Factors Associated with Diabetic Nephropathy in Type 2 Diabetic Patients, Huasai Hospital, Huasai District, Nakhon Si Thammarat Province

Abstract

The retrospective descriptive study aimed to study factors associated with diabetic nephropathy in type 2 diabetic patients at Huasai Hospital, Huasai district, Nakhon Si Thammarat province. The purposive sampling selected 140 patients with diabetic nephropathy in type 2 diabetic patients. The researcher created the questionnaires and validated them by three experts (CVI = .87). The questionnaire’s reliability was tested with type 2 Diabetic patients like the sample group by yielding Cronbach’s alpha coefficient equal to 0.80. Data were analyzed using descriptive statistics and Pearson correlation coefficient statistics.

The findings revealed that demographic and clinical factors, including gender, Blood pressure levels, principal caregivers, and LDL cholesterol levels, were a low positive associated with kidney complications in patients with type 2 diabetes and statistically significant at the .05 level (r_xy = 0.175, 0.171, 0.189, and 0.185, respectively). As for health factors such as weight and body mass index, a low negative associated with kidney complications in patients with type 2 diabetes was statistically significant at the .05 level (r_xy = -0.215, -0.191). In addition, it was found that treatment with the biguanide drug had a moderate negative association with kidney complications in patients with type 2 diabetes, statistically significant at the level of .01 (r_xy = -0.384). The serum creatinine level factor has a moderate positive effect associated with kidney complications in patients with type 2 diabetes, statistically significant at level .01 (r_xy = .541). However, in health behavior factors in terms of perception of health status and perception of complications, there was no relationship with kidney complications in patients with type 2 diabetes (p > .05).