ผลของโปรแกรมการเสริมสร้างความรอบรู้ด้านสุขภาพต่อพฤติกรรมการดูแลตนเองเพื่อป้องกันโรคไตเรื้อรังและผลลัพธ์ทางคลินิกของผู้สูงอายุโรคเบาหวานชนิดที่ 2 ที่ควบคุมระดับน้ำตาลในเลือดไม่ได้ในเขตตำบลบางครก อำเภอบ้านแหลม จังหวัดเพชรบุรี

Sudaporn  chaiyasri; Jintipa Sirikunwiwat; Pakaporn  Klinhom

Authors

Sudaporn chaiyasri Bang Khrok Health Promoting Hospital, Phetchaburi Province
Jintipa Sirikunwiwat Prachomklao College of Nursing, Phetchaburi Province, Faculty of Nursing, Praboromarajchanok Institute, Ministry of Public Health
Pakaporn Klinhom Prachomklao College of Nursing, Phetchaburi Province, Faculty of Nursing, Praboromarajchanok Institute, Ministry of Public Health

Keywords:

Health Literacy, Older Adults with Uncontrolled Type 2 Diabetes, Self-Care Behaviors for Chronic Kidney Disease Prevention, Clinical Outcomes

Abstract

Background: Uncontrolled type 2 diabetes mellitus is a primary cause of chronic kidney disease, which imposes significant physical, psychological, social, and economic impacts. Therefore, promoting health literacy serves as a crucial approach to encouraging appropriate self-care behaviors for chronic kidney disease prevention.

Objective: To study the effect of a health literacy enhancement program on self-care behaviors for chronic kidney disease prevention and clinical outcomes in older adults with Uncontrolled Type 2 Diabetes in Bang Krok Sub-district, Ban Laem District, Phetchaburi Province.

Methods: This research is a quasi-experimental, one group pre-test post-test design. The sample consisted of 30 older adults with uncontrolled type 2 Diabetes. These individuals received a 10-week health literacy enhancement program. Data were collected using a self-care behavior questionnaire for chronic kidney disease prevention, alongside laboratory results of estimated glomerular filtration rate (eGFR) and hemoglobin A1c (HbA1c). Data analysis was performed using descriptive statistics and paired t-test.

Results: The findings revealed that the participants’ self-care behavior scores and estimated glomerular filtration rate were significantly higher than those before the intervention (p<0.05). Additionally, the mean hemoglobin A1c levels decreased after the intervention, but this change was not statistically significant.

Conclusion: A health literacy enhancement program was effective in improving self-care behaviors for chronic kidney disease prevention and enhancing the estimated glomerular filtration rate (eGFR) among older adults with uncontrolled type 2 diabetes.

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