พฤติกรรมการดูแลตนเองของผู้ป่วยปลูกถ่ายไตในโรงพยาบาลมหาราชนครเชียงใหม่

Naruemon  Suyayai; Saowanee  Imong; Chalongrat  Manoree; Khanittha  Nilnate; Wanchai  Lertwatthanawilat

Authors

Naruemon Suyayai Maharaj Nakorn Chiang Mai Hospital
Saowanee Imong Maharaj Nakorn Chiang Mai Hospital
Chalongrat Manoree Maharaj Nakorn Chiang Mai Hospital
Khanittha Nilnate Maharaj Nakorn Chiang Mai Hospital
Wanchai Lertwatthanawilat Faculty of Nursing, Chiang Mai University

Keywords:

Kidney transplant, Orem’s self-care deficit nursing theory, Self-care behaviors

Abstract

This descriptive study investigated self-care behaviors among patients following kidney transplantation, utilizing Orem’s Self-Care Deficit Nursing Theory as the conceptual framework.
The sample comprised 217 patients attending follow-up visits at the Kidney Transplant Clinic, Maharaj Nakorn Chiang Mai Hospital, selected through purposive sampling. Data collection involved personal information and self-care behavior questionnaires. Descriptive statistics, including percentages, means, and standard deviations, were used for data analysis.
The results indicated that patients exhibited excellent self-care behaviors in medication adherence (Mean = 4.71, S.D. = 0.88), complication prevention (Mean = 4.28, S.D. = 1.07), and activities of daily living (Mean = 4.17, S.D. = 1.11). Good self-care behaviors were observed in emotional status (Mean = 3.99, S.D. = 1.11) and dietary intake (Mean = 3.66, S.D. = 1.30). Behaviors rated as moderate to good included consumption of high-cholesterol and high-potassium foods, fluid restriction while managing weight gain and edema, intake of foods high in Vitamin D, and increased food consumption during periods of anorexia. Regular exercise, social engagement after transplantation, and participation in hobbies to address boredom were also rated as moderate to good. These findings suggest that implementing a holistic nursing system may further enhance individualized self-care among post-kidney transplant patients.

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