fa بررسی تاثیر پروفایل پلکانی جریان مایع دیالیز بر کفایت دیالیز: یک کارآزمایی بالینی پرستاری Nursing پژوهشي اصیل Original Research <font face="Times New Roman" size="3"> </font><p class="MsoNormal" style="margin: 0cm 14.15pt 0pt 7.1pt text-align: justify line-height: 105% unicode-bidi: embed direction: rtl" dir="rtl"><b><span lang="AR-SA" style="line-height: 105% font-family: "B Traffic" font-size: 10pt">مقدمه: </span></b><span lang="AR-SA" style="line-height: 105% font-family: "B Traffic" font-size: 10pt">عدم کفایت دیالیز باعث افزایش عوارض ناشی از بیماری مرحله نهایی کلیوی، طول مدت بستری و هزینه‌های تحمیلی می‌گردد.پیش‌آگهی بیماران همودیالیزی، تحت تاثیر کفایت درمان با دیالیز قرار دارد و بررسی آن در اداره این بیماران دارای اهمیت ویژه‌ای می‌باشد. نظر به این‌که افزایش کفایت دیالیز یکی از اهداف پرستاری و مراقبتی این بیماران است این مطالعه با هدف بررسی تاثیر پروفایل پلکانی جریان مایع دیالیز بر کفایت دیالیز انجام شد.<o:p /></span></p><font face="Times New Roman" size="3"> </font><p class="MsoNormal" style="margin: 0cm 14.15pt 0pt 7.1pt text-align: justify line-height: 105% unicode-bidi: embed direction: rtl" dir="rtl"><b><span lang="AR-SA" style="line-height: 105% font-family: "B Traffic" font-size: 10pt">روش کار: </span></b><span lang="AR-SA" style="line-height: 105% font-family: "B Traffic" font-size: 10pt">این پژوهش یک کارآزمایی بالینی از نوع متقاطع بود. 28 بیمار از دو مرکز درمانی استان اصفهان با روش نمونه گیری آسان در این پژوهش مورد بررسی قرار گرفتند. هر یک از بیماران چهار جلسه با روش روتین و چهار جلسه با روش پروفایل پلکانی جریان مایع دیالیز تحت همودیالیز قرار گرفتند و کفایت دیالیز از طریق </span><span style="line-height: 105% font-family: "Times New Roman","serif" font-size: 10pt mso-ascii-theme-font: major-bidi mso-hansi-theme-font: major-bidi mso-bidi-theme-font: major-bidi" dir="ltr">KT/V</span><span dir="rtl"></span><span lang="AR-SA" style="line-height: 105% font-family: "B Traffic" font-size: 10pt"><span dir="rtl"></span> آنلاین روی دستگاه دیالیز بی بران اندازه گیری گردید و نتایج از طریق آزمون آماری </span><font face="Calibri"><span style="line-height: 105% font-size: 10pt mso-bidi-font-family: "B Traffic"" dir="ltr">t</span><span dir="rtl"></span></font><span lang="AR-SA" style="line-height: 105% font-family: "B Traffic" font-size: 10pt"><span dir="rtl"></span> زوجو </span><font face="Calibri"><span style="line-height: 105% font-size: 10pt mso-bidi-font-family: "B Traffic"" dir="ltr">t</span><span dir="rtl"></span></font><span lang="AR-SA" style="line-height: 105% font-family: "B Traffic" font-size: 10pt"><span dir="rtl"></span> مستقلتجزیه و تحلیل شدند.<o:p /></span></p><font face="Times New Roman" size="3"> </font><p class="MsoNormal" style="margin: 0cm 14.15pt 0pt 7.1pt text-align: justify line-height: 105% unicode-bidi: embed direction: rtl" dir="rtl"><b><span lang="AR-SA" style="line-height: 105% font-family: "B Traffic" font-size: 10pt">یافته ها:</span></b><span lang="AR-SA" style="line-height: 105% font-family: "B Traffic" font-size: 10pt">میانگین </span><span style="line-height: 105% font-family: "Times New Roman","serif" font-size: 10pt mso-ascii-theme-font: major-bidi mso-hansi-theme-font: major-bidi mso-bidi-theme-font: major-bidi" dir="ltr">KT/V</span><span dir="rtl"></span><span lang="AR-SA" style="line-height: 105% font-family: "B Traffic" font-size: 10pt"><span dir="rtl"></span> در روش روتین 235/1 و در روش پروفایل پلکانی جریان مایع دیالیز 387/1 به دست آمد که از نظر آماری تفاوت معنی داری داشت</span><span lang="FA" style="line-height: 105% font-family: "B Traffic" font-size: 10pt mso-bidi-language: FA mso-ansi-font-weight: bold">(001/0=</span><span style="line-height: 105% font-family: "Times New Roman","serif" font-size: 10pt mso-ascii-theme-font: major-bidi mso-hansi-theme-font: major-bidi mso-bidi-theme-font: major-bidi mso-bidi-language: FA mso-bidi-font-weight: bold" dir="ltr">P</span><span dir="rtl"></span><span lang="FA" style="line-height: 105% font-family: "B Traffic" font-size: 10pt mso-ascii-font-family: "Times New Roman" mso-ascii-theme-font: major-bidi mso-hansi-font-family: "Times New Roman" mso-hansi-theme-font: major-bidi mso-bidi-language: FA mso-ansi-font-weight: bold"><span dir="rtl"></span>)</span><span lang="AR-SA" style="line-height: 105% font-family: "B Traffic" font-size: 10pt">.<o:p /></span></p><font face="Times New Roman" size="3"> </font><p class="MsoNormal" style="margin: 0cm 14.15pt 10pt 7.1pt text-align: justify line-height: 105% unicode-bidi: embed direction: rtl" dir="rtl"><b><span lang="AR-SA" style="line-height: 105% font-family: "B Traffic" font-size: 10pt">نتیجه نهایی:</span></b><span lang="AR-SA" style="line-height: 105% font-family: "B Traffic" font-size: 10pt">استفاده از روش پروفایل پلکانی جریان مایع دیالیز می­تواند با انتشار بیشتر اوره از سمت خون به سمت مایع دیالیز باعث بهتر شدن کفایت دیالیز گردد. بنابراین استفاده از این روش پیشنهاد می گردد.</span><span lang="FA" style="line-height: 105% font-family: "B Traffic" font-size: 10pt mso-bidi-language: FA"><o:p /></span></p><font face="Times New Roman" size="3"> </font> <font face="Times New Roman" size="3"> </font><p class="MsoNormal" style="margin: 0cm 12.6pt 0pt 18pt text-align: justify line-height: normal text-autospace: mso-layout-grid-align: none"><b><span style="color: black font-family: "Times New Roman","serif" font-size: 10pt mso-ascii-theme-font: major-bidi mso-hansi-theme-font: major-bidi mso-bidi-theme-font: major-bidi mso-themecolor: text1">Background:</span></b><span class="hps"><span style="color: rgb(34, 34, 34) font-family: "Times New Roman","serif" font-size: 12pt mso-bidi-font-family: "B Nazanin"">Inadequacy of dialysisincreasesthecomplicationsofend-stagerenaldisease</span></span><span style="color: rgb(34, 34, 34) font-family: "Times New Roman","serif" font-size: 12pt mso-bidi-font-family: "B Nazanin"">, duration of hospitalization <font color="#222222"><font size="3"><font face="Times New Roman"><span class="hps">and costs imposed</span>. <span class="hps">The methods enhancing the adequacy of dialysis in these patients are high effective in prognoses and it is importantin the managementofthesepatients</span>. <span class="hps">In view oftheincreasingofadequacyisthegoal of</span> nursing, <span class="hps">thisstudy was toevaluate the effectof</span></font></font></font></span><span style="font-family: "Times New Roman","serif" font-size: 12pt mso-bidi-font-family: "B Nazanin"">Stepwise Dialysis Solution Profile on<font size="3"><font face="Times New Roman"><span class="hps"><span style="color: rgb(34, 34, 34)">dialysis adequacy</span></span><span style="color: rgb(34, 34, 34)">.</span></font></font></span><span style="font-family: "Times New Roman","serif" font-size: 12pt mso-ascii-theme-font: major-bidi mso-hansi-theme-font: major-bidi mso-bidi-theme-font: major-bidi"><o:p /></span></p><font face="Times New Roman" size="3"> </font><p class="MsoNormal" style="margin: 0cm 12.6pt 0pt 18pt text-align: justify line-height: normal text-autospace: mso-layout-grid-align: none"><b><span style="color: black font-family: "Times New Roman","serif" font-size: 10pt mso-ascii-theme-font: major-bidi mso-hansi-theme-font: major-bidi mso-bidi-theme-font: major-bidi mso-themecolor: text1">Methods:</span></b><span style="font-family: "Times New Roman","serif" font-size: 12pt mso-bidi-font-family: "B Nazanin"">The present study is a cross over design in which 28 patients from two hemodialysis centers in Isfahan. All patients underwent hemodialysis sessions as follows: 4 routine and 4 Stepwise Dialysis Solution Profile and in each session the KT/V was measured by the measuring equipment in the online manner. The results were analyzed by paired&in depended T test.