Journal of the Korea Academia-Industrial cooperation Society (한국산학기술학회논문지)

The Korea Academia-Industrial cooperation Society (한국산학기술학회)
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Systematic Review of Research on Adherence among Hemodialysis Patients in Korea

혈액투석환자의 이행에 관한 체계적인 문헌고찰

  • Received : 2012.10.12
  • Accepted : 2012.12.06
  • Published : 2012.12.31
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Abstract

The purpose of this study was to analysis instruments, identify relevant factors and analyze the effect size of intervention studies in reference to adherence among hemodialysis patients. Electronic literature searches were conducted for PubMed, CINAH, RISS, Naver academic, KISS, NDSL, Nanet, Kci, DBpia and KoreaMed. Of 437 studies identified, 37 met inclusion criteria, and 5 were used to estimate effect size. As a results, total of 11 original instruments were found, 61 factors were considered as relevant factors for adherence. Types of intervention were individual education program, self-care program using SMS, E-mail, or telephone counseling, supportive care program and drug education program. The effect size using random model effect was high (d=1.04, 95% CI: 0.60, 1.49, p<.00001).

본 연구는 국내 혈액투석환자의 이행 관련 선행연구들을 체계적으로 고찰하여 이행 측정도구와 관련변인을 파악하고, 중재의 효과크기를 분석하여 혈액투석 환자를 위한 근거중심의 실무프로그램 개발 및 향후 연구 방향을 제시하기 위하여 시도되었다. 10개의 데이터베이스에서 검색한 437편의 연구 중 37편의 연구를 최종 선택하였으며, 5편의 중재연구를 메타 분석하였다. 연구결과, 사용된 이행 측정도구는 11개의 원 도구로부터 도출된 것으로 나타났으며, 관련변인은 총 20개 변인이 검색되었다. 중재방법은 개별교육프로그램, SMS, 이메일 및 전화 상담을 이용한 자가간호프로그램, 지지간호프로그램, 약물교육프로그램 등으로 분류되었고, 임의효과모형(random effect model)을 이용하여 분석한 중재의 효과크기는 1.04(95% CI: 0.60, 1.49, p<.00001)로 중재프로그램의 효과가 큰 것으로 나타났다.

