The Development of Chronic Renal Failure Patient Treatment Program in Community by Motivating the Coordinator Network Participation Kaedam District

Abstract

Background : The statistics of chronic renal failure patient in Kae Dum district du persons ring 2012-2014 having 40.76%, 65.35% and 82.46% as well as renal replacement therapy patients2, 4 persons  and 12 persons respectively. In addition, the tendency has a slight increase in 2014 as evidenced by 2 kidney dialysis patients’ death since lacking of effective chronic renal failure treatment programs, chronic renal failure professionals and inexperienced caretakers. Besides, there were medical cares at home and community problem, overall-leveled referral system as well as coordinator participation about chronic renal failure patient remedy.

Objective :  This study aims to improve the chronic renal failure patient treatment program in community by motivating the coordinator network participation in Kaedam district.

Method : This study is a practical research using sampling method, such as public health officer and interdisciplinary team, coordinator network, family-health mainstay as well as chronic renal failure patients leveled 1, 2, 3 and 1,172 caretakers. The research instruments are questionnaires about awareness and self-care behavior as well as information from laboratory (in analyzing Creatinine (Cr.) of chronic renal failure patient leveled 3.

Research Design : The 251 chronic renal failure patients leveled 3 are interviewed. Moreover, the information from laboratory in both pre and post test is compared using SPSS program in order to do statistical investigation as frequency, average and standard deviation methods.

Result : According to the awareness and salted food consuming behavior evaluation show a downward trend from 57.60% to 39.92%. The exercise behavior inclines from 45.66% to 63.58%. The patients have more knowledge about chronic renal failure risk condition (pre = 3.48 S.D=.527 and post =3.87 S.D=.353); in addition, diabetes-controlled behavior to protect chronic renal failure illustrates that eating behavior in adding fish sauce on meal is declined with 3 teaspoons or salt with 1 teaspoon each day (pre =1.59 S.D=.889 and post =1.18 S.D=.403). Therefore, these initiate Circle Tell Me Innovation as well as Patient Is Teacher Innovation as praising model family by prizing the certificate to 9 model families choosing from renal replacement therapy cases.

Conclusions : The public health center under Kae Dum networking has taken a developing model of Chronic renal failure patient care to adapt accordingly in the area. This helps an effective patient care as well as slowing the progression of kidney disease. The 251 chronic renal failure stage 3 patients have a better filtration rate as well as slowing the progression of kidney disease as evidenced by 34.66 percent.

Keyword : Renal Failure Patient Treatment Program, chronic renal failure patient treatment