• Journal of Korean Biological Nursing Science
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• v.5 no.2
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• pp.5-12
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• 2003

Purpose : The purpose of this study was to identify the relationship between fatigue and physiological factors in patients on hemodialysis. Method : Data were collected between June 1 and 7, 2003 using a structured questionnaire which included general characteristics, Visual Analogue scale and laboratory result. Result : Fatigue score changes is the mean of predialysis fatigue score was 4.36 and postdialysis fatigue score 4.66. There were statistically significant differences in score of postdialysis to sex, education and admission. The relationship between predialysis fatigue and interdialytic weight gain showed a positive correlation. The relationship between postdialysis fatigue and Cr showed a negative correlation. Conclusion : Nursing Management program should be developed to fatigue factors in patients on hemodialysis.

• Journal of Yeungnam Medical Science
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• v.16 no.2
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• pp.333-341
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• 1999

Background and Methods: In order to evaluate characteristics and modulatory factors of blood pressure in peritoneal dialysis(PD), studies were conducted on the 69 patients who had underwent peritoneal equilibration test(PET). Results: The results were as follows; 1) All patients received an antihypertensive drug before PD, but, 15 of 69 patients successfully quit taking the antihypertensive drug after peritoneal dialysis. 2) During peritoneal dialysis, mean arterial pressure(MAP) was significantly decreased for the first 3 months, and this lasted for 1 year, and antihypertensive drug requirements were significantly decreased continuously up to 9 months(p<0.05). 3) After changing the modality from hemodialysis to peritoneal dialysis, MAP(mmHg, from $107.0{\pm}4.5$ to $98.6{\pm}8.8$, p<0.05), antihypertensive drug requirements(from $5.6{\pm}2.6$, to $2.0{\pm}2.5$, p<0.01) and erythropoietin dosages(Uint/week, from $4600{\pm}2660$ to $2000{\pm}1630$, p<0.05) were decreased. 4) Multiple logistic regression analysis showed that MAP(p<0.01) and daily ultrafiltration volume(p<0.05) can contribute to the determination of antihypertensive drug requirements. However the relationship between antihypertensive drug requirements and PET results or dialysis adequacy indices(weekly Kt/V, weekly creatinine clearance) was not revealed. Conclusion: In conclusion, the prescription of antihypertensive drugs should be considered according to daily ultrafiltration volume, especially during first year after initiating PD, and follow-ups for over a year may be needed.

• Journal of Korean Academy of Nursing Administration
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• v.11 no.4
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• pp.439-448
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• 2005

Purpose: Purpose of the this study is to define the hemodialysis treatment-related stressors and stress coping methods in hemodialysis noncompliant patients. Method: Hemodialysis treatment-related stressors scale and stress coping style scale were used with 178 patients that received continuous hemodialysis treatment, met the noncompliance criteria. Collected data were analyzed by using the SPSS 12.0 program. Result: In hemodialysis noncompliant patients, Psychosocial stress were higher than physical stress, 'aesthetic thinking' was the most used. As recognition of health status was lower, hemodialysis treatment-related stressors were higher. In terms of causative disease, 'hypertension' pt used more 'problem-focus coping' and 'social support pursuit' than the other groups. As subjective recognition level of health status was higher, 'problem-focus coping' and 'social support pursuit' were more used. It was showed positive correlation between psychosocial stressors and 'aesthetic thinking'. Conclusion: Hemodialysis noncompliant patients had high psychosocial stress, accordingly, used 'aesthetic coping'. It means that they has negative coping to disease and hemodialysis treatment. Therefore, Nurses need to manage psychosocial aspects, which influence on noncompliant behaviors.

• 대한핵의학회:학술대회논문집
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• 1985.05a
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• pp.176.1-176.1
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• 1985

• Proceedings of the Korean Nutrition Society Conference
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• 2001.05a
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• pp.164.1-164
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• 2001

• Journal of Home Health Care Nursing
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• v.16 no.2
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• pp.123-134
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• 2009

Purpose: This study was designed to compare physical symptoms and fatigue of hemodialysis patients on dialysis day and non-dialysis day. Methods: Data were collected from 63 outpatients undergoing hemodialysis at a hospital in A university hospital in August and September, 2008 using structured questionnaires. The data were analyzed with SPSS WIN 12.0 program with Paired t-test and Pearson's correlation. Results: Physical symptoms in patients between dialysis day and non-dialysis day were not different statistically (t=1.76, p=.08). Fatigue on dialysis day was higher than on non-dialysis day (t=3.27, p=.00). Physical symptoms and fatigue positively correlated with dialysis day (r=.42, p=.00) and non-dialysis day (r=.52, p=.00). Conclusion: Intervention to decrease physical symptoms and fatigue in dialysis day and non-dialysis day should be developed.

