Effectiveness of the Preparation Program for End-Stage Renal Disease Patients Before Undergoing Hemodialysis at Nong Bua Lamphu Hospital

Abstract

Objective of the intervention research with non-concurrent self-control and interrupted time design was to study the results of the program to prepare patients with end-stage renal disease before hemodialysis in Nong Bua Lamphu hospital. The data were collected with patients before entering the program in October 2023 and after the program in December 2023. General information were analyzed using frequencies, percentages, means and standard deviations. Complications after hemodialysis were compared before and after the program using multivariable Gaussian regression with cluster robust variance correction presents risk difference.

Results showed that the study group consisted of 23 (62.16%) males and 14 (37.84%) females having average age of 63.27 (±12.18) years with 32-79 years of age range. After adjusting for variables including age, BMI, gender, weight, before undergoing hemodialysis, weight increased from the previous time, height, duration receiving dialysis, comorbidities, use of high blood pressure medication, history of taking high blood pressure medication, history of complications and amount of water that should be drawn during hemodialysis, the use of the program to prepare patients with end-stage renal disease before hemodialysis significantly reduce complications by 28 percent (95%CI: -0.45, -0.12) (p<0.001). It can be concluded that the program can significantly reduce complications and should be applied in the CKD Clinic to prepare before allowing end-stage renal disease patients to undergo dialysis.