Effect of the Health Belief Perception Promoting Program on Delaying Progression of Chronic Kidney Disease Behavior Among Older Adults with Type 2 Diabetes Mellitus at Risk of Chronic Kidney Disease

Abstract

This quasi-experimental research, using two groups pretest-posttest design, aimed to examine the effect of the health belief perception promoting program on delaying progression of chronic kidney disease behavior among older adults with type 2 diabetes mellitus at risk of chronic kidney disease. The participants were 54 older adults with type 2 diabetes at risk of chronic kidney disease in a diabetes clinic of Phranakhon Sri Ayutthaya hospital, Phranakhon Sri Ayutthaya province. Random assignment was employed to assign the sample into 27 participants in the experimental group and another 27 participants in the comparative group. The variables included gender, age and duration of diabetes were matched to similarities between the experimental and comparative groups. The experimental group received both the health belief perception promoting program and usual nursing care while the comparative group received usual nursing care. Research instruments included the health belief perception promoting program and the delaying progression of chronic kidney disease behavior questionnaire. Data were analyzed by using frequencies, means, standard deviations, Chi-square test, Fisher’s Exact test and independent t-test.

The results revealed that after the intervention, the experimental group had mean difference scores of delaying progression of chronic kidney disease behavior significantly higher than in the comparison group at the .05 level of significance.

These findings suggest that nurses who care older adults with type 2 diabetes mellitus should apply this program for promote delaying progression of chronic kidney disease behavior to older adults with diabetes mellitus.