• The Monthly Diabetes
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• s.214
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• pp.15-18
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• 2007

당뇨병은 혈액 속에 포도당이 높아져 이에 따른 각종 합병증 때문에 심각한 후유증을 초래할 수 있는 질환이다. 이 중에서 신장 합병증은 중요한 당뇨병 합병증 가운데 하나이다. 당뇨병성 신증은 거의 모든 당뇨병환자에게서 나타난다. 당뇨병성 신증의 마지막은 신장 기능이 거의 다 망가져 혈액투석이나 복막투석을 받는 말기신부전 환자의 가장 흔한 원인이 바로 당뇨병이므로 당뇨병의 신장 합병증을 줄이는 것이 환자의 삶의 질과 직결되는 문제라 할 수 있다. 신장합병증은 초기에는 증상이 잘 나타나지 않아 항상 주의가 필요하다. 신장이 손상되기 시작하면 단백뇨가 계속 나오고 혈압이 오르며 빈혈이 발생하고 몸이 붓는다. 이런 현상은 포도당의 대사물질이 사구체에 쌓이기 때문이다. '사구체'란 신장 안에서 오줌을 거르는 일을 하는 모세혈관 조직으로 일단 손상되면 회복되지 않고 진행되며 이 상태를 그대로두면 결국 더 이상 신장에서 혈액의 노폐물을 걸러내지 못하는 만성 신부전증으로 진행하게 되는 것이다.

• Journal of Chest Surgery
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• v.37 no.4
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• pp.342-348
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• 2004

It is very important for hemodialysis in patients with end stage renal disease to obtain vascular access that resists repeated punctures and maintains adequate blood flow. This study was designed to indentify factors that may influence early patency rate of autogenous arteriovenous fistula. Material and Method: 49 cases in 47 patients who underwent radiocephalic fistula formation in our hospital from June 2002 through May 2003 were reviewed and analyzed. Result: The early patency rate was 79.6%. Age, sex, hypertension, and diabetes mellitus were not significant factors for patency. Body mass index and duration of hypertension and diabetes did not influence the early results either. Cephalic vein diameter measured preoperatively and blood flow at radio-cephalic fistula were significantly positive correlative factors. Groups with the vein diameter less than 2.7mm, or with the blood flow less than 100 mL/min had significantly lower early patency rate than the other groups. Conclusion: To improve early patency rate of radiocephalic fistula, large sized cephalic vein should be selected and if the intraoperative flow at radiocephalic fistula is less than 100 mL/min, another arteriovenous fistula formation should be considered.

• Journal of the Korea Academia-Industrial cooperation Society
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• v.17 no.5
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• pp.660-670
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• 2016

This cross-sectional descriptive investigation attempted to identify the relationship among the symptoms, spiritual well-being, and depression experienced by patients undergoing hemodialysis. Data were collected from 146 patients at 6 hemodialysis clinics from October 15th, 2014 to January 15th, 2015. The Dialysis Symptom Index (DSI) was used to measure symptom experience, spiritual well-being was measured using the Spiritual Well-being Scale, and depression was assessed using the Center for Epidemiologic Studies Depression Scale (CES-D). The data were analyzed using ANOVA, the t-test, Scheffe's test, Pearson correlation, and hierarchical regression analysis. The mean score of the symptom experience was 26.43 (range: 0~85), the mean spiritual well-being score was 47.79 (range: 20~80), and the mean depression score was 10.56 (range: 0~35). It was found that greater existential well-being leads to lower depression (r=-.23, p=.004) and symptom experience (r=-.17, p=.045). Greater physical (B=.09) and emotional (B=.64) symptom experience leads to higher depression and the explanatory power of these factors was 52.1% (F=18.54, p<.001). Therefore, a comprehensive nursing intervention that can help reduce the symptom experience and increase the existential well-being in hemodialysis patients is needed to reduce their depression.

• Journal of the Korea Academia-Industrial cooperation Society
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• v.20 no.7
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• pp.589-598
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• 2019

This study was conducted to build a structural equation model explaining factors that affect hemodialysis patients' quality of life to test the goodness of fit of the model and identify directly and indirectly significant paths. To accomplish this, 230 patients receiving hemodialysis registered at study hospitals in G Metropolitan City and M City were randomly selected, and 201 were used in the final analysis. Data were collected using a self reporting questionnaire from February 1 to March 31, 2014. SPSS WIN 18.0 was used for descriptive statistics and correlation analysis of the general characteristics and for reliability analysis of the research tools. In addition, AMOS 18.0 was used for confirmatory factor analysis of latent variables, to determine the goodness of fit of the hypothetic model, and hypotheses testing. The results of this study were as follows: the fit of the modified model was 41.32, GFI = .96, AGFI = .92, RMR = .04, NFI = .96, CFI = .91 and TLI = .95. Twelve out of the 22 research hypotheses that were improved and improved were statistically significant. The results indicated that hemodialysis patients' quality of life was influenced directly by self-efficacy, depression, and self-care behavior, and indirectly by sleep disturbance, stress, fatigue, and family support. These variables explained 58.6% of the variation in quality of life. Overall, these findings suggest that nursing interventions for hemodialysis patients require strategies for managing patient depression and for increasing self-efficacy and self-care behavior to improve quality of life.