• Kidney Research and Clinical Practice
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• v.36 no.2
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• pp.111-116
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• 2017

The Korean Society of Nephrology participated in the task force team consisting of government authorities and civilian experts to prevent and control the spread of Middle East respiratory syndrome (MERS) in 2015. The Korean Society of Nephrology MERS Task Force Team took an immediate action and drafted 'the clinical recommendation for hemodialysis facilities' to follow when the first and the only confirmed case was reported in the hemodialysis unit. Owing to the dedicated support from medical doctors, dialysis nurses, and related medical companies, we could prevent further transmission of MERS infection successfully in hemodialysis units. This special report describes the experience of infection control during MERS outbreak in 2015 and summarizes the contents of 'the clinical practice guideline for hemodialysis facilities dealing with MERS patients' built upon our previous experience.

• Korean Journal of Adult Nursing
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• v.28 no.3
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• pp.323-333
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• 2016

Purpose: The purpose of this study was to explore the meaning of the experience of adapting to the dietary treatment for hemodialysis patients. Methods: The data were collected through in-depth interviews of ten hemodialysis patients who have been dialyzed for longer than five months. Giorgi's phenomenological method was used for data analysis. Results: The findings included five constituents and 16 sub-constituents. The five constituents concerning diet therapy were: 'suffering', 'undergoing trial and error', 'understanding the need', 'finding alternatives', and 'realizing the meaning of dietary therapy.' Conclusion: The findings contribute to understanding the process of adapting to diet therapy. The results of this study may be utilized in assisting patients to understand the diet therapy process.

• The Journal of the Convergence on Culture Technology
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• v.8 no.2
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• pp.99-108
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• 2022

This study was to investigates the effects of verbal abuse experience, emotional labor and nursing practice environment on job stress of nurses in hemodialysis units. Participants were 169 hemodialysis nurses. Data were collected with structured qustionnaires from March 1 to March 30, 2021. Data were analyzed SPSS 23.0 program for descriptive statistics, t-test, ANOVA, Pearson's correlation coefficient, and multiple regression. Factor affecting the job stress of hemodialysis nurses were emotional labor(β=.354, p<.001), verbal abuse(β =.255, p=.005) and nursing practice environment(β=-.214, p<.001). Therefore, in order to manage the job stress of nurses in hemodialysis unit, it is necessary to prepare measures to reduce verbal abuse experience, emotional labor and create a positive nursing working environment.

• Journal of Korean Clinical Nursing Research
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• v.27 no.2
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• pp.210-219
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• 2021

Purpose: The study was conducted to investigate the correlation between perception of patient safety risk factors, patient safety competency, and safety nursing activities of nurses in hemodialysis units and identify factors affecting patient safety activities. Methods: The participants were 146 nurses from 16 hemodialysis units located in Gyeongsangnam-do. Data were analyzed using descriptive statistics, independent t-test, one-way ANOVA, Pearson correlation coefficient, and multiple regression analysis using the SPSS, version 24.0. Results: The mean safety nursing activity score was 3.47±0.38. safety nursing activities of the participants were significantly correlated with patient safety competency. The characteristics showing significant differences in safety nursing activities were educational level, hospital type, hospital work experience, number of hemodialysis treatment per day, number of hemodialysis treatment per nurse, educational experience of patient safety, presence of a patient safety incident report registration system, and direct registration of patient safety incident report. The multiple regression analysis revealed that the factors influencing safety nursing activities were patient safety incident report, patient safety competency, and number of daily hemodialysis treatment (<5~7 times/day) per nurse (R²=.34). Conclusion: The results of this study suggest that the safety nursing activities of hemodialysis unit nurses should be intensified. In addition, the registration system of patient safety incident report and nurses' competency on patient safety should be improved, and the number of hemodialysis per nurse should be fewer than 7 times per day.

• Journal of Korean Academy of Fundamentals of Nursing
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• v.17 no.2
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• pp.149-158
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• 2010

Purpose: This study was done to gain understanding of what career and related experience mean to individuals undergoing hemodialysis. Methods: Ten male patients receiving hemodialysis participated in the study. Data collection took place between November 18, 2008 and February 10, 2010, via unstructured interviews. Data collection and analysis were conducted simultaneously, and Colaizzi's phenomenological method (1978) was used for the analysis. Results: The significance the participants found in their "dual" life as worker and dialysis patients was classified into five categories: 'Recognition of self-existence value', 'My health comes before my work', 'Being afraid of stigma', 'Limitation of restricted work', and 'Difficulty with time management.' Conclusion: It was found that the dialysis patients showed ambivalent feelings towards their careers, hoping they will be able to continue to work yet fearing that the continued work might break balance the between their livelihood and healing. Therefore, it is recommended that hours for hemodialysis be more flexible to ensure that patients can keep their jobs and better manage their time while undergoing treatment.

