Integrated palliative care system for patients with end-stage renal disease, Somdej Phra Yuppharat Kuchinarai Hospital, 2024.

Abstract

     This study was an action research using a Case Control Study design, aimed at examining the health conditions of patients with end-stage renal failure in a holistic, palliative care context, as well as studying the care system for these patients. The research period is from May 2024 to August 2024, totaling 4 months. The sample group consists of 289 end-stage renal failure patients who received services at Kuchinarai Crown Prince Hospital. Data were collected from medical records and questionnaires. Data were analyzed using content analysis, frequency, percentage, mean, standard deviation, and dependent t-test.
     The results of the study indicated that after implementing the holistic palliative care system for end-stage renal failure patients at Kuchinarai Crown Prince Hospital in 2024, caregivers' understanding of holistic palliative care for these patients improved significantly. The overall understanding, as well as in each specific aspect, was at the highest level before and after the patients received treatment at the "Metta Rak Kidney Clinic." A statistically significant difference was found at the .05 level (p < .05), indicating that after receiving treatment at the "Metta Rak Kidney Clinic," caregivers had a higher average score in their understanding of holistic palliative care for patients with end-stage renal disease compared to before treatment. Additionally, caregivers' satisfaction with the holistic palliative care provided to patients with end-stage renal disease was also at the highest level overall and in each aspect.