Effectiveness of a Patient-Family-Shared Care Program on Delaying the Progression of Chronic Kidney Disease in Uncontrolled Type 2 Diabetic Patients: A Quasi-Experimental Study

Abstract

Objective: This study aimed to examine the effectiveness of a patient-family-shared care program in delaying the progression of chronic kidney disease (PFS-DCKD-P) in uncontrolled type 2 diabetic patients within Phrae province, Thailand.Material and Methods: In this quasi-experimental research, twenty-three patient-family member dyads in the intervention group completed the 16-week PFS-DCKD-P; while twenty-two patient-family member dyads of the control group received a regular program. Outcomes included: patients’ shared care, family members’ shared care and the clinical outcomes, which were chronic kidney disease clinical indexes (CKDC-Indexes). Differences were compared within the groups before and after participating in the program as well as differences between groups after participating in the program. Descriptive statistics, paired t-test, and independent t-test statistics were used for data analysis.Results: The patients’ shared care of a decision-making component and a reciprocity component, systolic blood pressure (SBP), and blood sugar (BS) after program participation were higher than before in the intervention group (p-value<0.05). When compared between groups, the SBP of the intervention group was lower than the control group (p-value<0.05). There were no statistical differences of patients’ and family members’ shared care mean scores between the two groups. However, family members’ shared care of the communication component was increased in the intervention group (p-value<0.05). Conclusion: The PFS-DCKD-P showed no explicit effectiveness on improving shared care for both patients and family members, nor for CKDC-Indexes. Further studies should optimize each program activity and encourage more consistent participation from family members.