The Effectiveness of a Self-efficacy Enhancement Program of Chronic disease patients with third- fourth stage chronic kidney disease in Siratana District, Sisaket Province.

Abstract

The purpose of this quasi-experimental research was to study the effects of a self-efficacy enhancement program. This study examined perception of chronic kidney disease, food consumption behaviors, physical activity and creatinine of Chronic disease patients with third- fourth stage chronic kidney disease  in Siratana District, Sisaket Province.   The sample were 44  diabetic and hypertention patients  with third- fourth stage chronic kidney disease who lived at Srirattana district, Sisaket Provice, selected by the simple random sampling technique, and they were divided into the experimental (22) and the comparative (22) groups. The research instruments included: 1) the self-efficacy enhancement  program which was developed based on the perceived self-efficacy concepts of Bandura (1997), consisting of a handbook of slow the progression of  patients with  chronic kidney disease, a lesson plan, and 2) perception about CKD,  the food consumption behaviors and physical activity questionnaires. The reliabilities of these three questionnaires were .81, .83 and .82 respectively. Data were analyzed by using descriptive statistics and  t-test.  The result revealed as follows. After attending the program perception about CKD, the food consumption behaviors and physical activity of Chronic disease patients were significantly better than before attending the program, as well as these result were better than the comparative group (p < .05). Also, creatinine of Chronic disease patients, the experimental group were significantly less than before attending the program, as well these results were significantly less than the comparative group (p<.05).