KMID : 0882420140870040439
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Korean Journal of Medicine 2014 Volume.87 No. 4 p.439 ~ p.448
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Factors Associated with Quality Control of Hemodialysis Treatment
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Kim Kyung-Sook
Lee Sun-Hee Ryu Dong-Ryeol
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Abstract
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Background/Aims: The number of patients with end-stage renal disease in Korea is increasing annually with 63,341 patients in 2011 with 42,596 of these patients undergoing hemodialysis. The purpose of this study was to present a quality control plan for hemodialysis treatment.
Methods: We analyzed 616 hemodialysis units in 2010. The difference between hospitals was analyzed by one-way analysis of variance and the Kruskal-Wallis H test. The factors related to outcome indicators were subjected to multiple regression analysis.
Results: The average proportion of physicians with a specialty in hemodialysis was 71.3% and the proportion of nurses with > 2 years experience in hemodialysis units was 76.3%. The average number of hemodialysis sessions performed per day by a physician was 23 and that of a nurse was 4.5. The rate of specialist physicians was significantly related to adequate diastolic blood pressure, integrated outcome indicator, and Hb levels (p < 0.05). Hemodialysis sessions performed by a nurse were significantly related to Hb levels of patients and integrated outcome indicator (p < 0.05). The integrated outcome indicator was significantly related to specialist physicians, the number of hemodialysis sessions performed by a nurse, and compliance with a hemodialysis adequacy and water test cycles (p < 0.05).
Conclusions: The appropriate rate of specialist physicians and nurses is important for quality control of hemodialysis treatment. Proper facilities and equipment, as well as regular monitoring of the patient¡¯s condition, are also critical. This will require improved indicators and assessment reliability.
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KEYWORD
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Kidney failure, Chronic, Renal dialysis, Health facilities, Quality control, Medical staff
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