The Effectiveness of health promotion on dietary and fluid consumption behaviors among patients with chronic kidney disease in a nephrology clinic: Pilot study at Thalang Hospital, Phuket

Abstract

             Dietary and fluid consumption behavior modification is important for reducing impairment in chronic kidney disease (CKD) patients. This Quasi-experimental research aimed to examine the effectiveness of a health promotion program on dietary and fluid consumption behaviors for CKD patients at the Nephrology Clinic, Thalang Hospital, Phuket.  Forty subjects were divided into two groups as experimental and comparison groups by randomly assigning 20 subjects to each group. The instruments were of 2 types, one was the health behavior promotion program and the other was the knowledge and behaviors of dietary and fluid consumption for CKD patient questionnaire developed by Wipawan Asong was used in this study. The reliability of knowledge questionnaire (KR-20) was .80 and Cronbach’s alpha reliability of behaviors on dietary and fluid consumption behaviors in CKD patient questionnaires was .82. Percentage, means, standard deviation, paired t-test and independent t-test were used in data analysis.

          Results showed that the experimental group had higher mean scores ( =12.85, SD=43.4) of knowledge and behaviors than the control group ( =10.35, SD=41.20). At post-test, the experimental group had mean scores of knowledge of dietary and fluid consumption behaviors significantly higher than pre-test at a p-value of .008. However, it was not statistically significant of knowledge and behaviors among the experiment group as compared to the control group (p = .356). Also, the experimental group showed a better filtering rate of the kidney, but not statistically significant with p-value of .268.