• 임상간호연구
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• 제14권3호
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• pp.37-46
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• 2008

Purpose: This study was aimed to identify the effect of abdominal massage on relieving constipation of the patients receiving hemodialysis Method: This study used non-equivalent control group pretest-posttest design. The data were collected from June 30 through July 18, 2008. The subjects of the study were 30 patients; 15 in the experimental group (with abdominal massage) and 15 in the control group(without abdominal massage). The data were analyzed with t-test, $x^2$-test, paired t-test, and repeated measures ANOVA using SPSS 12.0 program. Results: There was a significant difference in frequency of defecation in the experimental group compared to that of the control group. Conclusion: Abdominal massage could be an effective nursing intervention for the management of constipation among patients with hemodialysis. Abdominal massage also can be considered in palliative management for hemodialysis patients with constipation.

• 성인간호학회지
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• 제28권4호
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• pp.415-423
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• 2016

Purpose: This study was designed to identify the structural relationships among psychosocial variables related to sick role behavioral compliance among patients undergoing hemodialysis. Methods: The subjects were 476 patients from seven major hospitals and twelve dialysis centers located in D and P cities. Data were collected using self-report questionnaires. Data analysis was done by using SPSS/WIN 18.0 and AMOS 18.0 programs for structural equation modeling, to estimate the hypothesized model. Results: This findings support that a modified path model is efficient and appropriate to explain sick role behavioral compliance among hemodialysis patients. These factors account for 80.1% of the variance of sick-role behavioral compliance among hemodialysis patients. The variables having direct effect on sick role behavioral compliance were knowledge related to hemodialysis, social support, attitude, self-efficacy and intention. Conclusion: The modified model explains the integration process of psychosocial and behavior variables for sick-role behavioral compliance among patients undergoing hemodialysis.

• 재활간호학회지
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• 제17권1호
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• pp.27-37
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• 2014

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.

• 재활간호학회지
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• 제8권2호
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• pp.94-101
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• 2005

Purpose: The purpose of this study is to investigate the degree of sleep disorder and its related factors in hemodialysis patients. Method: The subjects of this study consisted of 210 hemodialysis patients. Data were analyzed by descriptive statistics, t-test, ANOVA, pearson's correlation coefficient, or stepwise multiple regression analysis by using SPSS/PC+ program. Result: Sleep disorder degree averaged 2.24. Stress of hemodialysis patients averaged 2.52. Depression degree of hemodialysis patients averaged 1.14. There was significant difference in sleep disorder according to age, marriage status, education, family income and help-givers. Sleep disorder was significantly associated with stress and depression. Stress, depression and marriage status explained 31.3% of the variance in the sleep disorder. Conclusion: In conclusion, the sleep disorder of hemodialysis patients is the nursing problem. The sleep disorder degree relates with stress, depression. Especially, it is strongly affected by stress among them.

• 재활간호학회지
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• 제8권2호
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• pp.157-164
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• 2005

Purpose: To develop a substantive theory that represents caring experience from their the spouses perceived by hemodiialysis patients. Method: Grounded theory method guided the data collection and analysis. A purposeful sample of 15 hemodiialysis patients participated from April, 2005 to September, 2005. The data were collected through in-depth interviews. All interviews were audio taped and transcribed verbatim. Constant comparative analysis were performed simultaneously. Result: The core category on caring experience from their the spouses perceived by hemodialysis patients was identified "Re-establishment for life". The process was categorized into four stage, "Escaping", "Accepting", "Enduring", "Transcending". Conclusion: This study provides a framework for the development of individualized nursing intervention to care for the hemodialysis patients.

• 재활간호학회지
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• 제13권2호
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• pp.105-113
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• 2010

Purpose: The purpose of this study was to examine symptoms, mood and sleep disturbance in patients with hemodialysis. Method: A sample of 96 hemodialysis patients participated. Data were collected using symptom scale of hemodialysis patients, profile of mood state and the sleep scale. Statistical analytic methods included t-tes, ANOVA and Pearson correlation analyses. Results: Patients with spouse/partners experienced significantly less symptoms than those with no spouse (F=6.29, p=.003). Mood disturbance was not significantly correlated with age; but older patients experienced higher sleep disturbance (F=4.88, p=.010). Symptoms, mood and sleep disturbance are significantly related with each other. Conclusion: It is important to assess symptoms, mood and sleep disturbance in older hemodialysis patients with no spouse. It is needed to repeat extensive study and comparative study with other population in order to define clearly.

