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
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.
The Nephrology Society of Thailand. Recommendations for Chronic Kidney Disease Patients before doing the renal replacement therapy with dialysis. Bangkok: Takada (Thai); 2015.
Document from Bureau of Policy and Strategy, Office of the Permanent Secretary, Ministry of Public Health; 2016.
Thalang Hospital. Document from Chronic Kidney Disease Clinic; 2016.
Seanchaiwut N. Production of Food Knowledge Handbook for Chronic Kidney Disease Pateints: Case Study, Siriraj Hospital (dissertation). Bangkok: Rajamangala University of Technology PhraNakhon; 2013.
The Nephrology Society of Thailand.Clinical practice guidelines for Chronic kidney disease. (1st Ed). Bangkok. BoehringerIngelheim (Thai). Co.,Ltd; 2009.
Ongsuriyanondh S. Self-care behavior development among chronic renal disease patients, Chaoprayayomraj Hospital, Suphanburi Province. Journal of Punlic Health and Development 2008; 6(1): 35-41.
Hostetter TH, Olson JL, Rennke HG, Venkatachalam MA, Brenner BM. Hyperfiltration in remnant nephrons:a potentially adverse response to renal ablation. Journal of American Society Nephrolgy 2001; 12(6): 1315-25.
Wang W, Soltero L, Zang P, Huang XR, Land HY, Adrogue HJ, et al. Renal inflammation is nodulated by potassium in chronic kidney disease: Possible role of Smad 7. American Journal of Physiology Renal Physiology 2007; 293: F1123-30.
Asong W. Factors influencing dietary and fluid consumption behaviors among patients with chronic kidney disease(dissertation).Chon Buri: Burapha University; 2015.
Susantitaphong P, Eiam-ong S. Overview of Chronic Kidney Disease. in Eiam-ong S, Susantitaphong P, Srisawat N, Tiranathanagul K, Praditpornsin K, Tangsanga Keditors. Textbook of Hemodialysis. Nakhon Pathom: aiprinting; 2010, p.1-42.
Thammaraksa P. The effectiveness of health education program applying self - efficacy theory in diabetes mellitus patients at Health Center in Bangkok Metropolitan. Journal of Faculty of Physical Education Srinakharinwirot University 2011; 15(1): 74-87.
Rattanaruang R, Prapaipanich W, Visudtibhan P J, lekhyananda S. Effects of a Food Intake Focused on Protein Promoting Program in End-Stage Renal Disease Patients Undergoing Hemodialysis. Rama Nurse Journal 2014; 20(3): 341-55.
Kannasut P. Statistics for the Behavioral science research. (3th ed). Bangkok. Darnsutha Press Co.,Ltd; 1999.
Samranrum P, Thato R, Chimluang J. The effectof Health Belief Modification Programon Food Consumption Behavaior of Chronic Kidney Diease Patients at Pre Renal Replacement Therapy Stage. Thai Journal of Nursing 2015; 64(4): 15-24.
Satee A. Behavior and Factors related to salt and diet control of kidney disease patients in the period before kidney replacement therapy. Independent Study Master of Nursing Science. KhonKaen: KhonKaen University; 2011.
Tawong A. Factors Associated with Self-care Behavior among Elderly: A Case Study of Kuangpao Sub-district, Jomthong district, Chiangmai province. Master of Arts (Social Development Administration). Chiangmai: Chiangmai University; 2009.
Kuhirunyaratn P, Ratanasiri A, Jindawong B, Natiboot P, Watchanapanl, Junthakhun C, Supapinij. Health Promotion behaviors of Elderly Living in an Urban Community of KhonKaen Province. Srinagarind Medical Journal 2018; 33(2): 153-60.
Unaphak P, Rattanamanee K. The Correlation Factors of Self-Care Behaviors to Prevent Complications among Patients with Chronic Kidney Disease at Somdetphraphutthalertla Hospital in Samutsongkhram Province. The Public Health Journal of Burapha University 2015; 10(2): 44-54.
Klyprayong P, Boonchuaythanasit K. Effectiveness of health education program in promoting health behaviors for slow progression of chronic kidney disease to the end stage renal disease among chronic kidney disease patients stage 3 and 4 at outpatient department, Ramathibodi hospital. Journal of Phrapokklao Nursing College 2008; 19(2): 49-60.
Panpeankunpak P. The Effect of Food Control Program for Chronic Kidney Disease Patients at CKD Clinic, PhraNakhon Si Ayutthaya Hospital. Journal of Preventive Medicine Association of Thailand 2016; 6(3): 206-15.
Rattanakun C. Generalpractice, diet principles and methods for chronic and moderate renal disease patients. Bangkok: Chulalongkorn University; 1993.
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