Service model to delay kidney deterioration in patients with chronic kidney disease: According to the context of the kidney disease clinic, Khao Wong Hospital, Kalasin Province.

Abstract

     Chronic kidney disease (CKD) poses a substantial challenge to patients' well-being and healthcare systems worldwide. This study presents the findings of an action research project conducted at the kidney disease clinic of Khao Wong Hospital, Kalasin Province, between October 2022 and May 2023. The primary objective was to investigate a service model's effectiveness in mitigating the progression of CKD in patients with stage 3-4 CKD, aged under 70, who sought treatment at the clinic (n=376). The study employed a multifaceted approach, utilizing tools such as a service model for slowing CKD progression, a treatment history form, and questionnaires. Data analysis encompassed content analysis, descriptive statistics, inferential statistics, and paired sample t-tests.

     The results of the study found that After the implementation of the service model to slow kidney deterioration in patients with chronic kidney disease As a result, the scores of patients' opinions on chronic kidney disease regarding disturbances from chronic kidney disease were significantly different at the .05 level, with the mean scores after the operation being lower than before the operation. action The satisfaction scores with the services to slow kidney deterioration in the chronic kidney disease clinic overall and in each aspect before and after the operation were significantly different at the .05 level. After the operation, the average satisfaction score was higher than before the operation. and patients with chronic kidney failure had glomerular filtration rate values (GFR) before and after the operation were significantly different at the .05 level, with the glomerular filtration rate values (GFR) after the operation being ) More than before, this research focuses on the importance of proactive health care for patients with CKD. It emphasizes the role of tailored service models in improving quality of life and slowing the progression of chronic kidney disease.