Factors Predicting Behaviors to Slow Progression of Kidney Deterioration among Diabetes Mellitus Type 2 Patients with Hypertension Comorbid in Community
Keywords:
predicting factors, behaviors to slow kidney deterioration, diabete, hypertensionAbstract
Introduction: The number of new patients with chronic kidney disease requiring renal replacement therapy is increasing. The main causes of chronic kidney disease requiring renal replacement therapy are diabetes and hypertension. If kidney deterioration cannot be delayed, patients will develop end-stage kidney disease and require renal replacement therapy, which will impact their quality of life.
Research objectives: To identify the factors predicting behaviors for slow progression of kidney deterioration among patients with type 2 diabetes mellitus and comorbid hypertension in the community.
Research methodology: This descriptive study collected data from sub-district health promotion hospitals and the Queen Sirikit 60th Anniversary Celebration Health Center in Nakhon Pathom Province. The sample consisted of 148 participants who were randomly selected using simple random sampling. Data were collected by using questionnaires and, analyzed using descriptive statistics and stepwise multiple regression analysis at a statistical significance level of .05.
Results: The factor that could mostly predict behaviors for delaying the progression of kidney disease was family support (β = .401, p < .001), followed by age (β = .292, p < .001), knowledge about delaying the progression of kidney disease (β = .291, p < .001), duration of diabetes (β = .205, p < .05), and self-efficacy in delaying the progression of kidney disease (β = .174, p < .05). These factors could co-predict behaviors for delaying the progression of kidney disease by 45.50% (p < .001).
Conclusions: Factors including family support, age, knowledge of delaying the progression of kidney disease, duration of diabetes, and self-efficacy in delaying the progression of kidney disease impacted behaviors for delaying the progression of kidney disease.
Implications: The results of this study can be used in experimental studies or to design programs that support behavioral modification to delay kidney deterioration and prevent the development of more severe chronic kidney disease.
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