Self-Management Knowledge, Self-Management, Physiological Indexes, and Symptoms Experience according to Dialysis Methods.
10.7739/jkafn.2018.25.3.220
- Author:
Jeong Hwa MOON
1
;
Yun Hee SHIN
Author Information
1. Wonju Severance Christian Hospital, Wonju, Korea.
- Publication Type:Original Article
- Keywords:
Dialysis;
Knowledge;
Self-Management;
Biological markers;
Symptom assessment
- MeSH:
Appointments and Schedules;
Arterial Pressure;
Biomarkers;
Calcium;
Cross-Sectional Studies;
Dialysis*;
Education;
Humans;
Methods*;
Peritoneal Dialysis;
Renal Dialysis;
Self Care*;
Serum Albumin;
Sodium;
Symptom Assessment
- From:Journal of Korean Academy of Fundamental Nursing
2018;25(3):220-230
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
PURPOSE: This study was a cross-sectional study comparing differences in self-management knowledge, self-management, physiologic indexes, and symptoms experience for two methods of dialysis. METHODS: Participants were 90 patients on hemodialysis and 91 on peritoneal dialysis at A hospital. RESULTS: There was no significant difference between the two groups for knowledge of self-management. A comparison of the categories in the evaluation of self-management showed that patients in the peritoneal dialysis group took better care of their dialysis access route (F=17.61, p < .001) and dialysis schedule (F=4.30, p=.040). The physiologic indexes between the two dialysis groups showed that hemoglobin levels were higher in the hemodialysis group (F=5.28, p=.023). The product of serum calcium and phosphate was higher in the peritoneal dialysis group (F=11.42, p=.001). Serum sodium level was also higher in the peritoneal dialysis group (t=5.36, p < .001) while serum albumin level (t=−3.36, p=.001) and mean arterial blood pressure (t=−2.50, p=.013) were higher in hemodialysis patients. There were no significant differences in the proportion of uncomfortable experiences between the two groups. CONCLUSION: Medical personnel should consider differences in self-management knowledge/self-management, physiologic indexes, and symptoms experience for hemodialysis and peritoneal dialysis populations, and should provide adequate education accordingly and promote behavioral change to improve physiologic indexes and reduce symptoms.
