Effects of self-management programs on knowledge self-management behavior and interdialytic weight gain in patients end-stage chronic kidney disease receiving hemodialysis at Nakornping hospital
Keywords:
self-management, interdialytic weight gain , end-stage chronic kidney disease, intake behaviorAbstract
Introduction: Chronic kidney disease is a global public health problem. Interdialytic weight gain is common in patients with end-stage chronic kidney disease undergoing kidney replacement therapy through hemodialysis. Therefore, good patient self-management is an important part.
Objective: To study the effects of self-management programs on knowledge self-management behavior and interdialytic weight gain in patients end-stage chronic kidney disease receiving hemodialysis.
Study Method: This quasi-experimental research aimed to study a self-management program to control interdialytic weight gain in patients end-stage chronic kidney disease receiving hemodialysis. The study was conducted between December 1, 2023 and January 31, 2024 at the hemodialysis unit, Nakornping Hospital. The sample consisted of patients end-stage chronic kidney disease receiving hemodialysis. The purposive sampling of 21 people was selected. Data were analyzed using statistics of numbers, percentages, means, and standard deviations. Compare knowledge to control interdialytic weight gain, food and water consumption behavior and daily body weight loss before and after the experiment. A paired samples t-test was employed to analyze the statistical significance of these comparisons.
Results: The total of 21 participants had an average age of 64.67 ± 12.93 years, with 61.90% being male. Hypertension was a comorbidity in 48.38% of the participants. A majority (57.10%) had been undergoing hemodialysis for 1–5 years, and 66.70% had hemodialysis sessions twice per week. Post-program assessments revealed significant improvements in knowledge about fluid overload management, with the mean score increasing from 19.09 ± 4.73 to 22.62 ± 1.86 (p = 0.001). Dietary and fluid intake behavior scores improved from 51.38 ± 6.05 to 58.24 ± 6.22 (p = 0.001). Additionally, average daily weight reduction decreased from 3.66 ± 1.49 to 2.23 ± 0.94 kg (p < 0.001).
Conclusions: Integrating the self-management program into their routine work enables the provision of accurate knowledge and guidance to patients, fostering an improved quality of life. Thus, promoting the program can contribute to its broader adoption in general practice.
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