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研究生:張淑芬
研究生(外文):Shu-Fen Chang
論文名稱:教學光碟飲食指導對血液透析病人飲食控制的成效
論文名稱(外文):The effectiveness of dietary teaching CD on diet control in hemodialysis patients
指導教授:丘周萍丘周萍引用關係
指導教授(外文):Chou-Ping Chiou
學位類別:碩士
校院名稱:義守大學
系所名稱:醫務管理學系
學門:商業及管理學門
學類:醫管學類
論文種類:學術論文
論文出版年:2015
畢業學年度:103
語文別:中文
論文頁數:88
中文關鍵詞:血液透析飲食指導高血鉀高血磷限水教學光碟
外文關鍵詞:hemodialysisdietary guidancehyperkalemiahyperphosphatemiawater controlteaching DVD
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慢性腎衰竭疾病為國人十大死因之一,由於器官移植不易取得,多數的腎病患者皆以血液透析治療來維繫生命。目前的護理衛教仍多以單張的使用為主,但資料顯示多媒體的視覺效果有助於學習。因此,本研究目的是針對血液透析患者設計一套「末期腎病血液透析患者飲食控制護理指導」之互動式影音光碟,測試此衛教工具對血液透析患者飲食控制知識、行為與護理指導之成效,以做為臨床護理指導之參考依據。
本研究採類實驗性研究設計(quasi-experimental design),分析兩組前後測之研究;研究對象來自南部兩所血液透析中心患者,將符合收案條件並同意參與的研究者分為實驗組60人與控制組60人,共收案120人,實驗組共接受為期4週,每週三次、共計12次,每次約10分鐘的光碟飲食護理指導介入措施;控制組僅院所提供之一般常規護理衛教。本研究以立意取樣方式,採結構式問卷進行資料收集,問卷內容包括基本資料、高血鉀、高血磷與水分控制的知識量表與行為量表;依據院所與研究對象同意所提供血清鉀、血清磷,兩次透析間距體重測量作資料比較分析,於措施介入前及光碟飲食護理指導介入進行4 週後之後測;並以敘述性統計、次數分配表、卡方檢定、描述性統計量以及無母數的曼-惠特尼 優(Mann-Whitney U)差異性檢定分析。
研究結果發現實驗組經教學光碟飲食護理指導介入後,在生化值血清鉀、血清磷及兩次透析間距體重方面皆較控制組為佳(p<0.05),高鉀飲食、高磷飲食以及限水飲食控制的認知與控制行為情形,實驗組也較控制組為佳(p<0.001),而經飲食護理指導後滿意度,亦是實驗組較佳(p<0.001)。因此,本研究支持使用教學光碟飲食護理指導能有效改善血液透析病患在飲食控制的知識與行為的提升,可增加血液透析室飲食衛教的整體滿意度,本研究衛教方式可應用於血液透析中心病患之護理照護參考。

Chronic renal disease is one of the 10 leading causes of death in our country. Organ transplantation is difficult, and donors are not easily available; therefore, most Chronic renal disease patients depend on hemodialysis treatment for survival. The current health care guide is based on paper materials; however, studies have reported the advantages of using multimedia-based visual effects for learning. Therefore,this study aimed to design interactive visual disks (DVDs) on diet control and feeding guidance for hemodialysis patients.We examined the influence of health education tools on the knowledge and behavior of patients. Furthermore,we examined the efficiency of the health education tools in improving diet control and serving as a clinical care reference for patients.
