Outcome of participation and support of Health care team and families due to decision making to CAPD modality in ESRD Uttaradit Hospital.

Abstract

The two-group quasi-experimental research aims to study the effect of health and family team participation and support on peritoneal dialysis decisions in end-stage renal failure patients. The subjects were end-stage renal failure patients who were treated at the nephrology clinic at Uttaradit Hospital. An experimental group (43 cases) and a control group (86 cases) were studied. The knowledge questionnaire on end-stage renal disease, risk behaviors for renal impairment, and the selection of renal replacement therapy was used to collect data before and after the study. The experimental group received knowledge of peritoneal dialysis together with the family to listen to counseling and plan once a week for 4 weeks. Home visit and follow up on the preparation of the site and equipment with the cooperation of Tambon Health Promoting Hospital, Uttaradit Hospital, health teams and other organizations for 4 times, 30 minutes each time.  The control group received the same standard renal replacement therapy consultation. Descriptive statistics such as number, percentage, mean, and standard deviation were used to analyze the data. and inferential statistics, including the Chi square test, dependent t-test, and independent t-test at a significance level of.05.

Findings revealed that

1. Patients with chronic renal failure in the experimental group had statistically significant (p.05) higher knowledge about chronic renal disease and risk behaviors than before the experiment. There was no difference in knowledge of chronic renal disease and renal impairment risk behaviors before and after the experiment (p >.05), and the knowledge of chronic renal failure and risk behaviors of the experimental group was better than the control group. statistically significant (p >.05)
2. 74% of end-stage renal failure patients in the experimental group decided on peritoneal dialysis (PD). 46.5% of patients with end-stage renal failure in the control group decided on peritoneal dialysis (PD). A statistically significant difference (p.05) existed.

The experimental group's dialysis site preparation and dialysis line waiting times were statistically shorter than the control group's (p.05).