The Effect of a Self-Management Program on Dietary Behavior and Glomerular Filtration Rate in Patients with Chronic Kidney Disease at Chaophrayayommarat Hospital, Suphanburi Province
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Abstract
Research Objective: This study aimed to examine the effects of a self-management program on dietary behavior and kidney filtration rates in patients with chronic kidney disease (CKD) at Chaophrayayommarat Hospital, Suphanburi Province.
Research Instruments: The research instruments included 1) a self-management program which tailored based on concept by Kanfer and 2) data collection tools included a general information questionnaire, a health information questionnaire, and a dietary behavior questionnaire. The dietary behavior questionnaire’s content validity was evaluated by three experts, yielding an Index of Item-Objective Congruence:IOC of 0.90 Its reliability was confirmed with a Cronbach’s alpha coefficient of 0.87
Data Collection and Analysis: The sample consisted of 30 participants each in the experimental and control groups, selected purposively and randomized to ensure comparable baseline characteristics. Data were collected at the hospital’s kidney clinic between March and June 2024, at weeks 1 and 12. Descriptive statistics were used for general data analysis. To test the equality of dietary behavior and kidney filtration rate, a paired samples t-test was used within groups, and an independent t-test was used between groups.
Results:1) Dietary behavior and kidney filtration rates significantly improved in the experimental group after the intervention (p < .01). 2) Post-intervention, the experimental group had significantly higher dietary behavior scores and kidney filtration rates compared to the control group (p < .01).
Conclusion: Continuous promotion of self-management in CKD patients is recommended to support appropriate dietary behavior and delay kidney deterioration, preventing progression to end-stage renal disease.
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References
Australian Kidney Foundation. (2022). The role of diet in managing chronic kidney disease. Australian Journal of Renal Care, 24(3), 123-130.
Bannakorn, P., Singweratham, N., Nawsuwan, K., & Phoophaniat, M. (2023). Effect of a self-management program on glomerular filtration rate in hypertensive patients with stage 3 of chronic kidney disease.
Journal of Nursing and Public Health Research. 2023, 3(2), 52-62. [In Thai].
Chaluesa, S., Chaiart, J., & Srirat, C. (2023). Effects of a self-management program for individuals and families on dietary behaviors and nutritional status among end-stage chronic kidney disease patients undergoing hemodialysis. Journal of Public Health Nursing, 33(2), 1–15. [In Thai].
Doungpibool, P. (2022). The development of self-management skills on eating behaviors for delayed chronic kidney disease in CKD clinic, Watphleng Hospital. Journal of Research for Health Improvement and Quality of Life, 2(3), 13–24. [In Thai].
Faul, F., Erdfelder, E., Buchner, A., & Lang, A. G. (2009). Statistical power analyses using G*Power 3.1: Tests for correlation and regression analyses. Behavior Research Methods, 41(4), 1149–1160. retrieved 25 March 2024 from https://doi.org/10.3758/BRM.41.4.1149.
Hattapanitchporn, C. (2023). The effect of a kidney deterioration delay program in stage 3 chronic kidney disease patients. Journal of Hospital and Community Health Research, 1(3), 220-226. [In Thai].
Kanfer, F. H., & Gaelick-Bays, L. (1991). Self-management methods. In F. H. Kanfer & A. P. Goldstein (Eds.), Helping people change: A textbook of methods, 4, 305–360. Pergamon Press.
Kawisara, K., & Lukawee, L. (2020). Dietary behaviors and factors associated with nutritional status among chronic kidney disease patients treated at Chiang Yuen Hospital, Maha Sarakham Province. Journal of Health Systems Research, 14(2), 254–273. [In Thai].
Khan, S., Kazmi, K., & Saeed, S. (2019). Impact of routine nursing care on dietary behavior in chronic kidney disease patients. Int J Nutr Metab, 11(2), 45-52.
Lee, J., Kim, J. H., & Lee, J. S. (2020). The effect of education on dietary management for patients with chronic kidney disease: A systematic review. Journal of Renal Nutrition, 30(4), 281-290.
Ministry of Public Health. (2024). Report on health data services. Retrieved 25 March 2024 from https://hdcservice.moph.go.th/hdc/reports/report.php?. [In Thai].
Nephrology Society of Thailand. (2022). Clinical practice guidelines for the management of chronic kidney disease (Revised edition). retrieved 25 March 2024 from https://www.nephrothai.org/wp-content/uploads/2023/03/CKD-guideline-2565-revised-edition.pdf. [In Thai].
Peanprasit, J., Phornphibul, P. & Soivong, P., (2022). The effect of a self-management nutrition promotion program on dietary behaviors and nutritional status in chronic kidney disease patients. Journal of Health Systems Research and Development, 14(2), 1–15. [In Thai].
Saisuwan, N., Thongyoi, P., Tanasin, W., & Kaewsai, A. (2021). Factors related with glomerular filtration rate among diabetics and hypertension with reduced glomerular filtration rate in Nong Ma Saeo Health Promoting Hospital, Mueang District, Amnatcharoen Province. Journal of Council of Community Public Health, 3(2), 64–71. [In Thai].
Sanglert, W. (2021). The effect of dietary behavior modification on slowing renal impairment in stage 3 chronic kidney disease patients, Sribunruang Hospital. Journal of Health and Environmental Education, 6(4), 28–35. [In Thai].
Sayeed, K. A., Qayyum, A., Jamshed, F., Gill, U., Usama, S. M., Asghar, K., & Tahir, A. (2020). Impact of Diabetes-related Self-management on Glycemic Control in Type II Diabetes Mellitus. Cureus, 12(4), e7845. retrieved 28 March 2024 from https://doi.org/10.7759/cureus.7845.
Singkham, S. (2023). The effect of a self-management program to slow the progression of stage 3-4 chronic kidney disease on dietary behavior and medication adherence. Journal of Public Health Research, 1(3), 224–235. [In Thai].
Suphapraditaporn, W., (2022). Effects of a supportive and educational nursing program on dietary and nutritional behaviors Clinical outcomes of the elderly with chronic kidney disease stage 3-4 at the Kidney Disease Clinic, Tha Tako Hospital. Science and Technology Northern Journal, 3(4), 1-23. [In Thai].
Thanirat, S., Radaburt, M., Wichainrat, S., & Sumawan, W. (2021). Perceptionsand self-care experiencesof patientswith chronic kidney disease in the community. JOURNAL OF HEALTH SCIENCE RESEARCH, 15(3), 83-94.[In Thai].
Thiabrithi, S., Turnbull, N., Sriphuwong, C., Sriphuwong, W., & Sridakate, S. (2021). The effects of self-management support programs on chronic kidney disease prevention behaviors among risk groups in community. Journal of Health and Nursing Research, 37(3), 229-240. [In Thai].
Toto, R. D. (2020). Integrating self-management of CKD into clinical practice. Kidney International Reports, 5(5), 587–596. retrieved 28 March 2024 from https://doi.org/10.1016/j.ekir.2020.02.009.
Udomsapp, P., & Sriprasert, K. (2022). Self-management and family involvement in diabetic patients. Journal of Community and Health Development, 10(3), 56-67. [In Thai].
Wongteerasup, S., Trakoolngamden, B., & Pumphuang, C. (2021). Effectiveness of the support program for healthy lifestyle and behavior modification to prevent diabetic kidney disease in high risk patient Type 2 diabetes. Royal Thai Navy Medical Journal, 48(3), 631-649. [In Thai].
