• 간호행정학회지
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• 제13권4호
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• pp.462-472
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• 2007

Purpose: Purpose of the this study is to define the hemodialysis noncompliance Indicators and discriminant standards levels for low Flux Hemodialysis patients and development of Hemodialysis noncompliance measurement - brief form. Method: Data was collected from 269 hemodialysis patients. To establish the hemodialysis noncompliance Indicators and to discriminate standards, 13 hemodialysis nurses and 2 nephrology doctors are participated in professional group. To verify the indicators and discriminant standards, data was ananlyzed by the canonical discriminant analysis method using by SAS 8.3 program. Result: 4 Indicators- interdialysis weight gain(IWG); average of recent 4weeks, serum phophate level, skipping of hemodialysis and hemodialysis time shortening without permission- of hemodialysis noncompliance are established and discriminant standards are developed. Discriminant ability of these 4 noncompliance indicators is 99.7%(p=.000). Hemodialysis noncompliance measurement - brief form has 96.3% discriminant accuracy. Conclusion: Hemodialysis noncompliant patients have high risks. It means that special intervention to noncompliance is needed. Also continuous and objective assessment and standards of noncompliance are needed.

• 대한간호학회지
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• 제29권3호
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• pp.563-575
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• 1999

The purpose of this study was to examine the correlation between self-efficacy and self-care of hemodialysis patients. The subjects consisted of 140 hemodialysis patients who underwent hemodialysis at 2 university hospitals. The data were collected by questionnaires and chart review. The questinnaire used the self-efficacy tool developed by Kim Ju Hyune(1995) and the self-care tool developed by literature review and indepth open openended questions to 10 patients. Also, the questionnaire included physiologic data which collected through review of the patients' charts. The statistical analysis was used the SPSS program for frequency, mean, t-test, ANOVA and Pearson correlation. The results were as follows : 1. The mean score for general self-efficacy of hemodialysis patients was 3.103(1-4point) and there were significant differences according to percieved health. The mean score for specific self-efficacy of hemodialysis patients was 3.113 (1-4point) and there were significant differencies according to percieved health, side effects and complications which related hemodialysis. 2. The mean score for self-care of hemodialysis patients was 3.822(1-5point) and there were significant differencies according to marital status and economic level. 3. The relationship between general self-efficacy and self-care was a positive correlation(P＝.000). The relationship between specific self-efficacy and self-care was a positive correlation(P＝.000). In conclusion, this study revealed the level of self-efficacy and self-care, and the positive correlation between self-efficacy and self-care in hemodialysis patients. Therefore, intervention is needed to promote self-efficacy for self-care of hemodialysis patients. Considering the vulnerable self-care area same as checking blood pressure and weight, fluid restriction, social adjustment, exercise and rest, luther studies should develop self-efficacy promoting programs for self-care of hemodialysis patients.

• 대한의생명과학회지
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• 제23권3호
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• pp.185-193
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• 2017

Malnutrition is common and the major risk factor of mortality of end stage renal disease (ESRD) patients. The aim of this study is to assess nutritional status of malnutrition patients on dialysis by various methods and compare nutritional parameters of continuous ambulatory peritoneal dialysis (CAPD) patients with hemodialysis patients. 137 patients on dialysis from April 2009 to July 2013 were enrolled. Nutritional parameters of 66 CAPD and 71 hemodialysis patients were investigated by anthropometry, biochemical study, diet analysis and questionnaires. Malnutrition patients were selected by body mass index (BMI), serum albumin and pre-albumin based on International Society of Renal Nutrition and Metabolism (ISRNM) diagnostic criteria for protein-energy wasting and compared with non-malnutrition patients. In comparison of CAPD and hemodialysis patients, most anthropometric values showed no significant difference except total body water (TBW). TBW was lower in CAPD patients (P=0.024). Although serum albumin was slightly higher in hemodialysis patients (P=0.047), pre-albumin were significantly higher in CAPD patients (P=0.000). Serum blood urea nitrogen (BUN) was higher in hemodialysis patients (P=0.000). In diet analysis, Total calorie (P=0.000) and total cholesterol (P=0.012) intakes were higher in CAPD patients. Mean subjective global assessment (SGA) grade was higher in CAPD patients (P=0.003). Several nutritional parameters of CAPD patients were better than hemodialysis patients implying more intensive therapeutic approach may be needed for hemodialysis patients. We have to understand multiple factors contributing malnutrition of ESRD patients and individualized therapeutic approach is needed.

