학회지

Korean Academic Society of Home Health Care Nursing

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혈액투석 환자를 위한 통합적 관리 프로그램의 개발 및 효과

Development and Evaluation of Integrated Management Program for Hemodialysis Patients

김보라 (대전보훈병원, 충북대학교 ), 유하나 (대전대학교 간호학과)

언어 :

권호 : v.31, no.1, 66-76,

발행일자 : 2024년 4월

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초록

Purpose: This study aimed to develop and evaluate an integrated management program to enhance self-efficacy, compliance with sick-role behaviors, symptom management, and biomarker indication in hemodialysis patients. Methods: The integrated management program was developed through a systematic review of literature, analysis of relevant online data, and expert validation. It comprised 480 min of video-based education delivered eight times over four weeks, supplemented by weekly phone consultations and text message support from a nurse. To evaluate the program's effectiveness, it was administered to 44 patients with hemodialysis in a single group in a pre-post test experimental study. Changes in self-efficacy, sick-role behavior compliance, dialysis symptom index, and biomarkers were assessed. Results: The program yielded statistically significant improvements in self-efficacy (t=-7.13, p<.001), sick-role behavioral compliance (t=-7.35, p<.001), dialysis symptom index (t=4.32, p<.001), and blood urea nitrogen levels (t=2.55, p=.014) among the participants. Conclusion: The integrated management program is an effective intervention for improving hemodialysis patients' self-efficacy, compliance with sick-role behaviors, and experience of symptoms. Additionally, it is considered an intervention with high clinical applicability and efficiency through video reproducibility.

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참고문헌 (30)

  • Korean Society of Nephrology, Korea Disease Control and Prevention Agency. 2021 Adequate Hemodialysis Tretment Evidence-Based Treatment Guidelines[Internet]. Seoul: Korean Society of Nephrology; 2021 August 25 [Cited 2021 August 25]. Available https://ksn.or.kr/bbs/index.php?page=2&code=guideline_k

  • Zhianfar L, Haidar N, Abdolreza S. Enhancement of adherence to therapeutic and lifestyle recommendations among hemodialysis patients: An umbrella review of interventional strategies. Therapeutics and clinical risk management. 2020;4(1):233-243. https://www.tandfonline.com/doi/full/10.2147/TCRM.S240125

    http://dx.doi.org/10.2147/TCRM.S240125

    원문상세

  • Korean Society of Nephrology. Korean Renal Data System. 2022 trends in epidemiologic characteristics of end-stage renal disease from 2022 KORDS(Korean Renal Data System) [Internet]. Seoul: Korean Society of Nephrology; 2023 July 28 [Cited 2023 July 28]. Available https://ksn.or.kr/bbs/index.php?code=report

  • Weisbord SD, Fried LF, Arnold RM, Fine MJ. Levenson DJ, Peterson RA, Switzer GE. Prevalence, severity, and importance of physical and emotional symptoms in chronic hemodialysis patients. Journal of the american society of nephrology. 2005;16(8):2487-2494. https://doi.org/10.1681/ASN.2005020157

    http://dx.doi.org/10.1681/ASN.2005020157

    원문상세

  • Denhaerynck K, Manhaeve D, Dobbels F, Garzoni D, Nolte C, De GS. Prevalence and consequences of nonadherence to hemodialysis regimens. American journal of critical care. 2007;16(3): 222-235. https://doi.org/10.4037/ajcc2007.16.3.222

    http://dx.doi.org/10.4037/ajcc2007.16.3.222

    원문상세

  • Jeon HM, You HS. Factors Influencing Sick Role Behavior Compliance in Patients on Hemodialysis. Journal of korean academy of fundamentals of nursing. 2019;26(1):23-31. https://doi.org/10.7739/jkafn.2019.26.1.23

    http://dx.doi.org/10.7739/jkafn.2019.26.1.23

    원문상세

  • Jang HS, Lee CS, Yang YH. Influence of uncertainty and uncertainty appraisal in self-management in hemodialysis patients. Journal of Korean Academy Nursing 2015; 45(2):271-279. https://doi.org/10.4040/jkan.2015.45.2.271

    http://dx.doi.org/10.4040/jkan.2015.45.2.271

    원문상세

  • Jeon MY. Effects of self efficacy and social support on the sick role behavior compliance in hemodialysis patients[master's thesis]. Suwon: Ajou University; 2015. https://dspace.ajou.ac.kr/handle/2018.oak/12944

  • Kim SS, Choi YS. The effects of tailored dietary education among role failure hemodialysis patients on self-care compliance, self-efficacy and Physiologic Indices. The Korean Jounal Of Rehabilitation Nursing. 2021;24(1):46-55. https://doi.org/10.7587/kjrehn.2021.46

    http://dx.doi.org/10.7587/kjrehn.2021.46

    원문상세

  • Hwang YW, Lee JW. The effects of disease management education using booklets on the self-efficacy, behavior, and physiological indices of hemodialysis patients[master's thesis]. Busan: Catholic University of Pusan; 2021. p.29-33. https://www.riss.kr/link?id=T15730597

  • Yoon MY. Development and effect of integrated AVF (arteriovenous Fistula) self-management program in patients with hemodialysis[dissertation]. Seoul: Hanyang Uniuversity; 2019. p.69-76. https://repository.hanyang.ac.kr/handle/20.500.11754/100112

