Effects of a Self-efficacy Enhancement Program on Fluid Overload Management Behaviors and Decreased Glomerular Filtration Rate among Persons with Chronic Kidney Disease Receiving Non-renal Replacement Therapy

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จตุพร จันทะพฤกษ์
ประทุม สร้อยวงค์
พิกุล พรพิบูลย์


This quasi-experimental research aimed to explore the effects of a self-efficacy enhancement (SEE) program on fluid overload management behaviors and decreased glomerular filtration rate among CKD persons. The sample included 52 persons with CKD receiving non-renal replacement therapy services at the renal clinics of Trakarnphuetpol Hospital or Phibun Mangsahan Hospital between August 2018 and April 2019. Research instruments consisted of 1) the SEE program based on Bandura’s concept, 2) a fluid overload

management behaviors’ handbook, 3) a self-efficacy in fluid overload management of CKD persons receiving non-renal replacement therapy tool, 4) a fluid overload management behavior questionnaire, and 5) a glomerular filtration rate record form. Data were analyzed using descriptive statistics, independent t-tests, and chi-square tests. The results revealed that the mean score of fluid overload management behavior of the experimental group was statistically significantly higher than those of the control group (p<.01). However, the proportion of participants with decreased glomerular filtration rates was not different between the control group and the experimental group. The findings of this study support the SEE based-on Bandura’s concept that can enhance an appropriate fluid overload management behavior among CKD persons. Therefore, this SEE program should be integrated with the usual care. Also, a longitudinal study to explore the effects of this SEE program is recommended to confirm the sustainability of fluid overload management behavior and decreased glomerular filtration rate.


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จันทะพฤกษ์ จ, สร้อยวงค์ ป, พรพิบูลย์ พ. Effects of a Self-efficacy Enhancement Program on Fluid Overload Management Behaviors and Decreased Glomerular Filtration Rate among Persons with Chronic Kidney Disease Receiving Non-renal Replacement Therapy. NJPH (วารสาร พ.ส.) [Internet]. 2019 Dec. 20 [cited 2022 Dec. 6];29(3):66-79. Available from: https://he02.tci-thaijo.org/index.php/tnaph/article/view/230774


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