ประสิทธิผลของโปรแกรมส่งเสริมการมีส่วนร่วมของครอบครัวและอาสาสมัครสาธารณสุขประจำหมู่บ้านเพื่อชะลอโรคไตเรื้อรังในชุมชนเมือง จังหวัดขอนแก่น The Effectiveness of Encourage Family and Village Health Volunteers Participation Program to Delayed the Progression of Chronic Kidney Disease in Urban area of Khon Kaen Province

Abstract

The high prevalence and incidence of chronic kidney disease (CKD) is a global challenge. The end stage renal disease (ESRD) leading to increased morbidity rate and mortality rate in CKD patients. The patients with chronic kidney disease should be prevented to complications and delay the progress of chronic kidney disease.The purpose of                              this quasi-experimental study was to examine the effectiveness of encourage family and village health volunteers participation program to delayed the progression of chronic kidney disease in urban area of Khon Kaen province.   One hundred of patients with stage 2-3 chronic kidney disease were randomly assigned into an experimental group and  control group, with 50 CKD patients in each group. The experimental group received the encourage family and village health volunteers participation program while the control group received only usual nursing care and followed up  for 12 months. The research instruments for data collection included personal data interview questionnaires and clinical outcome evaluations (body mass index, waist circumference, blood pressure and glomerular infiltration rate). Data were analyzed by descriptive statistic, Chi-square test, independent t-test and paired t-test.

The results revealed that at the end of program, the intervention group were 49 (98%) and 47(94%) participants in control group. After the experiment, experimental group had mean reduction of blood pressure  was greater the control group statistically significant p < .05 (127.92/71.02, 136.32/75.20 mmHg) and glomerular infiltration rate higher than the control groups statistically significant p < .05 (57.39, 51.68 ml/min/1.73m²). However, after implementation  the mean scores of body mass index and waist circumference between experimental group and the control groups no statistically significant (p >.05).

Conclusions that effectiveness of encourage family and village health volunteers participation program should be implemented for caring of chronic kidney disease patients in order to prevent progression of chronic kidney disease. Suggestions, the implementation of this program should be apply for patient's lifestyle and context of family.    As well as links from the network as the village health volunteer and family to health care for chronic kidney disease patients has been ongoing care more efficiently.