[논문]혈액투석액 온도가 투석 환자의 혈압, 심부체온 및 신체적 증상에 미치는 효과

차선미; 민혜숙

doi:10.7475/kjan.2017.29.6.604

혈액투석액 온도가 투석 환자의 혈압, 심부체온 및 신체적 증상에 미치는 효과
The Effect of Dialysate Temperature on Blood Pressure, Core Temperature, and Physical Symptoms in Hemodialysis Patients 원문보기

성인간호학회지 = Korean Journal of Adult Nursing, v.29 no.6, 2017년, pp.604 - 614

Abstract ▼ AI-Helper

Purpose: This study utilized a randomized block-design for the purpose of studying the effect of dialysate temperature on blood pressure (BP), core temperature, and physical symptoms in hemodialysis patients. The sample was thirty-one patients undergoing hemodialysis assigned to one of three groups. were divided into 3 groups. Methods: Repeated analysis of variance to number of hypotension occurrences, core temperature changes, and physical symptoms at cool dialysis with dialysate of $35.5^{\circ}C$, standard dialysis with dialysate of $36.5^{\circ}C$ and isothermic dialysis based on blood temperature feedback monitor (BTM). Each of the three groups underwent hemodialysis six times at a specific dialysate temperature. Results: The number of hypotension events were 21 at cool dialysis, 47 at standard dialysis, and 27 at isothermic dialysis, occurrences under cool dialysis were less frequent than under standard dialysis (F=8.08, p=.002). The patients' core temperature increased by $0.07^{\circ}C$ at cool dialysis, $0.21^{\circ}C$ at standard dialysis, and $0.18^{\circ}C$ at isothermic dialysis, cool dialysis showed a significantly smaller increase in core temperature (F=17.76, p<.001). There was no difference in the incidence of physical symptoms related to dialysate temperatures (F=2.04, p=.146). Conclusion: Cool dialysis resulted in a significant prevention of the increase in core temperature and was more effective than standard dialysis in preventing hypotension. Isothermic dialysis had no positive effects in preventing the increase in core temperature or occurrences of hypotension.

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참고문헌 (29)

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혈액투석액 온도가 투석 환자의 혈압, 심부체온 및 신체적 증상에 미치는 효과
The Effect of Dialysate Temperature on Blood Pressure, Core Temperature, and Physical Symptoms in Hemodialysis Patients 원문보기

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혈액투석액 온도가 투석 환자의 혈압, 심부체온 및 신체적 증상에 미치는 효과 The Effect of Dialysate Temperature on Blood Pressure, Core Temperature, and Physical Symptoms in Hemodialysis Patients 원문보기

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혈액투석액 온도가 투석 환자의 혈압, 심부체온 및 신체적 증상에 미치는 효과
The Effect of Dialysate Temperature on Blood Pressure, Core Temperature, and Physical Symptoms in Hemodialysis Patients 원문보기