The Effects of a Self-management Support Program on Health Behaviors and Glomerular Filtration Rates among Type 2 Diabetes Mellitus Patients with Stage III Chronic Kidney Disease

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นิฤมล สบายสุข
ปิ่นหทัย ศุภเมธาพร
ณิชกานต์ ทรงไทย

Abstract

 


   


          This research was a quasi-experimental research to study the effect of self-management program on health behaviors and glomerular filtration rates of type 2 diabetes patients with stage III  chronic kidney disease. The forty purposive samples were chosen from type 2 diabetes patients with stage III chronic kidney disease from Thongsankhan hospital in Uttaradit Province. The experimental groups received self-management support programs based on the concept of Lorig (Lorig & Holman, 2003). It consisted of 3 elements for 12 weeks as follows: the first had self-efficacy support for self-management, the second had Self-management and the third had monitoring and supporting self-management support.  The research tools included glomerular filtration rate measurements and health behaviors questionnaires. The data was analyzed statistics using frequency percentile, mean, standard deviation, Paired t-test and Independent t – test.


           The findings were that the health behavioral average score of the experimental group, who participated in the self-management support program and the glomerular filtration rate average score of the experimental group after participation in the self-management program, was significantly higher than before participation in the program (p<.05).  A comparison between groups found that health behavior and the glomerular filtration rate average of the experimental group was significantly higher than the control group (p<.05).


           These results suggest that a self-management support program can improve health behaviors and the glomerular filtration rate of type 2 diabetes patients with stage 3 chronic kidney disease. Therefore, nurses and health care providers should implement self-management support programs for these patients.

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บทความวิจัย (Research articles)

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