การพัฒนารูปแบบโภชนบำบัดชะลอความเสื่อมของไตในผู้ป่วยเบาหวาน โรงพยาบาลส่งเสริมสุขภาพตำบลพังคี อำเภอยางสีสุราช จังหวัดมหาสารคาม

บทคัดย่อ

Abstract

Action research Objective is to develop nutrition deterioration of the kidneys in patients with diabetes the duration of the study is October 2014 –March 2015 Method  divides in to 3 phase include 1. Situation Analysis and Problem Analysis 2. Develop model nutrition deterioration of the kidneys in patients with diabetes  3. Evaluation and storages is Qualitative data and Quantitative data. Choose a specific population group include Community leaders , Health volunteers, Diabetic patients without renal complications , Diabetic patients with renal complications, Care giver and Health officials .Content Analysis and Triangulation Data Quantitative data Analysis is Averages and percent Results  1. Care arrangements  include  1.1 Potential development partners and network administrators about nutrition 1.2 The development of local food deterioration of the kidneys 1.3 Build 
“love kidney team” (Community leaders, Health volunteers, Care giver) Development for Home Heath Care  team  about nutrition 2. Activities nutrition include 2.1 only available separately for patient with renal complications  2.2 Empowerment  (Gibson, 1993 ) concepts 6 step  2.2.1 Exchange experiences memorial Heath care it self . 2.2.2 Analyze of the cause it self can not take care of your health . 2.2.3 Dietary learn from the master 2.2.4 Joint development of local food 2.2.5 Create incentives for behavior modification 2.2.6 Schedule follow – up and Home Heath care For “love kidney team” Evaluation after bring the model to use with a patient 20 people found CKD stage 3 The decrease in eGFR less 4 m/min accounting for 65 %  patients can change stage of the kidney accounting for 40 % satisfaction of caregivers  and patients = highest level Suggestion the model developed  by the involvement of patients , Care giver, Family ,and community in accordance with the local context Northeast include continuous monitoring of the multidisciplinary team and party network as a result patients to modify the behavior of the meal It order to slow down the degeneration of the kidneys.