The effect of program to enhance the self-efficacy for self-management to delay renal impairment of the diabetes mellitus type 2 patients in kongkrailat district, Sukhothai province
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Abstract
Diabetes mellitus leads to renal complications, contributing to premature mortality and a reduced quality of life. This quasi-experimental study employed a one-group pretest–posttest design to examine the effects of a self-efficacy–enhancing program for self-management aimed at slowing renal deterioration. The sample consisted of 30 patients with diabetes mellitus and stage 3 chronic kidney disease, selected through simple random sampling without replacement. The intervention was developed based on Bandura’s self-efficacy theory. Research instruments comprised two parts: (1) a self-efficacy–enhancing self-management program for delaying renal deterioration in patients with stage 3 chronic kidney disease, and (2) a general information questionnaire and a self-management behavior assessment scale for patients with stage 3 chronic kidney disease. Content validity of the instruments was evaluated by three experts. The program demonstrated an item–objective congruence index of 1.00, while the assessment instruments achieved a content validity index of 1.00. Reliability testing using cronbach’s alpha coefficient yielded a value of 0.82. Data were analyzed using descriptive statistics, including mean and standard deviation, and inferential statistics using a paired t-test.
The results revealed that participants who received the program demonstrated significantly higher mean self-management behavior scores and significantly improved mean estimated glomerular filtration rates after the intervention compared with before the intervention (p<.05). In conclusion, the self-efficacy–enhancing self-management program to delay renal deterioration can be applied to promote knowledge and motivation for self-care and to facilitate behavioral modification that may help slow renal decline. Furthermore, the program may be adaptable for patients with other chronic non-communicable diseases to support effective self-management and improve health outcomes.
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เนื้อหาและข้อมูลในบทความที่ลงตีพิมพ์ในวชิรสารการพยาบาลถือเป็นข้อคิดเห็นและความรับผิดชอบของผู้เขียนบทความโดยตรง ซึ่งกองบรรณาธิการไม่จำเป็นต้องเห็นด้วย หรือร่วมรับผิดชอบใด ๆ ทั้งสิ้น
บทความ ข้อมูล เนื้อหา รูปภาพ ฯลฯ ที่ได้รับการตีพิมพ์ในวชิรสารการพยาบาล ถือเป็นลิขสิทธิ์ของวชิรสารการพยาบาล หากบุคคลใดหรือหน่วยงานใดต้องการนำทั้งหมดหรือส่วนหนึ่งส่วนใดไปเผยแพร่ต่อหรือเพื่อกระทำการใด ๆ จะต้องได้รับอนุญาตเป็นลายลักอักษรจากวชิรสารการพยาบาลก่อนเท่านั้น
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