Evaluation of Dialysis Adequacy in Patient Undergoing Hemodialysis in Shahid Behshti Hospital in Qorveh

Document Type : Research Paper

Authors

1 Department of Health, Safety and Environment, Young Researchers and Elites Club, Islamic Azad University, Tehran, Iran

2 BSc, Unit of Transplantation and Specific Diseases,Vice Chancellor for Clinical Affairs, Kurdistan University of Medical Sciences, Sanandaj, Iran

3 Master, Department of Education Sciences, Young Researchers and Elites Club, Sanandaj Branch, Islamic Azad University, Sanandaj, Iran

4 MSc, Unit of Economics of treatment, Vice Chancellor for Clinical Affairs, Kurdistan University of Medical Sciences, Sanandaj, Iran

5 Isfahan University of Technology, Isfahan, Iran

Abstract

Background and purpose: Hemodialysis is the most common treatment in renal patients as it improves the quality of life and reduces the complications of renal failure. Insufficient dialysis is one of the most important causes of disability and death in dialysis patients.
Materials and Methods: This descriptive-analytical cross-sectional study was conducted in 2019. The number of samples was 41 patients undergoing hemodialysis selected for dialysis for more than three months and were chosen by the census method. Data were collected through a researcher-made demographic questionnaire. Dialysis adequacy was calculated using Kt /v and URR parameters. Finally, the data were analyzed using descriptive and inferential statistical tests in SPSS 22 software.
Finding: The results showed that the minimum and maximum KT/V index were 0.24 and 3.12, respectively, the mean was 1.28 ±0.The mean total URR of patients was 66.83 ±14.23, and the lowest URR was 12.60, and the highest was 94.30%. Mean blood urea nitrogen was reported to be 273.63± 0.23 before dialysis and 63.17± 5.23 after dialysis.
Discussion and Conclusion:
The present study showed that more than half of the patients(64%) on hemodialysis had good dialysis adequacy, but in 36% of patients, dialysis adequacy was not sufficient; Therefore, it is necessary to implement interventions to improve the duration of dialysis and blood flow, the type of filter, etc. as the influential primary factors.

Keywords

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medical journal of mashhad university of medical sciences
Volume 63, Issue 4 - Serial Number 4
November and December 2020
Pages 2526-2534

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