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우혜주 ( Woo Hye-Joo ) - 중앙대학교 용산병원
김인영 ( Kim In-Young ) - 중앙대학교 용산병원
김미라 ( Kim Mi-Ra ) - 중앙대학교 용산병원 인공신장센터
천아영 ( Chun A-Young ) - 중앙대학교 용산병원 인공신장센터
김시숙 ( Kim Si-Sook ) - 중앙대학교 용산병원
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Abstract
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Purpose: Hypotension, inadequate dialysis of hemodialysis(HD) patients influence on increased physical discomfort, morbidity, and mortality. HD with cool temperature dialysate is one of the methods to prevent intradialytic
hypotension, physical discomfort(muscle cramp, chilling, itching sense), dialysis adequacy(Kt/V).
Method: Fifty-one patient proceeded HD with cool temperature diasylate(35.5℃), forty-four patient with conventional dialysate temperature(36.5℃). Blood pressure, physical discomfort(muscle cramp, chilling, itching sense) in visual analogue scale(VAS), and Kt/V to assess dialysis adequacy were measured.
Result: Itching sense is significantly decreased in cool temperature dialysate group (p=.041). However muscle cramp, chilling were not affected by temperature. Hypotension, Kt/V were not related to the temperature of dialysate either.
Conclusion: Decreased itching sense by using cool temperature dialysate would improve quality of life in hemodialysis patients.
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KeyWords
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혈액투석, 저온투석, 혈압, 신체적 불편감, 투석적절도
Hemodialysis, Cool temperature dialysate, Dialysis Adequacy(Kt/V), Blood pressure, Physical discomfort
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원문 및 링크아웃 정보
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등재저널 정보
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