Effects of Health Promotion Program on Health Behavior and Estimated Glomerulus Filtration Rate among Patients with Chronic Kidney Disease Stage 3

Abstract

This quasi-experimental research was conducted to assess the effects of a health promotion program on health improvement behavior of, and estimated glomerulus filtration rate among, patients with stage 3 chronic kidney disease. Sixty patients diagnosed with chronic kidney disease were selected and randomly assigned into a control group and an experimental group each with thirty patients. Participants in each group were matched by age, gender and level of kidney disease. The experimental group received the health promotion program over 12 weeks, while the control group received routine nursing care. Data collection used a demographic data questionnaire, a health promotion questionnaire and a record of the estimated glomerulus filtration rate of each patient. Use an Enzymatic Analyzer in an eGFR computational lab using the CKD-EPI formula.The data were analyzed by using descriptive statistics, independent t-test and paired t-test. Our results showed that the experimental group had a post-program mean score of personal health responsibility, physical activity, nutrition, interpersonal relations, spirituality, stress management and total health promotion behavior significantly higher than before intervention. The experimental group results were also significantly higher than those of the control group post-intervention (p-value = .05). Furthermore, the average estimated glomerulus filtration rates of the experimental group participants after participating in the program were significantly higher than pre-intervention. The comparison between the experimental and control groups for average estimated glomerulus filtration were even more significant, in that, while the pre-intervention rates of each group were the same, the values for the control group either remained constant, or actually fell. Given this, the post-program difference is even more significant, indicating further the importance of the health promotion program. Statistical significance was calculed with p-value = .05. These results showed that participation in a health promotion program of this nature improves all the aspects of health improvement behaviour measured, which include personal health responsibility, physical activity, nutrition, interpersonal relations, spirituality, stress management and total health promotion behavior, and also the important glomerulus filtration rate of the patients. We can confidently recommend the participation of patients with stage 3 chronic kidney disease in this program.