The development of CKD3 Corner case management model for diabetic patients with renal failure stage 3 at Kaset Wisai Hospital, Roi Et Province.
Keywords:
Diabetic patients with stage 3 renal failure, Case managementAbstract
This research and development (R&D) aims to study the situation and problems of diabetic patients with advanced renal failure, develop a case management model, and research nursing outcomes and clinical outcomes of patients from developing the CKD3 Corner case management model, Kaset Wisai Hospital, Roi Et Province. The research and development will be conducted between October 2022 and September 2023. The research group was comprised of ten personnel working in outpatient and chronic disease clinics and 20 diabetic patients with stage 3 kidney failure and was selected according to the selection criteria. The research tools included in-depth interviews and focus group discussion guidelines, general information questionnaires, and clinical data recording forms from medical records. Data were analyzed using descriptive statistics, Paired t-tests, and content analysis.
The results of the study found that after the implementation, there was a guideline for appropriate self-management and the development of a case management model for diabetic patients with stage 3 kidney failure, which positively affected clinical outcomes in patients and the satisfaction of stakeholders. The results of the study found that after the implementation, patients had significantly better health outcomes in several aspects, including reduced HbA1c levels (p = 0.048), increased glomerular filtration rate (p < 0.001), reduced blood pressure (p < 0.001), reduced body mass index (p = 0.031), reduced incidence of hypoglycemia (p = 0.042), and reduced hospital admissions (p < 0.001). After the implementation, patients had no incidence of foot ulcers.
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