• Journal of the Korea Academia-Industrial cooperation Society
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• v.15 no.9
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• pp.5578-5584
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• 2014

In this study, 46 patients from a local hemodialysis center were enrolled to assess the effects of a self-motivated virtual reality (VR) exercise program on the heart rate variability and quality of life control in hemodialysis patients. The VR group (n = 23) completed a VR exercise program, where the subjects performed the exercise 40 min per session, 3 sessions per week, for 8weeks. After the exercise program, the heart rate variability and quality of life were measured. The VR group showed significant improvement in the heart rate variability and quality of life. The self-motivated VR exercise program provided both the role of supervisor as well as feedback, which is important for hemodialysis patients.Therefore, a self-motivated VR exercise program may be a useful tool for improving the psychosocial function in chronic disease patients undergoing hemodialysis.

• Journal of the Korea Convergence Society
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• v.11 no.9
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• pp.395-404
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• 2020

This was a descriptive study to investigate the effect of social support and health literacy on sick role behaviors in hemodialysis patients. A total of 149 outpatients receiving regular hemodialysis at four dialysis centers located in J city were surveyed. Data were analyzed using descriptive statistics, t-test, one-way ANOVA, Pearson correlation coefficient, and multiple linear regression. Factors including social support (β=.37, p<.001), health literacy (β=.16, p=.035), and religion (others) (β=-.25, p=.001) had an effect on sick role behavior. The explanatory power of model in this study was 22.0%. Therefore, the improvement of sick role behavior in patients undergoing hemodialysis requires specific strategies and interventions that are effective in increasing the social support and health literacy.

• Journal of Convergence for Information Technology
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• v.9 no.5
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• pp.40-47
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• 2019

The purpose of this study aimed to develop the misutkaru water drink intake program that was possible to compare the effects of misutkaru drink on relieving constipation and physiological measurementson relieving constipation of the patients with hemodialysis. This study was non-equivalent control group pretest-posttest design with 42 patients in a general hospital in S city, Korea. During the experiment, the participants had to drink misutkaru water in the morning and past the 7 days after intake as constipation assessment scale, potassium and phosphorus were measured. The data were examine using t-test, Fisher's exact test, paired t-test. After misutkaru drinking intervention, constipation (z=-2.66, p=.002) decreased significantly improvement. This suggests that misutkaru water drinking intervention improved constipation in patients with hemodialysis.

• The Journal of the Korea Contents Association
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• v.20 no.4
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• pp.464-474
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• 2020

This study provides basic data for nursing intervention to increase self management of hemodialysis patients by identifying the relation among their illness perception, physiological indicators, and self management. The participants were 134 patients receiving hemodialysis at a general hospital in Seoul. Data were collected by using a structured questionnaire and medical records. The collected data were analyzed by using descriptive statistics, independent t-test, one-way ANOVA, Pearson correlation coefficient and multiple regression analysis with the SPSS/WIN 23.0 program. The significant factors influencing self-management of hemodialysis patients have been identified with 8 variables. The first one is registration for kidney transplantation (β=-.20, p=.034). Among sub items of illness perception are consequence (β=-.20, p=.031), treatment control (β=.19, p=.040), and illness coherence (β=-.18, p=.049). In addition, among physiological indicators are hematocrit (β=.38, p<.001), hemoglobin (β=.29, p=.005), BUN (β=-.25, p=.010), and phosphorous (β=.22, p=.033). These variables explained 26.3% for self-management of hemodialysis patients. In order for hemodialysis patients to improve their self-management, a concrete nursing intervention improving the treatment control among illness perception as well as improving the understanding of physical indicators needs to be provided.

• Proceedings of the KSCN Conference
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• 2004.05a
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• pp.416.1-416
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• 2004

본 연구는 투석치료를 받고 있는 만성 신부전환자의 영양소 섭취량과 이에 영향을 미치는 요인을 분석함으로써, 환자들의 영양상태를 개선하기 위한 자료를 제공하고자 실시하였다. 연구 대상자는 대구지역 대학병원에 내원하는 혈액투석 환자 51명과 복막투석환자 50명을 대상으로 직접면담법으로 자료를 수집하였다. 설문지 내용은 영양소 섭취량에 영향을 미치는 요인으로 일반적 특성, 기호도, 영양지식과 태도, 스트레스 자각 정도, 식습관, 식품섭취빈도조사 등이었다. 조사대상자의 신장질환 유병기간은 혈액투석 환자군은 55.8 $\pm$ 61.3개월, 복막투석 환자군은 68.6 $\pm$ 61.5개월이었다.(중략)

• Proceedings of the KSCN Conference
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• 2004.05a
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• pp.419.1-419
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• 2004