This study adopted a quasi-experimental design. Patients who met the inclusion criteria and agreed to participate in the study were divided into two groups: control and experimental groups (60 persons in each group). Blood samples for analysis were obtained from two hemodialysis centers in Southern Taiwan. We analyzed the data in the two groups before and after watching the DVDs. The experimental group received diet care intervention on DVD for 4 weeks, three times a week, in 10-minute sessions. The control group received routine health diet education. In this study, a purposive sampling approach was adopted, and we collected data using a structural formula questionnaire. The questionnaire comprised basic patient information; knowledge scales; and behavior scales for hyperkalemia, hyperphosphatemia, and water control. We performed comparative analysis of the serum phosphorus and potassium levels and the weight gain of the patients in the two groups. The effects of the dietary and care intervention DVDs on patients were measured after 4 weeks. Descriptive statistics, frequency allocation, the chi-square test, nonparametric Mann-Whitney U test, and various assays were used for data analysis.
The DVD diet care intervention improved the performance of the experimental group. The results of biochemical analysis (serum potassium and phosphorus levels and interdialysis weight gain) were more improved in the experimental group than in the control group (p < 0.05). Furthermore, the questionnaire scores on cognition and behavior for high- potassium and -phosphorus diets and water control were higher in the experimental group than in the control group (p < 0.001). The satisfaction levels with the DVD intervention were higher in the experimental group than in the control group (p < 0.001). Therefore,using DVDs can improve the diet knowledge and behavior of hemodialysis patients and facilitate their care. Patient satisfaction regarding the hemodialysis unit of health education is increasing. The health education approach used in this study can be applied to patient care and nursing at hemodialysis centers.

第一章 緒論………………………………………. ……………………... 1
第一節 研究動機及重要性研究目的 …………..……………………… 2
第二節 研究研究假設 …………………..……………………………… 3
第三節 名詞界定 ………………………..……………………………… 4
第二章 文獻探討………………………………………. ………………..6
第一節 腎衰竭患者問題與血液透析的相關概念...……………….…… 6
第二節 高血鉀飲食指導的相關概念….…..…………………….....…… 8
第三節 高血磷飲食指導的相關概念…………...………………...….… 10
第四節 限水飲食指導的相關概念 …………………………...…..…… 14
