Empowering Families to Reduce the Risk of Chronic Kidney Disease: A Quasi-Experimental Study at Ban Phue Health Promoting Hospital, Khon Kaen Province
Keywords:
Chronic Kidney Disease, CKD Progression Delay Program, Self-Care, Family EmpowermentAbstract
This quasi-experimental study evaluated the effectiveness of a family empowerment program in slowing the progression of chronic kidney disease (CKD) among patients with stage 3–4 CKD and their caregivers at Ban Phue Subdistrict Health Promoting Hospital, Khon Kaen Province, Thailand. The study assessed outcomes including knowledge, self-care behaviors, satisfaction, and estimated glomerular filtration rate (eGFR) before and after program implementation. A total of 60 participants were purposively selected and assigned into experimental and control groups (30 participants per group) using a matched-pair technique.
Research instruments consisted of a family volunteer handbook, a CKD knowledge questionnaire, a self-care behavior assessment form, and a satisfaction questionnaire. These instruments were validated by three experts, yielding Item-Objective Congruence (IOC) values between 0.67 and 1.00, with Cronbach’s alpha reliability coefficients of 0.82, 0.85, and 0.88, respectively. Data analysis was performed using descriptive statistics and t-tests.
The results revealed that after the intervention, the experimental group demonstrated significantly higher scores in CKD knowledge, self-care behaviors, and satisfaction compared with the control group (p < .05). Additionally, the decline in eGFR was slower in the experimental group. In conclusion, the family empowerment program effectively improved knowledge, promoted appropriate self-care behaviors, and slowed CKD progression among patients with stage 3–4 CKD. This program is considered feasible for implementation and expansion within primary healthcare settings
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