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The effect of Arteriovenous Fistula Cannulation Direction and Puncture Distance on the Recirculation Rate of Hemodialysis Patients

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KMID : 1221920180110010028
ÀÓÈ¿Á¤ ( Lim Hyo-Jeong ) - ÀÎÁ¦´ëÇб³ »ó°è¹éº´¿ø

ÃÖÀºÈñ ( Choi Eun-Hee ) - Çѱ¹¼º¼­´ëÇб³ °£È£Çаú
±èÀºÁÖ ( Kim Eun-Ju ) - ÀÎÁ¦´ëÇб³ »ó°è¹éº´¿ø
Á¤ÁöÀ± ( Jeong Ji-Yoon ) - ÀÎÁ¦´ëÇб³ »ó°è¹éº´¿ø
¹Ý½Â¼ö ( Ban Seung-Su ) - ÀÎÁ¦´ëÇб³ »ó°è¹éº´¿ø

Abstract

Purpose : The purpose of this study was to compare the effect of recirculation rate according to cannulation direction and interval among hemodialysis patients with arteriovenous fistula (AVF).

Method : The research used repeated measures design. This study was conducted among thirty patients who received hemodialysis three times a week for longer than a year through AVF at the I University hospital. Three different types of interventions were administered to the participants each week for three weeks. Needles were placed at a different distance and in a different direction each week: 7 cm apart from each other in antegrade direction during the first week, 5 cm apart in retrograde direction in the following week, and 7 cm apart in retrograde direction in the third week.

Results : No significant differences in the recirculation rate were found due to any of the three tested methods (p = 1.00).
Conclusion : This finding suggests that, if the patients have well-functioned AVF, we can choose an appropriate intervention from among the three methods in consideration of the patient¡¯s diverse needs.
KeyWords
Åõ¼®, µ¿Á¤¸Æ·ç, õÀÚ
Hemodialysis, Arteriovenous fistula, Puncture
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ÇмúÁøÈïÀç´Ü(KCI)