第五節 教學光碟的相關概念 …………………………...….……….… 17
第三章 研究方法………………………………...…………….…………19
第一節 研究架構………………………………...…………….…………19
第二節 研究對象、場所、收案條件………………………….…………21
第三節 研究工具、信效度…………………………………….…………22
第四節 研究設計……………………………………...…….……………29
第五節 研究步驟與收案流程…………………………………....………30
第六節 病患人權的倫理考量………………………………...….………31
第七節 資料處理與分析……………………………………....…………32
第四章 研究結果與討論…………………...…….……………………..33
第一節 研究對象個人背景因素分布情形…………………...…….……33
第二節 研究對象對高鉀飲食的認知與控制行為………………...….…36
第三節 研究對象對高磷飲食的認知與行為用藥情形…………………38
第四節 研究對象對限水飲食的認知與控制行為……………...….……40
第五節 研究對象對飲食護理指導後的滿意度………………...….……43
第六節 討論……………………………………………...…….…………44
第五章 結論與建議……………………………………………...…….…47
第一節 結論………………….…………..…………………….…………47
第二節 護理上的建議與應用……………………………………………49
第三節 研究限制…………………..…………………………………..…50

參考文獻……………………………………………………………………51
中文部分…………………………………………………………………..51
英文部分…………………………………………………………………..53
附錄………………………………………………………………………….59
附錄A 研究工具………………………………………………………….59
附錄B 專家效度鑑定表…………………………………………………..68
附錄C 專家效度名單……………………………………………………..69
附錄D 凱旋醫院醫學倫理暨人體試驗委員會研究同意書……………..70
附錄E 多媒體飲食指導教學光碟內容…………………………………74

一、中文部份
王正惠、林佳玲、王美娥、吳桂芳、周獻章、江明哲、蔡幸 (2014) •提升血液透析病患水份控制之專案•台灣腎臟護理學會雜誌, 13(3),12-25。
王魯梅 (2006) •運用充能概念探討多媒體互動式光碟對血液透析患者自我照顧、無力感及生活品質促進之成效•未發表碩士論文•高雄:輔英科技大學護理系碩士班。
台灣腎臟醫學會 (2013年5月16日) •Acta Nephrologica (2011),25(3),148-153。
江玲芳、陳麗娟、黃美莉 (2008) •腹膜透析病患水分控制改善專案•台灣腎臟護理學會雜誌,7(2),40-47。
江蕙娟 (2010) •多媒體影音光碟介入對護理人員執行失能者功能評估知能成效之探討•未發表碩士論文•臺中:中臺科技大學護理研究所碩士班。
行政院衛生署 (2013) •台灣地區食品營養成分資料庫•取自http://www.doh.gov.tw/
余民寧 (2002) •教育測驗與評量:成就測驗與教學評量(第二版)•台北:心理。
吳明珠、劉秀芬、廖小雅 (2008) •血液透析病患高血鉀預防衛教改善專案•澄清醫護管理雜誌,4(1),52-58。
吳紅蓮 (2012) •血液透析患者常見之營養問題與飲食治療•透析營養照護研習會,213-241。
吳紅蓮、楊麗芬、許遠尹、王郁薇、周雪琦、徐瑋婷 (2010) •慢性腎臟病控制高血磷的飲食知識與衛教技巧•腎臟與透析,22(3), 206-209。
巫曉玲 (2004) •衛教光碟及單張對冠狀動脈心臟病患者飲食認知與自我效能之成效比較•花蓮:慈濟大學護理系碩士班。
李秋譁 (2014) •不同衛教方式對術後病人自控式止痛的認知及滿度成效之探討•未發表碩士論文•高雄:義守大學醫務管理系碩專班。
李茹萍 (2008) •比較多媒體光碟與單張衛教對緩解加護病房病患家屬情境焦慮之成效研究•未發表碩士論文•花蓮:慈濟大學護理系碩士班。
林宜信、葉美玲、陳興夏、陳靜修 (2006) •中醫護理動畫情境多媒體之學習自我效能•醫護科技學刊,8(3),169-176。
林姵妘、毛瑛茹、李雅婷 (2011) •運用衛教指導提升血液透析患者對高鉀飲食認知之專案•臺灣腎臟護理學會雜誌,12(1),32-46。
林惠霜 (2012) •照顧一位血液透析高血鉀患者之護理經驗•台灣腎臟護理學會雜誌,11(1),60-72。
林筱芳、李筱玲 (2013) •運用記憶法教導一位高血鉀血液透析患者之經驗•台灣腎臟護理學會雜誌,12(3),63-74。
范圭玲、高碧霞 (2008) •系統性護理指導對兒科初次住院病童母親壓力之影響•台灣醫學,12,379-389。
紐淑芬 (2004) •血液透析透析病患生活品質及其相關因素探討•台灣腎臟護理學會雜誌,3(2),88-101。
許麗齡、張美華 (2010) •多媒體教材介入對護理人員心電圖學習之成效•護理雜誌,57 (4),51-58。
陳妙佩、陳建文、蕭善良、毛鴻忠 (2012) •長期血液透析病患鈣磷控制與副甲狀腺素濃度的關聯性分析•腎臟與透析,24(1),54-58。
陳宏梅、陳佳鳳、曾秋蘭 (2006) •一位末期腎病患面臨透析治療抉擇之護理經驗•長庚護理,17(4),486-493。
陳建文、賴麗英、蕭淑惠、李仁慈、楊恩智、蕭善良 (2010) •糖尿病血液透析患者血管通路之使用年限調查•南臺灣醫學雜誌,6(2),76-80。
