Can a community-based multidisciplinary intervention effectively restore renal function? A non-randomized clinical trial.
There is insufficient evidence in the literature to indicate whether the promotion of lifestyle changes to prevent renal dysfunction and activate regeneration is effective. We examined the effectiveness of a community-based intervention program on renal restoration using a non-randomized clinical trial design with a follow-up period of six months. The training focused on lifestyle changes, including health education and personal consultation with a multidisciplinary health team. Our study included 120 patients with fractional excretion of magnesium levels of > 2%, who were assigned to experimental or control groups. Fractional excretion of magnesium levels were significantly decreased within six months in the experimental group; however, changes in the estimated glomerular filtration rate were not identified in either of the groups. These results suggest that screening of the fractional excretion of magnesium level and the "Healthy Kidney Program" had an effect in preventing chronic kidney disease or restoring kidney function.
Ramathibodi School of Nursing, Faculty of Medicine, Ramathibodi Hospital, Mahidol University, Bangkok, Thailand.
Rutja
R
Phuphaibul
Phutthamonton Hospital, Salaya, Nakorn Prathom, Thailand.
Watana
W
Teamprathom
Asian Institute of Health Development, Mahidol University, Nakorn Prathom, Thailand.
Apa
A
Puckpinyo
Ramathibodi School of Nursing, Faculty of Medicine, Ramathibodi Hospital, Mahidol University, Bangkok, Thailand.
Supannee
S
Tharakul
D003153:Community Health Services / Q000379:methods*; D005260:Female; D005919:Glomerular Filtration Rate; D006801:Humans; D008274:Magnesium / Q000032:analysis / Q000378:metabolism; D008297:Male; D008875:Middle Aged; D051437:Renal Insufficiency / Q000517:prevention & control / Q000628:therapy*; D040242:Risk Reduction Behavior
D008274:Magnesium
FEMg; Thailand; chronic illness; community; multidisciplinary; renal failure; restoration