</span><span style="font-family: "Times New Roman","serif" font-size: 12pt mso-ascii-theme-font: major-bidi mso-hansi-theme-font: major-bidi mso-bidi-theme-font: major-bidi"><o:p /></span></p><font face="Times New Roman" size="3"> </font><p class="MsoNormal" style="margin: 0cm 12.6pt 0pt 18pt text-align: justify line-height: normal text-autospace: mso-layout-grid-align: none"><b><span style="color: black font-family: "Times New Roman","serif" font-size: 10pt mso-ascii-theme-font: major-bidi mso-hansi-theme-font: major-bidi mso-bidi-theme-font: major-bidi mso-themecolor: text1">Result</span></b><span style="color: black font-family: "Times New Roman","serif" font-size: 10pt mso-ascii-theme-font: major-bidi mso-hansi-theme-font: major-bidi mso-bidi-theme-font: major-bidi mso-themecolor: text1">: </span><span style="font-family: "Times New Roman","serif" font-size: 12pt mso-bidi-font-family: "B Nazanin"">the mean values of dialysis adequacy were as follows: 1.237 in routine and 1.385 in Stepwise Dialysis Solution Profile methods that there was a statistical difference between routine method with profile (p=0.001).</span><span style="font-family: "Times New Roman","serif" font-size: 12pt mso-ascii-theme-font: major-bidi mso-hansi-theme-font: major-bidi mso-bidi-theme-font: major-bidi"><o:p /></span></p><font face="Times New Roman" size="3"> </font><p class="MsoNormal" style="margin: 0cm 12.6pt 10pt 18pt text-align: justify line-height: normal text-autospace: mso-layout-grid-align: none"><b><span style="color: black font-family: "Times New Roman","serif" font-size: 10pt mso-ascii-theme-font: major-bidi mso-hansi-theme-font: major-bidi mso-bidi-theme-font: major-bidi mso-themecolor: text1">Conclusion:</span></b><span style="font-family: "Times New Roman","serif" font-size: 12pt mso-bidi-font-family: "B Nazanin"">Using Stepwise Dialysis Solution Profile with <font size="3"><font face="Times New Roman"><span class="hps"><span style="color: rgb(34, 34, 34)">releasedmoreurea</span></span>comparing to routine profile will result in improving the quality of dialysis. Thus using these methods are recommended.</font></font></span><span style="font-family: "Times New Roman","serif" font-size: 12pt mso-ascii-theme-font: major-bidi mso-hansi-theme-font: major-bidi mso-bidi-theme-font: major-bidi"><o:p /></span></p><font face="Times New Roman" size="3"> </font><p class="MsoNormal" style="margin: 0cm 0cm 0pt text-align: justify line-height: normal text-indent: 21.3pt"><b><span lang="AR-SA" style="color: black font-family: "Times New Roman","serif" font-size: 10pt mso-ascii-theme-font: major-bidi mso-hansi-theme-font: major-bidi mso-bidi-theme-font: major-bidi mso-themecolor: text1" dir="rtl"><!--stripped--><font size="2"> </font><!--stripped--></span></b></p><font face="Times New Roman" size="3"> </font> ایران / پروفایل جریان مایع دیالیز /کفایت دیالیز /همودیالیز Adequacy of dialysis / Hemodialysis /Iran /Solution dialysis Flow Rate 51 57 http://nmj.umsha.ac.ir/browse.php?a_code=A-10-1-1146&slc_lang=fa&sid=1 Azam salehi اعظم صالحی 10031947532846001810 10031947532846001810 No Nahid Shahgholian ناهید شاهقلیان shahgholian@nm.mui.ac.ir 10031947532846001811 10031947532846001811 Yes Mozgan Mortazavi مژگان مرتضوی 10031947532846001812 10031947532846001812 No