혈액투석환자를 위한 동영상 식사교육 프로그램의 적용 효과
The Effect of a Video Dietary Instruction Program for Hemodialysis Patients
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본 연구의 목적은 혈액투석환자를 위한 동영상 식사교육 프로그램을 개발하고 적용하여 식사요법 이행정도와 생리적 지표에 미치는 효과를 파악하기 위함이다. 방법: 본 연구는 비동등성 대조군 전후 설계의 유사실험연구로서 자료수집은 2012년 8월6일부터 2013년 1월 10일에 걸쳐 시행하였고 실험군은 20명, 대조군은 21명이었다. 동영상 식사교육 프로그램을 개발하여 실험군에게만 주 1회씩 총 8주간 적용 후 두 군의 식사요법 이행정도와 생리적 지표를 측정하였다. 결과: 식사요법 이행정도는 두 군 모두 시간이 경과함에 증가하였고 생리적 지표값은 두 군 모두 유의한 변화가 없어 그룹과 시점간의 교호작용이 없었다. 결론: 동영상 식사교육 프로그램은 실험군의 생리적 지표값을 통계적으로 유의한 변화를 나타내지는 못했으나 허용범위 내에 유지할 수 있도록 하였다. 따라서 혈액투석환자들의 식사요법 이행도 유지를 위해 표준화 된 간호중재 프로그램으로 지속적인 활용이 가능하다.
Abstract
Purpose: The purpose of this study was to develop and apply a video dietary instruction program for hemodialysis patients to understand dietary compliance as well as the effect on the physiological indicator. Methods: This is a quasi-experimental study of a nonequivalent control group pre-post test design. Data were collected from August 6, 2012 to January 10, 2013. Twenty patients were assigned to an experimental group and twenty-one patients were assigned to a control group. A video dietary instruction program was developed and applied only to the experimental group once a week for a total of 8 weeks. Dietary compliance and physiological indicators were subsequently measured. Results: Dietary compliance was improved in both groups over time. There was no significant change in the physiological indicator value in both groups, indicating that there was no correlation between the treatment type and time. Conclusion: The video dietary instruction program could not make a statistically significant change on the physiological indicator value of the experimental group; however, this change was maintained within the allowable limits. Therefore, the video dietary instruction program can be utilized continuously as a standardized nursing intervention program in order to maintain the dietary compliance of hemodialysis patients.
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