Journal of Korean Clinical Nursing Research (임상간호연구)

Hospital Nurses Association (병원간호사회)
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A Study on the Self-Management and Physiological Measurements of Patients on Hemodialysis according to Their Age

혈액투석 환자의 연령에 따른 자가관리, 생리적 지표에 관한 연구

  • Lim, Se Mi (Department of Nursing, Donggang University) ;
  • Lee, Kyung Mi (Department of Nursing, Samsung Medical Center) ;
  • Shin, Na Yeon (Department of Nursing, Bundangcha Medical Center)
  • Received : 2018.08.24
  • Accepted : 2018.10.18
  • Published : 2018.12.31
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Abstract

Purpose: The study was conducted to investigate correlations between self-management and physiological measurements of patients on hemodialysis according to their age. Methods: The subjects were 120 patients on hemodialysis at three hospitals in S and G cities. Data were collected using a structured questionnaire and medical records. The collected data were analyzed using descriptive statistics including t-test, ANOVA, and Pearson's correlation analysis with the SPSS 23.0 program. Results: The levels of compliance with self-management were highest in the middle-aged group. There was no significant difference in physiological measurements between the different age groups. Conclusion: The results suggest that nurses should consider characteristics of different age groups to improve the levels of self-management and physiological measurements.

Keywords

Table 1. Differences in Variables by Age Group

BGHSBR_2018_v24n3_363_t0001.png 이미지

Table 2. The Level of Self Management and Physiology

BGHSBR_2018_v24n3_363_t0002.png 이미지

Table 3. Correlations among Variables

BGHSBR_2018_v24n3_363_t0003.png 이미지

References

  1. KDOQI. KDOQI Clinical practice guidelines and clinical practice recommendations for diabetes and chronic kidney disease. American Journal of Kidney Diseases 2007;49(2 Suppl 2): S12-S154. https://doi.org/10.1053/j.ajkd.2006.12.005
  2. ESRD Registry Committee. Current renal replacement therapy in Korea [Internet]. Seoul: The Korean Society of Nephrology; 2016 [cited 2017 June 11]. Available from: http://www.ksn.or.kr/rang_board/list.html?code=sinchart.
  3. United States Renal Data System (USRDS). Annual data report, vol. 2: End-stage Renal Disease in the United States [Internet]. Ann Arbor, MI: USRDS; 2017 [cited 2017 September 13]. Available from: https://www.usrds.org/2017/view/Default.aspx.
  4. Park HM, Lee HS. Effects of empowerment education program for hemodialysis patients on self-efficacy, self-care agency, self-care activities and physiologic parameters. The Korean Journal of Rehabilitation Nursing. 2010;13(2):151-160.
  5. Park HS, Hong YS, Lee HJ, Ha EH, Sung YA. Individuals with type 2 diabetes and depressive symptoms exhibited lower adherence with self-care. Journal of Clinical Epidemiology. 2004;57(9):978-984. https://doi.org/10.1016/j.jclinepi.2004.01.015
  6. World Health Organization (WHO). Adherence to long-term therapies: evidence for action [Internet]. Geneva: WHO; 2003 [cited 2017 June 11]. Available from: http://www.who.int/chp/knowledge/publications/adherence_report/en/.
  7. Denhaerynck K, Manhaeve D, Dobbels F, Garzoni D, Nolte C, De Geest S. Prevalence and consequences of nonadherence to hemodialysis regimens. American Journal of Critical Care. 2007;16(3):222-235.
  8. Jang HS, Lee CS, Yang YH. Influence of uncertainty and uncertainty appraisal on self-management in hemodialysis patients. Journal of Korean Academy of Nursing. 2015;45(2):271-279. https://doi.org/10.4040/jkan.2015.45.2.271
  9. Cho YM, Sung KW. The association of compliance with sick role behavior with satisfaction of basic psychological needs among hemodialysis patients. Korean Journal of Health Promotion. 2012;12(1):58-65.
  10. Yu HS. A study of health literacy, self-management knowledge, and self-care behaviors in elderly with hemodialysis [master's thesis]. Incheon: Inha University; 2016. p. 1-67.
  11. Kim SS, Jo HS, Kang MS. Retention effects of dietary education program on diet knowledge, diet self-care compliance, physiologic indices for hemodialysis patients. Journal of Korean Biological Nursing Science. 2017;19(2):51-59. https://doi.org/10.7586/jkbns.2017.19.2.51
