J Korean Clin Nurs Res.  2018 Dec;24(3):356-362. 10.22650/JKCNR.2018.24.3.356.

Effect of Evidence-Based Practice Protocol for Catheter Dysfunction in Hemodialysis Patients: Focus on Patency Rates and Bleeding Complications

• Lee KM
• Kim MY

• KMID: 2437835
• DOI: http://doi.org/10.22650/JKCNR.2018.24.3.356

Abstract

PURPOSE
This study was a retrospective cohort study to evaluate the effect of evidence-based guidelines for catheter dysfunction among hemodialysis patients, Success rate and bleeding complications in catheterization were examined.
METHODS
We performed a retrospective cohort study, including 94 patients with catheter dysfunction who were receiving hemodialysis at a university hospital; 55 in the control group and 39 in the protocol group. This protocol was composed of the catheter dysfunction assessment, conservative management of catheter dysfunction, drug management of catheter dysfunction, catheter function test and maintenance management. Data were analyzed with a Chi-square test and t-test using SPSS/WIN 23.0 program.
RESULTS
The patency rate of the protocol group was significantly higher than that of the control group. The rate of bleeding complications was not statistically significant for either the control group or the protocol group before or after application.
CONCLUSION
The application of the guidelines effectively increased the patency rate of the catheter without bleeding complications. It is hoped that this guideline can be disseminated to nurses nationwide to improve the efficiency of catheter function for hemodialysis patients.

Keyword

Bleeding; Catheter Obstruction; Patency; Renal Dialysis

MeSH Terms

Catheter Obstruction
Catheterization
Catheters*
Cohort Studies
Evidence-Based Practice*
Hemorrhage*
Hope
Humans
Renal Dialysis*
Retrospective Studies