Empowerment for Diabetic Nephropathy Stage 1 and 2 Patient through Family and Community Participation at One Community, Amnatcharoen province

  • กิ่งกมล พุทธบุญ Faculty of Nursing, Khon Kaen University
  • วิลาวัณย์ ชมนิรัตน์
Keywords: Empowerment, Diabetic nephropathy

Abstract

The objective of action research were to analyze self-care management, problems and needs of diabetic nephropathy stage 1 and 2 patients and empowerment their to improve self-care management under the social and cultural context. Gibson’s model was the theoretical framework to empowerment the patients, families and community. The participants include 10 patients, 10 family members, 8 village health volunteers, 8 community leaders, 1 municipality representative and 2 professional nurse from hospital. The tools used to collected data including in-depth interviews guideline, focus group discussion and participant observation guidelines. Descriptive statistic was used for quantitative data and content analysis was used for qualitative data

            The results showed that Patients don’t understand about diabetic nephropathy. Illness management behavior is not appropriate. Caregiver and Public Health Volunteers don’t understand about diabetic nephropathy and patient care. Community leader recognize the situation in the community but no problem solving activities. Health service system no continuous monitoring of patients in the community. This problem organized brainstorming sessions for those involved to plan and proceed as follows 1) Training workshop on diabetic nephropathy for patients and caregiver 2) Self  help group to practice self-care skills, including self-monitoring of blood sugar levels, weight control, knowledge of nutrition, and SKT 3)Empowerment for caregiver  in caring for diabetic nephropathy patients. 4) Empowerment for Public Health Volunteers in the home visit.  5) Home visit and individual patient care plan 6) Community campaign including power to reduce sweetness, reduce fat, reduce salty, reduce kidney disease in the community. After the implementation of the plan for a period of 12 weeks. Performance as follows patients can better manage their self-care behavior including blood sugar control, food control, reduce salty food especially sodium salt, increasing physical activity is 3-5 days a week and strictly taking more pills. Clinical results: After this study; 9 Diabetic patients can reduce fasting blood sugar levels (FBS). 7 patients can reduce Hemoglobin A1C (HbA1C) and 6 patients can increase the glomerular filtration rate (eGFR). Every activity creates participation by using an action research process. Resulting in the care of patients in the community of those involved Resulting in better self-care behavior And effective control of blood sugar levels.

            Recommendations for patients who are unable to control blood sugar levels. Service personnel should find ways to empowerment and monitor patient behavior continuously that is appropriate for each patient.

Downloads

Download data is not yet available.

References

Reference
1. IDF diabetes atlas - Home. [Internet] 2017 [cited 2017 May 24]. Available from: http://www.diabetesatlas.org/.
2. National Diabetes Statistics Report. [Internet] 2017 [cited 2017 May 24]. https://www.cdc.gov/diabetes/pubs/statsreport14/national-diabetes-report-web.pdf.
3. Thanaphan Suksa-ard, Wansuda Ngam-aroon, Wichukorn Suriyawongpaisal editor. Disease situatioa report NCDs kick off to the goals. Nonthaburi: n.p; 2016.
4. Warangkana Pichaiwong. Diabetic Kidney Disaese. Journal of Department of Medical Services. 2015;40(5):19-24.
5. Pisit Wetchakama, Atiporn Insathit, Attia, John, AmmarinThakkinstian, Epidemiological Study of Chronic Kidney Disease Progression:A large-Scale Population-Based Cohort Study. Health Systems Research Institute (HSRI) [Internet] 2015 [cited 2017 May 24]. Available from: http://kb.hsri.or.th/dspace/discover.
6. Bureau of Non Commonicable Diseases. Model preventing and controlling CKD -NCDs. Bangkok: The War Veterans Organization of Thailand Under Royal Patronage of His majesty the King; 2016.
7. Amnatcharoen Provincial Health Office (2017). Data Center. [Internet]. 2017 [cited 2017 May 24]. Available from: http://www.amno.moph.go.th/.
8. KessarawanNilvarangkul. Action Researchfor Community Nurse. KhonKaen: Klangnanavittaya Press; 2015.
9. Paramet Namchoo. The Effect of Empowerment Program on Physiological Adaptation Mode and HbA1C in Type 2 Diabetic patients [dissertation] KhonKean: KhonKean University; 2010.
10. Nit Tassana niyom, Somphon Tassana niyom. Health promotion : Empowerment. Khon kaen : L.P. Klungnana Vitthaya Press; 2012.
11. Apinya Lunnakan. The effects of the family empowerment program on prevention behaviors of diabetes type 2 of families at risk at Kasetwisai Sub-district, Kasetwisai District, Roi Et Province. [dissertation] KhonKean: KhonKean University; 2015.
12. Perkins, D.D., & Zimmerman, M.A. Empowerment theory, research, and application. American Journal of Community Psychology. 1995;23(5):569-579.
13. Diabetes Association of Thailand under The Patronage of Her Royal Highness Princess Maha Chakri Sirindhorn. Clinical Practice Guideline for Diabetes 2017. Pathumthani: Romyen Media; 2017.
14. The Nephrology Society of Thailand . Practice guideline for chronic kidney disease before renal replacement therapy 2015. Bangkok: Boehringer-ingelheim-thai-ltd; 2015.
15. Somporn Kantaradusdi- Triamchaisri. Meditation practice for healing. Bangkok : Samcharoen Panich Co., Ltd; 2009.
16. Bancha Satirapoj, Amnat Chaiprasert, Naowanit Nata, Prajest Ruengkanchanaset, Upathum Suppasin and Panbubpa Choovichian editors. Essential Nephrology2nd edition. Bangkok: Nam Akson Printing House; 2014.
17. KatekaewJanjumras and DuangnatePipatsatitpong. Prevalence of Diabetic Nephropathy in Type 2 Diabetes Mellitus at Somdejprapinklao Hospital. Journal of the Medical Technologist Association of Thailand. 2016;44(1):5508-5521.
18. Chinnakorn Dankasaiand and PetchsavaiLimtragool. Delay of Renal FuntionDeterioationtion in Diabetic Nephropathy Patients in PraklangungSubdistrict’s Community, That Panom District, NakhonPanom Province. Journal of Nursing and Health Care. 2016;34(2):6-13.
19. Chanissada Suradechawut, YaowalakAmrumpai, Charoen Treesak. Empowerment Process for Individual Diabetic Patients. Isan Journal of Pharmaceutical Sciences. 2011;7(2):60-69.
20. Orapin Nakklom. Competency Enhancement of Village Health Volunteers in Caring Hypertensive Patients. Journal of Nursing Science & Health. 2014;37(3):76-83.
21. MintraSararuk. Empowerment of Village Health Volunteers (VHV). Journal of UbonRatchathaniuniversity. 2010;12(2):39-48.
Published
2020-03-26