The effect of a health promoting program on adherence behaviors among patients with stage 1-2 Chronic Kidney Disease


  • Weelada Phunchun Department of Public Health Nursing Faculty of Public Health, Mahidol University
  • Orawan Kaewboonchoo Department of Public Health Nursing Faculty of Public Health, Mahidol University
  • Tassanee Rawiworrakul Department of Public Health Nursing, Faculty of Public Health, Mahidol University
  • Ratana Chawanasuntorapoj Division of Nephrology, Department of Medicine, Faculty of Medicine Siriraj Hospital, Mahidol University


Health promotion program, Chronic kidney disease, Protection motivation, Self-care behavior, Adherence


The chronic kidney disease is an incurable disease. The Health promotion will help prolong the kidney degeneration. This Quasi-experimental study was aimed to study the effects of a health promotion program on health behaviors among patients with stage 1-2 chronic kidney disease. A sample was selected from the outpatients Siriraj Hospital. The samples were divided into two groups each 30 patients which the study was conducted between January to May 2016. The experimental group received a health promotion program. The activities were divided into 5 times as follows: one time individual education, one time home visit, and three times telephone visit. Data was collected using the questionnaires before and after the experiment and were analyzed by using percentage, mean, standard deviation, Chi-square, Fisher's exact test, paired t-test, and independent t-test.

The findings showed that the experimental group had higher scores of awareness of the severity, the risk of complications, the expectation of health behaviors result, self-efficacy, and health behaviors than before the experiment and than those in the comparison group statistically significant (p<0.05). It was suggested that heath education home and phone call visit should be applied to patients with Chronic Kidney Disease.


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How to Cite

Phunchun, W., Kaewboonchoo, O., Rawiworrakul, T., & Chawanasuntorapoj, R. (2019). The effect of a health promoting program on adherence behaviors among patients with stage 1-2 Chronic Kidney Disease. Journal of Public Health Nursing, 33(3), 46–60. Retrieved from



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