Journal of Korean Academic Society of Home Health Care Nursing (가정간호학회지)

Korean Academic Society of Home Health Care Nursing (한국가정간호학회)
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Development and Evaluation of Integrated Management Program for Hemodialysis Patients

혈액투석 환자를 위한 통합적 관리 프로그램의 개발 및 효과

  • Kim, Bora (Korea Veterans Health Service Daejeon Bohun Hospital, Graduate School of Nursing Science, Chungbuk University) ;
  • Yoo, Hana (Department of Nursing, Daejeon University)
  • Received : 2024.03.24
  • Accepted : 2024.04.28
  • Published : 2024.04.30
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Abstract

Purpose: This study aimed to develop and evaluate an integrated management program to enhance self-efficacy, compliance with sick-role behaviors, symptom management, and biomarker indication in hemodialysis patients. Methods: The integrated management program was developed through a systematic review of literature, analysis of relevant online data, and expert validation. It comprised 480 min of video-based education delivered eight times over four weeks, supplemented by weekly phone consultations and text message support from a nurse. To evaluate the program's effectiveness, it was administered to 44 patients with hemodialysis in a single group in a pre-post test experimental study. Changes in self-efficacy, sick-role behavior compliance, dialysis symptom index, and biomarkers were assessed. Results: The program yielded statistically significant improvements in self-efficacy (t=-7.13, p<.001), sick-role behavioral compliance (t=-7.35, p<.001), dialysis symptom index (t=4.32, p<.001), and blood urea nitrogen levels (t=2.55, p=.014) among the participants. Conclusion: The integrated management program is an effective intervention for improving hemodialysis patients' self-efficacy, compliance with sick-role behaviors, and experience of symptoms. Additionally, it is considered an intervention with high clinical applicability and efficiency through video reproducibility.

Keywords

References

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