Effectiveness of a Health Promotion Behavior Model to Prevent Chronic Kidney Disease Among Overweight Middle-Age Women in the Lower Northeastern Region

Authors

  • Natthaya Wisarapun
  • Waratip KanKarn
  • Sirirat Anutrakulchai

Keywords:

middle-age women, overweight, health promotion behavior, chronic kidney disease

Abstract

Abstract 

Being overweight is common in middle-aged women and can lead to future chronic kidney disease. The purpose of this research was to study the effectiveness of a health promotion behavior model to prevent chronic kidney disease among overweight middle-age women in the lower Northeastern region. The participants were 108 overweight middle-age women, selected by multi-stage random sampling and equally divided into experimental and control groups. The health promotion behavior model consisted of health education to prevent chronic kidney disease, behavior adjustment, nutrition, exercise, and emotion management, and follow-up home visits. Data were collected by the chronic kidney disease prevention behavior questionnaire, the quality of life test (reliability coefficients were .90 and .92 respectively), and clinical outcome record forms. Data were analyzed by using descriptive statistics, chi-square, and independent t-test.

        The results showed that, compared to the control group, the experimental group had significantly higher (p<.05) mean scores on chronic kidney disease preventive behavior, glomerular filtration rate, and quality of life. In addition, compared to the control group, the experimental group had significantly lower (p<.05) mean scores for blood pressure, blood sugar, body mass index and waist circumference. These findings indicate that the behavioral health promotion model for overweight middle-aged women is effective in the prevention of chronic kidney disease. Health team personnel can apply this model to women with high risk of the chronic kidney disease.

References

Aekplakorn, W. (Editor). (2014). Thai National Health Examination Survey, NHES 5th 2014
Nonthaburi: Health Systems Research Institute.

Bakris, GL, Weir MR, Shanifar, S, Zhang, Z, Douglas, JV, Dijk DJ, & Brenner, BM. (2003).
of blood pressure level on progression of diabetic nephropathy. Archives of Internal Medicine,163(13), 1555- 65.

Boonyamanee W, Kerdmong P, Rawiworrakul T, Amnatsattsue K, & Kaewboonchoo O. (2014). Effect of a health promotion program on exercise and food consumption behaviors for diabetes risk group. Graduate Research Conference, 1740-48.

Chaiyasung, P., & Meetong, P. (2018). Factors predicting chronic kidney disease of patients
with chronic disease in the community. The journal of Prapokklao Hospitals Clinical
Medical Education Center, 35(2), 128-39. [In Thai]

Flegal, K. M., Kruszon-Moran, D., Carroll, M. D., Fryar, C. D., & Ogden, C. L. (2016). Trends in
obesity among adults in the United States, 2005 to 2014. JAMA, 315(21), 2284-2291.
Glass, G. V. (1976). Primary, secondary, and meta-analysis of research. Education Researcher,
5, 3-8.

Kovesdy, C. P., Furth, S. L., Zoccali, C., & World Kidney Day Steering Committee. (2017).
Obesity and kidney disease: hidden consequences of the epidemic. Indian Journal
of Nephrol. 27(2), 85-92.

Kearns, K., Dee, A., Fitzgerald, A. P., Doherty, E., & Perry, I. J. (2014). Chronic disease burden
associated with overweight and obesity in Ireland: the effects of a small BMI
reduction at population level. BMC public health, 14, 143.
https://doi.org/10.1186/1471-2458-14-143

Jellinger, P., Smith, D., Mehta, A., Ganda, O., Handelsman, Y., Rodbard, H., ... & Seibel, J.
(2012). American association of clinical endocrinologists' guidelines for management
of dyslipidemia and prevention of atherosclerosis. Endocrine practice, 18(Supplement 1), 1-78.

Mahatnirunkul, S., Tuntipivatanakul, W., & Pumpisanchai, W. (1998). Comparison of the
WHOQOL-100 and the WHOQOL-BREF (26 items). Journal Mental Health Thai, 5, 4-15. [In Thai]

Mongkholmafai, J., Songserm, N., Sansiritaweesook, G & Kankarn, W. (2018). The effects of
health promotion program and self-help group on preventive overweight behaviors
among village health volunteers in Loei Nok Tha District, Yasothon Province. Journal
of Nursing and Health care, 36(4), 157-66. [In Thai]

Nimit-arnun, N., Roojanavech, S., & Pochanapun, S. (2018). Effectiveness of health promoting
program for teachers at risk of knee osteoarthritis in Nakhon Pathom Primary
Educational Service Area Office II. The Journal of Faculty of Nursing Burapha
University, 26(1), 50-59. [In Thai]

Nitiyanant, W. (Editor). (2011). Obesity and Metabolic Syndrome. Bangkok: Sukhumvit Media.
[In Thai]

Panyasai, K., Kitisri, C., & Ngerndee, P. (2017). Effectiveness of health promotion programs for Quality of Life Basic Need among the Elderly. The Public Health Journal of Burapha University, 12(2), 65-74. [In Thai]

Pender, N. J., Murdaugh, C. L. & Parsons, M. A. (2011). Health promotion in nursing practice (6th ed.). Boston: Pearson.

Polit, D. F., & Gillespie, B. (2009). The use of the intention to treat principle in nursing clinical trials. Nursing Research, 58, 391-399.

Ponghan P, Suntayakorn C, Prachanban P, & Wannapira W. (2011). Effects of health
promotion program on metabolic syndrome preventive behaviors among health volunteers. Journal of Nursing and Health Sciences, 5(3), 54-64. [In Thai]

Prasittipatt, T., Rudtanasudjatum, K., Methaphat, C., & Thetkathuek , A. (2018).
Factors influencing the abdominal obesity of employees in large-sized manufactories in the eastern region. Journal of Health Science, 27(5). 792-799. [In Thai]

Raksilp, M. (2018). Cost- effectiveness of health promotion program and the use of self-help
group to prevent obesity in village health volunteer. Leng Nok Tha District, Yasothon
Province. Journal of Nursing and Health Care, 36(3). 127-136.

Raksilp, M., & Wirunphan, B. (2019). The development of a health promotion program
consistent with the lifestyle and culture to prevent chronic diseases of middle-aged
women in the rural community Ubon Ratchathani Province. Journal of Nursing and
Health Care, 37(2), 228-37. [In Thai]

Sara, K., Suriyakrai, S., & Toomnan, J. (2016). Prevalence and factors associated with chronic
kidney disease stages 3-5 in Trakan Phuet Phon hospital, Ubon Ratchathani. The
national and international graduate research conference 2016 Mar 28. Khon Kaen:
Khon Kaen University. P.887-94. Retrieved January, 20, 2019. From
https://gsbooks.gs.kku.ac.th/59/ingrc2016/pdf/MMP22.pdf [In Thai]

Siaa-at, B. (2013). Statistical methods for research, Volume 1. (5th ed.). Bangkok: Suwiriyasarn.
[In Thai]

Downloads

Published

2020-09-29

How to Cite

Wisarapun, N. ., KanKarn, W. ., & Anutrakulchai, S. (2020). Effectiveness of a Health Promotion Behavior Model to Prevent Chronic Kidney Disease Among Overweight Middle-Age Women in the Lower Northeastern Region. The Journal of Faculty of Nursing Burapha University, 28(3), 1–15. retrieved from https://he02.tci-thaijo.org/index.php/Nubuu/article/view/246061