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지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
혈액투석의 질 관리에 영향을 미치는 요인
Factors Associated with Quality Control of Hemodialysis Treatment
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 저널정보
- 대한내과학회 대한내과학회지 대한내과학회지 제87권 제4호 KCI Candidated Journals
- 발행연도
- 2014.1
- 수록면
- 439 - 448 (10page)
이용수
혈액투석의 질 관리에 영향을 미치는 요인
초록· 키워드
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Background/Aims: The number of patients with end-stage renal disease in Korea is increasing annually with 63,341 patients in2011 with 42,596 of these patients undergoing hemodialysis. The purpose of this study was to present a quality control plan forhemodialysis treatment.
Methods: We analyzed 616 hemodialysis units in 2010. The difference between hospitals was analyzed by one-way analysis ofvariance and the Kruskal-Wallis H test. The factors related to outcome indicators were subjected to multiple regression analysis.
Results: The average proportion of physicians with a specialty in hemodialysis was 71.3% and the proportion of nurses with > 2years experience in hemodialysis units was 76.3%. The average number of hemodialysis sessions performed per day by a physicianwas 23 and that of a nurse was 4.5. The rate of specialist physicians was significantly related to adequate diastolic blood pressure,integrated outcome indicator, and Hb levels (p < 0.05). Hemodialysis sessions performed by a nurse were significantly related to Hblevels of patients and integrated outcome indicator (p < 0.05). The integrated outcome indicator was significantly related tospecialist physicians, the number of hemodialysis sessions performed by a nurse, and compliance with a hemodialysis adequacy andwater test cycles (p < 0.05).
Conclusions: The appropriate rate of specialist physicians and nurses is important for quality control of hemodialysis treatment.
Proper facilities and equipment, as well as regular monitoring of the patient’s condition, are also critical. This will require improvedindicators and assessment reliability.
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참고문헌 (29)
참고문헌 신청
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Arenas MD / 2006 / Quality control systems implementation in the Spanish Dialysis Units / Nefrologia 26 : 234 ~ 245
Chertow GM / 2010 / In-center hemodialysis six times per week versus three times per week / N Engl J Med 363 : 2287 ~ 2300
Chul Woo Yang / 2013 / Current status and future in patients with end stage renal disease in Korea / 대한의사협회지 56 : 560 ~ 561
Estrella MM / 2013 / Perceptions and use of the national kidney foundation KDOQI guidelines: a survey of U.S. renal healthcare providers / BMC Nephrol 14 : 230 ~
Arenas MD / 2006 / Quality control systems implementation in the Spanish Dialysis Units / Nefrologia 26 : 234 ~ 245
Chertow GM / 2010 / In-center hemodialysis six times per week versus three times per week / N Engl J Med 363 : 2287 ~ 2300
Chul Woo Yang / 2013 / Current status and future in patients with end stage renal disease in Korea / 대한의사협회지 56 : 560 ~ 561
Estrella MM / 2013 / Perceptions and use of the national kidney foundation KDOQI guidelines: a survey of U.S. renal healthcare providers / BMC Nephrol 14 : 230 ~
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