Effect of Multidisciplinary Care on Blood Pressure in Chronic Kidney Disease Patients with Hypertension, Thatako Hospital: Preliminary Study

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Sirinuch Ubolwat
Anjana Fuangchan


Background and Objective: The multidisciplinary teamwork play a crucial role in effective patient care. The present study aimed to study the effectiveness of multidisciplinary care on blood pressure control in chronic kidney disease patients with hypertension compared with standard care at chronic kidney disease patients clinic, Thatako hospital.

Methods: Single blinded randomized controlled trial was performed in 100 chronic kidney disease patients with high blood pressure. Fifty patients were randomized to the treatment group receiving multidisciplinary care, whereas other 50 patients were received the standard care for 12 weeks.

Results: The mean systolic blood pressure and diastolic blood pressure were significantly difference in the multidisciplinary care group (SBP 133.14 ± 13.56 mmHg; DBP 79.78 ± 5.82 mmHg) compared with the usual care group (SBP 142.02 ± 19.02; DBP 84.82 ± 9.44 mmHg) (p<0.05). In addition, the multidisciplinary care group experienced less drug-related problems, had lower sodium intakes, and higher score of knowledge than usual group (p <0.001). Patient satisfaction to multidisciplinary care was 4.75 ± 0.32. 

Conclusions: Multidisciplinary care can help chronic kidney disease patients with hypertension to control their blood pressure. It also increased the patient knowledge of diseases, medicines and diets and decreased drug-related problems.


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