Programs to Delay Kidney Deterioration in Diabetic Patients with Stage 1-3 Kidney Impairment:

A Systematic Review

Abstract

This study aims to summarize the knowledge of health care that can slow down the deterioration in diabetic patients with kidney disease in stages 1-3. A systematic literature review was conducted by Joanna Briggs Institute's Guidelines for Systematic Literature Reviews. Important electronic information for medical and public health research includes Google scholar, ThaiLIS and Thai journals (Thai-Journal Citation Index Centre) published between 1 January 2018 – 31 December  2023. Selected quasi-experimental research reports (2 groups, pre-post test). The research instruments were a research quality assessment form, a research characteristics recording form, and a research data collection form. Selected research reports according to the specified criteria, extracting data. Bias assessments were performed independently. If there were disagreements, experts were consulted to reach a conclusion.

The results of the research synthesis found that there were 6 research studies that passed the criteria. The activities in the program included knowledge and skills training, motivation, knowledge exchange, and patient participation. It was found that the group that received a health care program to slow down kidney deterioration had higher HbA1c, eGFR and Creatinine values. It was different from the group receiving regular services. In the health care program to delay kidney failure in diabetic patients with stage 1-3 kidney failure resulted in positive changes in clinical outcomes. Based on these results, it is recommended should be developed into a short-term training course for nurses responsible for diabetes clinics to help promote the slowing of kidney deterioration in diabetic patients.