Analysis of Physiological Indicators Related to Dietary Regimen during the First Year in Patients on Hemodialysis / 임상간호연구

ABSTRACT

PURPOSE: The purpose of this study was to determine the time and content of dietary education by analyzing the physiological indicators of hemodialysis patients during their first year and to present baseline data related to dietary education for patients on hemodialysis. METHODS: For this retrospective study physiological indicators for 73 patients on hemodialysis were analyzed. Data included levels of potassium, phosphorus, albumin and the IDWG rate, and Kt/V during the first year after starting hemodialysis. Repeated-measure ANOVA was used for statistical analysis. RESULTS: Serum levels of phosphorus (p < .006), albumin (p < .001) and the IDWG rate (p < .001) increased significantly in the 7 months fromthe start of hemodialysis. CONCLUSION: The results indicate that the period in which diet related educational intervention is necessary is before physiological changes, that is, after 6 months of dialysis. The contents for effective education should include phosphorus-limited and weight control dietary restrictions at 6 months.