The Impact of Self-Management Support by a Multidisciplinary Team on Delaying Chronic Kidney Disease Progression in Primary Care, Khon Kaen Regional Hospital

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Paisarn Trisirichok
Langporn Uttarasart
Waratip Kankarn


Background and Objective: Chronic kidney disease (CKD), a global health problem issue, remains associated with high morbidity and mortality. This study aimed to study the effects of self-management support by multidisciplinary teams to delay chronic kidney disease.

Methods: This was a quasi-experimental research. One group was tested before and after the experiment. The study group were 100 CKD stages II–IV patients which randomized into self-management support by a multidisciplinary team and followed up for 12 months. The program consisted of problem solving, held experience-sharing sessions based on case studies, changing food consumption behavior, rational drug use, exercise, and home visits to encourage individual empowerment. The data-collecting instruments were self-management behavior interview and clinical outcomes. The data were analyzed using descriptive statistics and paired t-test.

Results:  The mean age of participants was 69.71 years. The comorbidities were 44.21 % of diabetes mellitus with hypertension. After the program, the participants had an average score of self-management behavior and estimated glomerular filtration rate increased significantly at the level of p <.05 (57.39, 51.68 ml/min/1.73 m2). In addition, the average blood pressure level was lower than before the experiment with statistical significance at p <.05 (127.92 / 71.02, 136.32 / 75.20 mm Hg).  However, BMI and waist circumference were not different (p>.05).

Conclusion: Self-management support by a multidisciplinary team helps improve clinical outcomes for CKD patients.


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