Predictors of Rapid Renal Function Decline in Patients with Diabetes and Hypertension in Chronic Kidney Disease Stages 3-4
Keywords:
Predictive factors, Chronic Kidney Disease., Rapid Decline of Renal Function, Diabetes and HypertensionAbstract
This predictive correlational study aimed to identify the predictive factors related to the rapid decline of glomerular filtration rate (GFR) in diabetic and hypertensive patients with chronic kidney disease (CKD) stages 3-4 at Phukamyao Hospital, Phayao Province. The study employed a predictive correlational design, focusing on personal factors, illness factors, health care behavior factors, and health literacy factors. The participants consisted of 155 diabetic and hypertensive patients. Data were analyzed using descriptive statistics, Pearson's correlation coefficient, and multiple regression analysis to identify predictive factors.
The findings revealed that most participants were female (58.10%), aged 60-65 years (23.9%), had primary education (86.50%), and had comorbidities (16.80%). Pearson's correlation coefficient analysis indicated that health literacy factors, including knowledge and overall health literacy level, were significantly related to the rapid decline of GFR (p < 0.05). Multiple regression analysis showed that knowledge level (r = 0.372) and health literacy level (r = 0.045) could predict the rapid decline in GFR, accounting for 41.70% of the variance. The results of this study can be used to develop an effective program to delay kidney failure in diabetic and hypertensive patients with CKD stages 3-4.
References
Kovesdy CP. Epidemiology of chronic kidney disease: an update 2022. Kidney International Supplements 2022; 12: 7-11.
Tannor EK, Sarfo FS, Mobula LM, Sarfo‐Kantanka O, Adu‐Gyamfi R, Plange‐Rhule J, et al. Prevalence and predictors of chronic kidney disease among Ghanaian patients with hypertension and diabetes mellitus: A multicenter cross‐sectional study. The Journal of Clinical Hypertension 2019; 21 (10): 1542-50.
The Nephrology Society of Thailand. Annual Report Thailand Renal Replacement Therapy 2020 [Internet]. 2020 [cited 2022 January 20]. Available from: https://www.nephrothai.org/annual-report-thailand-renal-replacement-therapy-2007-2019-th/. (in Thai)
Janthapuek J, Chopsiang L. Relationships Between Health Literacy and Self-Care Behaviors to Delay the Progression of Chronic Kidney Disease among Patients with Chronic Kidney Disease Stage 1 and 2. Regional Health Promotion Center 9 Journal 2020; 14 (34): 243-258. (in Thai)
Pakphanang hospital. context of care for patients with chronic kidney disease [Internet]. 2019 [cited 2022 March 19] Available from: http://www.pknhospital.com/2019/data/HA/Driver%20diagram/Driver%20diagram%20CKD.pdf. (in Thai)
Srina J, Sirivongs D, Adisuk D, Rattanakanokchai S, Methakanjanasak N, Surit P, et al. Factors associated with rapid decline of renal function in patients with kidney disease: a retrospective cohort study. Journal of Nursing Science & Health 2018; 41 (3): 108-118. (in Thai)
Saisuwan N, Thongyoi P, Tanasin W, Kaewsai A. Factors Related with Glomerular Filtration Rate among Diabetics and Hypertension with Reduced Glomerular Filtration Rate in Nong Ma Saeo Health Promoting Hospital, Mueang District, Amnatcharoen Province. Journal of Council of Community Public Health 2021; 3 (2): 64-71. (in Thai)
Silarak T, Piyabunditkul L, Kittipichai W. Predictive Factors of Chronic Kidney disease in Patients with Diabetes Mellitus at Sisaket Province. Songklanagarind Journal of Nursing 2020; 40 (2): 109-121. (in Thai)
Phayao Provincial Public Health Office. NCD Phayao Province. [Internet]. 2022 [cited 2022 May 10]. Available from: https://www.pyomoph.go.th/backoffice/files/40325.pdf. (in Thai)
Phayao Provincial Public Health Office. Deta Service Plan (NCD, DM, HT, CVD) [Internet]. 2022 [cited 2022 May 10]. Available from: https://hdcservice.moph.go.th/hdc/reports/page.php?cat_id=b2b59e64 c4e6c92d4b1ec16a599d882b. (in Thai)
Boontakanon J. Factors associated with Rapid decline of Renal function in Patients with CKD stage 3-4 at Kasetsomboon Hospital, Chaiyaphum. Regional Health Promotion Center 9 Journal 2023;17 (1): 13-27. (in Thai)
Zhang QL, Rothenbacher D. Prevalence of chronic kidney disease in population-based studies:systematic review. BMC public health 2008; 8: 117.
Daradas A, Suphunnakul, P. Factors influencing health literacy among patients with uncontrolled type 2 diabetes. [Master of Public Health thesis in Public Health]. Phitsanulok: Faculty of Public Health, Naresuan University; 2022.
Buraphunt R, Muangsom N. Factors affecting uncontrolled type 2 diabetes mellitus of patients in Sangkhom hospital, Udonthani Province. KKU Journal for Public Health Research 2013; 6 (3): 102-109. (in Thai)
Sukwassana Y, Sikaow O, Kasiphol T. The Association of Personal Factor, Health Literacy, Self-care Behaviors and Glycemic Control in People with Type 2 Diabetes. Journal of boromarajonani college of nursing, Surin 2021; 11 (1): 52-65. (in Thai)
Ausing S, Methakajanasak N. The Effect of Functional Health Literacy Promotion Teaching Package Related to Rapid Decline in Kidney Function on Knowledge and The Ability to Read and Understand Health Numbers Among Patients with Type II Diabetic Mellitus. Regional Health Promotion Center 9 Journal 2023; 17 (2): 409-422. (in Thai)
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