Results of application of the Guidelines for care of patients with chronic Kidney Disease Non Sung Hospital Nakhonratchasima Province

Abstract

This research and development aims to study the effect of application of the guideline for chronic renal failure patients. Non Sung Hospital Nakhon Ratchasima Province Using the Deming system theory concept of PDCA, a research model Research from 1 June 2020 - 30 November 2020 divided into 3 phases. The first phase is to study the situation. The target group was the health team and 463 patients with chronic renal failure treated at Non Sung Hospital. How we collect information Satisfaction test Evaluate the application of the guideline for patients with chronic renal failure developed from the guideline of the Nephrology Society of Thailand. Evaluated from the AGREE tool, the confidence score was obtained according to the six dimensions of AGREE. The data was analyzed by using content analysis. Has developed from practice until the Using the Deming System Theory concept, PDCA consists of guidelines for the care of patients with chronic renal failure. Non Sung Hospital Outcome indicators, application of the guideline for chronic renal failure patients using the conceptual model Deming System Theory of PDCA Phase II: Develop guidelines for chronic renal failure patients. Non Sung Hospital and Phase III study the effect of application of guidelines for chronic renal failure patients. Select a non-specific sample. Is that patients with chronic renal failure receiving treatment at Clinical department delay renal failure Nonsung Hospital, 30 patients provided care by using clinical care of 30 chronic renal failure patients using clinical outcome measures. The data were analyzed using descriptive statistics and percentage. Test the distribution of data using Kolmogorov-Smirnov test The distribution is a normal curve. The paired T-test was used to compare mean differences of clinical outcomes and quality of life before and after the trial at a statistically significant level of 0.05.

         Research results, health team, satisfaction at a good level. Evaluate guidelines for chronic renal failure patient care and apply them to their effectiveness at a good level. The results of the application of the guideline for chronic renal failure patients were found. Patients had clinical outcomes including glomerular filtration values. Blood pressure Kidney function The experiments were statistically significant (p <0.05).