Journal of Convergence for Information Technology (융합정보논문지)

Convergence Society for SMB (중소기업융합학회)
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The Effects of Misutkaru Water Drink on Relieving Constipation and Physiological Measurements: A Preliminary Study for the Development of Convergent Misutkaru Water Drink Intake Program in Patients with Hemodialysis

혈액 투석 환자의 변비 완화 및 생리적 지표 향상을 위한 융합형 미숫가루 음용 섭취 프로그램 개발 예비 조사

  • Received : 2019.02.25
  • Accepted : 2019.05.20
  • Published : 2019.05.28
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Abstract

The purpose of this study aimed to develop the misutkaru water drink intake program that was possible to compare the effects of misutkaru drink on relieving constipation and physiological measurementson relieving constipation of the patients with hemodialysis. This study was non-equivalent control group pretest-posttest design with 42 patients in a general hospital in S city, Korea. During the experiment, the participants had to drink misutkaru water in the morning and past the 7 days after intake as constipation assessment scale, potassium and phosphorus were measured. The data were examine using t-test, Fisher's exact test, paired t-test. After misutkaru drinking intervention, constipation (z=-2.66, p=.002) decreased significantly improvement. This suggests that misutkaru water drinking intervention improved constipation in patients with hemodialysis.

본 연구의 목적은 혈액 투석 환자의 변비 정도를 파악하고, 미숫가루가 변비 완화 및 생리적 지표에 미치는 효과를 알아보고자 함이다. S시 소재 종합 병원에서 혈액 투석을 받는 환자 42명을 대상으로 실험군에게 미숫가루 30g을 복용하게 하고 변비 사정 척도 점수와 혈청 Potassium, Phosphorus을 측정하였다. 변비 사정 척도 점수는 실험군이 4.5점, 대조군이 6.5점으로 두 집단 모두 점수가 낮아졌다(z=-2.66, p=.002). Potassium은 실험군이 4.9mmol/l, 대조군이 4.7mmol/l 이었고(z=0.91, p=.960). 혈청 Phosphorus점수는 실험군이 5.3mg/dl, 대조군이 4.7mg/dl 이었으나 (z=0.45, p=.540) 통계적으로 유의하지 않았다. 미숫가루 음용은 혈액 투석환자의 변비 완화를 위한 적절한 간호 중재로 적용될 수 있으며 미숫가루 음용 섭취를 통해 혈액 투석 환자의 변비 완화 간호 중재의 적극인 활용이 임상 실무에서 도움이 될 것으로 생각된다.

Keywords

Table 1. General and disease related characteristics of participants

JKOHBZ_2019_v9n5_40_t0001.png 이미지

Table 2. Homogeneity of Constipation Scale and Physiological Measurements between Experimental and Control Group

JKOHBZ_2019_v9n5_40_t0002.png 이미지

Table 3. Comparison of Constipation Scale and Physiological Measurements between Experimental and Control Group after Intervention

