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문정화 ( Moon Jeong-Hwa ) - 원주세브란스기독병원
신윤희 ( Shin Yun-Hee ) - 연세대학교 원주의과대학 간호학과
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Abstract
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Purpose: This study was a cross-sectional study comparing differences in self-management knowledge, self-management, physiologic indexes, and symptoms experience for two methods of dialysis.
Methods: Participants were 90 patients on hemodialysis and 91 on peritoneal dialysis at A hospital.
Results: There was no significant difference between the two groups for knowledge of self-management. A comparison of the categories in the evaluation of self-management showed that patients in the peritoneal dialysis group took better care of their dialysis access route (F=17.61, p<.001) and dialysis schedule (F=4.30, p=.040). The physiologic indexes between the two dialysis groups showed that hemoglobin levels were higher in the hemodialysis group (F=5.28, p=.023). The product of serum calcium and phosphate was higher in the peritoneal dialysis group (F=11.42, p=.001). Serum sodium level was also higher in the peritoneal dialysis group (t=5.36, p<.001) while serum albumin level (t=-3.36, p=.001) and mean arterial blood pressure (t=-2.50, p=.013) were higher in hemodialysis patients. There were no significant differences in the proportion of uncomfortable experiences between the two groups.
Conclusion: Medical personnel should consider differences in self-management knowledge/self-management, physiologic indexes, and symptoms experience for hemodialysis and peritoneal dialysis populations, and should provide adequate education accordingly and promote behavioral change to improve physiologic indexes and reduce symptoms.
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KeyWords
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투석, 자가관리지식, 자가관리, 생리적지표, 증상경험
Dialysis, Knowledge, Self-Management, Biological markers, Symptom assessment
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원문 및 링크아웃 정보
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등재저널 정보
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