Model Development of Chronic Kidney Disease Patients Stage 3 Care by Self-management and Case Management for Slow Progression of Chronic Kidney Disease in Wangyang Hospital Nakhon Phanom Province

Abstract

     This action research aimed to develop and evaluate model development of chronic kidney disease patients stage 3 care by self-management and case management for slow progression of chronic kidney disease in Wangyang hospital Nakhon Phanom province. The period is from May 2023 to November 2023. Sample size were 38 patients with stage 3 chronic kidney disease. Research participants were selected by purposive selection. The tools used in the research include a clinical outcome assessment form, self-management behavior measure to slow progression of kidney, and quality of life assessment form. Data were analyzed by finding frequencies, percentage, average, and standard deviation, Compare differences in average scores on self-management behavior, quality of life, and clinical outcomes. before and after developing the model with t-test (pair sample). Qualitative data was analyzed by content analysis. the research
     results found that:1. Process results. A model for caring for patients with stage 3 chronic kidney disease has emerged, consisting of: 1) Promoting self-management behavior, using self-regulation skills, 2) education about chronic kidney disease, 3) Continuous follow-up at home by a multidisciplinary team, and 4) Community level network partners provide holistic care. 2. Results. 1) After developing the model. Patients with chronic kidney disease had an average score of