원적외선 온열요법이 혈액투석 환자의 혈관통로 기능에 미치는 효과
The Effect of Far Infrared Heat Therapy on Vascular Access Function of Patients receiving Hemodialysis
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연구목적: 원활한 혈액투석을 위해서는 장기간 일정한 속도를 유지할 수 있는 혈관통로가 필요하고 혈관통로 기능부전 예방은 유병률 감소와 삶의 질을 향상시키는 데 있어 매우 중요하다. 원적외선은 모세혈관 및 미세 동정맥을 확장시켜 혈류량을 증가시킨다. 따라서 원적외선 온열요법이 혈액투석 환자의 혈관통로 기능 유지 및 혈류량 향상을 위한 새로운 간호중재 방안으로 효과를 검정해 볼 필요가 있다. 연구방법: 비동등성 대조군 전·후 설계의 유사실험연구로 K의료원에서 혈액투석을 받고 있는 환자 59명을 대상으로 실험군에게는 3개월동안 원적외선 온열요법을 적용하였다. 연구결과: 원적외선 온열요법을 적용한 실험군의 동정맥루 혈류량은 통계적으로 유의하게 상승하였으나 정적동정맥루내압비(static intra-access pressure ratio, SIAPR)은 대조군과 통계적으로 유의한 차이가 없었다. 결론: 원적외선 온열요법이 혈액투석 환자의 동정맥루 혈류량을 증가시켰으므로 혈액투석 환자중 혈관통로의 기능 부전이 있는 경우 원적외선 온열요법을 시행할 것을 권고한다.
Abstract
Purpose: For hemodialysis, a vascular access which can maintain a certain speed for a long time is required. The prevention of the vascular access dysfunction is very important to decrease morbidity and to improvethe quality of life of patients receiving hemodialysis It is reported that far infrared heat increases the blood flow by expanding capillaries and micro-arteriovenouses. This study aimed to evaluate the effect of far infrared heat therapy as a new nursing intervention for maintaining vascular access function and improving the blood flow of patients receiving hemodialysis. Methods: The quasi-experimental research of nonequivalent control group pre-post test design was carried out for 59 patients receiving hemodialysis 3 times per week at K medical center. A far infrared heat was applied to the experimental group for 3 months. Results: The arteriovenous fistula blood flow of the experimental group (far infrared heat therapy group) increased significantly when compared to the control group (p=.047). However, static intra-access pressure ratio(SIAPR)was not different statistically (p=.101). Conclusion: The far infrared therapy could be considered as nursing intervention of choice as it demonstrated increase in the arteriovenous fistula blood flow in the patients receiving hemodialysis.
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