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Model of hformation for Patients with Chronic Kidney Disease and

Their Families in The Treatment of Renal Replacement Therapy

Sawanpracharak Hospital, Nakhon Sawan Province

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Original Rrticle

Suputtra Kaewsrisang M.NS.I

Pikut Sookprasert B.NS.I

Umnuay Sangchaisirisuk M.D.z

'Renal Dialysis Unit Department of Nursing

zDepartment of Medicine

Sawanpracharak Hospital

Nakhon Sawan

Sawanpracharak Medical journal

zbb4 Vol. 8 No. r September-December zott

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in The Treatment of Renal nupi"t"nt TheraPy SawanPrachaiak HosPital' Nakhon Sa

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65rirravaqrJ :

Obiective

Setting

Design

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Abstract

To study knowledge and choice of treatment for renal replacement

therapy in patients and families with chronic kidney disease.

Renal Dialysis Unit, Sawanpracharak hospital

Descriptive and comparative study

174 chronic kidney disease patients and their families who receive

between January 1, 2008 to May 31, 2009. Devide the patientsSubiects

fl

Method :

into2groupS,T5patientswitholdinformationmodel(January-1,2o08_September30,2008)andggpatientswithnewinformation

model (October 1, 2008-May 31' 2009)'

New information giving model was developed after problem analysis'

Teaching materials inctuding video, flipcharts and brochures' individual

patientandfamilyteachingwereimplemented.Eachwouldbeassessed

onknowledgeofrenalreplacementtherapypre_andpost-educational

process.

Knowledge score of renal replacement therapy in patients with chronic

kidney disease and their families had increased significantly means

score 1.ffit1 .22 lo 6.63+3.19 (p < 0.00'l) and choice of treatment

with CAPD increased from 50.7% to 59-6%' Incidence of hemodialysis

beforeCAPDrunningwasdecreasedfrom6g.3"hlo4l.4%

I This model of patient education for patient of chronic kidney disease

stage 3-4 and their families on renal replacement therapy proved to

be beneficial and improved quality of life. Providing adequate information

couldinfluencepatient.streatmentmodatityselection.

I Chronic Kidney disease, Renal replacement therapy' CAPD

Results

Key words

Conclusion

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2554 in The Treatment of Renal Replacement Therapy Sawanpracharak Hospital, Nakhon Sawan I'rovince 121

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Model of Information for Patients with chronic Kidney Disease and Their Families

1.

2.

4.

5.

6.

7.

ariufi o n's--6.n. 2554 in fhe freatment of Renal Replacement Therapy Sawanpt'lh"'k HotPittl' N'

toncntoliloil

ufi'arfiu:fi r-l:r6r*fvl:fiar1. 51u\:1u Thailand Renal Replacement tl:rqirfl ZSSO

(Z117).t{ufifilfiu 20 firutnru 2552); Available from: URI: http://www.nephrothai.org/

trVdownload.v d a v aa a a 'l t 'irhglm'l1ut{a;{:suvdnfi1il"Lu

n ruv;geJu n3. ru 6 n ruviSel u n5t5a.l? El'l u 6{11f, il:r [?ltu 4 - -rru!fia''nil:yfiuarn1v\LLyin1lfi. (nl{ufi 30 nnlnal 2550).

o u v 'l v n.:1rri'rur{am:ririfiu.:ruln:tnT:firttnrirumtda.:fr4.:3. airun.:ruuaflil:rnud?tl1v{tL}1ilfl'lI

(ontine). zss21{ufifiufiu zo fr.:lrrnil 2552); Available form: URL: http://kdf' nhso.

go.th/CAP D/monitor-caPd 1 . PhP

tn6il vr.:d'aqn. I:nlmr{ai.rLLnrnl:FruariautSrufirltn. '[u, ni fi3r',:ni, u::ru1An1:.

n.r:fir.:lnluuny{TU. vr#nr-l:yrYud?rfl'r1,.,r. zauuriu: I:.rfiruvflrmtimEJta-uflauutfiu; 2546-

uilt zt-st.u at o v a <s e A

flIf,?zu LFt2U1flU, y{dmf, nmL?Ttu, d}Jt']fl t6aaleia.:. overview of renal replacement

,n"r.O, 'Lu' aruma ,Arudro, uniui trt&.:6.it, auans 6n6riuvi, rn6.rfr'nd- mfuauquei,v o ' F- -- ''^^^- ^'^r6mBn1:. Textbook of peritoneal dialysis. flTrltflY'{9:ndn nrtaflqa, il:utd:s f,uflQQ1:, UT

d < d 6.u --u._^&^. o v g/

u}rin uffnttuaurrtqaiualtuhtnZu ornn; 2551. v11g1 1-17.

nuaeJ fln1l^rr. Tru?r?u:Rrunr:nd1oriruiuutnr:n1:;nu1r-irrinrorryrutnlurirtr-l:vlY]FI.

