Development of service model kidney patient at PCU Roi-Et province

Abstract

Purpose :  Develop model and study of factors related to kidney stage and the effectiveness of self-care of kidney patients at PCU

Design : Research and Development

Materials and Methods : Use the PDCA principle before proceeding. There is a survey and study of health conditions. There are 1-3 kidney patients selected. P= Plan is the design planning method by primary care team (PCC) D= Doing by 3 phases. Phase 1: Assessment of perception of health check-up behavior. And providing knowledge about food diseases, exercise, phase 2, organizing the activities organized under the context of selected areas, such as exchanging learning To visit the kitchen See food menus Organizing kidney health tours, etc. Phase 3: Exchange of learning and notification of health care results C=  Evaluation Health information, perception of health check-up and behavior. A= Improving the problematic using the information from KM of patients exchange, and strategies for the health team.

Main findings: Most of them were female 74.2 %, aged  60-69 years, 33.4 %, average age 64.7, marital status, 73.5 % <primary education 69.0% , agricultural occupation 70.4% ,Income less than 5,000 baht per month, 90.6%, Have a history of diabetes. Blood pressure was 30.9% had a low level knowleage,59.7%had low risk behavior 90.8%. Factors related to the kidney stage are  history of congenital disease, BMI , income , status and  recognition level Having a statistically significant relationship P = .021, .003 , .003 , .001, .001, .001 respectively. When comparing before and after participating in activities, it was found that knowledge about kidney disease risk behavior and kidney filtration rate There are significant differences (P <.01)

Conclusion and recommendations: Form of care for kidney patients at the service unit near the home near the heart The target group should be selected as the third stage of renal patients as 3 consecutive phases. The activity is done in 5 steps: surveying the health condition, planning for potential development, implementing the plan. Follow up and evaluate .Use PDCA concept.