Analysis of Caring for Patients with Chronic Kidney Disease : A Case Study of the Communities in Mueng Nakonpanom Municipality, Nakonpanom Province A Case Study of the Communities in Mueng Nakonpanom Municipality, Nakonpanom Province

Abstract

The work was a descriptive study.  It aimed to study the states, problems, physical features, social and cultural structures, social capital and needs and to analyze strengths and weakness,  problems and obstacles, and opportunity. The samples were derived by a purposive sampling.  Twenty-five informants were  patients with chronic disease and chronic kidney disease.   Data were obtained by means of interview, in-depth interview, focus group and medical registration.  Statistics used in data analysis were frequency, percentage, mean,  and content description.

  The study found that the subjects were mainly aged 54 years,  residing in Mueang Nakornphanom Municipality. There were 2,123 patients, 815 (38.39%) having diabetes, and  1,308 ( 61.61) having a high blood pressure. Among the patients having a chronic disease, 90 of them had suffered from a chronic kidney disease at the state of 1 -3.   SWOT Analysis showed both strengths and weakness in terms of health behavior,  eating habit, exercises, and emotional management. The target groups had a good chance to choose a right health behavior thanks to the external factors.  The factors in question were the support from local leaders, cooperation from the health network,  economic and social conditions, and religious values.  As for the caring context, there were sufficient public health service facilities.  Local leaders and health leaders were strong and active.  They were highly cooperative, able to integrate the responsibilities and tasks. As a result,  there was an increased opportunity to give a good care for the patients.