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KMID : 0367019920040020193
Journal of Korean Academic of Adult Nursing
1992 Volume.4 No. 2 p.193 ~ p.208
A Study of effect on Continuous Education for Diet and Medication Control in Hemodialysis Patient


Kim Moon-Sil
Abstract
This experimental study was undertaken in order to test the effect of continuous education on diet and medication control for serum potassium and phosphorus controlling and to provide the foundation of more effective nursing care about serum potassium and phosphorus controlling in Hemodialysis patient. The 20 patient was selected among the hemodialysis therapy with potassium and phosphorus in high level. 10 of them who continuous educated belong to the experimental group and remaining 10 who uneducated belong to the control group. The data was collected from January first, 1992 to October 15th, 1992. The instruments used for this study were patient¡¯ chart for serum BUN, K, P, total Protain & Albumin, and research matrial for patient education was written by this researcher. Data analysis was done by use of mean, standard deviation, t-test and X2-test. The results of this study are as follow : 1) First hypothesis that "serum potassium level of the experimental group which has received continuous education for serum potassium controlling would be lower than that of uneducated control group" wasn¡¯t supported (t=-1.01, p=.324). 2) Second hypothesis that "in experimental group which has received continuous education serum potassium level of after continuous education would be lower then serum potassium¡¯s mean level of before education" was supported(t=4.65, p=.001). 3) Third hypothesis that "serum phosphorus level of experimental group which has received continuous education for serum phosphorus controlling would be lower than that of the uneducated control group" was supported(t=-2.17, p=.043). 4) Forth hypothesis that "in experimental group which has received continuous education serum phosphorus level of after continuous education would be lower than serum phosphorus¡¯s mean level of before education" was supported(t=5.54, p=.000). In conclusion, continuous education about serum potassium and phosphorus controlling in hemodialysis patient is nursing intervention which was decreased the level of serum potassium and phosphorus and prevented complication. When continuous diet education for serum potassium and phosphorus controlling, hemodialysis nurse should be analyzed patient¡¯s diet record and compared with serum level of potassium and phosphorus simultaneously. Therefore continuous education for serum potassium and phosphorus is important nursing intervention and hemodialysis nurse should be performed continuous education for hemodialysis patient.
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