The Effectiveness of Self Management on Fluid Overload Management for Chronic Kidney Disease Patients with Hemodialysis at Somdej Phranangchaosirikit Hospital

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Thidaratn Petchai
Srisuda Mingkaeo
Yaolak Nonthapha
Walaiporn Kumthong
Pornthipa Homrach
Anchalee Piyalungka
Jaruk Sumransirikul
Thanaporn Yaemsuda


The purposes of this research were to study self-care management behavior of CKD patients with hemodialysis after being acquired and educated of fluid restriction and overload control guidelines. There were 21 qualified patients out of 32 CKD patients with hemodialysis at Somdej Phranangchaosirikit Hospital. The participants were each provide information for self management, a handbook of self-care management guideline, step by step care descriptions, a recording notebook for fluid and food consumption each day, a fluid measurement container, and additional self-care information of questions and answers. Data was collected by using assessment questionnaire of self-fluid control behavior of CKD patients. The statistical t-test was applied as the analytical research tool by using standard deviation and average value.
In conclusion, firstly the self-care fluid restriction management behavior of CKD patients with hemodialysis was found with the average value of 3.94 which was improved before the knowledge acquirement that shown the average value only 3.24, with resulting of statistical reliability of .05 significantly. Secondly the self-care fluid overload management behavior of CKD patients on the hemodialysis day was found the fluid overload average value of 2.68 which was improved before the knowledge acquirement that shown the average value from 2.97.


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