  12. Jo YJ, Shin Y. Depression, self care compliance and physiological indices of hemodialysis patients. Journal of Keimyung Nursing Science. 2011;15(1):115-122.
  13. Na HR. A study of the relationship among dietary knowledge, self-care practice, nutritional status in patients on hemodialysis [master's thesis]. Gwangju: Chonnam National University; 2009. p. 1-56.
  14. Cho MK. Effect of health contract intervention on renal dialysis patients in Korea. Nursing and Health Sciences. 2013;15(1):86-93. https://doi.org/10.1111/nhs.12003
  15. Statistics Korea. Statistics for analysis of major characteristics and changes by life cycle [Internet]. Daejeon: Statistics Korea; 2013 [cited 2018 Oct 10]. Available from: http://www.kostat.go.kr/portal/korea/kor_nw/2/2/1/index.board?bmode=read&aSeq=310189&pageNo=14&rowNum=10&amSeq=&sTarget=&sTxt=0.16.
  16. Cha JE, Han DL. Relationships between meaning focused coping, depression and health status in patients with hemodialysis. Journal of Health Informatics and Statistics. 2016;41(2):194-202. https://doi.org/10.21032/jhis.2016.41.2.194
  17. Orem DE, Taylor SG, Renpenning KM. Nursing: Concepts of practice. 5th ed. St. Louis, MO: Mosby; 199.
  18. Lee KLim S, Kang Y. Psychometric evaluation of self-management scale for hemodialysis patients with arteriovenous fistula. Korean Journal of Adult Nursing. 2017;29(6):637-646. https://doi.org/10.7475/kjan.2017.29.6.637
  19. Min HS, Lee EJ. A study of the relationship between compliance with therapeutic regimens and physiological parameters of hemodialysis patients. Journal of Korean Academy of Nursing. 2006;36(1):64-73. https://doi.org/10.4040/jkan.2006.36.1.64
  20. Park KA, Choi-Kwon S, Sim YM, Kim SB. Comparison of dietary compliance and dietary knowledge between older and younger Korean hemodialysis patients. Journal of Renal Nutrition. 2008;18(5):415-423. https://doi.org/10.1053/j.jrn.2008.04.004
  21. Clark-Cutaia MN, Ren D, Hoffman LA, Burke LE, Sevick MA. Adherence to hemodialysis dietary sodium recommendations: Influence of patient characteristics, self-efficacy, and perceived barriers. Journal of Renal Nutrition. 2014;24(2):92-99. https://doi.org/10.1053/j.jrn.2013.11.007
  22. Kauric-Klein Z, Peters RM, Yarandi HN. Self-efficacy and blood pressure self-care behaviors in patients on chronic hemodialysis. Western Journal of Nursing Research. 2017;39(7):886-905. https://doi.org/10.1177/0193945916661322
  23. Kim H, Park S, Park M. The effect of periodical and individualized educational program for long-term hemodialysis patient. Korean Journal of Adult Nursing. 2015;27(5):572-582. https://doi.org/10.7475/kjan.2015.27.5.572
  24. Wu SF, Lee MC, Hsieh NC, Lu KC, Tseng HL, Lin LJ. Effectiveness of an innovative self-management intervention on the physiology, psychology, and management of patients with pre-end-stage renal disease in Taiwan: A randomized, controlled trial. Japan Journal of Nursing Science. 2018;15(4):272-284. https://doi.org/10.1111/jjns.12198
  25. Oak CY, Kim NH. Anemia and nutrition in end stage renal disease patient. Journal of the Korean Medical Association. 2013;56(7):592-599. https://doi.org/10.5124/jkma.2013.56.7.592
  26. Jang YH, Oh HS, Jang GS. Self-care behaviors and physiological index according to cognitive function of hemodialysis patients. The Korean Journal of Health Service Management. 2012;6(2):57-69. https://doi.org/10.12811/kshsm.2012.6.2.057
  27. Bushinsky DA, Rossignol P, Spiegel DM, Benton WW, Yuan J, Block GA, et al. Patiromer decreases serum potassium and phosphate levels in patients on hemodialysis. American Journal of Nephrology. 2016;44(5):404-410. https://doi.org/10.1159/000451067
  28. Chang CH, Lee KY, Shim YH. Normal aging: definition and physiologic changes. Journal of the Korean Medical Association. 2017;60(5):358-363. https://doi.org/10.5124/jkma.2017.60.5.358
  29. Kazawa K, Takeshita Y, Yorioka N, Moriyama M. Efficacy of a disease management program focused on acquisition of self-management skills in pre-dialysis patients with diabetic nephropathy: 24 months follow-up. Journal of Nephrology. 2015;28(3):329-338. https://doi.org/10.1007/s40620-014-0144-2
  30. Cha J. Structural equation modeling of self-management in patients with hemodialysis. Journal of Korean Academy of Nursing. 2017;47(1):14-24. https://doi.org/10.4040/jkan.2017.47.1.14