Health Care for Slowly Progression of Chronic Kidney Disease Among Persons With Daibetes, Hypertension and People in a Community at Srisaket Province

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Kawisara Sornpood
Lukawee Piyabanditkul


          This research aimed to analyze the health care situations of diabetic and hypertension patients and people in the community to slowly progressive chronic kidney disease in a community at Khukhan District, Srisaket Province. Key informants included diabetic and hypertension patients and people aged 30 years and over, and stakeholders 44 persons. The data were collected by interview, focus group discussion and observation. Quantitative data were analyzed by using descriptive statistics and qualitative data were used content analysis.
          The results showed that most of the patients could not control blood sugar and blood pressure and had triglycerides and body mass index over than the standard level. According to these factors, the patients were at risk of chronic kidney disease. In addition, four people aged 30 years and over had risk of diabetes and five of them had risk of hypertension. The health status of the patients and those group of people was related to the level of knowledge regarding diseases and health care at a moderate level affecting inappropriate health care behaviors, including food consumption, alcohol drinking, exercise, drug uses and continuous treatment. They also had lack of skills and awareness of health behavior modification to slow kidney degeneration. Furthermore, community support and health services of primary care units were not congruent with patient needs and problems, and community environment has not conducive to promote appropriate health behaviors for the patients and people in the community.


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Sornpood, K. ., & Piyabanditkul, L. . (2020). Health Care for Slowly Progression of Chronic Kidney Disease Among Persons With Daibetes, Hypertension and People in a Community at Srisaket Province. Journal of Research in Nursing-Midwifery and Health Sciences, 40(1), 101–114. Retrieved from
Research Articles


Bureau of Non Communicable Disease. Clinical practice guideline for the operation of reducing chronic kidney disease (CKD) in patients with diabetes and hypertension. Bangkok: The Agricultural CO-operative of printing; 2017. Thai.

Tungsanga K, Lam-ong S, Lam-ong S, Praditpornsin K, Tiranathanagul K, Sitiprecha W. Chronic kidney disease. Bangkok: Text and journal publication of printing; 2011.

National Center for Chronic Disease Prevention and Health Promotion. National Chronic Kidney Disease Fact Sheet [Internet]. Atlanta: GA; 2017 [cited 2017 Oct 22]. Available from:


Takianbunging health promoting hospital. Diabetics and Hypertensive screening report; 2017.

World Health Organization. The determinants of health [Internet]. Bangkok: World Health Organization; 2015 [cited 2017 Apr 20]. Available from:

Siriwong T. Update on CKD Prevention: Strategies and practical points. Nephrology Society of Thailand: Khon kaen university printing; 2007.

Bureau of Non Communicable Disease. Guideline to improvement NCD clinic (Diabetics and Hypertensive) in health promoting hospial. Bangkok: The Agricultural CO-operative of printing; 2015. Thai.

Pinatha J. Effects of chronic illness management promotion program in family on self management behavioral and chronic illness magementvioral behavioral among the elderly patient with type2 diabetes mellitus family, at

one tambon in udonthani province [dissertation]. [Khon Kaen]: Khon Kaen University; 2012. 145p. Thai.

Chirawatkul S. Qualitative study in nursing: Research methodology and case study. 2 nd ed. Bangkok: S. Asia press; 2012. Thai.

Prasertampisakul N, Sumpowthon K, Wattana C. Factors Predicting Hyperglycemic Preventive Behaviors among Older Persons with Uncontrolled Type 2 Diabetes Mellitus. Ramathibodi Nursing Journal. 2008; 14(3): 298-311. Thai.

Hirunwong J. Developing the action plan for hypertension care chongsamhmo health, Khonsawan District, Chaiyaphum Province [Independent study]. [Khon Kaen]: Khon Kaen University; 2010. Thai.

Chopseang K. Self-and Family Managementin Chronic Kidney Disease. Nursing Public Health and Education Journal. 2015; 16(3): 1-11. Thai.

Susanathitphong P, Lam-ong s. Textbook of hemodialysis: Overview of chronic kidney disease. 1 st ed. Nakhon Pathom: AI Printing; 2010.

Srisuphan W, Senaratana W, Nantabut K. Nursing guidelines for health promotion for professionals in primary Health Care Centers Secondary level And tertiary level. 2 nd ed. Nonthaburi: Mata Printing Co., Ltd; 2017.