Development of delayed chronic kidney disease model in primary CKD clinic Mueang district Mahasarakham province

Abstract

Objective : This study aimed to examine delayed chronic kidney disease model in primary CKD clinic Mueang district, Mahasarakham.

Methods : This study was action research situated at Nong-No, Khok-Kor, and Huay-Ang Subdistrict Health Promoting Hospitals. The participants were 70 patients with stage II and III chronic kidney disease who are under the hospitals’ services.The study was divided into 3 phases: 1. Preparation phase 2. Practice phase 3. Assessment phrase. The study was held from November 2019 to May 2020.The research instruments were questionnaires, in-depth interviews, and focus groups.The statistics used for analysis were percentage, means, standard deviations, and content analysis.

Results : The participants were diabetic  patients 30.80%,hypertention patients 65.71% and comorbidity with CKD 21%.The study was performed by using RAKTAI model’s 10 activities which were 1. surveying CKD in primary care units 2. convening the CKD clinic team 3. informing about the activities’model in clinics and local areas 4. local nurses organizing “Rak Tai Clinic” activity for stage II and III CKD patients
5. delivering information about behavior modifications for locals 6. searching and screening kidney disease in diabetic and hypertensive patients 7. organizing CKD CPG with CKD service plan and developing nurses’ potential in CKD patient care 8. visiting patients and follow up their self-care 9. following up health condition and determining salt content in food 10. revise and summarize the result.The result of this study revealed that after the treatment, patients had an average level of knowledge in delaying CKD, 50% of self-care behavior was at a high level, 55.71% of eGFR increased from 47.09 to 49.53 which was higher than before the treatment, and the mean of salinity in food reduced from 0.628 to 0.542 which was considered as low salinity.

Conclusions : Delaying renal impairment requires the care of a multidisciplinary team. Provide standardized services both in the clinic and in the community with participation. Adopt technology to monitor food salinity to raise patient awareness.