Model of Self Management Support for Diabetic Patients in Progression of Diabetic Nephropathy Stage 3 Chronic kidney Disease Clinic Kasetwisai Hospital

Abstract

     This research was action research aimed to develop and evaluate a self-management support model for Diabetic Patients in Progression of Diabetic Nephropathy Stage 3 Chronic kidney Disease Clinic Kasetwisai Hospital Roi Et Province.The research period, December 2020 - October 2021. Data were collected by Knowledge questionnaire and self-care behavior assessment form Chronic kidney disease from diabetes. Quantitative data were analyzed using descriptive statistics including number, percentage, mean, and standard deviation and inferential statistics such as Paired t test. Qualitative data used content analysis method.

     Results of the study: The Model of Self Management Support for Diabetic Patients in Progression of Diabetic Nephropathy Stage 3 Chronic kidney Disease Clinic Kasetwisai Hospital that was developed consisted of Activity 1: Assessment to find problems in week 1 by evaluating Knowledge about diabetic kidney disease and self-management behaviors Action planning and individual preparation. Activity 2: Solve problems and support self-health management and follow up with home visits in weeks 4-11, and Activity 3: Follow up and evaluate self-health management. By making an appointment for a clinical evaluation at week 12, the evaluation found that After joining the project The group of diabetic patients with stage 3 kidney impairment had a statistically significant increase in the mean knowledge score after the education. 100% had a high level of self-management behavior. The mean score of self-management behavior increased significantly. The results of comparing the mean clinical outcomes, namely the glomerular filtration rate in diabetic patients with stage 3 renal impairment of the experimental group. After joining the project There was a statistically significant increase in the glomerular filtration rate.