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The Effect of Dialysate Flow Rate on Dialysis Adequacy and Fatigue in Hemodialysis Patients
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Sun Mi Cha, Hye Sook Min
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J Korean Acad Nurs 2016;46(5):642-652. Published online October 31, 2016
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DOI: https://doi.org/10.4040/jkan.2016.46.5.642
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Abstract
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Purpose
In this single repeated measures study, an examination was done on the effects of dialysate flow rate on dialysis adequacy and fatigue in patients receiving hemodialysis.
Methods
This study was a prospective single center study in which repeated measures analysis of variance were used to compare Kt/V urea (Kt/V) and urea reduction ratio (URR) as dialysis adequacy measures and level of fatigue at different dialysate flow rates: twice as fast as the participant’s own blood flow, 500 mL/min, and 700 mL/min. Thirty-seven hemodialysis patients received all three dialysate flow rates using counterbalancing.
Results
The Kt/V (M±SD) was 1.40±0.25 at twice the blood flow rate, 1.41±0.23 at 500 mL/min, and 1.46±0.24 at 700 mL/min. The URR (M±SD) was 68.20±5.90 at twice the blood flow rate, 68.67±5.22 at 500 mL/min, and 70.11±5.13 at 700 mL/min. When dialysate flow rate was increased from twice the blood flow rate to 700 mL/min and from 500 mL/min to 700 mL/min, Kt/V and URR showed relative gains. There was no difference in fatigue according to dialysate flow rate.
Conclusion
Increasing the dialysate flow rate to 700 mL/min is associated with a significant nicrease in dialysis adequacy. Hemodialysis with a dialysate flow rate of 700 mL/min should be considered in selected patients not achieving adequacy despite extended treatment times and optimized blood flow rate.
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Citations
Citations to this article as recorded by 
- The Effect of Uncertainty on the Physiological Indexes of Hemodialysis Patients: Serial Mediating Effects of Uncertainty Appraisal and Self-care Behavior
Mi Kyung Kim, Eun Hee Jang Korean Journal of Adult Nursing.2022; 34(1): 51. CrossRef - Fuzzy-based modeling and speed optimization of a centrifugal blood pump using a modified and constrained Bees algorithm
Omer Incebay, Ahmet Onder, Muhammed Arif Sen, Rafet Yapici, Mete Kalyoncu Computer Methods and Programs in Biomedicine.2022; 221: 106867. CrossRef - Relationship of Symptom Clusters, Compliance with the Patient’s Role Behavior, and Dialysis Adequacy with Quality of Life in Hemodialysis Patients
Semi Moon, Chiyoung Cha Journal of Korean Academy of Fundamentals of Nursing.2022; 29(3): 295. CrossRef - Pharmacokinetic and Pharmacodynamic Analysis of Critically Ill Patients Undergoing Continuous Renal Replacement Therapy With Imipenem
Zhe Li, Jing Bai, Aiping Wen, Su Shen, Meili Duan, Xingang Li Clinical Therapeutics.2020; 42(8): 1564. CrossRef - FINITE ELEMENT ANALYSIS FOR COMPARING THE PERFORMANCE OF STRAIGHT AND UNDULATED FIBERS IN ALTERING THE FILTERING EFFICIENCY OF HEMODIALYZER MEMBRANES
M. S. SANGEETHA, A. KANDASWAMY, C. LAKSHMI DEEPIKA, C. V. REVANTH Journal of Mechanics in Medicine and Biology.2019; 19(05): 1850063. CrossRef - Factors Influencing Sick Role Behavior Compliance in Patients on Hemodialysis
Hyun Mi Jeon, Hye Sook You Journal of Korean Academy of Fundamentals of Nursing.2019; 26(1): 23. CrossRef
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Effects of the Nei-Guan Acupressure by Wrist Band on Postoperative Nausea and Vomiting after Middle Ear Surgery
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Myung Yun Lee, Hye Sook Min
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J Korean Acad Nurs 2008;38(4):503-512. Published online August 31, 2008
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DOI: https://doi.org/10.4040/jkan.2008.38.4.503
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Abstract
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Purpose
This study was to identify the effects of Nei-Guan accupressure using a wrist band on postoperative nausea and vomiting after middle ear surgery
Methods
The study design was a nonequivalent control group non-synchronized posttest design. Forty patients were assigned into two groups of 20 patients, the wrist band group and the control group. In the wristband group, acupressure was applied with a wrist band on the P6 point at both wrists from 30 min before to 24 hr after anesthesia.
