ผลของโปรแกรมการจัดการตนเองต่อสถานะสุขภาพ พฤติกรรมการจัดการตนเองและพฤติกรรมป้องกันเยื่อบุช่องท้องอักเสบกลับซ้ำของผู้ป่วยที่ได้รับการล้างไตทางช่องท้อง

Mongkhon   Waree; Napalai  Sangpho; Anyanee Hongton; Chanyawee  Chaiwong

Authors

Mongkhon Waree Register nurse, Wanonniwat Hospital
Napalai Sangpho Wanonniwat Hospital
Anyanee Hongton Wanonniwat Hospital
Chanyawee Chaiwong ิBoro

Abstract

Introduction: Peritonitis is a serious complication and a major cause of mortality in peritoneal dialysis patients. Self-management in repeat peritonitis prevention is essential for reducing morbidity and mortality rates.

Research objectives: To compare health status, self-management behaviors, and repeat peritonitis prevention behaviors among peritoneal dialysis patients before and after receiving a self-management program.

Research methodology: This quasi-experimental study employed a one-group pre-post test design involving 30 peritoneal dialysis patients with a history of peritonitis at Wanonniwat Hospital, Sakon Nakhon Province. The self-management program, based on Kanfer and Gaelick-Buys' concept, consisted of self-monitoring, self-assessment, and self-reinforcement. The study was conducted from December 2023 to March 2024, with each participant following the program for 8 weeks. Data were analyzed using descriptive statistics and paired t-test.

Results: After participating in the program, participants showed significantly higher mean scores in health status (t=2.67, p<.05), self-management behaviors (t=11.92, p<.001), and repeat peritonitis prevention behaviors (t=11.83, p<.001) compared to before receiving the program.

Conclusions: The self-management program was effective in improving health status and promoting positive changes in self-management behaviors and repeat peritonitis prevention behaviors among peritoneal dialysis patients.

Implications Health care teams should implement self-management programs in the care of peritoneal dialysis patients with a history of peritonitis, with an emphasis on individual skills training and re-education, along with ongoing support from family and health care team, to prevent recurrence of peritonitis, reduce complications, and mortality.

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