• 대한간호학회지
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• 제36권2호
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• pp.321-329
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• 2006

Purpose: The purpose of this study was to determine the effects of music therpy on anxiety and depression in patients undergoing hemodialysis. Method: The study was designed using a nonequivalent control group pretest-posttest design. The subjects consisted of 36 patients (Experimental group: 18, Control group: 18) who received hemodialysis in three hospitals located in Seoul. The measures were a Music Preference Questionnaire (MPQ), anxiety measurement, and depression measurement. Data was collected from December 26, 2004 to April 2, 2005 through questionnaires. The collected data was analyzed by the SPSS 10.0 program. Result: The first hypothesis that patients undergoing hemodialysis who received music therapy would have less anxiety than patients undergoing hemodialysis who did not receive music therapy was supported(F=8.05, p=.008). The second hypothesis that patient undergoing hemodialysis who received music therapy would have less depression than patients undergoing hemodialysis who did not receive music therapy was supported(F=11.86, p=.002). Conclusion: The results of this study suggest that music therapy may be applied as a method of nursing intervention contributing to the improvement of quality life by reducing their anxiety and depression of patients undergoing hemodialysis.

• 기본간호학회지
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• 제7권1호
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• pp.42-59
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• 2000

This study was done to analyze and develop the concept of coping in patients receiving hemodialysis. The Hybrid Model of concept development was applied to develop a conceptual structure of coping in patients receiving hemodialysis, which included a field study carried out using an in-dept interview with 18 patients in the hemodialysis room of one general hospital in Seoul. Data-analysis was done in three phases as suggested by the Hybrid Model. Finally, by summarizing the results from each case, the attributes of coping, its dimensions, definition and structure were outlined. According to the results of the study, a conceptual structure of coping which centers around stressors, stress-appraisal, strategy of coping and new definitions of coping in patients receiving hemodialysis was suggested : The coping of patients receiving hemodialysis is a process that deals with physical, emotional, inter-personal, and role stress caused by hemodialysis due to renal failure. It has a series of phases which include a phase that appraises the stressful situation based on past experience of chronic disease management, one's remaining rears, the extent of family support, the extent of economic dependency, inter-personal support. education and uncertainty, and a phase of developing coping strategies that con be affected by social support and self esteem. As a result of coping, patients adapt or not to the life situation of receiving hemodialysis.

• 성인간호학회지
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• 제28권4호
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• pp.415-423
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• 2016

Purpose: This study was designed to identify the structural relationships among psychosocial variables related to sick role behavioral compliance among patients undergoing hemodialysis. Methods: The subjects were 476 patients from seven major hospitals and twelve dialysis centers located in D and P cities. Data were collected using self-report questionnaires. Data analysis was done by using SPSS/WIN 18.0 and AMOS 18.0 programs for structural equation modeling, to estimate the hypothesized model. Results: This findings support that a modified path model is efficient and appropriate to explain sick role behavioral compliance among hemodialysis patients. These factors account for 80.1% of the variance of sick-role behavioral compliance among hemodialysis patients. The variables having direct effect on sick role behavioral compliance were knowledge related to hemodialysis, social support, attitude, self-efficacy and intention. Conclusion: The modified model explains the integration process of psychosocial and behavior variables for sick-role behavioral compliance among patients undergoing hemodialysis.

• 재활간호학회지
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• 제8권2호
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• pp.94-101
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• 2005

Purpose: The purpose of this study is to investigate the degree of sleep disorder and its related factors in hemodialysis patients. Method: The subjects of this study consisted of 210 hemodialysis patients. Data were analyzed by descriptive statistics, t-test, ANOVA, pearson's correlation coefficient, or stepwise multiple regression analysis by using SPSS/PC+ program. Result: Sleep disorder degree averaged 2.24. Stress of hemodialysis patients averaged 2.52. Depression degree of hemodialysis patients averaged 1.14. There was significant difference in sleep disorder according to age, marriage status, education, family income and help-givers. Sleep disorder was significantly associated with stress and depression. Stress, depression and marriage status explained 31.3% of the variance in the sleep disorder. Conclusion: In conclusion, the sleep disorder of hemodialysis patients is the nursing problem. The sleep disorder degree relates with stress, depression. Especially, it is strongly affected by stress among them.

