The purpose of this study is seacching for hemodialysis nursing bahaviors by hemodialysis room nurses and analyzing them. Then, it estimates hemodialysis nursing costs and obtains basic data for development of proper nursing costs.
First, it searched for hemodialysis nursing behaviors at a tertiary hospital hemodialysis room in Seoul and classified them. After the conteni validity was verif ed by 6 experts. Tool of hemodialy:~is nursing behaviors was developed.
patients who recived .hemodialysis were classified by dialysis patient classification tool. The searcher observed hemodialysis nursing behaviors applied to classified patients per 5 minutes. Then hemodialysis nursing hours spent to classified patients were calculated respectively. The direct experlditu~~es and indirect expenditures were estimated. Ulti~.nately, hemodialysis nursing costs were es-timated.
The results of the study were as follows
1. hemodialysis nursing behaviors were grouped by the same knowledge and skills. then, the con-tent validity of them was verified by evaluation tool of nursing intervention classification by ex-pert groups.
They consisted of 9 hemodialysis activity do-mains and 71 hemodialysis nursing behaviors. The predialysis activity domain included 15 nursing behaviors. the activity domain of start-dialysis included 12 nursing behaviors, the activity domain of during- dialysis included 9 nursing behaviors. the activity domain of finish-dialysis included 5 nursing behaviors, the activity domain of after-dialysis included 5 nursing behaviors, the nursing documentation &undertaking and transfering included 5 nursing behaviors, the supply, drug. equipment & environment management activity domain included 7 nursing behaviors, the patient emotional support &education activity domain in-eluded 4 nursing behaviors, the emergency activity domain included 9 nursing behaviors.
2. The acute hemodialysis nursing hours were 106.42 minutes per a dialysis and the chronic hemodialysis nursing hours were 72.23 minutes per a dialysis, u
3. The direct expenditure was 11,971 won per hour and indirect expenditure was 288won.
4. Finally, the cost of acute hemodialysis was 21,745 won and that of chronic hemodialysis was 14,759 won.
By search of hemodialysis nursing behaviors. they will be used as hemodialysis nursing care standard and will be tended toward high qualitative care. Estimation of hemodialysis nursing costs will be used as fundamental data for development of proper nursing costs.
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