ผลของโปรแกรมการสอนตามหลักพิตส์ต่อพฤติกรรมการดูแลตนเองและอัตราการกรองของไตในผู้ป่วยโรคไตวายเรื้อรังระยะ 3 – 4

Sunisa  Meesati; Teepatad Chintapanyakun; Penpak  Sudjai; Supawan  Lohakul

Authors

Sunisa Meesati Nursing Department, Kut Khaopun Hospital
Teepatad Chintapanyakun Department of Nursing Service, Ramathibodi Hospital, Mahidol University
Penpak Sudjai Nursing Department, Kut Khaopun Hospital
Supawan Lohakul Nursing Department, Kut Khaopun Hospital

Keywords:

PITS-based teaching program, chronic kidney disease, self-care behaviors, glomerular filtration rates

Abstract

This quasi-experimental study aimed to compare self-care behaviors and glomerular filtration rates (GFRs) among patients with stage 3–4 chronic kidney disease (CKD) between an experimental group receiving the PITS-based teaching program and a control group receiving standard nursing care. The sample consisted of 80 patients with stage 3 – 4 CKD who received services at the Non-Communicable Disease Clinic, Kut Khaopun Hospital, Ubon Ratchathani Province. Purposive sampling was used to select the participants, who were then assigned to a control group (n = 40) and an experimental group (n = 40). Research instruments included the PITS-based teaching program, a personal and health information questionnaire, and a self-care behavior questionnaire. Data were analyzed using descriptive statistics, Chi-square test, and independent sample t-test.

The findings revealed that the experimental group demonstrated a significantly higher mean score for overall self-care behaviors after receiving the PITS-based teaching program compared with the control group, which received standard nursing care at the .05 level of significance (M = 126.23, SD = 9.54 and M = 118.53, SD = 9.35; t = 3.646, p = .000). Furthermore, the control group experienced a greater decline in renal function than the experimental group with statistical significance at the .05 level (MD = -3.38, SD_MD = 5.83 and MD = .88, SD_MD = 4.05; t = -3.793, p = .000). These findings suggest that the PITS-based teaching program effectively promotes self-care behaviors and may contribute to slowing the decline in glomerular filtration rate among patients with stage 3 – 4 CKD when followed over a longer period.

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