Development of Renal Care Community by the Community in Srisaard Subdistrict, Khukhan District, Srisaket Province

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Kawisara Sornpood
Lukawee Piyabanditkul


Objective: This action research had an objective to develop the Rak Tai Community (Kidney Care Community) for patients with diabetes, hypertension, and people in Ban Khok Kwang, Srisaket Subdistrict, Khukhan District, Sisaket Province. Rapid Assessment, Response, and Evaluation: RARE Model and The Ottawa Charter for Health Promotion were employed with forty six informants. Methods: data were collected by interviewing, focus group discussion and observation. A quantitative data analysis was conducted using descriptive statistics and a qualitative data analysis using a content analysis method. Results: The results showed that the renal care community model consisted of 1) The potential development of public health vonlunteers to basic physical examination high risk group of chronic kidney disease, 2) Giving the knowledge of chronic kidney disease, diabetes, hypertension and also using modern and herbal medicine, 3) Developing skill to cook low sodium food and exercise for slowly progression of chronic kidney disease, 4) Creating the exercise club for health promoting in the community, 5) Developing health care service system by community participation, 6) The merit event did not use alcohol and soda drinks but used herbal and organic vegetable in household. The results of the renal care community model showed that 1) blood sugar and blood pressure levels could be better controlled in patients with diabetes and hypertension and people above the age of 30 years old, which resulted in better, kidney function, 2) the health volunteers and family caregivers had the potential and more participation in taking care of patients, 3) there was a higher number of service days, service notifications by the community, and more provision of media in the form of images to notify kidney function level, 4) the community established exercise groups and a public relations team for religious ceremonies, and 5) the community had a policy of alcohol-free and carbonated water-free funerals where
herbal drinks were served, as well as instead with at least 4 types of vegetable were planted per household,
Conclusion: thus the truly community participation clould lead to strength and sustainability.


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Sornpood, K. ., & Piyabanditkul, L. . (2021). Development of Renal Care Community by the Community in Srisaard Subdistrict, Khukhan District, Srisaket Province. Journal of Research in Nursing-Midwifery and Health Sciences, 41(3), 85–98. 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: WVO thaiprinting; 2016. Thai.

Takianbunging health promoting hospital [Internet]. 2017 [cited 2017 Apr 20]. Available from:

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. Thai.

Bureau of Non Communicable Disease. Guideline to improvement NCD clinic (Diabetics and Hypertensive) in health promoting hospital. Nonthaburi: Department of disease control press; 2015. Thai.

Pinatha J. Effects of chronic illness management promotion program in family on self management behavioral and family management behavior on chronic illness among the elderly with non-insulin dependent diabetes mellitus, at one distric in Udonthani Province [dissertation]. [Khon Kaen]: Khon Kaen University; 2012. 145 p. Thai.

Reungdit B, Urairat S, Samaair S. Development of self-care behaviors for patients with chronic kidney disease in Songkhla hospital’s contracted unit of primary care. SCNJ. 2016; 3(3): 194-207. Thai.

Khuanphet P, Kawila R, Chaimuang A. Development of health service model for delaying kidney degeneration in chronic disease patients, Health Service Networks of Mae Lao District, Chiang Rai Province. JTNMC. 2020; 7(1): 57-74. Thai.

Singhkum S. The development of chronic renal failure patient treatment program in community by motivating the coordinator network participation Kaedam District. MKHJ. 2016; 13(3): 92-9. Thai.

Phanthiwet N, Phangjunan N, Chamniyan N. Handbook for Community based health behavior modification. No place of publication; 2015. Thai.

Srisuphan V, Senarat W, Nantabut K, editor. Health promotion to community strength (Class 7). Bangkok: Mata karnpim company edited press; 2017. Thai.

Sinlapasuwan P, Wiwatwongkasem C, Kittipichai W, et al. Full research report Data analysis and summary of NCD surveillance, prevention and control activities of Agencies involved nationally 2008-2012. Nonthaburi: Department of disease control press; 2013. Thai.

Chamnanpong P, Piyabanditku L. Stroke prevention in hypertentive in sururban community. Community Health Development Quarterly Khon Kaen University. 2016; 4(3): 325-40. Thai.

Nukat U. Community participation in caring patients wih hypertention at ban-jrojarern, donsila sub-district, Chiangrai Province [dissertation]. [Khon Kaen]: Khon Kaen University; 2014. 253 p. Thai.

Piyabanditkul L. Rapid assessment, respond and evaluation: New methods for community nurses. Journal of Nurses Association of Thailand, North-Eastern Division. 2009; 27(4): 5-11. Thai.

Chanthawanit S. Qualitative research methods. Bangkok: Chulalongkorn University of printing; 2017.

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

Seephom S. Self-management in chronic kidney disease. TRCN J. 2013; 6(1): 12-8 Thai.

Kanglee K. Factors associated with glycemic control among people with type 2 diabetes mellitus at Phramongkutklao Hospital, Bangkok. JRTAN. 2014; 15(3): 256-68. Thai.

Hirunwong J. Developing the action plan for hypertension care chongsamhmo health, Khonsawan District, Chaiyaphum Province. [dissertation]. [Khon Kaen]: Khon Kaen University 2010. 175 p. Thai.

Susanathitphong P, Lam-ong s. Overview of chronic kidney disease. In: Lam-ong S, Susanathitphong P Srisawat N., et al. editor. Textbook of hemodialysis. Nakhon Pathom: AI Printing; 2010.

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

Unaphak P, Rattanamanee K. The correlation factors of self-care behaviors to prevent complications among patients with chronic kidney disease at Somdetphraphutthalertla Hospital in Samutsongkhram Province. PHJBUU. 2015; 10(2): 44-54. Thai.

Thungtong S. Delayed progression diabetic nephropathy in patients with uncontrolled type 2 diabetes mellitus. JRTAN. 2017; 18(Suppl.): 17-24. Thai.