Effects of a Supportive-Educative Nursing System on Self-Care Behaviors and Body Weight Control in Persons Receiving a Long-Term Intravenous Catheter for Hemodialysis
Keywords:
Body weight control, Hemodialysis, Self-care behaviors, Supportive-Educative nursingAbstract
End-stage renal disease patients with long-term intravenous catheters must receive support and be educated to be able to take care of themselves. This quasi-experimental study aimed to study the effects of supportive and educational nursing on self-care behavior and weight control. The participants consisted of 60 patients with end-stage renal disease who received long-term intravenous catheters and received hemodialysis at a private hospital in Phitsanulok province. They were divided into an experimental and a control group with 30 participants per group. The experimental group received supportive and educational nursing while the control group received routine nursing care. The research instruments included a general information questionnaire, a supportive and educational nursing plan developed based on Orem's concept, slide presentation media, a self-care manual, a self-care behavior assessment form, an electronic scale (in kilograms), and a body weight record. Data were analyzed using descriptive statistics, chi-square test, Fisher's exact test, paired t-test, and independent t-test.
The results of the study revealed that the self-care behavior scores of the experimental group after receiving supportive and educative nursing (M =65.73, SD = 3.66) were significantly higher than before (M = 42.33, SD = 1.68) (p < .001) and significantly higher than the control group (M = 45.83, SD = 2.56) (p < .001). After the experiment, 22 people in the experimental group (73.3%) and 20 people in the control group (66.7%), had controlled their weight according to the criteria, but there was no statistically significant difference.
Supportive and educative nursing can promote better health behaviors in patients with end-stage renal disease who have long-term intravenous catheters for hemodialysis. A long-term follow-up should be done to confirm its effectiveness.
References
Asasi, B., & Lovirakorn, S. (2022). Food consumption behavior and factors affecting food consumption behavior of chronic kidney disease patients at chronic disease clinic, Chiang Yuen Hospital, Mahasarakham Province. KKU Journal of Public Health Research, 15(2), 28-38. (in Thai)
Chaiprasert, A. (2022). Chronic kidney disease. In B. Satirapoj, N. Natha, P. Thimachai, P. Tassanawipas, & O. Supasyndh (Eds.), Pocket Dialysis (2nd ed., pp. 32.). Phramongkutklao College of Medicine Textbook Project.
Chitphanthakun, S. (1998). Principles of geriatric medicine. Faculty of Medicine, Chulalongkorn University.
Cohen, J. (1988). Statistical power analysis for behavioral sciences (2nd ed.). Lawrence Erlbaum.
Jantarakana, K., & Sitsiraat, S. (2017). Factors related to self-care agency and happiness of the end stage renal disease patients. Srinakharinwirot Research and Development Journal of Humanities and Social Sciences, 9(17), 7-8. (in Thai)
Kaewput, W. (2022). Catheter access for hemodialysis. In B. Satirapoj, N. Natha, P. Thimachai, P. Tassanawipas, & O. Supasyndh (Eds.), Pocket Dialysis (2nd ed., pp. 129-130.). Phramongkutklao College of Medicine Textbook Project.
Kotchaseni, P., & Chittinan, A. (2019). Chronic kidney disease and initiation of dialysis. In A. Nongnuch, K. Teeranathanakul, K. Srisuwan, & W. Opacharoensuk (Eds.), Essentials in hemodialysis (2nd ed., p. 1). Text and Journal Publication.
Levings, J. L., & Gunn, J. P. (2014). The imbalance of sodium and potassium intake: Implications for dietetic practice. Journal of the Academy of Nutrition and Dietetics, 114(6), 838–841. https://doi.org/10.1016/j.jand.2014.02.015
Lkizler, T., A., Burrowes, J., D., Byham-Gray, L., D., Campbell, K., L., Carrero, J. J., Chan, W., Fouque, D., Friedman, A. N., Ghaddar, S., Goldstein-Fuchs, D. J., Kaysen, G. A., Kopple, J. D., Teta, D., Wang, A. Y. M., & Cuppari, L. (2020). KDOQI clinical practice guideline for nutrition in CKD: 2020 update. American Journal of Kidney Diseases, 76(3 Suppl. 1), S1-S107. https://doi.org/10.1053/j.ajkd.2020.05.006
Lok, C., E., Huber, T., S., Lee, T., Shenoy, S., Yevzlin, A., S., Abreo, K., Allon, M., Asif, A., Astor, B. C., Glickman, M. H., Graham, J., Moist, L. M., Rajan, D. K., Roberts. C., Vachharajani, T. J., & Valentini, R. P. (2020). KDOQI clinical practice guideline for vascular access: 2019 update. American Journal of Kidney, 75(4 Suppl. 2), S1-S164. https://doi.org/10.1053/j.ajkd.2019.12.001
Narawutthiphon, P. (2015). The outcomes of supportive-educative nursing system for prevention of peritoneal dialysis related infections in chronic kidney disease patients receiving continuous ambulatory peritoneal dialysis at a tertiary level hospital in Nakhon Pathom Province [Master’s thesis, Christian University]. http://library.christian.ac.th/thesis/document/T038293.pdf (in Thai)
Orem, D. E. (2001). Nursing: Concepts of practice (5th ed.). Mosby Year Book.
