The develop a guideline of slowly progressive chronic kidney disease (CKD) with community participation at Dong Hong Hae health promoting hospital, Muang district, Ubon Ratchathani Province

Abstract

     This study aimed 1) to develop a guideline of slowly progressive chronic kidney disease (CKD) with community participation and 2) to determine the effects of a guideline of slowly progressive chronic kidney disease with community participation at Dong Hong Hae health promoting hospital, Muang district, Ubon Ratchathani Province. An action research using the Kemmis & Mc Taggart model was applied to conduct the study during September 2565 to March 2566. Samples were divided into two groups. The first group of informants was composed of four administrators who were healthcare process developers (physician,
pharmacist, nurse, and public health officer) and thirteen community people (chronically ill persons, community leaders, local government officers, healthcare volunteers, and patients with CKD). The second group comprised of 43 community people who provide outcome information. Focus group discussion was used for qualitative data collection and questionnaires were used for quantitative data collection. Paired t-test was used for quantitative data analysis and content analysis was used for qualitative data analysis.

     Results showed that the guideline slowing progression of CKD with community participation at Dong Hong Hae health promoting hospital, Muang district, Ubon Ratchathani Province included 11 activities: 1) Providing health education about CKD, slow progression of the disease, foods for CKD, drinks, and seasoning to patients and families 2) Training healthcare staff at Dong Hong Hae health promoting hospital to improve knowledge and skills 3) Launching CKD Clinic at Dong Hong Hae health promoting hospital 4) Creating slowing progression of CKD care process at CKD Clinic 5) Teaching healthcare volunteers about CKD knowledge 6) Creating multidisciplinary team and community networks 7) Home visiting by healthcare volunteers’ buddy 8) Educating about food and cooking. The results of trying out this guideline reveals that average scores of knowledge and self-management could slow progression of CKD (p<0.05). The developed guideline could be applied to slow progression of CKD. This study would be utilized in other diseases and settings.