• Journal of Korean Academy of Fundamentals of Nursing
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• v.7 no.1
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• pp.42-59
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• 2000

This study was done to analyze and develop the concept of coping in patients receiving hemodialysis. The Hybrid Model of concept development was applied to develop a conceptual structure of coping in patients receiving hemodialysis, which included a field study carried out using an in-dept interview with 18 patients in the hemodialysis room of one general hospital in Seoul. Data-analysis was done in three phases as suggested by the Hybrid Model. Finally, by summarizing the results from each case, the attributes of coping, its dimensions, definition and structure were outlined. According to the results of the study, a conceptual structure of coping which centers around stressors, stress-appraisal, strategy of coping and new definitions of coping in patients receiving hemodialysis was suggested : The coping of patients receiving hemodialysis is a process that deals with physical, emotional, inter-personal, and role stress caused by hemodialysis due to renal failure. It has a series of phases which include a phase that appraises the stressful situation based on past experience of chronic disease management, one's remaining rears, the extent of family support, the extent of economic dependency, inter-personal support. education and uncertainty, and a phase of developing coping strategies that con be affected by social support and self esteem. As a result of coping, patients adapt or not to the life situation of receiving hemodialysis.

• Journal of the Korea Academia-Industrial cooperation Society
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• v.19 no.4
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• pp.265-275
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• 2018

This study is a qualitative investigation that used Colaizzi's (1978) phenomenological method to evaluate the meaning and nature of the experience of dialysis of eight long-term (>30 years) hemodialysis patients with chronic renal failure. Data were collected from February 27, 2017 to May 30, 2017 by in-depth interviews. Respondents were then divided into three categories, 'entirely different life', 'getting back up again' and 'focusing on survival' with nine theme clusters and 22 themes. In general, patients initially experienced an entirely different life and overcame a difficult situation when beginning dialysis, then came to know methods for self-care, shared the experience of dialysis, and focused on survival while receiving dialysis over the long-term. Development of variety of education methods depending on long-term experience of dialysis and nursing care intervention to enable chronic patients to adapt to dialysis and continue their own self-management is necessary.

• The Korean Journal of Rehabilitation Nursing
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• v.5 no.2
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• pp.217-225
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• 2002

Purpose : This research is aimed at developing a substantive theory related to the experience of adjustmented hemodialysis patients by identifying and analyzing the nature, process, and types of adjustment experienced by them. For this purpose, this study takes a grounded theory approach. Method : Data were collected from April, 2002 through September, 2002 through in-depth interviews and close observations of eleven hemodialysis patients who have experienced adjustment. With their consent, the interviews were recorded by audio tapes and later transcribed. Observation memos were also prepared on the subjects' behavior during the interviews. Data collection continued until saturated. The data were analyzed into concepts, subcategories, and categories with the open coding process. The axial coding was done to identify the relationships of the concepts and categories. And the selective coding was done to develop a core category, which is the central phenomenon of the hemodialysis patients who experienced adjustment. Result : This process resulted in 88 concepts, which may be grouped into 24 subcategories and 6 core categories. The 6 categories, in fact, depict the process of changes the patients experience from the sense of crisis, self-control, new life meaning, support system, coping ability, and quality of life improvement. And its core is self-control, which encompasses the dynamic stages from recognition, change attempts, belief solidification, and empowerment. Conclusion : The results of the research offer the following implications. First, research on adjustment is a formative stage in nursing, it is imperative for nursing researchers to develop them, which may be more relevant to nursing. Second, it is important to develop nursing intervention techniques that may be most effective in adjustment of hemodialysis patients and at the same time for each stage of changes taking place in adjustmented hemodialysis patients.

• Journal of the Korea Academia-Industrial cooperation Society
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• v.16 no.7
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• pp.4816-4827
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• 2015

The purpose of this study was to identify the experience symptoms and severity of hemodialysis patients and to determine the effects of each symptom on health related quality of life. This research involved 102 patients who were receiving hemodialysis at one university hospital and two Kidney Center in D city. Data collection were collected from April to May 2014. Data analysis was performed by SPSS/WIN 18.0 using ANOVA, t-test, Pearson correlation and stepwise multiple regression. Fatigue was the highest among symptoms on hemodialysis patients and dry skin, itching was in order. Factors affecting health related quality of life were income and symptoms level. These factors explain 42.2% of the variance in health related quality of life. Based on the results, it is necessary to develop various programs and apply for nursing interventions to alleviate the experience symptoms and severity and expand support in social service perspective in hemodialysis patients. Especially, we suggest that further research for developing nursing interventions for relieving fatigue, itching, and sleep disorders of hemodialysis patients.

• Journal of Korean Physical Therapy Science
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• v.17 no.3_4
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• pp.1-9
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• 2010

Purpose: The objectives of this study were to investigate the current status of the pain in and the dysfunction related to the musculoskeletal system experienced by patients with end-stage renal failure receiving hemodialysis. Methods: A questionnaire survey was given to 107 patients undergoing hemodialysis in M Hospital. The survey was conducted by using a brief pain inventory(BPI) to investigate the body parts in pain, degree of pain, difficulty in daily life, correlation with hemodialysis and the degree of satisfaction with their own health. Results: The investigation of the patients undergoing hemodialysis showed that 89(83.2%) of the 107 patients experienced pain in their musculoskeletal system. Their pain's incidence was highest in the knees(46.1%) and 68.5% of the patients reported that the most severe pain they had experienced within the past 24 hours was at a level between "moderate" and "severe." The limitation of daily life by pain is high most as 47.7% in the accomplishment of works. Conclusion: Most hemodialysis patients experience musculoskeletal related pain that affects their daily life. Hemodialysis patient management programs should include an assessment and management of such pain.