Estimated Glomerular Filtration Rate among Type 2 Diabetic after self-efficacy control risk factors of Chronic Kidney in Prachaksinlapakhom Hospital, Udonthani Province

Abstract

Diabetes is an important cause to increase the risk of chronic kidney disease (CKD).This descriptive research aimed to study of the estimate glomerular filtration rate (eGFR)among type 2 Diabetic patients after one year of CKD risk factors control at Prachaksinlapakhom Hospital, Udonthani province. Data consisted general information, risk behavior of chronickidney and daily practice, process evaluation were included self-efficacy in controlling riskfactors of CKD, development of diabetes care service in sub-district health promotion hospitaland primary care unit, patient evaluation were as follows; systolic blood pressure (SBP), microalbuminuria, serum-creatinine (SCr), HbA1c, total cholesterol (TC), LDL (Low density lipoproteincholesterol), HDL (High density lipoprotein cholesterol) and eGFR. The sample group amongtype 2 Diabetic were 73 patients between 20 - 60 years, collected data between June-July2017. Research instruments: laboratory test, assessment of risk behavior, risk factors practiceand daily practice (alpha 0.92, 0.90, 0.89 respectively).

Result after one year practice, 59 (80.8%) Diabetic patients could not control of risk factors (eGFR≥60 ml/min) and 14 (19.2%) patients could control of risk factors (eGFR≥60 ml/ min), this sampling group mostly were female 57.5% with average age 54.0 years, mean duration of Diabetic illness 7.21 years, average BMI 22.67 kg/m2 and average serum creatinin 1.25 mg/dl. Fators related to eGFR were BMI (adj.OR=4.41; 95%CI: 2.00-5.10), SBP (adj.OR=2.20; 95%CI: 2.00-3.61), LDL (adj.OR=9.11; 95%CI: 10.11-10.91), mental health (adj.OR=2.92), smoking (adj. OR=2.92), alcohol drink (adj.OR=7.94), Overall practices of risk factors control (adj.OR=5.75; 95%CI:4.04-8.66), emotional promoting (adj.OR=8.02) and age (adj.OR=0.09; 95%CI: 0.06-0.24), duration of illness (adj.OR=0.20; 95%CI: 0.02-0.47), microalbuminuria (adj.OR=0.30; 95%CI: 0.03-0.53), SCr (adj.OR= 0.07; 95%CI: 0.0-0.60), TC (adj.OR=0.12; 95%CI: 0.02-0.59), HDL (adj. OR=0.19; 95%CI:0.02-0.56), HbA1C (adj.OR=0.32; 95%CI:0.08-0.93). Overall of risk behavior (adj. OR=1.50; 95%CI: 1.11-2.94) were as follows exercise (adj.OR=0.03), food (adj.OR=0.56), Overall practices of risk factors control were as follows food (adj.OR=0.06), exercise (adj.OR=0.87), no smoking (adj.OR=0.06), no alcohol drink (adj.OR=0.81), overall of daily practice (5Q5D5L) (adj. OR= 0.81; 95%CI: 0.10-0.91) were as follows ability to moving (adj.OR=0.50), health care (adj. OR=0.56), daily practice (adj.OR=0.61), Pain/discomfort (adj.OR=0.24), anxiety and depression (adj.OR=0.09) with statistically significant at p = 0.05 except gender.

Conclusion: self-efficacy in controlling risk factors of CKD on type 2 diabetic patients could be increasing eGFR or slowdown of CKD with statistically significant.