유지투석환자에 있어 영양소섭취 조절을 통한 적절한 영양상태 유지는 합병증 예방과 사망률 감소를 위해 매우 중요한 것으로 보고되고 있다. 그러나 혈액투석시의 식사요법은 제한이 필요한 영양소 위주의 내용이므로 실생활에서 장기간 적용하기 어려운 경우가 많다. 뿐만 아니라 실제적인 문제점을 간과한 영양교육은 일방적인 지식전달에 그칠 수 있으므로 환자의 어려움을 사전에 파악하여 교육내용에 반영하는 과정이 필요하다.(중략)

• Membrane Journal
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• v.34 no.2
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• pp.105-113
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• 2024

Chronic kidney disease leads to many people getting diagnosed with end stage renal disease. This disease is treated by hemodialysis which is the process by which blood is cleaned by a membrane and dialyzer. The membrane for hemodialysis is an important first step of this process as it is responsible for selectively removing impure elements from the blood. Although there are membranes made up of different polymers that are used, they have various disadvantages including hemocompatibility and low selectivity. To combat this, various studies have used a mixture of different polymers to change pore size, increase hemocompatibility and increase selectivity. It was seen that in all the studies conducted, a mixed membrane has greater advantages.

• Proceedings of the KSLP Conference
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• 2012.03a
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• pp.27-27
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• 2012

• Tuberculosis and Respiratory Diseases
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• v.42 no.4
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• pp.548-554
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• 1995

Background: Cardiogenic pulmonary edema increases nonspecific airway responsiveness in humans and animals. Increased extravascular lung water from overt pulmonary edema to subclinical interstitial edema is a common finding in patients with chronic renal failure. Several studies carried out to assess pulmonary function disturbances in this condition have documented a reduction in forced expiratory volume that usually reverses after hemodialysis, suggesting airway edema as the underlying mechanism. This interstitial edema may also lead to nonspecific bronchial hyperresponsiveness. We hypothesized that patients with chronic renal failure may present nonspecific bronchial hyperresponsiveness due to subclinical interstitial pulmonary edema. Methods: We studied 18 chronic renal failure undergoing regular hemodialysis 3 times a week(New York Heart Association Class II) without concomittent disease. These patients were checked pulmonary function test and metacholine provocation test before hemodialysis and same procedure was repeated if responsive, after hemodialysis. Results: 1) 12 out of 18 patients before hemodialysis were reactive in metacholine provocation test(66.7%) before hemodialysis. This airway hyperresponsiveness were decreased after hemodialysis. 2) Pulmonary function was improved after hemodialysis and change in $FEV_1$ was correlated with change in weight(r=-0.62, p<0.01). 3) There was a close correlation between log $PD_{20}$ and $FEF_{25}$, which is one of the variables of the peripheral airways(r=0.58, p<0.05). Conclusion: We speculated interstitial pulmonary edema may play a significant role in bronchial hyperresponsiveness and lung function impaired in patients with chronic renal failure.

• Journal of Korean Biological Nursing Science
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• v.9 no.1
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• pp.59-69
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• 2007

목적: 본 연구의 목적은 뇌사자로부터 공여받은 신장을 이식한 대상자들이 프레드니손을 생체이식 대상자들보다 더 많이 투여받는 임상상황에서 프레드리손이 근력과 일상생활활동에 영향을 주는지 규명하기 위함이다. 방법: 연구 대상은 뇌사자로터 신장을 응급으로 수여받은 32명이었으며 모두 혈액투석을 하고 있었다. 이식 수술 전날, 환자의 일반적인 정보, 근력, 일상생활활동에 대해 조사하였으며 이식수술 후 12주째 되는 날 외래에서 근력과 일상생활활동을 다시 조사하였다. 프레드니손 용량은 임상기록지를 통해 수집하였다. 연구결과: 신장이식술 후 12주의 근력은 고관절 신전근력을 제외하고는 유의하게 감소되지 않았다. 그러나 신장이식 후 12주의 일상생활활동은 수술 직전보다 유의하게 감소된 것으로 나타났다. 근력은 혈액투석을 시행한 기간에 의한 영향을 더 받았으며 일상생황활동의 저하는 3개월간 활동을 제한하는 퇴원교육의 영향이 큰 것으로 볼 수 있다. 결론: 본 연구에서 대상자의 근력과 일상생활활동은 프레드니손 투약의 영향을 받지 않았으며 오히려 혈액투석을 시행했던 기간에 따라 영향을 받은 것으로 나타났다. 따라서 혈액투석 환자들의 근력 증진을 위한 간호중재 개발이 필요하다.