Empowcring the community health network for improving quality of care for patients with chronie renal desease

Abstract

Background : The statistics in 2014-2016 of the patients with chronic kidney disease in Kae Dam District have an upward trend, empowering the network of caregivers in patients. The importance of great.

Objective : To study the empowerment of community health network for improving quality of care for patients with chronic renal disease.

Methods : The research of a participatory action research by network partners Chronic Kidney Disease Club The model youths are volunteers in schools and chronic kidney disease phase 1-3 and 1,110 people.The research instruments were the Perception Questionnaire and Self-Care Behavior of Patients with Chronic Kidney Phase 1-3. The data for the determination of Creatinine (Cr.) Target group 270 patients with chronic kidney disease stage 1-3 before and after the operation. Chronic Kidney Disease Phase 1-3 and the blood test results Creatinine (Cr.) Of patients with chronic kidney disease. Compare before and after the operation analyze the statistical data for frequency (%), standard deviation and mean.

Results : Renal filtration rate eGFR <4ml / min / 1.73 square meters of chronic kidney disease patientsstage 1-3 (270) with 63.33% reduced the most severe stage, patients with chronic kidney disease stage 3 was 23.33% of the behavioral change in knowledge of chronic kidney disease Before proceeding 42.6% were knowledgeable after implementation About chronic kidney disease 83.0%. The patients eat salty foods before operation, 89.6% ( = 3.11 S.D = 1.411) and after operation there was a decrease of 72.6 % salty eating ( = 1.53 S.D = 1.413).The patients have physical activity per week before operation, 68.9% ( = 1.01 S.D = .783) after the operation, 93.3% of the patients had exercise ( = 1.91 S.D = .915) ,the knowledge of change behavior, showing that 95% (P = 0.05).

Conclusion : The implementing the same practice to the whole network can deliver effective care for chronic kidney disease patients and the occurrence of kidney decline.

Keywords : Coordinator Network Participation, Chronic Renal Failure Patients, Caretakers