Factors Associated with Renal Complications in Patients with Diabetes and Hypertension at Khong Chiam Hospital, Ubon Ratchathani Province
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Abstract
This research aims to study factors associated with kidney complications in diabetes and hypertension patients at Khong Chiam Hospital, Ubon Ratchathani Province. The sample consisted of 350 patients, selected through multi-stage sampling. Research tools included questionnaires on knowledge, personal perceptions, social support, and preventive behaviors, with reliability between 0.71-0.85. Data were analyzed using descriptive statistics and multiple logistic regressions, presenting results with Adjusted Odds Ratio (ORadj) and 95% confidence intervals at a 0.05 significance level. Results showed 26% of patients had kidney complications, with 50.6% having high personal perception levels, 81.7% perceiving complication severity as very high, and 34% perceiving prevention barriers as very low. Additionally, 80.9% received high social support, and 68.6% had good preventive behaviors. However, dietary behavior needed improvement (35.4%). Factors significantly associated with kidney complications (p<0.05) were gender (ORadj = 0.13, 95%CI: 0.03-0.59), age (ORadj = 0.15,95% CI: 0.03-0.71), monthly income (ORadj = 0.56, 95%CI: 0.12-0.56), time since diagnosis (ORadj = 8.81, 95%CI: 2.54-30.53), and preventive behaviors (ORadj = 0.02, 95%CI: 0.00-0.07). This research can be applied in chronic disease clinics of healthcare facilities with similar contexts to prevent and delay long-term kidney deterioration.
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References
Division of Non-Communicable Diseases Department of Disease Control. Annual Reports [Internet]. 2020 [cited 2022 Feb 8]. Available from: https://ddc.moph.go.th/dncd/journal_detail.php?publish=11158. (in Thai)
Diabetes Association of Thailand under the patronage of HRH Princess Maha Chakri Sirindhorn. Medical Practice Guidelines for Diabetes 2017 [Internet]. 2017 [cited 2022 Feb 8]. Available from: https://www.dmthai.org/. (in Thai)
Ingsathit A, Thakkinstian A, Chaiprasert A, Sangthawan P, Gojaseni P, Kiattisunthorn K, Thirakhupt P. Prevalence and risk factors of chronic kidney disease in the Thai adult population: Thai SEEK study. Nephrol Dial Transplant 2010; 25(5):1567-75.
Ubon Ratchathani Provincial Public Health Office. HDC program system service. Ubon Ratchathani [Internet]. 2021 [cited 2022 Feb 20]. Available from: https://www.phoubon.in.th. (in Thai)
Khong Chiam Hospital Medical records of Khong Chiam Hospital. Service system program (Hospital information system: HIS) [Internet]. 2021 [cited 2022 Feb 20]. (in Thai)
Unaphak P, Rattanamanee K. The Correlation Factors of Self-Care Behaviors to Prevent Complications among Patients with Chronic Kidney Disease at Somdetphraphutthalertla Hospital in Samutsongkhram Province. The Public Health Journal of Burapha University 2015; 10(2): 44-54. (in Thai)
Vorapo N. Factors Affecting Preventing Behaviors in Preventing Kidney Disease of Diabetic Patients in Thapthan District, Uthaithani Province [Thesis]. Naresuan University; 2020. (in Thai)
Narenpitak S, Narenpitak A. Prevalence of chronic kidney disease in type 2 diabetes in primary health care unit of Udon Thani province, Thailand. Journal of the Medical Association of Thailand 2007; 90(9): 1873-76. (in Thai)
Bloom BS. Handbook on formative and summative evaluation of student learning. New York: McGraw-Hill; 1971.
Best JW. Research in Education. 3rd ed. Englewood Cliffs, New Jersey: Prentice Hall; 1977.
Xue R, Gui D, Zheng L, Zhai H, Wang J. Diabetic Nephropathy: A Comprehensive Review of Risk Factors and Current Treatment Approaches. Curr Diabetes Rev 2016; 12(4): 380-92.
Unnikrishnan RI, Rema M, Pradeepa R, Deepa M, Shanthirani CS, Deepa R, et al. Prevalence and risk factors of diabetic nephropathy in an urban South Indian population: the Chennai Urban Rural Epidemiology Study (CURES 45). Diabetes Care 2007; 30(8): 2019-24.
Koye DN, Magliano DJ, Nelson RG, Pavkov ME. The Global Epidemiology of Diabetes and Kidney Disease. Adv Chronic Kidney Dis 2018; 25(2): 121-32.
Jiang G, Luk AOY, Tam CHT, Xie F, Carstensen B, Lau ESH, et al. Progression of diabetic kidney disease and trajectory of kidney function decline in Chinese patients with Type 2 diabetes. Kidney Int 2019; 95(1): 178-187.
Tochihara Y, Whiting MG, Shoji T, Yamada S, Yoshida H, Yanagita M. Epidemiologic characteristics of end-stage renal disease and their risk factors in Shiga Prefecture, Japan. J Epidemiol 2018; 28(6): 292-301.
Eriksen BO, Ingebretsen OC. The progression of chronic kidney disease: a 10-year population-based study of the effects of gender and age. Kidney Int 2006; 69(2): 375-82.
Al-Rubeaan K, Youssef AM, Subhani SN, Ahmad NA, Al-Sharqawi AH, Al-Mutlaq HM, et al. Diabetic nephropathy and its risk factors in a society with a type 2 diabetes epidemic: a Saudi National Diabetes Registry-based study. PLoS One 2016; 11(2): e0147329.
Hippisley-Cox J, Coupland C. Predicting the risk of chronic Kidney Disease in men and women in England and Wales: prospective derivation and external validation of the QKidney Scores. BMC Fam Pract 2015; 16(1): 39.
Moonkongsri V, Charerntanyarak L. Factors Associated with Nephropathy Complication among Patients with Type 2 Diabetic Mellitus in Kudpong Subdistrict, Mueang District, Loei Province. KKU Res J (Grad Stud) 2021; 21(3): 151-60. (in Thai)
Kaewmun P. Factors related to complications with Kidney Disease Chronic in Diabetic Patients Pa-Phayom District Phatthalung Province. J Community Public Health 2019; 5(3): 62-73. (in Thai)
Duanphon S, Phajan T, Srimuang P. Prevalence and Factors Associated with Chronic Kidney Disease among Patients with Diabetes Mellitus and Hypertension at Ban Kha Yai Tambon Health Promoting Hospital, Chaturaphak Piman District, Roi-Et Province. Regional Health Promotion Center 9 Journal 2020; 14(34): 142-57. (in Thai)
Simpha N, Kanthasorn S, Niransuay U, et al. Prevalence and Demographic Characteristic Factors Influencing to Glomerular Filtration Rate (GFR) among Type 2 Diabetes Mellitus at Thakhuntho District, Kalasin Province. Mahasarakham Hosp J 2019; 16(3): 53-62. (in Thai)