JKOHBZ_2019_v9n5_40_t0003.png 이미지

References

  1. ESRD Registry Committe (2018). Current renal replacement therapy in Korea. Korean Society of Nephrology, 1-24.
  2. S. M. Lim, K. M. Lee & N. Y. Shin.(2018). A study on the self management and physiological measurements of patients on hemodialysis according to their age. Journal of Korean Clinical Nursing Research, 24(3), 363-370. https://doi.org/10.22650/JKCNR.2018.24.3.363
  3. N. H. Lee & K. H. Lim. (2018). Factors affecting hyperphosphatemia in hemodialysis patients. Korean Journal of Adult Nursing, 30(6), 599-610. https://doi.org/10.7475/kjan.2018.30.6.599
  4. M. H. Sung, S. J. Park & O. B. Eum. (2008). The effect of abdominal massage on relieving constipation of the patients with hemodialysis. Journal of Korean Clinical Nursing Research, 14(3), 37-46.
  5. I. K. Sung. (2008). Review: Classification and treatment of constipation. The Korean Journal of Gastroenterology, 51(1), 4-10.
  6. J. E. Shin. (2018). Pharmacological treatment of chronic constipation: Focused on oral laxatives. Journal of the Korean Medical Association, 61(1), 57-61. https://doi.org/10.5124/jkma.2018.61.1.57
  7. E. Acar, H. S. Cicek, S. Kilic & N. Tosun. (2016). The evaluation of information requirements of the intensive care nurses in end-stage renal failure patients' care. Balkan Military Medical Review, 19(1).
  8. A. Lee, K. Lambert, P. Byrne & M. Lonergan. (2016). Prevalence of constipation in patients with advanced kidney disease. Journal of Renal Care, 42(3), 144-149. https://doi.org/10.1111/jorc.12157
  9. C. I. Ramos, A. F. de Lima, D. G. Grilli & L. Cuppari. (2015). The short-term effects of olive oil and flaxseed oil for the treatment of constipation in hemodialysis patients. Journal of Renal Nutrition, 25(1), 50-56. https://doi.org/10.1053/j.jrn.2014.07.009
  10. R. Dong, Z. Y. Guo, J. R. Ding, Y. Y. Zhou & H. Wu. (2014). Gastrointestinal symptoms: a comparison between patients undergoing peritoneal dialysis and hemodialysis. World Journal of Gastroenterology: WJG, 20(32), 11370. https://doi.org/10.3748/wjg.v20.i32.11370
  11. R. Ikee, T. Toyoyama, T. Endo, T. Tsunoda & N. Hashimoto. (2016). Clinical factors associated with constipation in hemodialysis patients. International Urology and Nephrology, 48(10), 1741-1742. https://doi.org/10.1007/s11255-016-1363-3
  12. M. Bossola, G. Luciani, F. Rosa & L. Tazza. (2011). Appetite and gastrointestinal symptoms in chronic hemodialysis patients. Journal of Renal Nutrition, 21(6), 448-454. https://doi.org/10.1053/j.jrn.2010.09.003
  13. G. Castledine, M. Grainger, N. Wood & C. Dilley. (2007). Researching the management of constipation in long-term care: Part 1. British Journal of Nursing, 16(18), 1128-1131. https://doi.org/10.12968/bjon.2007.16.18.27506
  14. E. K. Kim. (2010). Effects of lees from brown rice on waist circumference and metabolic parameters in type 2 diabetes: a randomized, double-blinded, placebo-controlled trial. Masters's thesis, Ajou University. Suwon.
  15. The Korean nutrition society. (2000). Dietary reference intakes for Koreans 2015.
  16. M. H. Kim & J. H. Surh. (2018). Physical properties and sensory preferences of US resident-Friendly Sunsik. Korean Journal of Food and Cookery Science, 34(5), 484-492. https://doi.org/10.9724/kfcs.2018.34.5.484
  17. J. J. Lee, J. M. Kim & Y. R. Kim. (2013). Association of diet-related quality of life with dietary regimen practice, health-related quality of life, and gastrointestinal symptoms in end-stage renal disease patients with hemodialysis. Korean Journal of Nutrition, 46(2), 137-146. https://doi.org/10.4163/kjn.2013.46.2.137
  18. S. C. Mc Millan & F. A. Williams. (1989). Validity and reliability of the constipation assessment scale. Cancer Nursing, 12(3), 183-188. https://doi.org/10.1097/00002820-198906000-00012
  19. KDOQI. (2007). KDOQI Clinical practice guidelines and clinical practice recommendations for diabetes and chronic kidney disease. American Journal of Kidney Diseases, 49(2 Suppl 2), S12-S154. https://doi.org/10.1053/j.ajkd.2006.12.005
  20. Y. S. Bang, E. H. Jang & H. J. Chung. (2017). Quality and physicochemical characteristics of newly developed sunsik products with germinated brown rice. Korean Journal of Food Science and Technology, 49(5), 513-518. https://doi.org/10.9721/KJFST.2017.49.5.513
  21. J. S. Lee, A. R. Kim, H. K. Nam, M. O. Kyung, S. E. Jo & M. J. Chang. (2017). Effect of xylobiose-sugar mixture on defecation frequency and symptoms in young women with constipation. Journal of Nutrition of Heath, 50(1), 41-52. https://doi.org/10.4163/jnh.2017.50.1.41
  22. S. H. Park & K. O. Cha. (2016). Oriental and western food effects analysis of misutgaru for fusion remedy on diabetes mellitus. Journal of the Korean Convergence Society, 7(1), 137-143. https://doi.org/10.15207/JKCS.2016.7.1.137