A Study on the Prevention and Management Model for Chronic Kidney Disease in Mae Sariang District, Mae Hong Son Province.
Keywords:
Chronic Kidney Disease, Health Promotion, Behavioral Change, Disease Prevention, Kidney Function, eGFRAbstract
This quasi-experimental study employed a one-group pretest-posttest design to evaluate the effectiveness of a CKD prevention and health promotion model implemented in Mae Sariang District, Mae Hong Son Province, Thailand. The study included 26 purposively selected patients diagnosed with CKD stages 2–4. The research instruments included: (1) the CKD prevention and health promotion program, and (2) a self-monitoring health record book for CKD patients. Data were analyzed using descriptive statistics and paired t-tests.
The results demonstrated a statistically significant improvement in estimated glomerular filtration rate (eGFR) (p < 0.05) after participation in the program. Furthermore, there was a decreasing trend in mean body weight, body mass index (BMI), stress levels, and laboratory parameters, including fasting blood sugar (FBS), glycated hemoglobin (HbA1C), total cholesterol, low-density lipoprotein (LDL), blood urea nitrogen (BUN), creatinine, urine protein, urine creatinine, and urine protein-to-creatinine index (UPCI), although these changes were not statistically significant. However, an increase in waist circumference, systolic blood pressure, diastolic blood pressure, high-density lipoprotein (HDL), and triglyceride (TG) levels was observed, but these changes were also not statistically significant.
References
Ammirati A. L. (2020). Chronic Kidney Disease. Revista da Associacao Medica Brasileira (1992), 66Suppl 1(Suppl 1), s03–s09. https://doi.org/10.1590/1806-9282.66.S1.3
Charles, C., & Ferris, A. H. (2020). Chronic Kidney Disease. Primary care, 47(4), 585–595. https://doi.org/10.1016/j.pop.2020.08.001
Chesnaye, N. C., Ortiz, A., Zoccali, C., Stel, V. S., & Jager, K. J. (2024). The impact of population ageing on the burden of chronic kidney disease. Nature reviews. Nephrology, 20(9), 569–585. https://doi.org/10.1038/s41581-024-00863-9
กลุ่มรายงานมาตรฐาน กระทรวงสาธารณสุข. (2567). ข้อมูลเพื่อตอบสนอง Service Plan สาขาไต/Stage Change ผู้ป่วยโรคไตเรื้อรัง จำแนกตามโรงพยาบาลที่รักษา (Work Load). สืบค้นจาก https://hdcservice.moph.go.th/hdc/reports/report.php?source=pformated/format1.php&cat_id=e71a73a77b1474e63b71bccf727009ce&id=e69c7fae93eda2222aa210d5db512290
Kidney Disease: Improving Global Outcomes (KDIGO) CKD Work Group (2024). KDIGO 2024 Clinical Practice Guideline for the Evaluation and Management of Chronic Kidney Disease. Kidney international, 105(4S), S117–S314. https://doi.org/10.1016/j.kint.2023.10.018
Levey A. S. (2022). Defining AKD: The Spectrum of AKI, AKD, and CKD. Nephron, 146(3), 302–305. https://doi.org/10.1159/000516647
Fletcher, B. R., Damery, S., Aiyegbusi, O. L., Anderson, N., Calvert, M., Cockwell, P., Ferguson, J., Horton, M., Paap, M. C. S., Sidey-Gibbons, C., Slade, A., Turner, N., & Kyte, D. (2022). Symptom burden and health-related quality of life in chronic kidney disease: A global systematic review and meta-analysis. PLoS medicine, 19(4), e1003954. https://doi.org/10.1371/journal.pmed.1003954
Hariharan, D., Vellanki, K., & Kramer, H. (2015). The Western Diet and Chronic Kidney Disease. Current hypertension reports, 17(3), 16. https://doi.org/10.1007/s11906-014-0529-6
Wilund, K. R., Thompson, S., Viana, J. L., & Wang, A. Y. (2021). Physical Activity and Health in Chronic Kidney Disease. Contributions to nephrology, 199, 43–55. https://doi.org/10.1159/000517696
