A Study of the Situation of Chronic Kidney Disease in the Community and Strategies to Delay Its Progression from Chronic Non-Communicable Diseases Based on the Perspectives of Participants in Community-Based NCD Screening
Article Sidebar
Main Article Content
Abstract
This mixed-methods study aimed to explore the perspectives of stakeholders involved in community-based screening for non-communicable diseases (NCDs) regarding the situation of chronic kidney disease (CKD) and strategies to slow its progression. Forty participants were selected through multi-stage random sampling from four primary healthcare units in Khon Kaen Province. The quantitative component used a questionnaire assessing perceptions of CKD in the community, with a content validity index of 1.00 and a Cronbach’s alpha of 0.97. The qualitative component involved focus group discussions guided by semi-structured questions and supported by field notes. Quantitative data were analyzed using descriptive statistics, while qualitative data were analyzed through content analysis.
The study revealed that, overall, stakeholders involved in the screening of non-communicable diseases (NCDs) in the community demonstrated a high level of awareness regarding the issues and current situation of chronic kidney disease (CKD), with a mean score of 4.23 (SD = 0.75). When considering specific aspects, the highest level of awareness was found in the area of CKD progression management strategies (Mean = 4.63, SD = 0.50), while awareness regarding the self-care behaviors of NCD patients was also high but exhibited the lowest mean score among the dimensions assessed (Mean = 3.98, SD = 0.86).
From the perspective of the stakeholders, the underlying causes of CKD in the community included personal factors among NCD patients—such as lack of treatment adherence and poor dietary control—as well as social factors, including culturally ingrained cooking practices and the absence of caregivers. Effective management strategies for slowing CKD progression among NCD patients comprised educational promotion activities, the provision of clear and practical guidelines, and active community participation. The findings of this study provide essential information for developing a health literacy promotion model tailored to NCD patients, with the aim of preventing or delaying CKD progression in the future
Article Details
This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.
References
Carney EF. The impact of chronic kidney disease on global health. Nat Rev Nephrol 2020;16(5):251.
Jantacumma N, Padoungpattanakul S, Kaewsarn P. Effects of the health screening and communication capacity building program of village health volunteers in preventing chronic kidney disease. Journal of Health and Nursing Research 2024;40(2):113-25. (in Thai).
Foreman KJ, Marquez N, Dolgert A, Fukutaki K, Fullman N, McGaughey M, et al. Forecasting life expectancy, years of life lost, and all-cause and cause-specific mortality for 250 causes of death: reference and alternative scenarios for 2016–40 for 195 countries and territories. Lancet 2018;392(10159):2052-90.
Mongkolsrisawat C. The effectiveness of a health education program for the care of chronic kidney disease patients at the kidney clinic at Phu Pha Man Hospital, Khon Kaen Province. Research and Development Health System Journal 2020;13(2):485-91. (in Thai).
The Nephologist Society of Thailand. Recommendations for the care of patients with chronic kidney disease before kidney replacement therapy, 2015. [Internet]. [cited 2024 Dec 10]. Available from: https://www.nephrothai.org/wp-content/uploads/2023/03/CKD-guideline-2565-revised-edition.pdf. (in Thai).
Aekplakorn W, Chariyalertsak S, Kessomboon P, Assanangkornchai S, Taneepanichskul S, Neelapaichit N, et al. Women and other risk factors for chronic kidney disease of unknown etiology in Thailand: National Health Examination V Survey. Sci Rep 2021;11(1):21366.
Thanirat S, Radaburt M, Wichainrat S, Sumawan W. Perceptions and self care experiences of patients with chronic kidney disease in the community. Journal of Health Science Research 2021;15(3):83-94. (in Thai).
Intolo S. The integrated stroke preventive care services for older persons. RTN Med J 2020;47(3):687-703. (in Thai).
Singkum S, Chumnanborirak P. The community health network for improving quality of care for patients with chronic renal disease. Mahasarakham Hospital Journal 2019;16(3):149-58. (in Thai).
Creswell JW, Plano Clark VL. Designing and conducting mixed methods research. 3nd ed. Thousand Oaks, CA: SAGE; 2018.
Morse JM. Approaches to qualitative-quantitative methodological triangulation. Nurs Res 1991;40(2):120-3.
Hsieh H F, Shannon SE. Three approaches to qualitative content analysis. Qual Health Res 2005;15(9):1277-88.
Surawatakul S, Laorat S, Dermtamrum L. Development of care model for chronic kidney disease stage 4 in Nadoon District. Academic Journal of Mahasarakham Provincial Public Health Office 2020;4(7):129-43. (in Thai).
Chuengsaman P, Kasemsup V. PD first policy: Thailand’s response to the challenge of meeting the needs of patients with end stage renal disease. Semin Nephrol 2017;37(3):287-95. (in Thai).
Sharif K, Amital H, Shoenfeld Y. The role of dietary sodium in autoimmune diseases: the salty truth. Autoimmun Rev 2018;17(11):1069-73.
Ruaisungnoen W, Saensom D, Methakanjanasak N, Daenseekaew S, Chaiyapoom N, Khanthamoon R, et al. High sodium consumption situation and perception relevant to high sodium consumption associated with chronic kidney disease among people with chronic non communicable disease. Journal of Nursing and Health Care 2018:36(3):242-50. (in Thai).
Duanphon S, Phajan T, Srimuang P. Prevalence and factors associated with chronic kidney disease among patients with diabetes mellitus and hypertension at Ban Kha Yai Tambon Health Promoting Hospital, Chaturaphak Piman District, Roi Et Province. Regional Health Promotion Center 9 Journal 2020;14(34):142-57. (in Thai).
Nutbeam D. The evolving concept of health literacy. Soc Sci Med 2008;67(12):2072-8.
