Effects of PRECEDE-PROCEED model on community health management of chronic kidney disease patients

Abstract

Objective To explore the effects of PRECEDE-PROCEED model on the health management of community patients with chronic kidney disease (CKD) and to improve the comprehensive prevention and control of CKD. Methods Totally 105 patients with stage 3 or stage 4 CKD from community hospitals in partnership with Xinxiang Central Hospital were selected by convenient sampling in September 2017, who received management with PRECEDE-PROCEED model for 6 months. The Disease Knowledge Questionnaire developed by the Department of Nephrology, West China Hospital, Sichuan University was used to evaluate the patients' illness perception at inclusion as well as 1 month, 3 months and 6 months after intervention, and the changes of relevant clinical and biochemical indicators were examined at the same time points. Results The subjects' illness perception scores at inclusion as well as 1 month, 3 months and 6 months after intervention were (31.40±8.79) , (45.32±10.51) , (56.57±12.16) and (72.83±14.75) , respectively. The longer the intervention, the deeper the illness perception was (F=233.574, P<0.01) . The subjects' systolic pressure, diastolic pressure, serum protein, blood urea nitrogen, serum creatinine, uric acid, blood calcium, blood phosphate and glomerular filtration rate decreased gradually as the duration of intervention became longer (P<0.01) . Conclusions PRECEDE-PROCEED model can effectively improve the illness perception of community patients with CKD, retard the progress of CKD, and bring better health management effects. Key words: Chronic kidney disease; PRECEDE-PROCEED model; Health management