ผลการให้คำปรึกษาเรื่องโรคและยาในผู้ป่วยโรคไตเรื้อรัง: บทวิเคราะห์เพิ่มเติมเพื่อพัฒนาแนวทางการให้คำปรึกษาแก่ผู้ป่วย Effect of Counseling in Chronic Kidney Disease Patients: Additional Analysis for Improving Actual Counseling Guideline

Abstract

Objective: To compare knowledge scores in chronic kidney disease (CKD)before and after counseling and to examine the knowledge question forimproving the appropriate counseling guideline. Method: A 6-month quasiexperimentalstudy was performed in all outpatients diagnosed with CKD atPhraphutthabat hospital, Saraburi province. Data were collected using theknowledge evaluation questionnaire developed by the researcher.Knowledge evaluation was determined before and after intervention. Theknowledge questions were examined for improving the counseling guidelinein CKD patients. Results: A total of 74 participants (51 CKD patients and23 caregivers) were included. The global knowledge score after counselingwas higher (P < 0.001). Despite having counseling once, the participantscould understand health behavioral information, such as health behaviorsaffecting progression to end-stage renal disease, foods to avoid in CKDpatients with complications, etc. For health knowledge about numericalinformation (such as the target value for controlling blood pressure, bloodsugar and lipid profile) and health knowledge consisting of unfamiliartechnical terms (such as disadvantage of hyperkalemia,hyperphosphatemia, hyperparathyroidism, etc), the participants could notunderstand well after counseling once and could consequently lead to drugnoncompliance. Conclusion: Pharmacist is a key person in counseling inCKD patients. Counseling guideline should be improved continuously.Health knowledge including some numerical information and technicalterms should be repeatedly advised for sustainable understanding.Keywords: counseling, chronic kidney disease, counseling guideline