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Transcript of u?ltufi9tuiluu A dc, Rrticle - spr.go.th · fl Method :...
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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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Model of tnfor*atior, {or ratients with Chronic Kidnev Disease and Their'ul.ltiitrror,n.. 1 1
in The Treatment of Renal nupi"t"nt TheraPy SawanPrachaiak HosPital' Nakhon Sa
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Obiective
Setting
Design
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fiailfiiunr:y,lant6anantau (hemodialysis) riaunr:ri"l CAPD ana'1
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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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Therapy Sawanpracharak Hospital, Nakhon Sawan Province 119
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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
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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
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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.
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?'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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2s47. r,trir t 1-16.
t+. n6 ffimd'. Current ststus of continous ambulatory peritoneal dialysis in Thailand'
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125
at
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YYU Y ALNTU?ANNLTUUTFIN
(il.n. 5;n.u. 51)
15 nu)
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(ee nu)
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q
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*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
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n1r1.:fi z flar.radturYrs
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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
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1_33
6.63
1.22
3.19 <0.001