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KMID : 1004620070130010103
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Clinical Nursing Research
2007 Volume.13 No. 1 p.103 ~ p.112
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The Comparison of Adverse Reactions between Patients Undergoing Profilling and Conventional Hemodialysis
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Kang Hae-Sook
Yang Young-Ok
Kang Hyeon-Ju
Kang Eui-Jung
Yu Nan-Young
Kong Jin-Hwa
Kim A-Rum
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Abstract
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Purpose: The purpose of this study was to evaluate adverse reactions during hemodialysis with gradient ultrafiltration and high sodium dialysate could be reduced as compared to conventional hemodialysis.
Method:Thirteen outpatients who had been on hemodialysis three times in a week for more than 6 months were recruited. he data were collected for 8 weeks from July 3 through August 26, 2006. Patients received conventional hemodialysis for the first four weeks, and then received profiling dialysis of gradient ultrafiltration & high sodium dialysate for the second four weeks. The collected data were analyzed with mean, standard deviation, paired t-test at significant level of .05.
Results: The incident frequency of hypotension during sodium profiling hemodialysis was reduced, compared to conventional hemodialysis(t=1.210, p=.020). At the same time, the number of nursing interventions during sodium profiling
hemodialysis was reduced significantly. Although systolic and diastolic blood pressure measured after profiling
hemodialysis and conventional hemodialysis were not significantly different, the levels of systolic and diastolic BP were increased and concentration level of sodium was increased from 138.0±2.2mEq/L in conventional hemodialysis(the
first four weeks) to 140±2.9mEq/L in profiling hemodialysis(the second four weeks) with t=-1.627, p=.114.
Conclusion: Due to the reduced number of adverse reactions and nursing interventions in profiling hemodialysis, we can expect an increase in patient’s compliance toward hemodialysis. This study suggest that profiling hemodialysis would be more efficient hemodialysis and more effective nursing interventions in occurrence of adverse reactions. However, because of the limited number of cases of this study, the effectiveness of profiling hemodialysis is yet to be determined.
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KEYWORD
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Profiling hemodialysis, Conventional Hemodialysis, Patients with chronic renal disease
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