Development of a Self-Management Model to Delay Chronic Kidney Disease in Type 2 Diabetes Patients at Phra Arjarn Fan Arjaro Hospital

Abstract

     This research was Participatory Action Research (PAR) for Development of a Self-Management Model to Delay Chronic Kidney Disease in Type 2 Diabetes Patients at Phra Arjarn Fan Arjaro Hospital. The Sample were 235 Type 2 Diabetes Patients.  Research Instrument by 1) Self-Management Program to Delay Chronic Kidney Disease in Type 2 Diabetes Patients 2) The questionnaire about Knowledge, pattern and behavior for Delay Chronic Kidney 3) The Patient Satisfaction Questionnaire. Data were analyzed by frequenzy , mean , standard deviation , content analysis and Paired t-test.

     The result were show 1) Glomerular Filtration Rate (GFR) of sample increased and FBS of sample decreased after model implementation. 2) There was no significant difference in the pre-test and post-test knowledge scores at a significance level of .05 (p > .05), indicating high-level achievement. 3) There was no significant difference in the perception of self-care health patterns regarding diabetic kidney complications among type 2 diabetic patients before and after the intervention, with results at a moderate level (p > .05). 4) Self-care behaviors regarding sweet, fatty, and salty food consumption were at a high level before the intervention but decreased to a moderate level after the intervention. 5) The exercise behavior of the sample group increased from a moderate to a high level following the program. 6) Self-care behaviors regarding medication use show that the use of herbal medicines and supplements is at a low to very low level, while adherence to the prescribed diabetes treatment plan is at the highest level. 7) There was a significant difference (p<.05) in sleep behaviors and using hobbies for stress relief before and after the program; however, confiding in trusted people for stress management did not show a significant difference (p<.05). 8) The level of patient satisfaction with the self-management approach for slowing down kidney decline in type 2 diabetic patients was at a high level.