Keywords

References

  1. United States Renal System, "Annual data report: Atlas of chronic kidney disease and end-stage renal disease in the United States", 2010.
  2. J. D. Chan, "Current status of dialysis therapy in Korea", The Korea Journal of Internal Medicine, Vol. 26, 2, pp. 123-131, 2011, Article(CrossRefLink) https://doi.org/10.3904/kjim.2011.26.2.123
  3. K. Denhaerynck, D. Manhaeve, F. Dobbels, D. Garzoni, C. Nolte, S. Geest, "Prevalence and consequences of noncompliance to hemodialysis regimes", American Journal of Critical Care, Vol. 16, pp. 222-235, 2007.
  4. Korea Society of Nephrology, "Current renal replacement therapy in Korea: Insan memorial dialysis registry 2010", 2011.
  5. M. S. MacGregor, I. M. W. Taa, "Renal Association clinical practice guideline on detection, monitoring and management of patients with CKD", Nephron Clinical Practice, Vol. 118, pp. 71-100, 2011, Article(CrossRefLink) https://doi.org/10.1159/000328062
  6. M. Wright, C. Jones, "Renal association clinical practice guideline on nutrition in CKD", Nephron Clinical Practice, Vol. 118, pp. 153-164, 2011, Article(CrossRefLink) https://doi.org/10.1159/000328067
  7. S. Steddon, E. Sharples, "Renal association clinical practice guideline in mineral and bone disorders in CKD", Nephron Clinical Practice, Vol. 118, pp. 145-152, 2011, Article(CrossRefLink) https://doi.org/10.1159/000328066
  8. R. B. Haynes, X. Yoa, A. Degani, S. Kripalani, A. Garg, H. P. McDonald, "Interventions to enhance medication adherence", Cochrane Database of Systematic Reviews, Vol. 4, pp. 1-77, 2005.
  9. A. J. Christense, "Patient adherence to medical treatment regimens: bridging the gap between behavioural science and biomedicine", New Haven and London: Yale University Press, 2004.
  10. L. Rose, M. Kim, C. Dennison, M. Hill, "The contexts of adherence for African Americans with high blood pressure", Journal of Advanced Nursing, Vol. 32, 3, pp. 587-594, 2000, Article(CrossRefLink) https://doi.org/10.1046/j.1365-2648.2000.01538.x
  11. M. B. Janice, "Adherence: a concept analysis", Journal of Advanced Nursing, Vol. 63, 6, pp. 634-643, 2008, Article(CrossRefLink) https://doi.org/10.1111/j.1365-2648.2008.04745.x
  12. D. Kris, M. Dominique, D. Fabienne, G. Daniela, N. Christa, D. G. Sabina, "Prevalence and consequences of nonadherence to hemodialysis regimens", American Journal of Critical Care, Vol. 16, pp. 222-235, 2007.
  13. Y. M. Cho, M. S. Choi, G. W. Seong, "Factors Predicting Sick Role Behavioral Compliance in Hemodialysis Patients", Korean Journal of Adult Nursing, Vol. 23, 3, pp. 235-243, 2011.
  14. M. S. Gang, "Hemodialysis patient's treatment adherence and barrier", Unpublished mater thesis, Gyeongsang National University, Jinju, 2011.
  15. H. S. Min, E. J. Lee, "A study of the relationship between compliance with therapeutic regimens and physiological parameters of hemodialysis patients", the Journal of Korean Academy of Nursing, Vol. 36, 2, pp. 64-73, 2006. https://doi.org/10.4040/jkan.2006.36.1.64
  16. H. S. Lee, "Relationship among family support, self-efficacy and sick-role behavior in hemodialysis patients", Unpublished mater thesis, Chosun University, Gwangju, 2012.
  17. S. J. Lee et al., "Effects of an individualized educational program on knowledge, compliance and physiologic parameters in non-compliant hemodialysis patients", Clinical Nursing Research, Vol. 15, 3, pp. 5-16, 2009.
  18. H. S. So, A. Y. Kim, E. A. Kim, S. M. Kim, "Effects of a structured drug education program on knowledge and medication compliance for hemodialysis patients", the Journal of Korean Academy of Nursing, Vol. 36, 7, pp. 1144, 2006. https://doi.org/10.4040/jkan.2006.36.7.1135
  19. L. S. Baines, R. M. Jindal, "Non-compliance in patients in receiving hemodialysis: An in-depth review", Nephron, Vol. 85, pp. 1-7, 2000, Article(CrossRefLink)
  20. Y. J. Son, S. H. Kim, H. S. Song, "Analysis of research on adherence for secondary prevention in patients with coronary artery disease in Korea", Journal of Korean Academy of Fundamentals of Nursing, Vol. 17, pp. 575-587, 2010.
  21. Y. M. Cho, M. S. Choi, G. W. Seung, "Factors predicting sick role behavioral compliance in hemodialysis patients", Korean Journal of Adult Nursing, Vol. 23, pp. 235-243, 2011.
  22. A. R. Jadad, R. A. Moore, D. Carroll, C. Jenkinson, D. J. Reynolds, D. J. Gavaghan, H. McQuay, "Assessing the quality of reports of randomized clinical trials: is blinding necessary?", Control Clinical Trials, Vol. 17, 1, pp. 1-12, 1996, Article(CrossRefLink) https://doi.org/10.1016/0197-2456(95)00134-4
  23. M. S. Hwang, "Effects of drug education on the correct understanding of mind and drug compliance for schizophrenics", Unpublished mater thesis, Younsei University, Seoul, 1997.
  24. G. Y. Hong, "Relationship between the knowledge of hemodialysis, self-efficacy and the compliance of patient role behavior in hemodialysis patients", Unpublished mater thesis, Hanyang University, Seoul, 1999.
  25. D. Cukor, J. Coplan, C. Brown, S. Fridman, A. C. Smith, R. A. Peterson, P. L. Kimmel, "Depression and anxiety in urban hemodialysis patients", Clinical Journal of the American Society of Nephrology, Vol. 2, pp. 484-490. 2007, Article(CrossRefLink) https://doi.org/10.2215/CJN.00040107
  26. R. A. Drayer, B. Piraino, C. F. Reynolds, P. R. Houck, S. Mazumdar, J. Bernardini, M. K. Shear, B. L. Rollman, "Characteristics of depression in hemodialysis patients: symptoms, quality of life and mortality risk", General hospital psychiatry, Vol. 28, pp. 306-312, 2006, Article(CrossRefLink) https://doi.org/10.1016/j.genhosppsych.2006.03.008
  27. C. M. Antonid, D. L. Pammela, M. B. Isabela, R. B. Adna, E. T. L. Francisca, "Adherence of chronic renal insufficiency patients to hemodialysis", Acta Paulista de Enfermagem, Vol. 23, pp. 546-551, 2010, Article(CrossRefLink) https://doi.org/10.1590/S0103-21002010000400016
  28. G. Cicolini, E. Palma, C. Simonetta, N. M. Di, "Influence of family carers on hemodialyzed patients' adherence to dietary and fluid restrictions: an observational study", Journal of Advanced Nursing, Vol. 68, pp. 2410-2417, 2012, Article(CrossRefLink) https://doi.org/10.1111/j.1365-2648.2011.05935.x
  29. J. C. Alan, W. S. Timothy, W. T. Charles, M. H. John, C. G. Martin, A. R. Martina, "Family support, physical impairment, and adherence in hemodialysis: An investigation of main and buffering effects", Journal of Behavioral Medicine, Vol. 15, pp. 313-325, 1992, Article(CrossRefLink) https://doi.org/10.1007/BF00844725
  30. Y. S. Choi, "A Study on the relationship between perceived social support, and compliance with sick role behavior in elderly hemodialysis patients", Unpublished mater thesis, Hanyang University, Seoul, 2008.
  31. M. L. Matteson, C. Russell, "Interventions to improve hemodialysis adherence: a systematic review of randomized-controlled trials", Hemodialysis international, Vol 14, pp. 370-382, 2010, Article (CrossRefLink) https://doi.org/10.1111/j.1542-4758.2010.00462.x

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