• 기본간호학회지
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• 제18권3호
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• pp.310-316
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• 2011

Purpose: In the present study, the difference in patients' nursing demands and nursing performance as perceived by the patients was examined. Methods: The participants were 272 patients on maintenance hemodialysis at five university hospitals. Nursing need and nursing performance were measured using the tool developed by Lee for this study. Results: The mean score for nursing demand was 3.35 points out of 4. The scores were higher for participants with middle school graduation or less, those not professing religion, and those whose medical insurance was of the medicaid type. The mean score for perceived nursing performance was 3.22 points out of 4. Nursing performance as perceived by hemodialysis patients was lower than nursing demand for 22 of 28 items. The item with the largest difference between nursing performance and nursing demand was 'Give a pain-free injection', followed by 'Explain about insurance benefits and supports' and 'Maintain quiet environment in the hemodialysis unit enabling rest during hemodialysis'. Conclusion: The results show that nursing performance as perceived by hemodialysis patients was lower than nursing demand. This result indicates a need to develop appropriate strategies to enhance nursing performance, especially for items that showed low nursing performance.

• Journal of Korean Biological Nursing Science
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• 제5권2호
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• pp.5-12
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• 2003

Purpose : The purpose of this study was to identify the relationship between fatigue and physiological factors in patients on hemodialysis. Method : Data were collected between June 1 and 7, 2003 using a structured questionnaire which included general characteristics, Visual Analogue scale and laboratory result. Result : Fatigue score changes is the mean of predialysis fatigue score was 4.36 and postdialysis fatigue score 4.66. There were statistically significant differences in score of postdialysis to sex, education and admission. The relationship between predialysis fatigue and interdialytic weight gain showed a positive correlation. The relationship between postdialysis fatigue and Cr showed a negative correlation. Conclusion : Nursing Management program should be developed to fatigue factors in patients on hemodialysis.

• 성인간호학회지
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• 제18권3호
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• pp.367-376
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• 2006

Purpose: This study was designed to explore the effects of providing individualized education for hemodialysis patients on their knowledge of hemodialysis, compliance of patient role behavior, and physiologic parameters. Method: A quasi experimental design with a non-equivalent control group and a non-synchronized design was used. The experiment was conducted with a total of 40 hemodialysis patients (20 in the experimental group and 20 in the control group) at the artificial kidney center, C University Hospital. The experimental group was provided with individualized education, 30 minutes per session, three times per week, for two weeks. Results: The experimental group had significantly higher knowledge of hemodialysis than the control group after the education. The compliance of patient role behavior was more enhanced in the experimental group than the control group. The experimental group showed significantly higher values of blood urea nitrogen, but not the values of blood creatinine, albumin, kalium, and phosphorus. Conclusion: The individualized education was found to be an effective intervention for improving patients' knowledge of hemodialysis and compliance of patient role behavior.

• 임상간호연구
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• 제14권2호
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• pp.71-81
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• 2008

Purpose: The objective of this study was to determine the cause-effect and dynamic change mechanism among factors that affect calculation of the nursing workforce in the hemodialysis room and to establish a system dynamics model and create a strategic simulation to be used to increase efficiency in the clinical situation. Method: The system dynamics approach was adapted to build a simulation model for calculating the nursing workforce. The model was built using Vensim 5.0b DSS. Results: The results were as follows for Scenario A: The highest level of nursing service quality, patient satisfaction, and nurse satisfaction, and the lowest level of turnover intention is maintained when the ratio of patients to nurse is 3.5:1 compared to all other situations. Scenario B: At the ratio of patients to nurse 4.0:1 nursing service quality, patient satisfaction, and nurse satisfaction dropped slightly, and turnover intention also rose slightly. However with time the results showed improvement. Conclusion: In terms of economic efficiency in the hemodialysis room, the ratio of patients to nurse for the best nursing workforce should not exceed 4.0:1.