ABSTRACT
Purpose@#The purpose of this study to identify the effects of tailored dietary education on self-care compliance, self-efficacy and physiologic indicators in noncompliant hemodialysis patients. @*Methods@#This study utilized one-group repeated pretest-posttest design. Forty-four hemodialysis patients were recruited from C hospital, Gyeonggi-Do. Data were collected at four and twelve weeks after education from February to August, 2019. Data were analyzed using the SPSS version 20.0 program with descriptive statistics, repeated measure-ANOVA and Bonferroni’s method. @*Results@#There were significant increases in diet knowledge (F=7.37, p=.003), diet self-care compliance (F=12.53, p=.001) and self-efficacy (F=14.00, p=.001) even 12 weeks after tailored dietary education. The serum phosphate levels were significantly lowered at four weeks after education (F=7.30, p=.003). @*Conclusion@#The findings in this study suggest that tailored dietary education was effective to improve self-care compliance, self-efficacy and physiologic parameters in noncompliant hemodialysis patients. Prior to education, information including cognitive function, dietary habits, and examples of dietary life is essential in noncompliant hemodialysis patients. Tailored interventions in various ways should be sought to provide effective education.
ABSTRACT
PURPOSE: The purpose of this paper was to identify blood pressure, interdialytic weight gain, thirst and intradialytic discomfort in subjects after applying individual low-sodium dialysis fluid (1,2,3 mEq/L) to hemodialysis patients for 12 weeks. METHODS: This study was a non-equivalent pre-post design. For 12 weeks, dialysate concentration was maintained at 1 mEq/L or 2 mEq/L or 3 mEq/L based on average sodium concentration of each individual, and the difference was compared after applying individually. RESULTS: Change in blood pressure significantly decreased in the group where in pre-hemodialysis systolic pressure decreased the gradient of sodium concentration in serum sodium and dialysis solution by 2mEq/L. Interdialytic weight gain, and thirst showed significant decrease in all three groups. But in all three groups, intradialytic discomfort among dialysis showed no significant changes. CONCLUSION: Although application of low sodium dialysis fluid showed no change in intradialytic discomfort, lowered blood pressure, thirst, and interdialytic weight gain, which could be used for individual showing increased interdialytic weight gain and increased blood pressure. There is need for continued study on this.