Journal of Korean Clinical Nursing Research (임상간호연구)

Hospital Nurses Association (병원간호사회)
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Effect of Evidence-Based Practice Protocol for Catheter Dysfunction in Hemodialysis Patients: Focus on Patency Rates and Bleeding Complications

혈액투석 환자의 도관 기능부전 관리 프로토콜 적용이 도관개존 성공률 및 출혈 합병증에 미치는 영향

  • Lee, Kyung Mi (Department of Nursing, Samsung Medical Center) ;
  • Kim, Mi Yeon (Department of Nursing, Samsung Medical Center)
  • Received : 2018.05.25
  • Accepted : 2018.10.18
  • Published : 2018.12.31
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Abstract

Purpose: This study was a retrospective cohort study to evaluate the effect of evidence-based guidelines for catheter dysfunction among hemodialysis patients, Success rate and bleeding complications in catheterization were examined. Methods: We performed a retrospective cohort study, including 94 patients with catheter dysfunction who were receiving hemodialysis at a university hospital; 55 in the control group and 39 in the protocol group. This protocol was composed of the catheter dysfunction assessment, conservative management of catheter dysfunction, drug management of catheter dysfunction, catheter function test and maintenance management. Data were analyzed with a Chi-square test and t-test using SPSS/WIN 23.0 program. Results: The patency rate of the protocol group was significantly higher than that of the control group. The rate of bleeding complications was not statistically significant for either the control group or the protocol group before or after application. Conclusion: The application of the guidelines effectively increased the patency rate of the catheter without bleeding complications. It is hoped that this guideline can be disseminated to nurses nationwide to improve the efficiency of catheter function for hemodialysis patients.

Keywords

BGHSBR_2018_v24n3_356_f0001.png 이미지

Figure 1. Algorithm for dysfunction.

Table 1. Homogeneity Test of Characteristics

BGHSBR_2018_v24n3_356_t0001.png 이미지

Table 2. The Patency Rates for Dysfunction of Catheter

BGHSBR_2018_v24n3_356_t0002.png 이미지

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