32 2010 6 24 1. 2. 51.55 75.24 75.20 100 14 2010 59,161 392 2,000 90.3 2011 2006 2010 6 1 6 30 100 6 10 100 9 20 100 10 19 296 11 25 04 24819900 1712 yun10171017@yahoo.com.tw 102 3 12 1
33 24 1.4 2 3 177 / 25 1 3 1 3 4 3 18 9 16 22 15 7 8 2 2010 6 1 6 30 175 hope 4.5 42 24 42 60 23 54.76 17 40.48 2010 6 N 42 < 45 3 7.14 45~60 16 38.10 > 60 23 54.76 12 28.57 17 40.48 8 19.05 5 11.90 30 71.43 3 / 5 11.90 3 / 7 16.67 5 11.90 37 88.10 1 1 10 23.81 2 1 20 47.62 3 1 12 28.57 102 3 12 1
34 15 1998 2010 6 30 2010 6 42 51.55 2010 6 2010 6 25 25 75.20 2009 24 51.55 102 3 12 1
35 75.20 51.55 67.02 5 1. 5 5 51.55 30 75.20 100.00 100.00 24 15 15 80~90 2009 5.5 meq/l 2011 2006 3.5 5.5 meq/l 2011 2006 2007 1 3 10 20 30 50 2008 2009 1998 McGrath, Harmon, & Bishop, 2010 102 3 12 1
36 2010 2010 2010 2006 20102010 2004 : 2004 2009 2006 Mauk, 2006 2010 2005 65.75 23 2010 7 1 2010 12 31 6 2010 7 1 2010 8 31 1998 15 102 3 12 1
37 1. 1 15 13 11 9 48 2. 13 11 15 9 48 3. 7 9 7 13 36 1. 1 5 5 7 11 38 2. 5 9 7 9 30 3. 15 13 11 11 50 1 4. 15 13 13 7 48 5. 13 11 11 13 48 1. 15 13 11 11 50 1 2. 7 5 9 11 32 1. 15 13 13 7 48 2. 13 11 13 11 48 1 1 3 5 5 1 2 3 80 60 8048 / 2010 7 8 9 10 11 12 1. 2. 3. 5 4. 5. 2 6. 1 1. 2. 3. 5 4. (1) (2) 5. 6. 1 1. 102 3 12 1
38 300 mg 5 10 10 15 power point 10 2010 9 1 2010 12 31 9 1 9 7 102 3 12 1
39 圖二 圖三 中華民國 102 年 3 月 高鉀水果相親記 高鉀食物圖片-水果類 臺灣腎臟護理學會雜誌 第 12 卷 1 期
40 2010 9 8 9 3-4 9 27 15 30 9 28 10 4 15 100 15 9 10 4 20 10 11 5 102 3 12 1
41 10 3 1. 15 5 1 10 9 10 11 3 9 1 7 2. 10 9 10 10 12 65 2010 12 1 2010 12 31 2010 12 3 12 8 42 51.55 75.24 153.14 20 102 3 12 1
42 N 42 % % 1. 5.5 meq/l 24 57.14 35 83.33 2. 15 35.71 37 88.10 3. 35 83.33 38 90.48 4. 18 42.86 26 61.90 5. 19 45.24 29 69.05 6. 6-1 21 50.00 26 61.90 6-2 22 52.38 28 66.67 6-3 19 45.24 32 76.19 6-4 24 57.14 34 80.95 6-5 39 92.86 42 100.00 6-6 21 50.00 29 69.05 6-7 19 45.24 28 66.67 6-8 18 42.86 28 66.67 6-9 15 35.71 32 76.19 6-10 19 45.24 30 71.43 6-11 18 42.86 33 78.57 6-12 16 38.10 31 73.81 6-13 33 78.57 37 88.10 6-14 17 40.48 29 69.05 6-15 21 50.00 28 66.67 / 51.55 75.24 2010 12 10 12 16 75.20 100.00 100.00 10 102 3 12 1
43 N 25 % % 1. 2 1 15 60.00 25 100.00 2. 18 72.00 25 100.00 3. 20 80.00 25 100.00 4. 19 76.00 25 100.00 5. 17 68.00 25 100.00 6. 2 1 18 72.00 25 100.00 7. 22 88.00 25 100.00 8. 23 92.00 25 100.00 9. 50 18 72.00 25 100.00 10. 18 72.00 25 100.00 / 75.20 100.00 hope 4.5 2010 12 6 24 14 111.11 X 2 8.5 P 0.01 2010 6 12 102 3 12 1
44 10 9 22 9 1 70 20~30 2010 7 19 98 2010 10 5 http:// www.nhi.gov.tw/resource/webdata/ 102 3 12 1
45 Attach_15831_2_98.pdf 2008 59 1-2 2010 4-8 2011 3 25 2011 4 19 http://www.greencross.org.tw/ dialysis/data/k.htm 2010 6 112-20 1998 2009 1 221-28 2007 1 158-62 2006 2 2 105-110 2009 21 8-13 2005 37 141-59 2009 6 22 2010 4 9 http:// www.vspeed.info/newhead/link/link. htm 2004 21 440-41 2006 180-185 2010 21 3322-333 McGrath, B. M., Harmon, J. P., & Bishop, G. (2010). Palmaria palmate (Dulse) as an unusual maritime aetiology of hyperkalemia in a patient with chronic renal failure: A case report. Journal of Medical Case Reports, 4, 301-303. Mauk, K. L. (2006). Reaching ang teaching older adults. Nursing, 36(2), 17-17. 102 3 12 1
46 Improving the understanding of hyperkalemia among hemodialysis patients by health instruction Pei-Yun Lin Ying-Ju Mao Ya-Ting Li Abstract The aim of this project is to help hemodialysis patients improve their understanding of hyperkalemia, a highly risky condition that could lead to cardiac arrest and sudden death. Statistics issued by the hemodialysis center of a local hospital in central Taiwan indicated that the rate of occurrence for hyperkalemia among hemodialysis patients reached 24% in June, 2010. An on-site analysis conducted in the center identified the following problems: 1. The patients did not have adequate awareness of high potassium foods, showed little interest in perusing health education pamphlets, or lacked appropriate health education tools; 2. Inconsistent awareness of high potassium foods among the nursing staff, health education was not standardized, and inadequate training courses. To prevent hyperkalemia, we implemented an image-based diet care manual for the patients utilizing learning VCDs and offered on-the-job training or group education for the nursing staff. The rate of the patients correctly recognizing high potassium foods increased from 51.55% to 75.24% as a result. More importantly, the correct recognition rate of high potassium foods by nursing staff was greatly improved from an average of 75.20% to 100%. The two results combined reduced the occurrence rate of hyperkalemia among hemodialysis patients to 14%, a very impressive improvement. Key words: health instruction, hemodialysis, hyperkalemia RN, Hemodialysis Room, Jen-Ai Hospital Received Jun. 10, 2011 Revised Sep. 20, 2011 Accepted for publication Oct. 19, 2011 Correspondence Pei-Yun Lin, No.25, Aly. 11, Ln. 296, Side Rd., Wufeng Area, Taichung City 413, Taiwan Telephone04 24819900 ext 1712 E-mail shuang699@yahoo.com.tw 102 3 12 1