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원적외선 온열요법이 혈액투석 환자의 혈관통로 기능에 미치는 효과
최향미 ( Hyang Mi Choi ),최은덕 ( Eun Duck Choi ),장소형 ( So Hyeong Jang ),김은희 ( Eun Hee Kim ),최미정 ( Mi Jung Choi ),백송이 ( Song Yi Back ),한복희 ( Bok Hee Han ) 병원간호사회 2015 임상간호연구 Vol.21 No.2
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.