Health Care of Diabetes Mellitus Patients with Chronic Kidney Disease Complications : Two Case study in Sirindhorn Province Khonkaen Hospital Ban Haet District, Khonkaen Province.

Abstract

     This study was two case study, purpose is to research nursing care for diabetes mellitus patients with chronic kidney disease complications, to develop appropriate nursing care guidelines, and to enhance the quality of care for achieving to diabetes mellitus remission. The research instruments were used such as, patient medical record review forms, interviews, behavioral observations, and nursing care record forms. The conceptual framework was based on Gordon’s 11 functional health patterns, data collections, study of statistics on diabetes mellitus patients with kidney complications, literature and related research studies, and contact to coordinate information with nurses responsible at non-communicable clinic (specifically diabetes mellitus and hypertension) to assess the patient’s conditions and apply the nursing process.

     The results of the research demonstrated that the first patient has knowledge and understanding about diseases and complications with chronic kidney disease due to multiple contributing factors and suffering diabetes mellitus to ten years included inappropriate dietary behaviors such as, frequent consumption of sweet foods, desserts, candies and sweet fruits that results in increased hyperglycemia cause the patient’s chronic kidney disease progressed from stage three to stage five which indicating end-stage renal disease. And the second patient has knowledge and understanding about diseases and complications with chronic kidney disease as the first patient. However, the second patient successfully implemented behavioral changes including dietary adjustments, stress reduction, and anxiety management. These changes effectively led to decreased hypoglycemia and fewer other complications.