ผลของการประยุกต์ใช้นวัตกรรม “Smart Hemodialysis Self-Management”     ในผู้ป่วยไตเรื้อรังระยะสุดท้ายที่ฟอกเลือดด้วยเครื่องไตเทียม :  การศึกษานำร่องกรณีศึกษาผู้ป่วย 2 ราย

Tatdao  Kongrach; Nonglak  Methakanjanasak

Authors

Tatdao Kongrach A student of the Master of Nursing Science Program in Adult and Gerontological Nursing
Nonglak Methakanjanasak Faculty of Nursing, Khon Kaen University

Keywords:

End-Stage Renal Disease, Hemodialysis, Fluid Overload, Self-Management, Nursing Innovation

Abstract

This research aimed to develop the innovation “Smart Hemodialysis Self-Management” and to evaluate its effectiveness among patients with end-stage renal disease (ESRD) undergoing hemodialysis. The innovation was developed based on Soukup’s conceptual framework (phases 1–3), focusing on patient self-management to enhance knowledge and skills in fluid and dietary control, particularly in preventing fluid overload. The innovation comprised educational materials on fluid and diet, a video demonstration of calculating urine volume in relation to fluid intake over 24 hours, and educational support via an E-book, LINE Application, and Chatbot. The intervention was conducted with two hemodialysis patients at the Hemodialysis Unit of Kalasin Hospital over eight weeks from December 2024 to February 2025.

The results showed that both patients achieved knowledge scores on fluid and dietary control exceeding 80%, demonstrated improved self-management behaviors, and reported high satisfaction with the innovation. In addition, both patients were able to better control fluid overload and reduce hospital readmissions. These findings indicate that the “Smart Hemodialysis Self-Management” innovation is effective in promoting patient self-management in hemodialysis, and can be applied as a guideline for nursing practice to prevent fluid overload, reduce hospital readmissions, and serve as a prototype for further studies in larger patient populations.

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