The Application of Protection Motivation Theory in Promoting the Behaviors Slowing Down the Progression of Degeneration of CKD Stage 3 Patients in a Community The Application of Protection Motivation Theory in Promoting the Behaviors Slowing Down the Progression of Degeneration of CKD Stage 3 Patients in a Community
Main Article Content
Abstract
The purpose of this Quasi-experimental study was to evaluate the effects of a program applying the Protection Motivation Theory in promoting the slow progressive behavior in Chronic Kidney Disease (CKD) stage 3 patients in community. The sample was CKD stage 3 patients in Phanomdongrak district, Surin province. Of 58 participants were divided into two groups; an experimental group and comparison group which consisted of 29 patients in each group. The research was conducted over a period of 6 weeks, with 2 weeks for the intervention and the other 4 weeks for follow-up period. The data collection was conducted by questionnaire for the pre - test, post- test, and follow-up period. The statistical analysis was performed by using percentages, means, standard deviations, Chi-square tests, independent t-test and repeated measure ANOVA.
After the intervention, the experimental group had significantly higher mean score of perceived severity, perceived vulnerability, perceived self-efficacy, perceived response efficacy, and preventive behavior than before intervention and those the comparison group (p<.05).
The findings from this study support that program application of the Protection Motivation Theory could beneficially improve preventive behavior for promoting the slow progressive in CKD stage 3 patients in community, which can be applied to other similar groups of chronic disease populations.
Article Details
บทความและรายงานวิจัยในวารสารพยาบาลกระทรวงสาธารณสุข เป็นความคิดเห็นของ ผู้เขียน มิใช่ของคณะผู้จัดทำ และมิใช่ความรับผิดชอบของสมาคมศิษย์เก่าพยาบาลกระทรวงสาธารณสุข ซึ่งสามารถนำไปอ้างอิงได้
References
2. Nephrology Association of Thailand. Advice for caring for patients with chronic kidney disease before renal replacement therapy. Bangkok: National health security Office; 2015. (in Thai).
3. Jungsanga W. Know to fight kidney disease. Bangkok: PNK and Sky Printing Company Limited; 2014. (in Thai).
4. Bargman J, Skorecki K. Chronic kidney disease. In Jameson L, Loscalzo J. Harrison’s nephrology and acid-base disorders. New York: McGraw – Hill; 2010.
5. Kidney disease improving global outcome CKD work group. KDIGO 2012 clinical practice guideline for the evaluation and management of chronic kidney disease. Kidney Inter; 2013;3(1):1-150.
6. Mobley A. Slowing the progression of chronic kidney disease. The Journal for Nurse Practitioners 2009;5(3):188-94.
7. Trakanwanich T. Drug use in patients with chronic kidney disease. In Siriwong T. (Editor), Update CKD prevention: strategies and practice points. Khon Kaen :Khon Kaen University; 2015. (in Thai).
8. Suphasin U. Food nutrition, and chronic kidney disease. In Iamong S, Iamong S, Praditsilp K, Thiranathanakun K, Tangsalak K, Sanitpreecha W. Texbook of nephrology. Bangkok: Text and Journal Publications; 2011. (in Thai).
9. Stiraphot B. Benefits of intensive glycemic control in diabetic nephropathy. Journal of the Nephrology Society of Thailand 2011: 23 - 5. (in Thai).
10. Satanathitpong P, Iamong S. Overview of chronic kidney disease. In Iamong S, Sunthitphong P, Srisawat N, Thiranathanakun K, Praditphonsil K, Tangsakha K. Text book of hemodialysis. Nakhon Pathom: AI Printing; 2010. (in Thai).
11. Surin provincial public health (Internet). Health data center of chronic kidney disease; 2016(cited 2017 Jul 10). Available from: https://srn.hdc.moph.go.th/hdc/main/index_pk.php
12. Nursing council. National nursing and midwifery development plan 2007-2016. Bangkok: Siri Yod Printing; 2009. (in Thai).
13. Thiangtham W, Lakhampan S, Poawattana A. Community potential development: concepts and applications. Bangkok: Dennex Inter Corporation; 2014. (in Thai).
14. Bore H, Seydel E.R. Protection motivation theory. In Conner M, Norman P. (Eds.), Predicting health behavior research and practice with social cognition model 1998: 95-118.
15. House J. Work stress and social support. reading, MA: Addison-wesley; 1981.
16. Cohen J. Statistical power analysis for the behavioral sciences. New Jersey: Lawrence Erlbaum Associates, Inc; 1988.
17. Bandura A. Self-efficacy: The exercise of control. New York: W. H. Freeman and Company; 1997.
18. Jittikanon S. Caring for chronic kidney disease patients. In Chiwasakolyong B, Chareonthum C, Pornputtasakol M, Noppakol K. Applied internal medicine. 5 vols. 1st ed. Chiangmai: Trick Think Shop; 2007.(in Thai)