Katatwire, D. D., & Meremo, A. (2023). Prevalence of and factors associated with uncontrolled hypertension among patients with early chronic kidney disease attending tertiary hospitals in Dodoma, Tanzania: a cross-sectional study. BMJ open, 13(12), e074441. https://doi.org/10.1136/bmjopen-2023-074441
Shiferaw, W. S., Akalu, T. Y., & Aynalem, Y. A. (2020). Chronic Kidney Disease among Diabetes Patients in Ethiopia: A Systematic Review and Meta-Analysis. International journal of nephrology, 2020, 8890331. https://doi.org/10.1155/2020/8890331
Chadban, S., Arıcı, M., Power, A., Wu, M. S., Mennini, F. S., Arango Álvarez, J. J., Garcia Sanchez, J. J., Barone, S., Card-Gowers, J., Martin, A., & Retat, L. (2024). Projecting the economic burden of chronic kidney disease at the patient level (Inside CKD): a microsimulation modelling study. EClinicalMedicine, 72, 102615. https://doi.org/10.1016/j.eclinm.2024.102615
Harrison, R., Fischer, S., Walpola, R. L., Chauhan, A., Babalola, T., Mears, S., & Le-Dao, H. (2021). Where Do Models for Change Management, Improvement and Implementation Meet? A Systematic Review of the Applications of Change Management Models in Healthcare. Journal of healthcare leadership, 13, 85–108. https://doi.org/10.2147/JHL.S289176
Khumpiman, C., & Racha-in, P. (2017). Effects of Behavior Modification Program for Delayed Nephropathy Progression in Diabetes Mellitus and Hypertension Patient with Chronic Kidney Disease Stage 1 to 3at DongKhwangSub-district, Mueang NakhonPhanom District, NakhonPhanom Province. Nakhonphanom Hospital Journal, 4(2), 42–49. retrieved from https://he01.tci-thaijo.org/index.php/nkpjournal_9/article/view/254606
Arunsangsod, K., & Songwathana, . P. . (2023). Effects of a Brief Motivational Interviewing Program on Self-Care motivation, Self-Care Behaviors, and Glomerular Filtration Rate among Patients with Chronic Kidney Disease. Journal of Thailand Nursing and Midwifery Council, 38(01), 52–66. https://doi.org/10.60099/jtnmc.v38i01.259676
Benetos, A., Petrovic, M., & Strandberg, T. (2019). Hypertension Management in Older and Frail Older Patients. Circulation research, 124(7), 1045–1060. https://doi.org/10.1161/CIRCRESAHA.118.313236
พิศิษฐ์ เสรีธรรมะพิทักษ์. (2566). ผลของโปรแกรมการส่งเสริมพฤติกรรมการดูแลสุขภาพเพื่อชะลอการเสื่อมของไต ในผู้ป่วยโรคไตเรื้อรังระยะที่ 1-3a โรงพยาบาลโพนสวรรค์ จังหวัดนครพนม. วารสารอนามัยสิ่งแวดล้อมและสุขภาพชุมชน, 8(2), 563–573. สืบค้น จาก https://he03.tci-thaijo.org/index.php/ech/article/view/1567
Chen, S., Tsai, Y., Sun, C., Wu, I., Lee, C., & Wu, M. (2011). The impact of self-management support on the progression of chronic kidney disease--a prospective randomized controlled trial. Nephrology Dialysis Transplantation, 26(11), 3560–3566. https://doi.org/10.1093/ndt/gfr047
ชวมัย ปินะเก, อมฤต สุวัฒนศิลป์, วรรณพร คงอุ่น, นิธิยา นามวงศ์ และสุคนธ์ทิพย์ เรียงริลา. (2564). การพัฒนาโปรแกรมการสนับสนุนการจัดการตนเองสำหรับผู้ป่วยโรคไตเรื้อรังระยะก่อนล้างไต. วารสารโรงพยาบาลมหาสารคาม, 17(3), 64–75. สืบค้น จาก https://he02.tci-thaijo.org/index.php/MKHJ/article/view/247165
Li, W., Chiu, F., Zeng, J., Li, Y., Huang, S., Yeh, H., Cheng, B., & Yang, F. (2020). Mobile health app with social media to support Self-Management for patients with chronic kidney Disease: Prospective randomized Controlled study. Journal of Medical Internet Research, 22(12), e19452. https://doi.org/10.2196/19452
Ibrahim, N., Teo, S. S. L., Din, N. C., Gafor, A. H. A., & Ismail, R. (2015). The role of Personality and Social Support in Health-Related Quality of Life in Chronic Kidney Disease patients. PLoS ONE, 10(7), e0129015. https://doi.org/10.1371/journal.pone.0129015