?'r rd'r r d rJ r n a.rl: ntm utvi.:il :sutr aln s 2549 ; 1 2: 108-23.

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2549; 12: 21-35.

9. K- DOQI Clinical practice guidelines for hemodialysis adequacy: update 2006 Am

J Kidney Dis 2006; 48 (Suppll): S2-S90.

to. rnintFYnd m3ualfi$rei. tnrlsr{ur;* (Chronic kidney disease). ?1rd1:dtlrnruI:rrlrr

rrvi.:rj:srnrt1flfl 2s49; 12: 1s-zo.

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$Juleflerlfrstauririu ; 2549. vfir zs-zg.

(Who fit to CAPD):

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r

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2s47. r,trir t 1-16.

t+. n6 ffimd'. Current ststus of continous ambulatory peritoneal dialysis in Thailand'

'[u, ni ffia.,:6', u::rurEnr:. nr:f,rmiatfia.,:tfiotalr:aolf,tkrt. tauuriu t l:{fiilr'f

ufiriilEnfiflflau$ri u; 2549. mrir z-t s'

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ad n qulufi 3 n.u'-E'n' 2554

fl1i1.1fi r floryadrurYr

125

at

flailas

YYU Y ALNTU?ANNLTUUTFIN

(il.n. 5;n.u. 51)

15 nu)

\vv I O t

LnSuaoSJattuu [fitl(n.n. 5;-n.n. 52)

(ee nu)

,iruruliaua;; iiru:u1ioan11

fl'lEl

m€',1

a1E]tn6n (sD) (fl)

dnlun'lvIdil:dI

as

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:rnun15Flfl1+1u 'q!YElLTJLNLsEIU

il:cnilriourul iltt.t rha.

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uFl:d1:TFl

uant?Fl

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TUTlUNlTAUdflfim:5nu1

u,uy9r n:il:vnud?fl 'r?\ 6t?u?1u't

q

Aau'l

*fl,Itl4FI ESRD

,ua*ra,ula

n?1ilnuLafind{Aau'J

28(37.3)

47(62.7)

51.0(14.8)

63(84.0)

12(16.0)

11(14.7)

57(76.0)

7(e.3)

58(77.3)

17(22.6)

48(64.0)

22(2e.3)

5(6.7)

0(0)

72(e6.o)

3(4.0)

2e(38.7)

25(33.3)

21(28.0\

37 (37 .4)

62(62.6)

55.0(14.6)

eo(eo.e)

e(e.1)

26(26.3)

58(58.6)

15(15.1)

84(84.8)

15(15.2)

63(63.6)

s0(30.3)

5(5.0)

1(1.0)

e3(e3.e)

6(6.1)

44(44.4)

36(36.4)

1e(1e.1)

* ESRD = Bod stage renal disease

126 rrln:r uflrni&qd, fina arilrsrsif,, drurs uo{qrsffifinA 6{'lTTd'ilTrt1ifldL?{fl'll

n1r1.:fi z flar.radturYrs

v?ailnql

uvu I aLN:U?AilAtLUUtFITJ

(sJ.n. s;n.u. 51)

(75 nu)

tfiiufia4aiuuu'lrarj

(n.n. 51-11.n. 52)

(ee nu)

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#.:hi fr a t dr rior m pr um uln

fio.,:riru-nnnrunutmA u vA Vq)

nr:rn a n:nu1fi a{ t?110u a*

CAPDtur

uuutl:cnuil:vna',t

HD*

n1:d1 HD antau

rir Ho

lillfrfi Ho

0(0)

75(100)

38(50.7)

21(28.o)

16(21.3)

52(6e.3)

23(30.7\

31(31.4)

68(68.7)

5e(5e.6)

24(24.2\

16(16.2)

41(41.4)

58(58.6)

* CAPD = continuous ambulatory peritoneal dialysis , HD = hemodialysis

nr:'t.lfi g neuuun'l'truiriauruarma-.:nl:"1frfi4rynqt.U

I

NULLUUTI?'I3JT{ drurulnu) n;ruutadfl P value

t 61 9Ynau tfiflailaru

a6l vvua{ Lfitaila

1_33

6.63

1.22

3.19 <0.001