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전화추후관리 프로그램이 복막투석환자의 치료지속이행, 투석적절도와 감염발생도에 미치는 효과

Effects of a Telephone Follow-up Program on Patient Compliance, Urea Kinetic Modeling and Incidence of Infection in Patients with Continuous Ambulatory Peritoneal Dialysis (CAPD)

가정간호학회지
2009년 16권 2호 p.98 ~ p.107
전시자 ( Chon Si-Ja ) - 적십자간호대학

신석균 ( Shin Sug-Kyun ) - 국민건강보험공단 일산병원 신장센터
노영숙 ( Roh Young-Sook ) - 적십자간호대학
이숙정 ( Lee Suk-Jeong ) - 적십자간호대학
박애희 ( Park Ai-Hee ) - 국민건강보험공단 일산병원
박양숙 ( Park Yang-Sook ) - 국민건강보험공단 일산병원
박영미 ( Park Young-Mi ) - 적십자간호대학

Abstract

Purpose: The objective of this study was to identify the effects of a telephone follow-up program on patient compliance, urea kinetic modeling and incidence of infection in patients with continuous ambulatory peritoneal dialysis (CAPD).

Method:A pretest-posttest design with a nonequivalent control group was used to examine the effects of a telephone follow-up program for 12 weeks in a group of 39 CAPD patients. The telephone follow-up group of 17 patients received telephone follow-up 10 min once a week for 1 month and 10 min twice a month for 2 months during 12 weeks compared to control group of 22 who patients received usual care.

Results: The telephone follow-up group showed no significant changes in patient compliance and urea kinetic modeling, although patients with CAPD receiving a telephone follow-up showed reduced incidence of exit site infection during the intervention compared with the control group.

Conclusion:Telephone follow-up program for CAPD patients may decrease the incidence of exit site infection. Future studies with a larger sample be done utilizing diet and exercise reinforcement program combined with telephone follow-up as a nursing intervention for patients with CAPD.

키워드

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