Development of a Coaching Program Combined with LINE Application to Promote Self-Care Behaviors for Preventing Fluid Overload in Peritoneal Dialysis Patients: A Research and Development Study
Keywords:
Coaching, Peritoneal dialysis, Self-care behaviorAbstract
Fluid overload is associated with increased morbidity and mortality among patients undergoing peritoneal dialysis (PD). This research and development study aimed to develop a coaching program combined with use of the LINE application and to compare self-care behaviors for the prevention of fluid overload and the incidence of fluid overload between patients in the experimental and control groups. The study sample consisted of 60 patients with stage 5 chronic kidney disease undergoing PD at the Peritoneal Dialysis of Muangsamsib Hospital. Participants were purposively selected and allocated into two groups: 30 patients in the experimental group who received the coaching program combined with the LINE application and 30 patients in the control group who received standard nursing care. Research instruments included the coaching program with the LINE application, a personal and health information questionnaire, a self-care behavior questionnaire, and a fluid overload incidence record form. Data were analyzed using descriptive statistics, chi-square test, risk difference, independent sample t-test, and ANCOVA.
The results demonstrated that:
1. The coaching program combined with the LINE application achieved a content validity index ranging from 0.82 to 1.00, which is considered acceptable.
2. After controlling for self-care behaviors scores to prevent fluid overload prior to the intervention, it was found that the self-care behavior scores to prevent fluid overload in PD patients after the intervention in the experimental group were significantly higher than in the control group (F(1, 57) = 342.03, p < .001).
3. The incidence of fluid overload among PD patients in the experimental group (13.33%) was significantly lower than the control group (43.33%) (c2 = 6.648, p < .05).
The findings suggest that community hospitals can apply this program for patients undergoing PD, particularly the structured activities delivered through the LINE application, to effectively prevent fluid overload in PD patients.
References
Anutrakulchai, S., Tatiyanupanwong, S., Kananuraks, S., Lukkanalikitkul, E., Kongpetch, S., Chotmongkol, W., Morley, M. G., Thinkhamrop, W., Thinkhamrop, B., Kleebchaiyaphum, C., Khianchanach, K., Chunghom, T., & Morley, K. E. (2025). Effect of the Chronic Kidney Disease-Peritoneal Dialysis (CKD-PD) App on improvement of overhydration treatment in patients on peritoneal dialysis: Randomized controlled trial. Journal of Medical Internet Research, 27, e70641. https://doi.org/10.2196/70641
Bello, A. K., Okpechi, I. G., Osman, M. A., Cho, Y., Cullis, B., Htay, H., Jha, V., Makusidi, M. A., McCulloch, M., Shah, N., Wainstein, M., & Johnson, D. W. (2022). Epidemiology of peritoneal dialysis outcomes. Nature Reviews Nephrology, 18(12), 779–793. https://doi.org/10.1038/s41581-022-00623-7
Boonchokchoy, P., Thumnus, P., Buanet, T., & Khummongkol, S. (2025). Effects of self-regulation program on volume overload control in end-stage renal disease patients undergoing peritoneal dialysis at Nakornping Hospital. Journal of Nakornping Hospital, 16(1), 31–49. (in Thai)
Chao, S. M., Pan, C. K., Wang, M. L., Fang, Y. W., & Chen, S. F. (2024). Functionality and usability of mHealth apps in patients with peritoneal dialysis: A systematic review. Healthcare, 12(5), 593. https://doi.org/10.3390/healthcare12050593
Chao, S. M., Wang, M. L., Fang, Y. W., Lin, M. L., & Chen, S. F. (2024). Mobile apps for patients with peritoneal dialysis: Systematic app search and evaluation. Healthcare, 12(7), 719. https://doi.org/10.3390/healthcare12070719
Fongthong, T. (2023). Chronic kidney disease (CKD). Newsletter of the Academic Center for Drug System Monitoring and Development, 14(52), 22-33. https://www.thaidrugwatch.org/download/series/series52.pdf
Ingsathit, A., Shayakul, C., Chaiprasert, A., Thirakhupt, P., Siriwong, T., Sangthawan, P., Ophascharoensuk, V., Pichaiwong, W., Kiatsunthorn, K., Gojaseni, P., & Chongsuntipong, R. (2017). Progression and outcomes of CKD in Thai SEEK population. Health Systems Research Institute. https://kb.hsri.or.th/dspace/handle/11228/4768?show=full (in Thai)
