Journal of Korean Critical Care Nursing (중환자간호학회지)

Korean Society of Critical Care Nursing (한국중환자간호학회)
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The effect of Arteriovenous Fistula Cannulation Direction and Puncture Distance on the Recirculation Rate of Hemodialysis Patients

혈액투석 환자의 동정맥루 천자 방향과 천자 간격이 재순환율에 미치는 영향

  • 임효정 (인제대학교 상계백병원) ;
  • 최은희 (한국성서대학교 간호학과) ;
  • 김은주 (인제대학교 상계백병원) ;
  • 정지윤 (인제대학교 상계백병원) ;
  • 반승수 (인제대학교 상계백병원)
  • Received : 2017.09.17
  • Accepted : 2018.01.29
  • Published : 2018.02.28
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Abstract

Purpose : The purpose of this study was to compare the effect of recirculation rate according to cannulation direction and interval among hemodialysis patients with arteriovenous fistula (AVF). Method : The research used repeated measures design. This study was conducted among thirty patients who received hemodialysis three times a week for longer than a year through AVF at the I University hospital. Three different types of interventions were administered to the participants each week for three weeks. Needles were placed at a different distance and in a different direction each week: 7 cm apart from each other in antegrade direction during the first week, 5 cm apart in retrograde direction in the following week, and 7 cm apart in retrograde direction in the third week. Results : No significant differences in the recirculation rate were found due to any of the three tested methods (p = 1.00). Conclusion : This finding suggests that, if the patients have well-functioned AVF, we can choose an appropriate intervention from among the three methods in consideration of the patient's diverse needs.

Keywords

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