ผลของโปรแกรมการจัดการตนเองผ่านแอปพลิเคชันไลน์ต่อพฤติกรรมการจัดการตนเองและผลลัพธ์ทางคลินิกในผู้ป่วยโรคไตเรื้อรังระยะ 3 ที่มีอัตราการกรองของไตลดลงอย่างรวดเร็ว

Prapakorn Srisanga; Duangjai Boonkong; Somkiat Boonkong

Authors

Prapakorn Srisanga Boromarajonani College of Nursing Nakhon Phanom, Nakhonphanom University
Duangjai Boonkong Boromarajonani College of Nursing Nakhon Phanom, Nakhonphanom University
Somkiat Boonkong Boromarajonani College of Nursing Nakhon Phanom, Nakhonphanom University

Keywords:

self-management program, Line application, self-management behaviors, clinical outcomes

Abstract

Introduction: Chronic kidney disease (CKD) is an incurable disease. Engaging in appropriate self-management behaviors can slow the progression of kidney deterioration and improve clinical outcomes.

Research objectives: This study aimed to examine the effects of a self-management program via a line application on self-management behaviors in patients with stage 3 CKD.

Research methodology: This was a quasi-experimental study. The sample consisted of patients with stage 3 CKD who experienced a rapid decline in kidney function at Renu Nakhon Hospital. Sixty individuals were selected using simple random sampling and divided into an experimental group and a control group, each consisting of 30 participants. The experimental group underwent the self-management program for 12 weeks, while the control group received standard care. Research instruments included a personal data form, Self-Management Behavior Questionnaire, LINE application, laboratory procedures testing for eGFR, and serum creatinine. Data were analyzed using descriptive statistics, the Mann-Whitney U test, and independent t-test.

Results: After the program, the experimental group had significantly higher overall mean scores for self-management behaviors (M=80.73, SD=8.72) and eGFR (M=60.84, SD=5.62) than the control group (M=57.76, SD=13.24; M=44.83, SD=9.40, respectively) (p<.01). Additionally, they had a significantly lower mean serum creatinine score (M=1.03, SD=.28) than the control group (M=1.58, SD=.33) (p<.01).

Conclusions: The self-management program via the LINE application is effective for improving self-management behaviors, increasing eGFR, and decreasing serum creatinine in patients with stage 3 CKD.

Implications: According to our results, using a self-management program via the LINE application should be applied to nursing care to improve self-management behaviors and slow the deterioration in the condition of stage 3 CKD patients with rapidly declining kidney function.

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