Predictors of Self-Management Behavior in Pre- Dialysis Chronic Kidney Disease Patients, Maetha Hospital, Lampang.

Authors

  • Ruedeerat Suebwongpat Maetha Hospital, Lampang
  • Oratai Tumtong Maetha Hospital, Lampang
  • Pannee Paisarntuksin Boromarajjonani College of Nursing, lampang Faculty of Nursing, Praboromarajchanok Institute, Ministry of Public Health
  • Kanokchat Saidaungkaew Maetha Hospital, Lampang
  • Kruawan Santhuankaew Boromarajjonani College of Nursing, lampang Faculty of Nursing, Praboromarajchanok Institute, Ministry of Public Health

Keywords:

Chronic Kidney Disease, Pre- Dialysis Chronic Kidney Disease Patients, Self-Management Behavior

Abstract

Abstract

 This descriptive research aims to 1) To study knowledge, self-care behaviors and self-management behaviors in patients with chronic kidney disease Pre- Dialysis Chronic Kidney Disease Patients 2) To study the relationship between personal factors, knowledge, self-care behaviors and self-management behaviors 3) To study the predictive factors affecting self-management behavior. The sample group is patients with chronic kidney disease stage 3b-5, 120 patients at Mae Tha Hospital, Lampang. TheData were collected by using a questionnaire. Analyze the data by Percentage, mean and standard deviation, Pearson's Product Moment correlation coefficient and Stepwise Multiple Regression analysis.

The results was found that knowledge and self-care behaviors. They were able to jointly explain the statistical significance of the variability of self-management behavior among patients with chronic kidney disease in the pre-renal replacement therapy stage. Accounted for 23.5 percent of self-management behaviors. (R2 = 0.23, F = 17.97 , p < 0.01). The self-care behavior had the greatest influence on the variance of self-management behavior with statistical significance. (β = 0.33 , p < 0.01). followed by knowledge (β = 0.23 , p < 0.05). The disease stage had no influence on the variability of self-management behavior. (β = -.0.2 , p < 0.05). Benefits for health workers. as a guideline for information management and care planning for chronic kidney disease patients Slowly entering the kidney replacement therapy phase

 

References

Ardkhitkarn S., Pothiban L., Lasuka D.(2013). Self –Management Behaviors and Predicting Factors in Elders with End Stage Renal Disease Undergoing Continuous Ambulatory Peritoneal Dialysis. Nursing Journal, Volume 40 Supplement December. (in Thai)

Chaiyasung,P., Meetong,P.(2018). Factors Predicting Chronic Kidney Disease of Patients with Chronic Disease in the Community. J Prapokklao Hosp Clin Med Educat Center,35 (2). (in Thai)

EDC(2019). Chronic Kidney Disease (CKD) Surveillance System.(on line), Available: https://nccd.cdc.gov/CKD/default.aspx.

Gage, N. L., & Berliner, D. C. (1992). Educational psychology (5th ed.). Houghton, Mifflin and Company.

HDC Lampang (2019). (on line), Available: https://lpg.hdc.moph.go.th/hdc/main/index_pk.php

Jantarametekune,S.(2011). Risk Factors Kidney complications in type 2 diabetes mellitus.(on line)

Available: http://www.m u k h o s . g o . t h / s i t e / d a t a / r e s e a r c h _ 1333503317_sutep.pdf.

Lorig, K. R., & Holman, H. R. (2003). Self-management education: History, definittion, outcome, and mechanisms. The Society of Behavioral Medicine, 26(1), 1-7.

Maneesr,S.(2010). Factors Influencing Self-Management Behavior of Patients with Chronic Kidney Disease. Master of Nursing, Mahidol University. (in Thai)

Nephrol Dial Transplant (2010). Prevalence and risk factors of chronic kidney disease in the Thai. adult population: Thai SEEK study. .(on line), Available: https://www.ncbi.nlm.nih.gov/pubmed/20037182.

Pattarapunn Unaphak.(2558). The observational Study Of Selfcare Behaviors To Prevent Complication Chronic Kidney Desease Patients Stage 1-5 At Somdejphaphuthalertlar Hospital, Samutsongkhram Province.Thesis M Pharm in community Phamcy. Naresuan (in Thai)

Rani, A. U. (2011). Nurse role in prevention of chronic kidney disease (CKD). International Journal of Nursing education, 3(2), 125-127 (in Thai)

Seephom S.(2013). Self-management in chronic kidney disease. Thai Red Nursing Journal, 6(1).(in Thai)

Sristitnarangune, B.(2010). The Maethadology of Nursing Research. Bangkok: U&I Intermedia.Thanakitjaru,P.(2015) Current situation of chronic kidney disease in Thailand.Journal of The Department of Medical Services. 5, 5-17.(in Thai)

Downloads

Published

2021-12-03

Issue

Section

Research Articles