ผลการให้คำปรึกษาเรื่องโรคและยาในผู้ป่วยโรคไตเรื้อรัง ณ แผนกผู้ป่วยนอก โรงพยาบาลพระพุทธบาท จ.สระบุรี Effect of Counseling in Chronic Kidney Disease Patients at Outpatient Clinic of Phraphutthabat Hospital, Saraburi Province

Abstract

Objective: To compare knowledge scores in chronic kidney disease beforeand after counseling. Method: A 6-month quasi-experimental study wasperformed in all outpatients diagnosed chronic kidney disease atPhraphutthabat hospital, Saraburi province during June 27 to December 28,2011. Data were collected using the knowledge evaluation questionnairedeveloped by the researchers. Knowledge scores, total and individualissues, were statistically compared between before and after counseling.Results: A total of 74 participants (51 chronic kidney disease patients and23 caregivers) with a mean age 59 years were included. The majority ofpatients had stage 5 or end-stage renal disease. Half of them werediagnosed with chronic kidney disease for 1 - 3 years. The most foundcomorbid diseases were hypertension, followed by dyslipidemia anddiabetes mellitus, respectively. When compared with knowledge scoresbefore counseling, overall knowledge score as well as score of each groupof knowledge questions (1-knowledge in chronic kidney disease, 2-concurrent diseases, 3-health behaviors affecting progression to end-stagerenal disease, and 4-complications and drugs use) after counseling were allsignificantly higher (P < 0.001 for all comparisons). Conclusion:Counseling in chronic kidney disease patients could improve theirknowledge. This could be applied to improve patient care by means ofbetter compliance.Keywords: counseling, chronic kidney disease, knowledge evaluation