Polit, D. F., & Beck, C. T. (2014). Essential of nursing research: Appraising evidence for nursing practice (8th ed.). Lippincott Williams & Wilkins.
Polit, D. F., & Beck, C. T. (2017). Nursing research: Generating and assessing evidence for nursing practice (10th ed.). Lippincott Williams & Wilkins.
Pramathikun, M., & Sriwattana, A. (2019). Exercise in patients with chronic kidney disease. In A. Nongnuch, K. Teeranathanakul, K. Srisuwan, & W. Opacharoensuk (Eds.), Essentials in hemodialysis (2nd ed., p. 462). Text & Journal Publication.
Riegel, B., Jaarsma, T., Lee, C. S., & Strömberg, A. (2019). Integrating symptoms into the middle-range theory of self-care of chronic illness. Advances in Nursing Science 2019, 42(3), 206-215. https://doi.org/10.1097/ANS.0000000000000237
Samrannet, W., Korissaranuphab, N., & Chansri, P. (2020). Self–management on volume overload in end–stage renal disease undergoing hemodialysis patients. Journal of Health Research and Development, Nakhon Ratchasima Provincial Public Health Office, 6(2), 5-20. https://he02.tci-thaijo.org/index.php/journalkorat/article/view/251420/170772 (in Thai)
Sueasum, R., & Namchanthra, R. (2018). Effects of self-efficacy promotion on a fluid control program on the fluid control behaviors and body weight changes in end stage renal disease patients undergoing hemodialysis. Journal of the Thai Red Cross Society, 11(2), 188-203. (in Thai)
Taweebut, P., Kerdmongko, P., & Amnatsatsue, K. (2017). The effect of a supportive-educative nursing program for chronic disease patients with early stage kidney disease. Journal of Public Health Nursing, 31(1), 129-145. (in Thai)
Thanirat, S., Radaburt, M., Wichainrat, S., & Sumawan, W. (2021). Perceptions and self-care experiences of patients with chronic kidney disease in the community. Journal of Health Science Research, 15(3), 83-94. (in Thai)
The Institute for Health Metrics and Evaluation. (2019). Global Burden of Disease (GBD 2019). https://www.healthdata.org/research-analysis/gbd
The Nephrology Society of Thailand. (2020). Annual report Thailand renal replacement therapy year 2020. https://www.nephrothai.org/wp-content/uploads/2022/06/Final-TRT-report-2020.pdf
The Nephrology Society of Thailand. (2022). Annual report Thailand renal replacement therapy year 2021-2022. https://www.nephrothai.org/wp-content/uploads/2024/10/New-Annual-report-2021-2022.pdf
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2026 Nursing Journal CMU
This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.
บทความที่ได้รับการตีพิมพ์เป็นลิขสิทธิ์ของวารสารพยาบาลสาร
ข้อความที่ปรากฏในบทความแต่ละเรื่องในวารสารวิชาการเล่มนี้เป็นความคิดเห็นส่วนตัวของผู้เขียนแต่ละท่านไม่เกี่ยวข้องกับมหาวิทยาลัยเชียงใหม่ และคณาจารย์ท่านอื่นๆในมหาวิทยาลัยฯ แต่อย่างใด ความรับผิดชอบองค์ประกอบทั้งหมดของบทความแต่ละเรื่องเป็นของผู้เขียนแต่ละท่าน หากมีความผิดพลาดใด ๆ ผู้เขียนแต่ละท่านจะรับผิดชอบบทความของตนเองแต่ผู้เดียว
