Blood Glucose and Blood Pressure Levels of Patients with kidney impairment after Self-Care Promotion through Brief Counseling Based on Orem’s Theory, Chiangrai prachanukroh hospital
Keywords:
Glucose level, Blood pressure, Kidney impairment, Brief counselling, Self-careAbstract
This research aimed to study the effects of promoting self-care agencies based on Orem’s Self-care Theory through brief counseling on blood glucose and blood pressure control among patients with renal impairment. It was a retrospective observational study using medical record data from 120 patients with renal impairment who received outpatient services at a tertiary hospital in the upper northern region of Thailand between October 2021 and June 2022. Data was collected using Data record form consisting of a personal factors and a clinical data. Descriptive statistics and paired t-tests were used for data analysis, with the level of statistical significance set at p < .05. The results showed that six months after receiving individual counseling, the participants’ fasting blood sugar (FBS), systolic blood pressure (BPs), and diastolic blood pressure (BPd) significantly decreased (p < .001).
The findings indicate that promoting knowledge within the framework of Orem’s Self-Care Theory through brief health counseling can enhance self-care competence among patients with renal impairment, encouraging appropriate health behaviors and effectively reducing blood glucose and blood pressure levels. Therefore, this approach is suitable for developing nursing practice guidelines to promote self-care among patients with chronic kidney disease in chronic disease clinics.
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Aekplakorn W, Chariyalertsak S, Kessomboon P, Assanangkornchai S, Taneepanichskul S, Neelapaichit N, et al. Women and other risk factors for chronic kidney disease of unknown etiology in Thailand: national health examination V survey. Scientific Reports. 2021;11(1):1–11. (in Thai)
Francis A, Harhay MN, Ong ACM, Tummalapalli SL, Ortiz A, Fogo AB, et al. Chronic kidney disease and the global public health agenda: an international consensus. Nature Reviews Nephrology. 2024;20(7): 473–85.
Tantinantrakun S, & Yamsri T. The health behaviors of patients with diabetes type 2’s towards diabetes remission receiving services from the primary and holistic care unit, Ban Na hospital, Nakhon Nayok Province. Journal of The Royal Thai Army Nurses. 2025; 26(2): 234-42. (in Thai)
Kovesdy CP. Epidemiology of chronic kidney disease: an update 2022. Kidney Int Suppl (2011). 2022;12(1):7–11.
Kitreerawutiwong K, Kingnetr G, Saengpak C, & Wongsawang N. Factor influencing diabetes self-management behavior among type 2 diabetes mellitus patients. Journal of The Royal Thai Army Nurses. 2017; 18(3): 192-200. (in Thai)
Meleis A, & Simon M. Theoretical nursing: development and progress, 5th ed. Philadelphia: Wolters Kluwer Health | Lippincott Williams & Wilkins; 2012.
Grudniewicz A, Gray CS, Boeckxstaens P, De Maeseneer J, & Mold J. Operationalizing the chronic care model with goal-oriented care. The Patient-Patient-Centered Outcomes Research. 2023;16 (6):569–78.
Lavasut S, & Navicharern R. The Effect of Self-Care Enhancement program on post-Bariatric surgery self-care behaviors among morbid obese patients. Journal of Nursing Science Chulalongkorn University. 2019; 31(3): 34-46. (in Thai)
Singprasert R, Kanogsunthornrat N, & Chailimpamontri W. Effect of behavior modification program led by advanced practice nurse on clinical outcomes in patients with pre-dialysis chronic kidney disease. Thai Journal of Nursing and Midwifery Practice. 2018; 5(1): 57-54. (in Thai)
Boonruen U. Effect of brief counseling on selfcare behavior of patients taking warfarin Warfarin Clinic outpatient work Dong Luang Hospital Mukdahan Province, 2022. Journal of Environmental and Community Health. 2023;8(1):229–38. (in Thai)
Keawkam O. The effects of brief counselling on self-management of the uncontrolled hypertensive patients in Nakhon Phanom hospital. Journal of Nursing and Health Sciences. 2024;12(1):1–12. (in Thai)
Plaiyod J, & Taikerd C. Effects of a brief advice behavioral intervention program on blood pressure control on patients with essential hypertension at Inburi Hospital. Singburi Hospital Journal. 2022;30(3):64–75. (in Thai)
Chow S, Wang H, & Shao J. Sample size calculations in clinical research, 2th ed. New York: Chapman and Hall/CRC; 2007.
Detkong T. Effects of a motivational interviewing program on blood glucose levels control for patient with type 2 diabetes mellitus patients. Journal of Bamrasnaradura Infectious Diseases Institute. 2020; 14(3): 134-45. (in Thai)
Cheumthonh P, Kimsungnoen N, & Namjuntra R. The effects of educative supportive program on self care behaviors and HbA1C in persons newly diagnosed with type 2 diabetes. Journal of Nursing Science & Health. 2020;43(1):78–86. (in Thai)
Liu Z, Sang X, Liu Y, Yu C, & Wan H. Effect of psychological intervention on glycemic control in middle-aged and elderly patients with type 2 diabetes mellitus: a systematic review and meta-analysis. Prim Care Diabetes. 2024;18(6):574–81.
Suriyon M. Effectiveness of drug education and counseling programs by pharmacists in uncontrolled hypertensive patients at the subdistrict health promoting hospital. Thai Journal of Public Health and Health Education. 2025;5(2):1–19. (in Thai)
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