The Development of Guideline to Promote Healthcare Behavior through Mobile Health (mHealth) Application on Peritoneal Dialysis Complication and Quality of Life in Patients Undergoing Peritoneal Dialysis during COVID-19 Situation

Authors

  • Intira Sukrungruang Buddhasothorn Hospital, Chachoengsao Province
  • Daravan Rongmuang Phrapokklao Nursing College, Chanthaburi, Praboromarajchanok Institute

Keywords:

Healthcare behavior, Mobile application, Peritoneal dialysis, COVID-19

Abstract

This research and development aimed to develop and examine the effectiveness of guideline to promote healthcare behavior through mobile health (mHealth) application on peritoneal dialysis complication and quality of life in patients undergoing peritoneal dialysis during COVID-19 situation. The three phases study including phase 1: situation analysis, the samples consisted of the doctors, nurses, and patients/ caregivers (n = 10); phase 2: guideline development and feasibility study, the samples consisted of the nurses (n = 10) and patients/ caregivers (n = 15); and phase 3: examine the effectiveness of the guideline, the samples consisted of patients/ caregivers who were divided into the experimental group (n = 45) and the control group (n = 45). The research instruments included the guideline to promote healthcare behavior through mobile health (mHealth) application for complication prevention and quality of life promotion in patients undergoing peritoneal dialysis during COVID-19 situation, the semi-structured interview, the feasibility of guideline implementation questionnaire with reliability as .93, the demographic questionnaire, the Kidney Disease Quality of Life-Short Form version 1.3 (KDQOL-SFTM 1.3), and the symptom and complication datasheet. The implementation and data collection were conducted from September, 2020 to January, 2021. Data were analyzed using content analysis, frequency, percentage, mean, standard deviation, Chi-square test, Fisher’s exact test, paired t-test, and independent t-test.

The research results revealed that 1) the guideline to promote healthcare behavior through mobile health (mHealth) application was the method to deliver the important knowledge information for the patient undergoing peritoneal dialysis to perform self-care behaviors via line application including health assessment, abnormal symptoms, common health problems, nutrition, regular use medicine, and health performance, 2) both nurses and patients/ caregivers indicated that the level of feasibility was high, 3) the experimental group had the incidence of peritoneal dialysis complications lower than those of the control group, and 4) after the experiment, the experimental group had statistically significant higher mean score of quality of life than those of before the experiment and those of the control group.

This research suggests that health care providers should apply this guideline to promote healthcare behavior through mobile health (mHealth) application to promote self-care behavior among patients undergoing peritoneal dialysis or promote caregiver capacity to provide care.

References

ขนิษฐา หอมจีน, และพรรณทิพา ศักดิ์ทอง. (2553). การแปลและทดสอบกระบวนการคิดของแบบสอบถามคุณภาพชีวิตในโรคไตฉบับย่อภาษาไทย เวอร์ชัน 1.3. วารสารเภสัชกรรมไทย, 2(1), 3–14.

ปกรณ์ ตุงคะเสรีรักษ์. (2559). การติดเชื้อของการล้างไตทางช่องท้องของโรงพยาบาลสุรินทร์ อะไรคือความแตกต่าง. ศรีนครินทร์เวชสาร, 31(4), 167–172.

สุธิดา นครเรียบ, ดวงรัตน์ วัฒนกิจไกรเลิศ, วิชชุดา เจริญกิจการ, สงคราม โชติกอนุชิต, และวชิรศักดิ์ วานิชชา. (2017). ประสิทธิผลของโมบายแอพพลิเคชั่นต่อความร่วมมือในการรับประทานยาในผู้ป่วยโรคหลอดเลือดสมอง. Journal of Nursing Science, 35(3), 58–69.

สุภัทรา สีเสน่ห์, ดวงรัตน์ วัฒนกิจไกรเลิศ, วิชชุดา เจริญกิจการ, ฉัตรกนก ทุมวิภาต, และวชิรศักดิ์ วานิชชา. (2561). ผลของโมบายแอพพลิเคชั่นต่อความร่วมมือในการรับประทานยาในผู้ป่วยภาวะหัวใจขาดเลือดเฉียบพลันภายหลังได้รับการจำหน่ายออกจากโรงพยาบาล. วารสารพยาบาลกระทรวงสาธารณสุข, 28(1), 61–74.

Chow, S. K. Y., & Wong, F. K. Y. (2010). Health-related quality of life in patients undergoing peritoneal dialysis: Effects of a nurse-led case management programme. Journal of Advanced Nursing, 66(8), 1780–1792. doi:10.1111/j.1365-2648.2010.05324.x

Giansanti, D. (2020). WhatsApp in mHealth: An overview on the potentialities and the opportunities in medical imaging. mHealth, 6, 19. doi:10.21037/mhealth.2019.11.01

Jha, V., & Modi, G. K. (2018). Getting to know the enemy better–the global burden of chronic kidney disease. Kidney International, 94(3), 462–464. doi:10.1016/j.kint.2018.05.009

Kim, Y.-L., & Biesen, W. V. (2017). Fluid overload in peritoneal dialysis patients. Seminars in Nephrology, 37(1), 43–53. doi:10.1016/j.semnephrol.2016.10.006

Lozano-Lozano, M., Cantarero-Villanueva, I., Martin-Martin, L., Galiano-Castillo, N., Sanchez, M.-J., Fernández-Lao, C., … Arroyo-Morales, M. (2019). A mobile system to improve quality of life via energy balance in breast cancer survivors (BENECA mHealth): Prospective test-retest quasiexperimental feasibility study. JMIR mHealth and uHealth, 7(6), e14136. doi:10.2196/14136

Marcolino, M. S., Oliveira, J. A. Q., D’Agostino, M., Ribeiro, A. L., Alkmim, M. B. M., & Novillo-Ortiz, D. (2018). The impact of mHealth interventions: Systematic review of systematic reviews. JMIR mHealth and uHealth, 6(1), e23. doi:10.2196/mhealth.8873

Sitjar-Suñer, M., Suñer-Soler, R., Masià-Plana, A., Chirveches-Pérez, E., Bertran-Noguer, C., & Fuentes-Pumarola, C. (2020). Quality of life and social support of people on peritoneal dialysis: Mixed methods research. International Journal of Environmental Research and Public Health, 17(12), 4240. doi:10.3390/ijerph17124240

Wallace, E. L., Rosner, M. H., Alscher, M. D., Schmitt, C. P., Jain, A, Tentori, F., … Sloand, J. A. (2017). Remote patient management for home dialysis patients. Kidney International Reports, 2(6), 1009–1017. doi:10.1016/j.ekir.2017.07.010

World Health Organization. (2011). mHealth: New horizons for health through mobile technologies: Second global survey on eHealth. Retrieved from https://apps.who.int/iris/handle/10665/44607

World Health Organization. (2018). mHealth: Use of appropriate digital technologies for public health. Retrieved from https://apps.who.int/gb/ebwha/pdf_files/WHA71/A71_20-en.pdf

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Published

2021-06-29

How to Cite

Sukrungruang, I., & Rongmuang, D. (2021). The Development of Guideline to Promote Healthcare Behavior through Mobile Health (mHealth) Application on Peritoneal Dialysis Complication and Quality of Life in Patients Undergoing Peritoneal Dialysis during COVID-19 Situation. Journal of Phrapokklao Nursing College, Chanthaburi, 32(1), 171–188. Retrieved from https://he01.tci-thaijo.org/index.php/pnc/article/view/247427

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Section

Research Report (รายงานการวิจัย)