pISSN : 2383-6415   eISSN : 2383-6423

Retention Effects of Dietary Education Program on Diet Knowledge, Diet Self-Care Compliance, Physiologic Indices for Hemodialysis Patients


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AUTHOR : Kim Sang-Suk,Jo Hyun Sook,Kang Meung-Sue

INFORMATION : page. 51~59 / 2017 Vol.19 No.2


ABSTRACT

최근 들어 혈액투석환자는 의학의 발달과 인구의 고령화로 인한 만성질환의 증가와 함께 꾸준히 증가하고 있는 추세이다[1]. 만성질환인 신부전이 말기 신부전증으로 진행되면서 혈액투석을 받는 환자의 수는 인구 백만 명당 2007년에 617명이었으나, 2015년에는 62,634명으로 약 100배 증가하였고, 복막투석이 7,352명, 신장이식이 17,028명으로 보고되어서 혈액투석은 말기 신부전증 대상자의 신 대체요법의 77.3%를 차지하였다[2].

Purpose: The purpose of this study was to identify the retention effects of an individualized dietary education program for hemodialysis patients on diet knowledge, diet self-care compliance, and physiological indices, thus to find the most effective time period for re-education. Method: This study utilized one-group repeated pretest-posttest design. The participants were 52 hemodialysis patients in C hospital, Gyeonggi-Do. Data were collected at 4 and 12 weeks after the education from January through April 2016. Results: There was significant increases in diet knowledge even 12 weeks after the education (p=.007). Diet self-care compliance showed a significant increase at 4weeks (p=.001), but a decrease at 12 weeks after the education. The level of blood natrium was significantly decreased between 4 and 12 weeks after the education (p=.006). The weight was significantly decreased at 12 weeks after the education. Conclusion: It has been identified that re-education for hemodialysis patients should be implemented between 4 and 12 weeks after education in order to maintain patients’ diet self-care compliance, an ultimate aim of diet education. By helping them with their self-care compliance, the patients would maintain their physical and psychological function optimally, thus contributing to a better quality of life among hemodialysis patients.

Keyword :

혈액투석환자,식이 교육프로그램,식이 지식,식이 자가간호 이행,생리적 지표


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