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논문분류	춘계학술대회 초록집
제목	Analysis of the Impact of Management Strategy of Scheduled Monthly Review on Compliance and Clinical Indicators of Hemodialysis Patients
저자	Jing Lou
출판정보	2024; 2024(1):
키워드
초록	Objectives: This study focuses on how the management strategy of scheduled monthly review affects long-term regular hemodialysis patients' compliance, dialysis effects, and other indicators. Methods: Old management practices: in the initial phase, patients were reviewed at different times, often three months apart. The patient's self-awareness and the oversight of the appropriate physicians overseeing the hemodialysis facility were the primary factors in the regular patient review process. Scheduled monthly review: To ensure a uniform review, patients were centered in October, January, April, and July during the second stage. To evaluate the completion rate of review times and the variation of clinical data in the two time periods, the number of review times and review outcomes of the patients in the two time periods were gathered. The clinical data about long-term regular hemodialysis patients was compared before and after the change in management strategies using self-before-and-after control. Results: A total of 65 long-term regular hemodialysis patients, aged (55.92±14.03) years, 37 males (56.92%), were enrolled in this study. The chi-square test revealed that the completion rate of the regular review four times a year (78.6%) was significantly increased after the change of the management measures (P<0.001) compared with that before the change of the management measures (21.4%).Kt/V was 1.35 ± 0.22 at baseline and 1.49 ± 0.41 after the management measure change. This was higher than baseline and the difference was statistically significant (Z = -3.034, P = 0.002), as were URR values (Z = -2.245, P = 0.025), blood potassium (t = 2.030, P = 0.047), blood phosphorus (Z = -1.98, P = 0.048), Conclusions: In addition to improving regular hemodialysis patients' compliance with the review and dialysis effect, the fixed-monthly review management technique may have some benefit in lowering patients' potassium and phosphorus levels.
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