to prevent and delay kidney deterioration and in correlation with estimated glomerular filtration rates at the statistical significance level of p-value <.05. Mean scores of the post test results about estimated glomerular filtration rates and kidney disease knowledge and prevention and delay kidney deterioration among the population were found higher than those before using the developed care model at the statistical significance level of p-value <.05.