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강해숙 ( Kang Hae-Sook ) - 좋은삼선병원
양영옥 ( Yang Young-Ok ) - 가야대학교 간호대학
강현주 ( Kang Hyeon-Ju ) - 좋은삼선병원
강의정 ( Kang Eui-Jung ) - 좋은삼선병원
유난영 ( Yu Nan-Young ) - 좋은삼선병원
공진화 ( Kong Jin-Hwa ) - 좋은삼선병원
김아름 ( Kim A-Rum ) - 좋은삼선병원
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Abstract
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Purpose: The purpose of this study was to evaluate adverse reactions during hemodialysis with gradient ultrafiltration and high sodium dialysate could be reduced as compared to conventional hemodialysis.
Method:Thirteen outpatients who had been on hemodialysis three times in a week for more than 6 months were recruited. he data were collected for 8 weeks from July 3 through August 26, 2006. Patients received conventional hemodialysis for the first four weeks, and then received profiling dialysis of gradient ultrafiltration & high sodium dialysate for the second four weeks. The collected data were analyzed with mean, standard deviation, paired t-test at significant level of .05.
Results: The incident frequency of hypotension during sodium profiling hemodialysis was reduced, compared to conventional hemodialysis(t=1.210, p=.020). At the same time, the number of nursing interventions during sodium profiling
hemodialysis was reduced significantly. Although systolic and diastolic blood pressure measured after profiling
hemodialysis and conventional hemodialysis were not significantly different, the levels of systolic and diastolic BP were increased and concentration level of sodium was increased from 138.0±2.2mEq/L in conventional hemodialysis(the
first four weeks) to 140±2.9mEq/L in profiling hemodialysis(the second four weeks) with t=-1.627, p=.114.
Conclusion: Due to the reduced number of adverse reactions and nursing interventions in profiling hemodialysis, we can expect an increase in patient’s compliance toward hemodialysis. This study suggest that profiling hemodialysis would be more efficient hemodialysis and more effective nursing interventions in occurrence of adverse reactions. However, because of the limited number of cases of this study, the effectiveness of profiling hemodialysis is yet to be determined.
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KeyWords
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만성신장질환, 일반투석, profiling 투석, 혈액투석 중 부작용
Profiling hemodialysis, Conventional Hemodialysis, Patients with chronic renal disease
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원문 및 링크아웃 정보
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등재저널 정보
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