The Impact of Self-Management on Delaying Chronic Kidney Disease Progression For Type 2 Diabetic Patients in Rural community, Ban Saeng Laem Health Promoting Hospital, Roi-Et

Abstract

Purpose: To compare  the self-management, social support , and delaying chronic kidney disease progression behavior on CKD stages I–III patients.
Study design : Quasi Experimental Research.
Materials and Methods: The study group were 25 CKD stages I–III patients which  randomized  by inclusion  and exclusion criteria, and into  self-management support  by a village health volunteer (VHV team) and followed up for 12 weeks. The intervention group was received the self-management support program, promoting management skill by self-management concept combined with 5 A’s  Behavior Change Model Adapted for Self-Management Support.  The data-collecting instruments was a self-management behaviors questionnaire and its reliability was examined using Cronbach’s alpha coefficient (alpha = .84). The data were analyzed using descriptive statistics and the hypotheses were tested using  paired t-test for the data with passing a preliminary agreement at the statistical significance level of .05.
Main findings: After the program, the participants had an mean score of self-management  behavior increased significantly at the level of p <.001, in addition,  its increased  equal to 1.76 of a 4-scores scale (95%CI: 1.50, 2.01), mean score of social support increased significantly at the level of p <.001, in addition,  its increased  equal to 1.66 of a 4-scores scale (95%CI: 1.43, 1.89), and  mean score of delaying chronic kidney disease progression behavior increased significantly at the level of p <.001, in addition,  its increased  equal to 1.54 of a 4-scores scale (95%CI: 1.40,1.69).  
Conclusion and recommendations: Self-management support by a self-management support  by a village health volunteer team and followed up,  helps improve  outcomes for type 2 diabetic patients.