Results
The 1st hypothesis 'Applied wrist band groups will have a greater reduction in the nausea & vomiting grades by INVR than the control group' was accepted (t=2.303, p=.028). The 2nd hypothesis 'The Applied wrist band groups will have a greater reduction in the occurrence of nausea & vomiting than the control group' was partly accepted. The 3rd hypothesis 'The applied wrist band group will have a greater reduction in injection of antiemetics for 24 hr. post anesthesia than the control group' was rejected.
Conclusion
Acupressure on the P6 point using a wrist band is effective to alleviate nausea for middle ear surgery patients.
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Citations
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- Comparing Effects of Two Different Types of Nei-Guan Acupuncture Stimulation Devices in Reducing Postoperative Nausea and Vomiting
Hanna Oh, Bo Hwan Kim Journal of PeriAnesthesia Nursing.2017; 32(3): 177. CrossRef - Efficacy of Nei-Guan acupressure on Nausea and Vomiting in Patients undergoing laparoscopic prostatectomy with Intravenous Patient Controlled Analgesia
Mi Young Shin, Ju Young Ha Journal of Korean Academy of Fundamentals of Nursing.2014; 21(2): 131. CrossRef - Effects of Nei-Guan Acupressure on Nausea, Vomiting and Level of Satisfaction for Gynecological Surgery Patients Who Are Using a Patient-Controlled Analgesia
Nam Cho Kim, Je Bog Yoo, Myung Sook Cho, Eun Ju Shin, Tae Soo Hahm Journal of Korean Academy of Nursing.2010; 40(3): 423. CrossRef
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A Study of the Relationship between Compliance with Therapeutic Regimens and Physiological Parameters of Hemodialysis Patients
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Hye Sook Min, Eyn Joo Lee
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Journal of Korean Academy of Nursing 2006;36(1):64-73. Published online February 28, 2006
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DOI: https://doi.org/10.4040/jkan.2006.36.1.64
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Abstract
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Purpose
This study was done to investigate correlations between compliance and physiological parameters of hemodialysis patients.
Method
The subjects were 102 patients on hemodialysis at 3 hospitals in B city. Data was collected using Shon(1986)'s questionnaire and measuring physiological parameters (serum urea nitrogen, creatinine, hemoglobin, albumin, potassium, phosphorus, interdialytic weight gain).
Result
Mean scores of compliance with the therapeutic regimen was 4.00±0.55 on a 5 point scale. The area of visiting hospitals and taking medicines were shown to have high compliance with therapeutic regimens; on the other hand, the areas concerning diet and symptoms were shown to be low. Interdialytic weight gain and phosphorus were significantly related to the compliance with therapeutic regimens.
Conclusion
Hemodialysis patients' therapeutic compliance was related to the physiological parameters(potassium, phosphorus, interdialytic weight gain). Therefore, these findings give hemodialysis patients useful information for raising their therapeutic compliance.
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Citations
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- Factors Affecting Hyperphosphatemia in Patients with Chronic Renal Failure Undergoing Hemodialysis
Jihyun Kim Journal of Korean Academy of Fundamentals of Nursing.2023; 30(2): 247. CrossRef - Factors Influencing Self-Care Behavior and Treatment Adherence in Hemodialysis Patients
Hana Kim, Mi-Kyoung Cho International Journal of Environmental Research and Public Health.2021; 18(24): 12934. CrossRef - The Moyamoya Health Behavior Scale for Adolescent Patients: Measurement Tool Development and Psychometric Evaluation
Won-oak Oh, Insun Yeom, Sung-Hyun Lim, Dong-Seok Kim, Kyu-won Shim International Journal of Environmental Research and Public Health.2021; 18(8): 4064. CrossRef - Factors related to Family Support for Hemodialysis Patients: A Systematic Review and Meta-analysis
Young Ran Chae, Sun Hee Lee, Young Mi Jo, Hyo Young Kang Korean Journal of Adult Nursing.2019; 31(2): 123. CrossRef - Factors Affecting Hyperphosphatemia in Hemodialysis Patients
Nam Hee Lee, Kyung Hee Lim Korean Journal of Adult Nursing.2018; 30(6): 599. CrossRef - Self-Management Knowledge, Self-Management, Physiological Indexes, and Symptoms Experience according to Dialysis Methods
Jeong Hwa Moon, Yun Hee Shin Journal of Korean Academy of Fundamentals of Nursing.2018; 25(3): 220. CrossRef - Difficulties of Treatment Adherence in Adult Patients with Hemodialysis
Cho Rong Gil, Kyung Mi Sung The Korean Journal of Rehabilitation Nursing.2018; 21(2): 71. CrossRef - Validity and Reliability Test of the Korean Version of the Hemodialysis Self-Management Instrument (HDSMI-K)