陳景堂 (2004) •統計分析:SPSS for Windows入門與應用•台北市:儒林圖書有限公司。
黃志強 (2004) •血液透析學 •台北:合記圖書出版社,180-185。
黃志強 (2004) •血液透析學•台北:合記圖書出版社,116-135。
黃志強(2004)•血液透析學•台北:合記圖書出版社,6-10。
詹紹華、王凱欣、王靜枝、林為森、張嘉蘋 (2014)•多媒體影音光碟於筆型胰島素注射護理指導之效益-以南部某醫學中心為例•護理暨健康照護研究,10(2),123−133。
詹雅琦 (2007) •透析病患口渴的護理•台灣腎臟護理學會雜誌,6(1),1-7。
綠十字健康網(2014)•如何判讀透析檢驗結果•取自 http://www.greencross.org.tw/dialysis/data/i-pth.htm
劉秀芬、葉秀棉、廖小雅 (2010) •血液透析病人高血磷護理指導改善專案•澄清醫護管理雜誌,6(4),58-66。
蔡美容 (2012) •探討系統性護理指導對住院病童主要照顧者胸腔叩擊及姿位引流成效•未發表碩士論文,高雄:中山大學護理系碩士班。
蔡蕙鍾、王春葉、莊峰榮、陳嬌蓉、蔡育哲、王夢玲、蘇淑芬、林耀信、陳靖博 (2008) •血液透析病患高血鉀症的護理處置•腎臟與透析,20(4),230-234。
賴嘉祥、白麗雯、張淑娟、王金梅 (2012) •腎臟保健教學光碟於慢性腎臟病高危險群民眾知識、態度及行為之運用成效探討•台灣腎臟護理學會雜誌,11(2),33-46。
鍾玉珠、蔡佳珍、黃慧莉、林佳瑩、徐玉枝、陳怡君 (2006) •合併多媒體光碟及手冊衛教對胃鏡檢查患者之成效探討•志為護理,6(3),71-81。
簡鈺珊、鍾玉珠、李淑惠、鍾佳茹 (2012) •運用多媒體衛教對心導管檢查患者焦慮與滿意度之成效•源遠護理,6(2),29-38。
二、英文部分
Allsopp, K. (2011). Caring for patients with kidney failure. Emergency nurse: the journal of the RCN Accident and Emergency Nursing Association, 18(10), 12-15.
Arneson, T. J., Liu, J., Qiu, Y., Gilbertson, D. T., Foley, R. N., & Collins, A. J. (2010). Hospital Treatment for Fluid Overload in the Medicare Hemodialysis Population. Clinical Journal of the American Society of Nephrology. 5 (6), 1054-1063.
Caldeira, D., Amaral, T., David, C., & Sampaio, C. (2011). Educational strategies to reduce serum phosphorus in hyperphosphatemic patients with chronic kidney disease: systematic review with meta-analysis. Journal of Renal Nutrition, 21(4), 285-294.
Casey, G., (2012). Kidney care and renal disease. Nursing new zeal, 18 (4),20-24.
Champion, V. L., Springston, J. K., Zollinger, T. W., Saywell, R. M., Monahan, P. O., Zhao, Q., & Russell, K. M. (2006). Comparison of three interventions to increase mammography screening in low income African American women.Cancer detection and prevention, 30(6), 535-544.
Chiu, W. Y., Chang, H. R., Halim, E., & Lian, J. D. (2006). Ice Pica: A Neglected Behavior among Hemodialysis Patients in Taiwan. Acta Nephrologica, 20(1), 17-21.
Choi, H. Y., & Ha, S. K. (2013). Potassium balances in maintenance hemodialysis. Electrolytes & Blood Pressure, 11(1), 9-16.
Cuieford,J.P.(1965). Fundamental statistics in psychology and education. New York: McGraw Hill.
Cupisti, A., Ferretti, V., D’Alessandro, C., Petrone, I., Di Giorgio, A., Meola, M., ... & Capitanini, A. (2012). Nutritional knowledge in hemodialysis patients and nurses: focus on phosphorus. Journal of Renal Nutrition, 22(6), 541-546.