  • Cho YH, Suh SN. Effect of self-management promotion program for hemodialysis patients. Journal of Kyungpook Nursing Science. 2022;26(2):41-53. https://doi.org/10.38083/JKNS.26.2.202208.041

    http://dx.doi.org/10.38083/JKNS.26.2.202208.041

    원문상세

  • Kim ES. The Development and Effects of REBT-Based SelfManagement Program for Early Hemodialysis Patients [dissertation]. Seoul: Korea Unuversity; 2014. p.101-104

  • Chae YR, Choi JJ, & Kim MS. The effectiveness of structured educational programs for hemodialysis patients in Korea: an integrated literature review. Journal of Korean Biological Nursing Science; 2023; 25(3); p.143-159. https://doi.org/10.7586/jkbns.23.0011

    http://dx.doi.org/10.7586/jkbns.23.0011

    원문상세

  • Eason K, Waterson P. The implications of e-health system delivery strategies for integrated healthcare: Lessons from England. International Journal of Medical Informatics. 2013;82 (5):e96-e106. https://doi.org/10.1016/j.ijmedinf.2012.11.004

    http://dx.doi.org/10.1016/j.ijmedinf.2012.11.004

    원문상세

  • Caligtan A, Carroll L, Hurley C, Gersh-Zaremski R, Dykes C. Bedside information technology to support paꠓtient-centered care. International Journal of Medical Informaꠓtics.2013; 81(7):442-451. https://doi.org/10.1016/j.ijmedinf.2011.12.005

    http://dx.doi.org/10.1016/j.ijmedinf.2011.12.005

    원문상세

  • Hosseini A, Jackson AC, Chegini N, Dehghan MF, Mazloum D, Haghani S, et al. The effect of an educational app on hemodialysis patients' self-efficacy and self-care: A quasi -experimental longitudinal study. Chronic Illness. 20;19(2): 383-394. https://doi.org/10.1177/17423953211073365

    http://dx.doi.org/10.1177/17423953211073365

    원문상세

  • An GJ. Effects of self-care program using SMS, E-mail, or Telephone Call on self-care compliance and nutritional Status in hemodialysis patient[master's thesis]. Chengju: Chengju University; 2009. https://www.riss.kr/link?id=A103220132

  • Park OL, Kim SR. Integrated self-management program effects on hemodialysis patients: A quasi-experimental study. Japan Journal of Nursing Science; 2019; 16(4); p.396-406. https://doi.org/10.1111/jjns.12249

    http://dx.doi.org/10.1111/jjns.12249

    원문상세

  • Faul F, Erdfelder E., Lang AG, & Buchner A. G* Power 3: A flexible statistical power analysis program for the social, behavioral, and biomedical sciences. Behavior research methods; 2007; 39(2), 175-191. https://link.springer.com/article/10.3758/BF03193146

    http://dx.doi.org/10.3758/BF03193146

    원문상세

  • Kim JH. Effect of guided imagery applied to hemodialysis patients. Seoul Jputnal of Nursing.1997 Seoul: Seoul University; 1996;10(2):256-257. https://www.riss.kr/link?id=T10956

    http://dx.doi.org/10956

    원문상세

  • Choi EY. Prediction model of fatigue for hemodialysis patients[thesis]. Seoul: Kyung Heen University; 2020.p. 40. https://www.riss.kr/link?id=T9879955

  • Hong KY. A study of the relationships among dialysis related knowledge, self Efficacy and compliance of patient role behavior in hemodialysis patients[master's thesis]. Seoul: Hanyang University; 1999.p. 20-22.

  • Song ES. Study on the knowledge about hemodialysis and compliance of patient role behavior in hemodialysis patients [master's thesis]. Gwangiu: Chosun University; 2002.p. 9-10.

  • Yim EJ. Symptom clusters, depression and quality of life in patients on hemodialysis[master's thesis]. Seoul: Kyung hee university; 2016. p.20-21. https://www-riss-kr.libproxy.chungbuk.ac.kr/link?id=T8976682

  • Suk YM, Park JW, Jeom MJ, Kim CY. Effect of periodic video education on knowledge about hemodialysis, patient role behavior and the physiologic index in patients with hemodialysis. journal of korean biological nursing science. 2013;15(3): 122-132. https://doi.org/10.7586/jkbns.2013.15.3.122

    http://dx.doi.org/10.7586/jkbns.2013.15.3.122

    원문상세

  • Kang JS, Kim HO. The effect of video education on cancer patient advance directive writing. asian oncology nursing. 2020;20(1), 39-49. https://doi.org/10.5388/aon.2020.20.1.39

    http://dx.doi.org/10.5388/aon.2020.20.1.39

    원문상세

  • Bandura A. Self-efficacy: Toward a unifying theory of behavioral change. Psychological Review, 1977;84(2), 191-215. https://doi.org/10.1037/0033-295X.84.2.191

    http://dx.doi.org/10.1037/0033-295X.84.2.191

    원문상세

  • Chae YR, Kang HY, Lee SH, Jo TM, Koo HJ. Relationships among family Support, medical staff support, sick role behavior and physiological indicators in hemodialysis patients. The korean society of health promotion and disease prevention. .2020 20(1), 24-32 https://doi.org/10.15384/kjhp.2020.20.1.24

    http://dx.doi.org/10.15384/kjhp.2020.20.1.24

    원문상세

  • Lee KS. The effects of structured video education program on chronic illness care and physiological indicators in patients on hemodialysis[master's thesis]. Seoul: Kyung hee university; 2015. p.15-31. https://www-riss-kr.libproxy.chungbuk.ac.kr/link?id=T15963797

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