The effect of encouraging patients to participate in dietary modification to delay renal deterioration in patients with stage 3 renal failure

Abstract

The aim of this qusai-experimental research was to study the effectiveness of program for encouraging patient for participation to dietary modification behavior change for delay renal deterioration who provided health care service at Rak Tai (Love kidney) clinic at Wat Pratummalai Primary Care Cluster of Sanpasittiprasong hospital network. Inclusion criteria was stage 3 renal deterioration patient who GF (Glomerular Filtration Rate) was 30-44 ml/min/1.73 m2. Instruments were program of dietary modification behavior for delay renal deterioration of stage 3 renal deterioration patient and questionnaires divided in 3 parts: personal data, knowledge of renal deterioration disease and dietary for renal disease, and evaluation of patient self care on diet for delay renal deterioration. Content validity was 0.83 verify by experts and reliability was 0.90. Data was analyzed by descriptive statistics and paire t-test. The results after experiment were found; the average score on knowledge of renal deterioration disease and self care behavior on dietary modification for delay of renal deterioration was higher than before experiment significantly at 0.05.

The results after experiment were found; the average score on knowledge of renal deterioration disease and self care behavior on dietary modification for delay of renal deterioration was higher than before experiment significantly at 0.05. The GF was increase non-significantly (mean 0.41 ml./min/1.73 m2). 7 Cases were GF quiet well at stage 3a (GF rate 45-59 ml./min/1.73 m2). The overall were GF reduce less than 4 ml./min/1.73 m2 at 83.33% which was according to the hypothesis. This results was present the program for encouraging stage 3 renal deterioration patient to participate of dietary modification behaviors by the process of knowledge support from nurses inside clinic can help the appropriately dietary modification behavior in order to delay renal deterioration.