The Establishment and Development of Clinic Chronic Kidney Disease in Diabetes Mellitus Nhamkun Hospital

Abstract

Purpose :  To establishment and development of chronic kidney disease clinic in diabetes mellitus Nhamkun Hospital.
Study Design : Action research.
Materials  and  Methods : Five of samples were operational team  and 116 of admitted patients. The study was conducted between October 31, 2016 and October 30, 2018. Data were collected by reviewing medical records and assessing of satisfaction. The data were analyzed using frequency, percentage, mean and standard deviation.
Main Findings : The establishment and development of a clinic for chronic kidney disease in diabetes mellitus Nhamkun Hospital using a PAOR process, divided to 4 phases including: Planning phase (Plan) from analyzing the situation and problem conditions, having a joint brainstorming meeting. A multidisciplinary and planning committee was established. Action phase: conducted clinical development by a multidisciplinary committee working in the clinic. Observe period by evaluating a clinical development of chronic renal failure in diabetic patients. Reflection phase was to return the results from the operation, it was found that operational team  was satisfied with the overall clinical establishment and development at a high level (µ = 4.20, = 0.45), a satisfied with clinical services at a high level (µ = 3.74, = 0.46).
Conclusion and recommendations : The results of this study that: coordination  facilitation services – refer system, giving advice about disease, treatment,  treatment plans and nutrition had a low mean score therefore, the relevant departments should make plans / projects to continually for improve service in accordance with aforementioned issues.