재활간호학회지 (The Korean Journal of Rehabilitation Nursing)

  • 제17권1호
  • /
  • Pages.27-37
  • /
  • 2014
  • /
  • 1229-294X(pISSN)
  • /
  • 2288-3002(eISSN)
한국재활간호학회 (Korean Academic Society of Rehabilitation Nursing)
권호 표지
DOI QR코드

DOI QR Code

혈액투석 환자의 식이와 수분관리에 대한 간호사의 경험

Nurses' Experience of Managing Diet and Fluid in Hemodialysis Patients

  • 투고 : 2014.04.01
  • 심사 : 2014.06.10
  • 발행 : 2014.06.30
PDF 다운로드
⟨ 이전 논문 다음 논문 ⟩

초록

Purpose: The purpose of this study was to understand nurses' experience of managing diet and fluid in hemodialysis patients and to provide helpful information in improving care of hemodialysis patients. Methods: Data were collected through in-depth interviews with ten nurses who had experience of providing care to hemodialysis patients. Colazzi's phenomenological method was used to analyze data. Results: Twenty themes were identified in the first stage of data analysis and were later categorized into ten theme clusters, of which four categories were derived. The four categories were 'developing a strong feeling of responsibility for management', 'acknowledging limits in performing duties', 'providing patient-centered education' and 'becoming a guide for the long treatment process'. Conclusion: The study results will be useful for improving nursing curriculum to ensure more effective and successful diet and fluid management in hemodialysis patients.