• Journal of Korean Neurosurgical Society
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• 제30권sup1호
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• pp.115-119
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• 2001

Objective : The cause and clinical outcome of cerebral hemorrhage in patients on maintenance hemodialysis have been poorly studied in korea. The purpose of this paper is to clarify the clincal features and the outcome of cerebral hemorrhage in patients on maintenance hemodialysis. Method : We analyzed clincal features and the outcome of cerebral hemorrhage in 14 patients on maintenance hemodialysis. Hematomas were reviewed and evaluated for location, size, and intraventricular extension by the one of the authors without any prior informations. The axial slice of CT film that the hematoma was appeared in maximal dimension was chosen for evaluations. Result : Hypertension was found in 71.4%(10 cases) and motality rate was 78.5%(11 cases). Basal ganglia hemorrhage was found in 50%(7 cases), subcortex in 28.5%(4 cases), pons in 14.2%(2 cases). Size of hematoma in patients on maintenance hemodialysis was significantly larger than that of hypertensive cerebral hemorrhage patients(p=0.0061). The 4 cases of basal ganglia hemorrhage without intraventricular hemorrhage and subarachnoid hemorrhage were good mental state at the onset of stroke because of small mass effect relative to the size of hematoma. The duration of hemodialysis treatment prior to strokes ranged from 1 to 107 months. Strokes developed within 6 hours of the previous hemodialysis are 5 cases. Average serum albumin concentration was 3.4g/dl. The use of heparin is less responsible for the development of cerebral hemorrhage in patients on maintenance hemodialysis Conclusion : Cerebral hemorrhage in patients on maintenance hemodialysis is more severe in terms of hematoma size and clinical outcome. Therefore, the prevention and treatment of cerebral hemorrhage in patients on maintenance hemodialysis should be more aggressive.

• 대한간호학회지
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• 제36권7호
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• pp.1145-1153
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• 2006

Purpose: The purpose of this study was to discover kidney transplant and hemodialysis patients' quality of life(QOL) and provide basic data to improve their QOL. Method: One hundred two hemodialysis patients and 106 kidney transplant patients were given a self-administered questionnaire from Mar. 6 to Mar 31, 2006. The instrument consisted of demographic variables, therapeutic-related characteristics and QOL. Collected data was processed using the SPSS 12.0 statistical program for real numbers, percentages, ANCOVA, t-test, ANOVA, Stepwise multiple regression and the Scheffe test. Results: Kidney transplantpatients' QOL was higher than hemodialysis patients. The demographic variables which showed a significant difference in overall QOL were religion, children and monthly income for kidney transplantpatients and educational background for hemodialysis patients. The therapeutic-related variable which showed a significant difference in overall QOL was the patients' perceived health condition for both groups. The influencing factor on overall QOL for both groups was the health condition perceived by themselves. The total variance of the variable for QOL was 42% for kidney transplant patients and 19% for hemodialysis patients. Conclusion: This study revealed that kidney transplant patients have a higher QOL and how patients perceive their health is the strongest influencing factor for QOL. However, there is a large difference between the demand and supply of kidney donors. To solve this problem the standards for donation should be reviewed and revised.

• 정신신체의학
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• 제11권2호
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• pp.170-181
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• 2003

연구목적: 본 연구는 혈액투석요법을 받는 말기신부전 환자들과 우울 또는 불안장애 환자의 삶의 질을 비교하고 삶의 질에 영향을 주는 정신의학적 요인을 조사하여 향후 환자 치료에 활용하고자 하였다. 방 법: 신장내과에서 혈액투석을 받고 있는 말기신부전 환자 33명과 정신과 외래에서 치료를 받고 있는 우울 또는 불안장애 환자 34명을 대상으로 심리평가도구를 실시하였다. 연구도구는 인구통계학적 자료를 포함한 설문지와 WHO에서 고안한 한국판 삶의 질 척도의 간편형(K-WHOQOL-BREF), 우울증 자가평가 척도인 Beck Depression Inventory(BDI), 불안 자가평가 척도인 State-Trait Anxiety Inventory(STAI)를 이용하였다. 결 과: 혈액투석 환자군은 우울 또는 불안장애 환자군과 전체 삶의 질의 평균점수에서는 차이가 없었으나, 혈액투석 환자군이 우울 또는 불안장애 환자들에 비해서 삶의 질 척도 중 심리건강 항목에서 삶의 질이 더 높은 것으로 나타났다. 그리고 불안수준은 혈액투석 환자군이 우울 또는 불안장애 환자군에 비해서 더 낮았다. 반면에 우울수준은 차이를 보이지 않았다. 결 론: 혈액투석 환자군이 우울 또는 불안장애 환자군에 비해 삶의 질 중에서 특히 심리건강 항목과 불안수준에서 더 나은 결과를 보였다. 그러나 혈액투석 환자군이 전반적인 삶의 질과 우울수준에서 우울 또는 불안장애 환자군과 유사한 결과를 보였으며 일반인구의 우울과 불안의 유병율보다 높은 비율의 우울과 불안을 보였다. 이는 혈액투석 환자군을 대상으로 정신의학적 문제에 대한 적극적인 정신과적 개입이 필요함을 시사해준다.