The effect of using the program for delaying the progression of chronic kidney in diabetes patient, Community Health Center, King Narai Hospital, Tha Sala Subdistrict Municipality

Abstract

Objective: The purpose of a study the effect of using the program for delaying the progression of chronic kidney in diabetes patient, Community Health Center, King Narai Hospital, Tha Sala Subdistrict Municipality is comparison the different of average value of knowledge, behavior and clinical outcomes before and after using the program for delaying the progression of chronic kidney in diabetes patient.

Methods: This research is quasi-experimental research. The samples are single group which is type 2 diabetes patient with chronic kidney disease at stage 2. The samples between the ages of 40-70 years old without underlying disease and serious complications, GFR rates 60-89 ml/min/1.73m² and available for complete activity participation were selected.The program for delaying the progression of chronic kidney in diabetes patient is including the media education and activity 4 steps, 12 weeks. The data collection instrument was using questionnaire about the knowledge of chronic kidney and diabetes disease, behavior for delaying the progression of chronic kidney, and memorandum of clinical outcomes, CVI = 0.89. Descriptive statistics and dependent t-test were used for statistical data analysis.

Results: The results found that the average sore of knowledge and behavior for delaying the progression of chronic kidney in diabetes patient [ (31.80 +2.92, 37.54+0.65) (35.65 + 0.49, 38.42 S.D.+ 0.34) ] respectively  after using the program were higher score than before using the program (0.01 and 0.04 respectively). For clinical outcome, blood sugar level (117.27 + 4.20, 107.83 + 2.24) creatinine (0.89 + 0.02 , 0.71 + 0.02)  and glomerular filtration rate (76.92 + 0.93, 83.73 + 1.53) of patient after using the program showed different values before using the program (0.00, 0.02 and 0.01 respectively) and clinical outcome of patient after using the program were gave the normal value  greater than before using the program.

Conclusion and discussion: From the results, this indicated that the using of the program for delaying the progression of chronic kidney in diabetes patient is effect on the increasing of chronic kidney and diabetes knowledge of patients and behavior modification for delaying the progression of chronic kidney and clinical outcome of patients are greater than before using the program.