Jieun Cha, Jiyoung Kang Journal of Health Informatics and Statistics.2017; 42(2): 153. CrossRef - The effects of education for hemodialysis patients with a family caregiver on self-care practice and blood biochemical parameters
Ji Hyun Park, Hyunkyung Choi Journal of the Korean Data and Information Science Society.2016; 27(2): 487. CrossRef - Relationships between compliance and health-related quality of life in patients with hemodialysis
Jieun Cha Journal of the Korea Academia-Industrial cooperation Society.2015; 16(10): 6495. CrossRef - The Effect of Periodical and Individualized Educational Program for Long-term Hemodialysis Patient
Hyunjung Kim, Sujin Park, Mikyung Park Korean Journal of Adult Nursing.2015; 27(5): 572. CrossRef - Quality of Life and Influencing Factors related to the Health in Hemodialysis Patients
Young-Mi Chun, Sang-Youn Park Journal of the Korea Academia-Industrial cooperation Society.2015; 16(7): 4816. CrossRef - The Effect of Family Support, Self-efficacy, and Fatigue on the Quality of Life in Hemodialysis Patients
Journal of East-West Nursing Research.2015; 21(1): 1. CrossRef - The influence of Cognitive Coping on Sick Role Behavioral Compliance and Depression, Satisfaction with Life in Hemodialysis Patients
Ji-Hyun Kim Journal of the Korea Academia-Industrial cooperation Society.2015; 16(2): 1328. CrossRef - Effectiveness of Nutrition Education and Counseling on the Salty Taste Assessment, Nutrition Knowledge and Dietary Attitude of Hemodialysis Patients
Young-Mi Lee, Yeon-Kyung Lee Korean Journal of Community Nutrition.2013; 18(4): 402. CrossRef - Psychosocial influencers and mediators of treatment adherence in haemodialysis patients
Hyun Soo Oh, Ji Suk Park, Wha Sook Seo Journal of Advanced Nursing.2013; 69(9): 2041. CrossRef - Systematic Review of Research on Adherence among Hemodialysis Patients in Korea
Young-Ran Yeun Journal of the Korea Academia-Industrial cooperation Society.2012; 13(12): 5993. CrossRef - Knowledge, Compliance and Quality of Life of Mothers of Children with Atopic Dermatitis
Min-Ju Kim, Mi-Hye Choi Journal of Korean Academy of Child Health Nursing.2011; 17(4): 272. CrossRef
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145
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The Change of the Mother's Stress Pattern with Time Elapse after Giving Birth to Premature Babies
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Hye Sook Min, Min jung Son
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Journal of Korean Academy of Nursing 2004;34(7):1265-1276. Published online March 28, 2017
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DOI: https://doi.org/10.4040/jkan.2004.34.7.1265
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Abstract
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Purpose
This study tries to explore mothers' stress patterns and the related factors influencing mothers' stress over time after giving birth to premature babies.
Method
Eighty four mothers who had given birth to premature babies were selected from Hospitals in B city. Data was collected using a self-reporting questionnaire that the mothers' stress level.
Result
The mothers' stress after giving birth to premature babies gradually diminished and the stress pattern of mothers changed over time. Mother's age, occupation, income level, gestational period of the measures baby, weight at birth, nutrition type, lactation mode, number of complications, and existence or non-existence of an operation were analyzed as the factors that affected the mother's stress.
Conclusion
The stress pattern of mothers giving birth to premature babies changed overtime. Based on the study results, it is considered that the nursing intervention programs should be developed in order to reduce the stress of premature baby's mothers with time elapse.
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Citations
Citations to this article as recorded by 
- The Relationship between Parental Stress and Nurses' Communication as Perceived by Parents of High-risk Newborns
Chang Hee Lee, Mi Heui Jang, Yong Sung Choi, Hyunsook Shin Child Health Nursing Research.2019; 25(2): 184. CrossRef - Experience of Becoming a Father of a High Risk Premature Infant
Jeong Eon Park, Byoung Sook Lee Journal of Korean Academy of Nursing.2017; 47(2): 277. CrossRef - Construction a Website for Premature Infant - Based on the Survey of Previous Homepages -
In Hae Lee Journal of Korean Academy of Child Health Nursing.2009; 15(2): 210. CrossRef - Change of Stress and Nursing Needs after Hospitalization in Preterm Labor Women
Min Kyeong Kim, Young Whee Lee, In Sook Cho, Ji Young Lim Korean Journal of Women Health Nursing.2009; 15(1): 24. CrossRef
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