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혈액투석 환자의 고인산혈증 관련요인

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Author(s)
Lee, Nam HeeLim, Kyung Hee
Keimyung Author(s)
Lim, Kyung Hee
Department
Dept. of Nursing (간호학)
Journal Title
성인간호학회지
Issued Date
2018
Volume
30
Issue
6
Keyword
HemodialysisHyperphosphatemiaChronic renal failure
Abstract
Purpose:
The purpose of this study was to identify factors affecting hyperphosphatemia in hemodialysis patients.

Methods:
The participants of the study were 129 patients who had been diagnosed with end-stage renal disease and received hemodialysis. Data were collected from June 15 to August 15, 2017, and analyzed with frequency, percentage, average, standard deviation, independent t-test, x2 test, and logistic regression using SPSS/WIN 24.0 version.

Results:
Out of the 129 hemodialysis patients, 71 (55%) had hyperphosphatemia. There were significant differences between healthy group and hyperphosphatemia group in terms of age (p=.048), BMI (Body Mass Index) (p=.004), causative disease of chronic renal failure (p=.026), frequency of hemodialysis per week (p=.024), nutritional status (p<.001), weight gain on maintenance hemodialysis (p=.001), TIBC(Total Iron Binding Capacity) (p=.035), Ca (Calcium) × P (Phosphorus) (p<.001), BUN(Blood Urea Nitrogen) (p<.001), creatine (p=.012), and diet factors of self-care (p=.035). Results of the analysis of factors affecting hyperphosphatemia in hemodialysis patients indicated an increased risk of hyperphosphatemia with diabetes (Odds Ratio [OR]=21.45, 95% Confidence Interval [CI]=1.38~333.47), hypertension (OR=14.41, 95% CI=1.15~180.12), nutritional status (OR=9.37, 95% CI=1.36~64.18), weight gain on maintenance hemodialysis (OR=4.86, 95% CI=1.18~20.05), and BUN (OR=1.07, 95% CI=1.01~1.14).

Conclusion:
Based on the results of this study, it is imperative to manage diabetes and hypertension of hemodialysis patients to prevent hyperphosphatemia. Additionally, it is necessary to not only regularly monitor patients’ nutritional conditions and results of blood tests, but also develop and provide an individualized nursing intervention that reflects individual nutritional conditions and biochemical results.
Alternative Title
Factors Affecting Hyperphosphatemia in Hemodialysis Patients
Keimyung Author(s)(Kor)
임경희
Publisher
College of Nursing (간호대학)
Citation
Lee, Nam Hee and Lim, Kyung Hee. (2018). 혈액투석 환자의 고인산혈증 관련요인. 성인간호학회지, 30(6), 599–610. doi: 10.7475/kjan.2018.30.6.599
Type
Article
ISSN
2288-338X
Source
https://kjan.or.kr/DOIx.php?id=10.7475/kjan.2018.30.6.599
DOI
10.7475/kjan.2018.30.6.599
URI
https://kumel.medlib.dsmc.or.kr/handle/2015.oak/42251
Appears in Collections:
2. College of Nursing (간호대학) > Dept. of Nursing (간호학)
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