The Effects of Symptom Management Program on Insomnia and Pain in Patients with Chronic Kidney Disease Stage 3
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Abstract
The objective of this quasi-experimental research was to study the effects of symptom management program on insomnia and pain in patients with chronic kidney disease stage 3. The sample consisted of 62 patients admitted in Naresuan University Hospital, Phitsanulok. Selected by purposive sampling technique. They were divided into the control group and the experimental group, 31 patients were experimental group who received symptom management program, which applied the symptom management concept of Dodd et al. (2001), consisting of three steps: 1) insomnia and pain experience 2) insomnia and pain management strategies and 3) insomnia and pain outcome. In contrast, the other 31 patients were control group who received routine nursing care. The data was collected from November 2023 to January 2024. The research collection tools were 1) the personal data recording and clinical data recording form 2) the insomnia experience questionnaire and 3) the pain experience questionnaire. Data were analyzed by descriptive statistics, chi-square test, Fisher’s exact test, paired t–test, and independent samples t–test The result of the study showed that after the experiment, the experimental group who received the symptom management program, had mean scores for insomnia and pain severity that were significantly lower than before receiving the program (p<.001) and lower than those in the control group (p<.001). Therefore, nurses should implement the insomnia and pain symptom management program for chronic kidney disease stage 3 patients to alleviate their insomnia and pain symptoms.
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