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CRRT(Continuous Renal Replacement Therapy: 지속적 신대체 요법)적용 환자의 저체온증 예방을 위한 가온요법에 관한 연구

The Warming Method to Prevent from Hypothermia in Patients Taking CRRT(Continuous Renal Replacement Therapy)

박향숙|임은영|심유미|이수진
병원간호사회 (Hospital Nurses Association)|2007.12|임상간호연구 (Journal of Korean Clinical Nursing Research)|제13권 제3호|pp. 69-80

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참고문헌

키워드

저체온증Hypothermia가온지속적 신대체 요법CRRT(Continuous Renal Replacement Therapy)Warming
주제분류간호학

초록

Abstract

Purpose: The purpose of this study was to investigate the effect of heated dialysate sloution(HDS) and heated replacement solution(HRS) on maintenance of the body temperature for ICU patients taking CRRT. Method: To maintain body temperature, we made the HDS and HRS using it in the peritoneal dialysis solution warmer. We measured body temperature every hour for initial 5hours after applying HDS and HRS by tympanic membrane thermometer. One hundred twenty nine of ICU patients taking CRRT were non-randomly assigned into four groups : only dialysate warmer; DW(n=33), only blood warmer; BW(n=32), DW+HDS+HRS(n=32), BW+HDS+HRS(n=32). Results: The patients' core temperature in the DW+HDS+HRS and BW+HDS+HRS groups were maintained within isothermic range. Those in the DW and BW groups significantly decreased during initial 5hours after applying CRRT<respectively, time(p=.000, p=.000)>. There was significant difference in the patients' core temperature between the DW and DW+HDS+HRS groups<group(p=.001)>. No significant difference was showed between the BW and BW+HDS+HRS groups<group (p=.093)>. Conclusion: The additional application of HDS and HRS to DW or BW may be an easy to use, and effective for maintenance of body temperature for patients on CRRT.

참고문헌 (28)

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