The Effect of Self-Care Enhancement Program on knowledge, self-care behavior and clinic outcomes among Persons with Chronic Kidney Disease Receiving Non-renal Replacement Therapy in Borabue Hospital, Mahasarakham.

Abstract

     This quasi-experimental research aimed to study the effects of a self-care support program based on knowledge on health behavior and clinical outcomes in patients with chronic kidney disease before receiving renal replacement therapy at Borabue Hospital, Maha Sarakham Province. The sample consisted of 30 patients with chronic kidney disease stage 4-5 with eGFR ≤ 29 (ml/min/1.73m2) who had not yet entered the renal replacement therapy program, who were treated at the kidney deterioration clinic and were admitted to the inpatient building of Borabue Hospital. The research tools are a questionnaire consisting of 4 parts: general information questionnaire, knowledge about chronic kidney disease, self-care behavior and satisfaction assessment form for service providers. Data were analyzed using descriptive statistics: number, percentage, mean and standard deviation, and inferential statistics: Paired t-test.

     The results of the study found that the comparison of behavior and clinical results found that after entering the program, knowledge about kidney disease was significantly increased (p< 0.00). Self-care behavior It was found that there was a statistically significant increase (p< 0.037), while the Serum Cr. results were not statistically significant different (p< 0.202) and eGFR was not statistically significant different (p< 0.237). The overall satisfaction with the service was at a very satisfactory level (= 2.48 S.D.= 0.21).