ผลของโปรแกรมการดูแลแบบประคับประคองต่อผลลัพธ์การดูแลแบบประคับประคอง และคุณภาพชีวิตในผู้ป่วยไตเรื้อรังระยะสุดท้ายที่ไม่รับการบำบัดทดแทนไต

Natchaya Bualakorn; Busaba  Somjaivong

Authors

Natchaya Bualakorn Faculty of nursing, Khon Kaen University
Busaba Somjaivong Faculty of nursing, Khon Kaen University

Keywords:

palliative care, quality of life, end stage renal disease

Abstract

Introduction: Comprehensive conservative kidney management (palliative care) is an option for the treatment of end-stage renal disease. Care focuses on comprehensive patient-centered care and psychospiritual support aimed at slowing kidney disease progression and minimizing associated complications.

Research Objectives: To examine the effects of a palliative care program on palliative care outcomes and quality of life in patients with non-dialysis end-stage renal disease.

Research Methodology: This study was a quasi-experimental (one-group pre-post test) study. The study included 22 purposive samples from patients with non-dialysis end-stage renal disease who participated in the palliative care program. The measurement tools were palliative outcome scores (patients’ version; POS-P) and quality-of-life questionnaire for renal disease. These instruments were tested for reliability, with Cronbach’s alpha = .96 and .95, respectively. The experimental program had content validity (CVI) of 1. Data were subsequently analyzed using descriptive statistics and Wilcoxon signed-rank test.

Results: The samples demonstrated a statistically significant lower pre-post POS-P score after attending the palliative care program (Z = -3.498, p < .05), and the quality of life score was significantly higher after attending the palliative care program (Z = -3.099, p< .05).

Conclusions: The inclusion of a palliative care program improves both palliative care outcomes and quality of life among patients with non-dialysis end-stage renal disease.

Implications: The palliative care program should be implemented in the care of patients with non-dialysis end-stage renal disease, and the authors suggest further studies on the long-term effects of these factors on quality of life in this patient cohort.

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