J Korean Acad Fundam Nurs.
2018 Aug;25(3):220-230. 10.7739/jkafn.2018.25.3.220.
Self-Management Knowledge, Self-Management, Physiological Indexes, and Symptoms Experience according to Dialysis Methods
- Affiliations
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- 1Wonju Severance Christian Hospital, Wonju, Korea.
- 2Department of Nursing, Yonsei University Wonju College of Medicine, Wonju, Korea. yhshin@yonsei.ac.kr
- KMID: 2420558
- DOI: http://doi.org/10.7739/jkafn.2018.25.3.220
Abstract
- PURPOSE
This study was a cross-sectional study comparing differences in self-management knowledge, self-management, physiologic indexes, and symptoms experience for two methods of dialysis.
METHODS
Participants were 90 patients on hemodialysis and 91 on peritoneal dialysis at A hospital.
RESULTS
There was no significant difference between the two groups for knowledge of self-management. A comparison of the categories in the evaluation of self-management showed that patients in the peritoneal dialysis group took better care of their dialysis access route (F=17.61, p < .001) and dialysis schedule (F=4.30, p=.040). The physiologic indexes between the two dialysis groups showed that hemoglobin levels were higher in the hemodialysis group (F=5.28, p=.023). The product of serum calcium and phosphate was higher in the peritoneal dialysis group (F=11.42, p=.001). Serum sodium level was also higher in the peritoneal dialysis group (t=5.36, p < .001) while serum albumin level (t=−3.36, p=.001) and mean arterial blood pressure (t=−2.50, p=.013) were higher in hemodialysis patients. There were no significant differences in the proportion of uncomfortable experiences between the two groups.
CONCLUSION
Medical personnel should consider differences in self-management knowledge/self-management, physiologic indexes, and symptoms experience for hemodialysis and peritoneal dialysis populations, and should provide adequate education accordingly and promote behavioral change to improve physiologic indexes and reduce symptoms.
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