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저효율 혈액투석 불이행 측정 도구 개발

 A Study of Low Flux Hemodialysis Noncompliance Indicators and Discriminant Standards, Development of Hemodialysis Noncompliance Measurement - brief Form(HNCM-BF)

간호행정학회지 2007년 13권 4호 p.462 ~ 472
KMID : 0614820070130040462
허정 ( Hur Jung ) - 이화여자대학교 간호행정학

Abstract

Purpose: Purpose of the this study is to defined the hemodialysis noncompliance Indicators and discriminant standards leverls for low Flux Hemodialysis patients and development of hemodialysis noncompliance measurement - brief form.

Method: Data was collected from 269 hemodialysis patients. To establish the Hemodialysis noncompliance Indicators and to discriminate standards, 13 hemodialysis nurses and 2 nephrology doctors are participated in professional group. To verify the indicators and discriminant standard, data was ananlyzed by the canonical discriminant analysis method using by SAS 8.3 program.

Result: 4 Indicators- interdialysis weight gain(IWG); average of recent 4week, serum phophate level, skipping of hemodialysis and hemodialysis time shortening without permission- of hemodialysis noncompliance are established and discriminant standards are developed. Discriminant ability of these 4 noncompliance indicators is 99.7%(p=.000). Hemodialysis noncompliant patients have high risks. It means that special intervention to noncompliance is needed. Also continuous and objective assessment and standards of noncompliance are needed.
KeyWords
저효율 혈액투석, 불이행 지표, 불이행 측정도구
Renal dialysis, Treatment refusal
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학술진흥재단(KCI) KoreaMed