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J!K?!+$%!# ID O.! J%.! H$I& m #! H$+3 #!.! " 32 / KT/V :$ O2N #! ÅI v.m H H? W= F= VM # #2.! /+7 /27 URR # ".! #2!K? H7 ) 6.!!!K? H + #3 #@j!c Hk% #!!#! I 3) 6 2 @? H7!!I H7 %# #2 G# #2.! :$ & & #=.!23 />? LD.! #! HN$ 6 #2 G. W Ä5 #2 "!W@ /KB ]M 3H3 #2.! /+7 "#! %# HN$ #!.! 3-.!!& HD? ) #U&[q? F FK? #! /=! *- #-!?QQ>? Ñ_ HN$ HK.M G "#I JQQ>? T6) $> /K 6./%.! 45 $> F% 6C ) F%! (:) 8. #! 6) 7 6) G!4 #! # vn H7 7 G #WD #2.!!#=?!2 "# 43P 3! 20 6 $27 H BMI 437 H7 j GÉ? /I#! 437 6 - # 437 HUp? y% 6 FQ H) Y%7 43P #!. ^.$ 437 Jp? 7q? H.q G (#23 Daugirdas.(7) /% H$- [ - # G BMI #Q.!?k - X2 #! #2 Hj3 6 HM# G #!./! "$ 4I 3) KT/V D#! 25 H - 4I #23 I7.! A H /%! #! W= - H /W.(23) /% [ #2 " #! / H% H7 #2 #!.! /+7 %# G #!! H7! #2 6 4 $I& #=.! />? H$+3 6 T#& HN$ G.$!.! H$+3 #! / N? %# M H.(22)!#! 523 #23 #2 " H$I& m #!.! "P?$% #! m? / H% H H$+3 #! /! 6 3) H p?.!! 4I # 3).! /+7 437 KT/V #Q G% 4I BC HK.M #!!W #!K "#) m 6 ) /%! H gw?# j 3 /I J#D H gw?# G #23 C "% HK.M #! /@ #! %# m H HN$ #! (24) /!! #!K 4I FW= 6?228??G #2.! /+7!W@ References 1. Harrison TR, Kasper DL. Harrison's principles of internal medicine. 16 th ed. New York: McGraw-Hill; 2005. 2. Hakim RM, Depner TA, Parker TF, III. Adequacy of hemodialysis. Am J Kidney Dis 1992; 20(2): 107-23. 3. Chauveau P, Nguyen H, Combe C, Chene G, Azar R, Cano N, et al. Dialyzer membrane permeability and survival in hemodialysis patients. Am J Kidney Dis 2005; 45(3): 565-71. 4. Hakim RM, Breyer J, Ismail N, Schulman G. Effects of dose of dialysis on morbidity and mortality. Am J Kidney Dis 1994; 23(5): 661-9. 5. Acchiardo SR, Hatten KW, Ruvinsky MJ, Dyson B, Fuller J, Moore LW. Inadequate dialysis increases gross mortality rate. ASAIO J 1992; 38(3): M282-M285. 6. Held PJ, Port FK, Wolfe RA, Stannard DC, Carroll CE, Daugirdas JT, et al. The dose of hemodialysis and patient mortality. Kidney Int 1996; 50(2): 550-6. 211
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Abstract Original Article Dialysis adequacy in chronic hemodialysis patients in educational center Vali-Asr in Birjand M. Mogharab 1, F. Madarshahian 2, N. Rezai 3, A. Mohammadi 4 Background and Aim: In present more than one million people in world doing hemodialysis, This study do to determine adequacy of dialysis in hemodialysis patients Vali-Asr Hospital in Birjand. Materials and Methods: Descriptive cross- sectional and 50 dialysis patients six months after they started dialysis were selected. The questionnaire measured individual data and recorded the weight before and after dialysis and blood urea before and after dialysis within a minute of slow blood to 50 ml of blood from the patient's body and back venus. Then, measured URR and Kt/V, the distribution of patients in three part low, moderate and high adequacy of dialysis. Statistical analysis were used by descriptive statistics and SPSS software. Results: The mean age were 47.70 ± 16.72 years, weight before dialysis 58.2 ± 12.36 and after hemodialysis 56.2 ± 12.22 kg, mean BMI 21.40, urea before dialysis was 140.42 ± 37.92, urea after dialysis was 52.32 ± 16.75 mg dl. 70 percent of patients was Kt/V 0.9-1.2 and 66 percent URR between 61 and 70 percent that had a relatively good level of adequacy of dialysis. mean total Kt/V of patients were 1.17 and URR 62.8 percent. Between BMI, the average pump blood, sex patients and the number of time of dialysis at week with dialysis adequacy were significant relationship (P < 0.05). Conclusion: Prevention of ESRD at the community level and attention to details such as the choise strategy to increase hours of dialysis, filter type and time of dialysis at week is important in dialysis wards. Keywords: Hemodialysis, Kt / V, URR, Blood urea, Dialysis adequacy. Journal of Birjand University of Medical Sciences. 2010; 17(3): 214. Received: 25.12.2008 Last Received: 01.07.2010 Accepted: 12.07.2010 Online Version: 20.10.2010 1 Correspondin Author; Instructor, School of Nursing and Midwifery, Birjand University of Medical Sciences, Birjand, Iran. Email: mogh1344@yahoo.com 2 Instructor, School of Nursing and Midwifery, Birjand University of Medical Sciences, Birjand, Iran. 3 Supervisor, Department of Hemodiyaliz, Birjand University of Medical Sciences, Birjand, Iran. 4 Nurse, Department of Hemodiyaliz, Birjand University of Medical Sciences, Birjand, Iran. 214