Effects of Behavioral Development Program in the Prevention of Complicated Kidney Disease among Type 2 Diabetic Patients : A Case Study in Banphue Hospital Banphue District, Udonthani Province

Abstract

Background and objective : Chronic kidney disease is a major public health problem, Because of the global population, died of kidney disease are many.  And found those patients with renal failure due to diabetes for 15 years or more. This research was a quasi-experimental research. The object of this research was to study the effects of behavioral development program by application of the health belief model in combination with social support  for complicated prevention with kidney disease among diabetes mellitus type 2 patients.  

Methods : A total of 64 patients were observed in this study of which 32 subjects were randomly assigned to the experimental group and the other 32 subjects were likewise assigned to the comparison group. The subjects in experimental group were received behavioral development program which consisted of various activities such as lectures with media, demonstrations, group discussion training and home visits. This program had duration of 12 weeks.  Data were collected by questionnaires. Descriptive statistics such as means, percentages, and standard deviations were used to describe descriptive data. Comparative analyses were made using both paired sample t-tests and independent t-tests and 95% confidence intervals (95%CI). 

Results :    The results of this program after implementation found that,  the experimental group had significantly higher mean scores than before and comparison group in regards to knowledge, perceived susceptibility, perceived severity, perceived benefits and perceived barriers, practices about dietary , exercise,  relaxation, medication, keeping doctor's appointment, and self – care for their hygiene (p-value < 0.05). In Addition, it was also noticed that after the completion program that both the fasting blood sugar (FBS) and HbA1C levels were observed to be decreasing in the experimental group at a faster rate than before experiment and comparison group (p-value < 0.05).  

Conclusion: Effects of Behavioral Development Program for Complicated Prevent with Kidney Disease among  Type 2  Diabetic Patients was also noticed that  both the fasting blood sugar (FBS) and HbA1C levels were observed to be decreasing in the experimental group at a faster rate than before experiment and comparison group to kidney disease and prevent complications.  

Key word: Behavioral Development Program to Prevent Complication with Kidney disease, Health Belief Model  Theory,  social support