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혈청나트륨과 투석액 농도경사에 따른 개별적 저나트륨 투석액을 적용 후 혈액투석환자의 혈압, 투석 간 체중증가량, 갈증 및 투석 중 불편감에 미치는 영향

Effect of Individual Low Sodium Dialysate on Blood Pressure, Interdialytic Weight Gain, Thirst and Intradialytic Discomfort In End-Stage Renal Disease Patients

Journal of Korean Biological Nursing Science 2019년 21권 3호 p.169 ~ 177
김상숙 ( Kim Sang-Suk ) - 가톨릭대학교 부천성모병원 인공신장실

최영실 ( Choi Young-Sil ) - 경인여자대학교 간호학과

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.

키워드

혈압; 투석; 갈증; 체중증가
Blood pressure; Dialysis; Thirst; Weight gain
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