키워드

참고문헌

  1. An, G. J. (2009). Effects of self-care program using SMS, e-mail, or telephone call on self-care compliance and nutritional status in hemodialysis patients. Journal of Korean Biology Nursing Society, 11 (2), 157-166.
  2. Barnett, T., Yoong, T. L., Pinikahana, J., & Si-Yen, T. (2008). Fluid compliance among patients having haemodialysis: Can an educational programme make a difference? Journal of Advanced Nursing, 61, 300-306. http://dx.doi.org/10.1111/j.1365-2648.2007.04528.x
  3. Cho, M. K. (2008). Effect of health contract intervention based on king's goal attainment theory on self care behavior and physiological indices of hemodialysis patients. Unpublished doctoral dissertation, Seoul National University, Seoul.
  4. Choi, Y. S. (2008). A study on the relationship between perceived social support, and compliance with sick role behavior in elderly hemodialysis patients. Unpublished master's thesis, Hanyang University, Seoul.
  5. Colaizzi, F. U. (1978). Psychological research as the phenomenologist views it. In: Vails, R. S., King. (Ed.). Existential phenomenological alternatives for psychology. New York, NY: Oxford University Press.
  6. Dermody, K., & Bennett, P. N. (2008). Nurse stress in hospital and satellite haemodialysis units. Journal of Renal Care, 34 (1), 28-32. https://doi.org/10.1111/j.1755-6686.2008.00007.x
  7. Kara, B., Caglar, K., & Kilic, S. (2007). Nonadherence with diet and fluid restrictions and perceived social support in patients receiving hemodialysis. Journal of Nursing Scholarship, 39, 243-248. http://dx.doi.org/10.1111/j.1547-5069.2007.00175.x
  8. Kim, M. S., Kwon, K. J., & Choi, S. H. (2008). A model for nursing workforce in hemodialysis room using system dynamics approach. Journal of Korean Clinical Nursing Research, 14 (2), 71-81.
  9. Kim, S. J. (2005). The phenomenological study on an ethical dilemma of hemodialysis nurse. Unpublished master's thesis, Ewha Womans University, Seoul.
  10. Kim, S. J., & Kim, H. S. (2011). The difference between nursing demand and perceived nursing performance in hemodialysis patients. The Korean Journal of Fundamentals of Nursing, 18 (3), 310-316.
  11. Kong, B. H. (2007). Ethics of caring in the aesthetic communication. Kant-studien, 19, 101-126.
  12. Kugler, C., Vlaminck, H., Haverich, A., & Maes, B. (2005). Nonadherence with diet and fluid restrictions among adults having hemodialysis. Journal of Nursing Scholarship, 37 (1), 25-29. http://dx.doi.org/10.1111/j.1547-5069.2005.00009.x
  13. Lacono, S. (2010). Staff motivation: A potential barrier to dialysis patient compliance. Dialysis & Transplantation, 39 (2), 54-56. http://dx.doi.org/10.1002/dat.20409
  14. Lacono, S. A. (2010). Dialysis clinician bias regarding patient noncompliance. Dialysis & Transplantation, 39 (6), 247-253. http://dx.doi.org/10.1002/dat.20447
  15. Lee, H. S. (2012). Relationship among family support, self-efficacy and sick-role behavior in hemodialysis patients. Unpublished master's thesis, Chosun University, Gwangju.
  16. Lee, J. S., Kim, K. S., Kim, M. Y., Byun, J. H., Oh, S. B., & Koo, B. J. (2004). A study on expected nursing role in hemodialysis patients and nurses. Journal of Clinical Nursing Research, 7, 45-62.
  17. Lee, S. J., Park, H. S., Han, J. H., Kim, H. J., Seo, M. W., Choi, E. A., et al. (2009). Effects of an individualized educational program on knowledge, compliance and physiologic parameters in non-compliant hemodialysis patients. Journal of Korean Clinical Nursing Research, 15 (3), 5-16.
  18. Leggat, J. E. (2005). Adhere with dialysis: A focus on mortality risk. Seminars in Dialysis, 18 (2), 137-141. http://dx.doi.org/10.1111/j.1525-139X.2005.18212.x
  19. Licoln, Y. S., & Guba, E. G. (1985). Effective Evaluation (4th ed.). San Francisco: Jossey-Bass.
  20. Park, E. J. (2014). The adaptation experience of hemodialysis on women with end-stage renal disease. Unpublished doctoral dissertation, Pusan National University, Busan.
  21. Park, E. J., & Kim, Y. H. (2013). A grounded theory-based approach to practice adaptation process of hemodialysis unit nurses. Journal of Korean Academy of Nursing Administration, 19 (1), 128-137. http://dx.doi.org/10.1111/jkana.2013.19.1.128
  22. Park, H. M., & Lee, H. S. (2010). Effects of empowerment education program for hemodialysis patients on self-efficacy, selfcare agency, self-care activities and physiologic parameters. The Korean Journal of Rehabilitation Nursing, 13 (2), 151-160.
  23. Park, J. S., Lee, H. S., Lee, S. Y., Im, H. B., & Oh, H. S. (2011). Relationship between knowledge and adherence to selfmanagement guidelines, and influencing factors of adherence for hemodialysis patients. The Korean Journal of Rehabilitation Nursing, 14 (1), 39-46.
  24. Richard, C. J. (2006). Self-care management in adults undergoing hemodialysis. Nephrology Nursing Journal, 33 (4), 387-394.
  25. Russell, C. L., Cronk, N. J., Herron, M., Knowles, N., Matteson, M. L., Peace, L., et al. (2011). Motivational interviewing in dialysis adherence study (MIDAS). Nephrology Nursing Journal, 38 (3), 229-236.
  26. The Korean Society of Nephrology. (2012). Current renal replacement therapy in Korea. Retrieved October 15, 2012, from http://www.ksn.or.kr/journal/2013/index.html
  27. Tong, A., Sainsbury, P., Chadban, S., Walker, R. G., Harris, D. C., Carter, S. M., et al. (2009). Patients' experiences and perspectives of living with CKD. American Journal of Kidney Diseases, 53 (4), 689-700. http://dx.doi.org/10.1053/j.ajkd.2008.10.050
  28. Yeh, S. C. J., & Chou, H. C. (2007). Coping strategies and stressors in patients with hemodialysis. Psychosomatic Medicine, 69 (2), 182-190. http://dx.doi.org/10.1097/PSY.0b013e318031cdcc
  29. Yeom, E. Y. (2013). The 'Good Nursing' experienced by hemodialysis patients. Unpublished doctoral dissertation, Ewha Womans University, Seoul.

피인용 문헌

  1. The Experience of Fluid Management in Hemodialysis Patients vol.45, pp.5, 2015, https://doi.org/10.4040/jkan.2015.45.5.773
  2. Validity and Reliability Test of the Korean Version of the Hemodialysis Self-Management Instrument (HDSMI-K) vol.42, pp.2, 2017, https://doi.org/10.21032/jhis.2017.42.2.153
  3. 투석치료 중인 만성신부전 환자의 영양지식 수준과 식사요법 실천 정도 및 교육요구도 vol.24, pp.2, 2018, https://doi.org/10.14373/jkda.2018.24.2.117
  4. 혈액투석 환자의 생의 의미에 영향을 미치는 요인 vol.22, pp.1, 2014, https://doi.org/10.5762/kais.2021.22.1.743