J Korean Acad Adult Nurs.  2001 Sep;13(3):451-462.

A Comparative Study in the Cognitive Functions of Peritoneal Dialysis, Hemodialysis and Normal Kidney Function Groups

Affiliations
  • 1Department of Nursing, Shin Heung College, Korea.
  • 2Ewha Womans University Mokdong Hospital, Korea.

Abstract

This study was conducted to examine and compare the characteristics in the cognitive functions of peritoneal dialysis, hemodialysis and normal kidney function groups as basic data for effectively educating dialysis patients. The data were collected from May 10 to October 30. 2000, collected from each of 20 patients with peritoneal dialysis, hemodialysis and normal Kidney function and who registered for the dialysis room at a general hospital affiliated to a university in Seoul and sampled by age and educational level through personal interviews with the researchers of this study. As a measuring tool, MMSE developed by Folstein et al.(1975) to measure cognitive function disorder was used, slightly revised for hemodialysis patients. Collected data were processed into frequency, percentage, mean, and standard deviation by the use of SAS. The results of this study are as follows: 1.With a maximum of 30 points for cognitive function, the mean of the peritoneal dialysis patients was 27.06+/-2.06, while that of the hemodialysis patients was 27.25+/-2.76; that of the normal Kidney function patients was 27.85+/-2.00, indicating no significant difference among those three groups. 2. As for the subjects who scored 23 points, the turning point of confirming the cognitive disorder, the percentage was 5% in the case of the peritoneal dialysis, 10% in the case of the hemodialysis and 5% in the case of the normal Kidney function group. 3.Differences between the peritoneal dialysis and hemodialysis patients by gender, occupation, spouse, diabetes, hypertension, the period of dialysis, number of hospitalizations, and the use of erythropoietin were not significant in the scoring of cognitive function. 4. There was no significant correlation between the level of Hb, Hct, albumin, aluminium, PTH, BUN, Cr, dialysis adequacy and the cognitive function. Considering such results, it is clear that there is no significant difference in the cognitive functions of the sampled subjects. Therefore, the nurse in the dialysis room should continually carry out assessment and intervention against elements degrading the effect of patients' education to improve self-care.

Keyword

Peritoneal dialysis; Hemodialysis; Cognitive function

MeSH Terms

Dialysis
Education
Erythropoietin
Hospitalization
Hospitals, General
Humans
Hypertension
Kidney*
Occupations
Peritoneal Dialysis*
Renal Dialysis*
Self Care
Seoul
Spouses
Erythropoietin
Full Text Links
  • JKAAN
Actions
Cited
CITED
export Copy
Close
Share
  • Twitter
  • Facebook
Similar articles
Copyright © 2024 by Korean Association of Medical Journal Editors. All rights reserved.     E-mail: koreamed@kamje.or.kr