Elliott, J. O., Ortman, C., Almaani, S., Lee, Y. H., & Jordan, K. (2015). Understanding the Associations Between Modifying Factors, Individual Health Beliefs, and Hemodialysis Patients'' Adherence to a Low-Phosphorus Diet. Journal of Renal Nutrition, 25(2), 111-120.
El-Sharkawy, M., Khedr, E., Abdelwhab, S., Ali, M., & El Said, K. (2009). Prevalence of hyperkalemia among hemodialysis patients in Egypt. Renal failure, 31(10), 891-898.
Feizalahzadeh, H., Tafreshi, M. Z., Moghaddasi, H., Farahani, M. A., Khosrovshahi, H. T., Zareh, Z., & Mortazavi, F. (2014). Development and Validation of a Theory-Based Multimedia Application for Educating Persian Patients on Hemodialysis. Computers Informatics Nursing, 32(5), 242-247.
Fouque, D., Horne, R., Cozzolino, M., & Kalantar-Zadeh, K. (2014). Balancing nutrition and serum phosphorus in maintenance dialysis. American Journal of Kidney Diseases, 64(1), 143-150.
Guida, B., Piccoli, A., Trio, R., Laccetti, R., Nastasi, A., Paglione, A., ... & Memoli, B. (2011). Dietary phosphate restriction in dialysis patients: a new approach for the treatment of hyperphosphataemia. Nutrition, Metabolism and Cardiovascular Diseases, 21(11), 879-884.
Jagodzińska, M., Zimmer-Nowicka, J., & Nowicki, M. (2011). Three months of regular gum chewing neither alleviates xerostomia nor reduces overhydration in chronic hemodialysis patients.Journal of Renal Nutrition, 21(5), 410-417.
Jao, F. C., Chuang, S. T., Chiou, J. Y., Lin, L. Y., Jeng, K. C. & Kuo, C. H. (2014). Comparison of Two Educational Methods for Educating Primary Caregivers about Urinary Catheter Care in Homecare Patients. Tungs’Medical Journal . (8), 65-73.
Jlala, H. A., French, J. L., Foxall, G. L., Hardman, J. G., & Bedforth, N. M. (2010). Effect of preoperative multimedia information on perioperative anxiety in patients undergoing procedures under regional anaesthesia. British journal of anaesthesia, 104(3), 369-374.
John, A., Alpert, P. T., Kawi, J., & Tandy, R. (2013). The relationship between self-efficacy and fluid and dietary compliance in hemodialysis patients. Clinical Scholars Review. 6(2), 98-104.
Kalantar-Zadeh, K., Gutekunst, L., Mehrotra, R., Kovesdy, C. P., Bross, R., Shinaberger, C. S., ... & Kopple, J. D. (2010). Understanding sources of dietary phosphorus in the treatment of patients with chronic kidney disease. Clinical Journal of the American Society of Nephrology, 5(3), 519-530.
Karavetian, M., de Vries, N., Rizk, R., & Elzein, H. (2014). Dietary educational interventions for management of hyperphosphatemia in hemodialysis patients: a systematic review and meta-analysis. Nutrition reviews, 72(7), 471-482.
Ketteler, M., & Biggar, P. H. (2013). Use of phosphate binders in chronic kidney disease. Current opinion in nephrology and hypertension, 22(4), 413-420.
Lehnhardt, A., & Kemper, M. J. (2011). Pathogenesis, diagnosis and management of hyperkalemia. Pediatric nephrology, 26(3), 377-384.
Lou-Arnal, L. M., Caverni-Muñoz, A., Arnaudas-Casanova, L., Vercet-Tormo, A., Gimeno-Orna, J. A., Sanz-París, A., ... & Luzon-Alonso, M. (2013). Impacto del procesamiento de los productos cárnicos y pescados en la ingesta de fósforo en los pacientes con enfermedad renal cronica. Nefrología (Madrid),33(6), 797-807.
