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KMID : 0869120090110020157
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기초간호자연과학회지
2009 Volume.11 No. 2 p.157 ~ p.166
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Effects of Self-care Program Using SMS, E-mail, or Telephone Call on Self-care Compliance and Nutritional Status in Hemodialysis Patients
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An Gyeong-Ju
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Abstract
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Purpose: The purpose of this study was to determine the effects of self-care program using Short message service(SMS), e-mail, or telephone call on self-care compliance and nutritional status in maintenance of hemodialysis patient.
Methods: Nonequivalent pretest-posttest control experimental design was used. Ninety-six patients were allocated to control (n=24), SMS (n=24), e-mail (n=24), or telephone (n=24) group from four hospitals. Experimental groups received self-care program about hemodialysis diet, drug administration, exercise, and fistula care by SMS, e-mail, or telephone call respectively at 3 times a week for 4 weeks.
Results: Subjective self-care compliance, and objective self-care compliance including interdialytic weight of SMS and telephone groups were significantly increased than those of control groups. However, nutritional status of SMS and e-mail groups were significantly improved than those of contol groups in albumin and protein level.
Conclusion: Self-care program using SMS and telephone call were effective on promoting self-care compliance, while SMS and e-mail were effective on improving nutritional status. The pop-up remaining effect and easy accessible effect of SMS message in busy daily life was considered as an alarm to control fluid and diet.
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KEYWORD
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Self-care compliance, Nutrition, SMS, E-mail, Telephone, Hemodialysis
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