ผลของโปรแกรมการจัดการตนเองโดยการมีส่วนร่วมของผู้ดูแลต่อความรู้และพฤติกรรมการควบคุมอาหารของผู้ป่วยโรคไตเรื้อรังที่ได้รับการฟอกเลือดด้วยเครื่องไตเทียมในเขตศูนย์สุขภาพชุมชนเมือง

Laksana  Watpet; Phanit    Leecharoen

Authors

Laksana Watpet Songkhla Hospital
Phanit Leecharoen Boromarajonani College of Nursing, Songkhla, Faculty of Nursing, Praboromarajchanok Institute

Keywords:

Caregiver Participation, Chronic Kidney Disease, Hemodialysis, Self-Management Program

Abstract

This quasi-experimental study aimed to examine the effects of a self-management program with caregiver participation on the knowledge and dietary control behaviors of patients with end-stage chronic kidney disease undergoing hemodialysis. The sample consisted of 27 participants, determined through power analysis. Inclusion criteria included being an end-stage chronic kidney disease patient receiving hemodialysis and having a caregiver aged 20 years or older. The intervention instrument was a self-management program with caregiver participation. The monitoring tool was the Caregiver Participation Questionnaire, and data collection tools included a Chronic Kidney Disease Knowledge and a Dietary Control Behavior Questionnaire. The content validity index (CVI) of all three instruments was 1. The reliability coefficients for the Caregiver Participation Questionnaire, Chronic Kidney Disease Knowledge, and Dietary Control Behavior Questionnaire were 0.82, 0.83, and 0.82, respectively.
Knowledge scores before and after the intervention were compared using the Wilcoxon Signed Ranks test. The results showed a statistically significant increase in knowledge after the intervention at p < .05. Dietary control behavior scores were analyzed using the Dependent t-test, revealing a statistically significant improvement after the intervention at p < .001. These findings suggest that nurses and healthcare professionals should encourage caregiver involvement in the self-management of patients with end-stage kidney disease undergoing hemodialysis

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