| 혈액투석 환자의 동정맥루 천자 방향과 천자 간격이 재순환율에 미치는 영향 |
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임효정, 최은희, 김은주, 정지윤, 반승수 |
1인제대학교 상계백병원
2한국성서대학교 간호학과 |
| The effect of Arteriovenous Fistula Cannulation Direction and Puncture Distance on the Recirculation Rate of Hemodialysis Patients |
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Hyo Jeong Lim, Eun Hee Choi, Eun Ju Kim, Ji Yoon Jeong, Seung Su Ban |
1Staff Nurse, Inje University Sanggye Paik Hospital, Korea.
2Associate Professor, Department of Nursing, Korean Bible University, Korea. ichoi9201@hanmail.net |
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| Abstract |
PURPOSE
The purpose of this study was to compare the effect of recirculation rate according to cannulation direction and interval among hemodialysis patients with arteriovenous fistula (AVF).
METHOD
The research used repeated measures design. This study was conducted among thirty patients who received hemodialysis three times a week for longer than a year through AVF at the I University hospital. Three different types of interventions were administered to the participants each week for three weeks. Needles were placed at a different distance and in a different direction each week: 7 cm apart from each other in antegrade direction during the first week, 5 cm apart in retrograde direction in the following week, and 7 cm apart in retrograde direction in the third week.
RESULTS
No significant differences in the recirculation rate were found due to any of the three tested methods (p = 1.00).
CONCLUSION
This finding suggests that, if the patients have well-functioned AVF, we can choose an appropriate intervention from among the three methods in consideration of the patient's diverse needs. |
| Key Words:
Hemodialysis, Arteriovenous fistula, Puncture |
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