PURPOSE
This study was conducted to provide an effective nursing intervention using an individualized educational program composed with knowledge, compliance, and physiologic parameters for long-term hemodialysis patients.
METHODS
A quasi-experimental study using a non-equivalent control group and pre- and post-test design was conducted with 40 hemodialysis patients at G university hospital in the J city from June to August, 2015. A data was analyzed using frequency, percentage, chi2 test, Shapiro-Wilk test, independent-samples t-test and repeated measures ANOVA using SPSS 21.0 program.
RESULTS
knowledge about hemodialysis and patient role behaviors were not significantly different between the two measures. In the biological index, there was significant difference between the groups by points in time and group in blood potassium, albumin, and Kt/v. However, there was no difference in gaining weight between hemodialysis, hemoglobin, and blood phosphorus.
CONCLUSION
The individual training program in this study had an effect on changing some physiological indicators of long-term hemodialysis patients. Future research is warranted for developing various kinds of education program incorporating the findings of the study for the given population.

Citations

• Development and Evaluation of an Online Self-Management Program in Patients with Chronic Kidney Failure Undergoing Hemodialysis
  Jinhyang Yang
  Journal of Korean Academy of Fundamentals of Nursing.2022; 29(4): 531.     CrossRef
• Effect of Treatment Adherence Improvement Program in Hemodialysis Patients: A Systematic Review and Meta-Analysis
  Hana Kim, I. Seul Jeong, Mi-Kyoung Cho
  International Journal of Environmental Research and Public Health.2022; 19(18): 11657.     CrossRef
• Randomised controlled trial of a smartphone application‐based dietary self‐management program on haemodialysis patients
  Songyi Pack, Jia Lee
  Journal of Clinical Nursing.2021; 30(5-6): 840.     CrossRef
• Socioecological Factors Affecting Fluid Restriction Adherence Among Korean Patients Receiving Hemodialysis: A Qualitative Study
  Eun Ju Lee, Ae Kyung Chang, Yoon Chung Chung
  Journal of Transcultural Nursing.2021; 32(3): 239.     CrossRef
• The effects of self‐performance management video program on patients receiving hemodialysis
  Hyeyoung Cho, Sunghee Park
  Japan Journal of Nursing Science.2020;[Epub]     CrossRef
• Factors Influencing Self-Care Behaviors of Renal Dialysis Patients
  Yoonjung Kim, Sanggeon Park
  STRESS.2019; 27(4): 320.     CrossRef
• Long-term effects of nurse-led individualized education on middle-aged patients with acute coronary synrome: a quasi-experimental study
  Jae Lan Shim, Seon Young Hwang
  BMC Nursing.2017;[Epub]     CrossRef

PURPOSE
The purpose of this study was to describe the differences between early and delayed enteral nutrition on nutritional intake.
METHODS
A pilot cohort study was conducted with 45 critically ill adult patients who had a primary medical diagnosis. Energy prescribed and received were collected during the four days after initiation of enteral nutrition. Adequate feeding was defined as the energy intake more than 90% of required energy.
RESULTS
A total of 23 patients (52%) were received early enteral nutrition (within 48 hours of admission). Energy intake of early enteral nutrition was less than intake of delayed enteral nutrition during the four days of the study. Although the difference on day one was significantly greater than the differences on day two, the differences on day two were not different from days three or four. No statistical differences in the adequacy of nutritional intake were found between patients in the early and the delayed group.
CONCLUSION
In critically ill patients receiving early enteral nutrition, more aggressive administration from the beginning will improve the nutritional intake. Additional studies including a large multi-centre, randomized clinical trial are recommended.

Citations

• A Case Report about Diarrhea of Soeumin Caused by Tube Feeding Treated with Korean Medicinal Treatment
  Jeong-been Ha, Su-jung Lee, Jae-hwan Lew
  The Journal of Internal Korean Medicine.2020; 41(2): 150.     CrossRef