Luciano, R. L. (2014). Acute kidney injury from cherry concentrate in a patient with CKD.American Journal of Kidney Diseases, 63(3), 503-505.
Mc Causland, F. R., Waikar, S. S., & Brunelli, S. M. (2013). The relevance of dietary sodium in hemodialysis. Nephrology Dialysis Transplantation, 28(4), 797-802.
Onofriescu, M., Hogas, S., Voroneanu, L., Apetrii, M., Nistor, I., Kanbay, M., & Covic, A. C. (2014). Bioimpedance-guided fluid management in maintenance hemodialysis: a pilot randomized controlled trial. American Journal of Kidney Diseases,64 (1),111-118.
Pace, R. C. (2007). Fluid Management in Patients on Hemodialysis.Nephrology Nursing Journal , 34,(5).557.
Porcu1, M., Fanton, E., & Zampieron, A. (2007). Thirst distress and interdialytic weight gain:a study on a sample of hemodialysis patients. Journal of Renal Care,33(4)179-181.
Redmond, A., & Doherty, E. (2005), peritoneal dialysis Nursing,standard,19(40),55.
Ross, P. E., Groenhoff, C., & Zin, P., (2004). Diagnosis:chonic kidney disease, now what!.The Americana Association of Occupation Health Nurse Journal,52(7),287-297.
Sanghavi, S., Whiting, S., Uribarri, J., (2013). Potassium balance in dialysis patients.Seminars in Dialvsis Journal Article,26 (5), 597-603.
Sinha, A. D., & Agarwal, R. (2013). Chronic renal disease progression: treatment strategies and potassium intake. Seminars in Nephrology,33 (3),290-299.
Sood, M. M. & Pauly, R. P. (2008). A case of severe hyperkalemia: fast, safe and effective treatment is required, Journal of Critical Care,23(3),431-433.
Sullivan, C., Sayre, S. S., Leon, J. B., Machekano, R., Love, T. E., Porter, D., ... & Sehgal, A. R. (2009). Effect of food additives on hyperphosphatemia among patients with end-stage renal disease: a randomized controlled trial. Journal of the American Medical Association, 301(6), 629-635.
Tovazzi, M. E., Mazzoni, V., (2012). Personal Paths of Fluid Restriction In Patients on Hemodialysis. Nephrology Nursing Journal,39(3),207-215.
United States Renal Data Syatem (2011).Annual data report 2009.May 02,2011,Available form http://www.usrds.org/
Unk, J. A., & Brasington, R. (2014). Efficacy study of multimedia rheumatoid arthritis patient education program. Journal of the American Association of Nurse Practitioners, 26(7), 370-377.
Vegter, S., Tolley, K., Keith, M. S., & Postma, M. J. (2011). Cost-effectiveness of lanthanum carbonate in the treatment of hyperphosphatemia. in chronic kidney disease before and during dialysis. Value in Health ,14 (6), 852-858.
Vrdoljak, I., Krbavcic, I. P., Bituh, M., Vrdoljak, T., & Dujmić, Z. (2015). Analysis of Different Thermal Processing Methods of Foodstuffs to Optimize Protein, Calcium, and Phosphorus Content for Dialysis Patients. Journal of Renal Nutrition, 25(3), 308-315.
Waheed, A. A., Pedraza, F., Lenz, O., & Isakova, T. (2013). Phosphate control in end-stage renal disease barriers and opportunities. Nephrology Dialysis Transplantation,28 (12),2961–2968.
Zimmerman, D. L., Nesrallah, G. E., Chan, C. T., Copland, M., Komenda, P., McFarlane, P. A., ... & Mustafa, R. A. (2013). Dialysate Calcium Concentration and Mineral Metabolism in Long and Long-Frequent Hemodialysis: A Systematic Review and Meta-analysis for a Canadian Society of Nephrology Clinical Practice Guideline.American Journal of Kidney Disease . 62 (1), 97-111.

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