Jaelani, T. R., Ibrahim, K., Jonny, J., Pratiwi, S. H., Haroen, H., Nursiswati, N., & Ramadhani, B. P. (2023). Peritoneal dialysis patient training program to enhance independence and prevent complications: A scoping review. International Journal of Nephrology and Renovascular Disease, 16, 207–222. https://doi.org/10.2147/IJNRD.S414447
Kanjanawasee, S. (2016). Research and development for Thai education. Silpakorn Educational Research Journal, 8(2), 1-18. (in Thai)
Kim, Y. L., & Biesen, W. V. (2017). Fluid overload in peritoneal dialysis patients. Seminars in Nephrology, 37(1), 43–53. https://doi.org/10.1016/j.semnephrol.2016.10.006
Kumruang, K., Benjakul, S., Kengganpanich, T., Kengganpanich, M., & Lattanand, K. (2017). Effects of a self-regulated program to control volume overload among patients with end stage renal disease receiving continuous ambulatory peritoneal dialysis. Journal of Public Health, 47(3), 326–338. (in Thai)
Law, M. C., Kwan, B. C., Fung, J. S., Chow, K. M., Ng, J. K. C., Pang, W. F., Cheng, P. M., Leung, C. B., Li, P. K. T., & Szeto, C. C. (2019). The efficacy of managing fluid overload in chronic peritoneal dialysis patients by a structured nurse-led intervention protocol. BMC Nephrology, 20(1), 454. https://doi.org/10.1186/s12882-019-1596-3
Li, J., Yu, J., Huang, N., Ye, H., Wang, D., Peng, Y., Guo, X., Yi, C., Yang, X., & Yu, X. (2021). Prevalence, risk factors and impact on outcomes of 30-day unexpected rehospitalization in incident peritoneal dialysis patients. BMC Nephrology, 22(1), 4. https://doi.org/10.1186/s12882-020-02201-0
Lukkanalikitkul, E., Kongpetch, S., Chotmongkol, W., Morley, M. G., Anutrakulchai, S., Srichan, C., Thinkhamrop, B., Chunghom, T., Wiangnon, P., Thinkhamrop, W., & Morley, K. E. (2022). Optimization of the chronic kidney disease-peritoneal dialysis app to improve care for patients on peritoneal dialysis in Northeast Thailand: User-centered design study. JMIR Formative Research, 6(7), e37291. https://doi.org/10.2196/37291
National Institutes of Health in US. (2023). 2023 Annual Data Report: End stage renal disease: Chapter 1 incidence, prevalence, patient characteristics, and treatment modalities. U.S. Department of Health and Human Services: The United States government. https://usrds-adr.niddk.nih.gov/2023/end-stage-renal-disease/1-incidence-prevalence-patient-characteristics-and-treatment-modalities
Orem, D. E., Taylor, S. G., & Renpenning, K. M. (2001). Nursing: Concepts of practice (6th ed.). Mosby.
Parsloe, E., Leedham, M., & Newell, D. (2022). Coaching and mentoring (4th ed.). Kogan Page.
Pasloe, E., & Wray, M. (2005). Coaching and mentoring (3rd ed.). Kogan page.
Ratanakitsunthorn, S. (2013). Self–management behaviors and volume overload in patients with CAPS receiving self–management program [Master’s thesis, Rangsit University]. https://rsuir-library.rsu.ac.th/handle/123456789/1289
Satirapoj, B. (Ed.). (2025). Thailand Renal Replacement Therapy (TRT) registry 2023 annual data report. The Nephrology Society of Thailand. https://www.nephrothai.org/wp-content/uploads/2025/03/Ebook-TRT-book-2023-10-Mar-2025Final.pdf
Srikongpan, K., & Sarapan, P. (2018). Effects of case management in chronic kidney disease patients on volume overload, chronic kidney disease clinic, Kumphawapi Hospital. Udonthani Hospital Medical Journal, 26(2), 166–177. https://he02.tci-thaijo.org/index.php/udhhosmj/article/view/159190/115154 (in Thai)
Suttavat, P., Maninet, S., & Nakrit, B. (2022). The development of a coaching program on self-care behaviors among patients with chronic kidney disease. Journal of The Police Nurses, 14(2), 278–288. (in Thai)
Thurlow, J. S., Joshi, M., Yan, G., Norris, K. C., Agodoa, L. Y., Yuan, C. M., & Nee, R. (2021). Global epidemiology of end-stage kidney disease and disparities in kidney replacement therapy. American Journal of Nephrology, 52(2), 98-107. https://doi.org/10.1159/000514550
Wongsabut, P., Prapaipanich, W., & Malathum, P. (2017). Self-care behavior among persons with continuous ambulatory peritoneal dialysis experiencing complications. Journal of Nursing and Health Care, 35(2), 6–15. (in Thai)
Wongwanich, S. (2016). Educational research methodology: Inspiring new perspective. Icon printing. (in Thai)
Zheng, S., & Auguste, B. L. (2023). Five things to know about volume overload in peritoneal dialysis. Canadian Journal of Kidney Health and Disease, 10, 20543581221150590. https://doi.org/10.1177/20543581221150590
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
