Nursing Strategies for Patients with Chronic Renal Failure Undergoing Maintenance Hemodialysis Treatment by Arteriovenous Fistula
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Abstract
Background: We aimed to analyze the effect of nursing strategies on patients with chronic renal failure (CRF) undergoing maintenance hemodialysis (MHD) treatment by puncturing on arteriovenous fistula (AVF).
Methods: Ninety-two patients with chronic renal failure undergoing maintenance hemodialysis (MHD) between Jan 2014 and Jan 2015 were included in the study (all undergoing AVF, dialysis for 2-3 sessions per week, 4-5 h per session) and randomly divided into control group and observation group. Patients in control group were given standard nursing care and patients in observation group were given professional nursing of internal fistula. The complication rate and dysfunction rate during internal fistula perioperative period, fistula usage time and effect on life quality of patients of these two groups were compared (during 18-month follow-up).
Results: The complication rate and dysfunction rate during internal fistula perioperative period of the observation group were significantly lower than that of the control group, and the difference was statistically significant (P＜0.05). The median time of internal fistula usage was significantly prolonged, and the health index, emotion index and psychology index quality-of-life in the observation group were significantly higher than that of the control group (P＜0.05).
Conclusion: Professional nursing strategies of internal fistula can prolong service time, decrease complications and improve life quality for patients undergoing maintenance hemodialysis treatment via arteriovenous fistula.
Wang AY, Sherrington C, Toyama T, Gal-lagher M, Cass A, et al. (2016). Muscle strength, mobility, quality of life and falls in patients on maintenance haemodialy-sis: A prospective study. Nephrology (Carl-ton), 2: 3-5.
Chang HH, Chang YK, Lu CW, Huang CT, Chien CT, Hung KY, Huang KC, Hsu CC (2016). Statins Improve Long Term Patency of Arteriovenous Fistula for He-modialysis. Sci Rep, 6: 22197.
Robson JP JR (2013). A review of hemodial-ysis vascular access devices: improving client outcomes through evidence-based practice. J Infus Nurs, 36: 404-10.
Wilson B, Harwood L, Oudshoorn A (2013). Moving beyond the "perpetual novice": understanding the experiences of novice hemodialysis nurses and can-nulation of the arteriovenous fistula. CANNT J, 23: 11-8.
Sousa CN, Figueiredo MH, Dias VF, Teles P, Apóstolo JL (2015). Construction and validation of a scale of assessment of self-care behaviours anticipatory to crea-tion of arteriovenous fistula. J Clin Nurs, 24: 3674-80.
Huang JL, Jang JF, Lee KF, Shie YT, Jin MH (2015). A Project to Reduce the Oc-clusion Rate in Hemodialysis Arteriove-nous Access. Hu Li Za Zhi, 62 (3 Supple): 13-20.
Pellejero Palacio S, Lorente Martín S, Palo-mo García M, Rodriguez-Garcia J (2014). [Health education to patients undergoing arteriovenous fistula]. Rev Enferm, 37: 34-40.
Adib-Hajbagheri M, Molavizadeh N, Alavi NM, Abadi MH (2014). Factors associat-ed with complications of vascular access site in hemodialysis patients in Isfahan Aliasghar hospital. Iran J Nurs Midwifery Res, 19: 208-14.
Sousa CN, Teles P, Dias VF, Apóstolo JL, Figueiredo MH, Martins MM (2014). Physical examination of arteriovenous fis-tula: The influence of professional experi-ence in the detection of complications. Hemodial Int, 18: 695-9.
Allon M, Robbin ML (2002). Increasing ar-teriovenous fistulas in hemodialysis pa-tients: Problems and solutions. Kidney Int, 62:1109-1124.
Preljevic VT, Osthus TB, Sandvik L, Op-jordsmoen S, Nordhus IH, Os I, Dam-men T (2012). Screening for anxiety and depression in dialysis patients: Compari-son of the Hospital Anxiety and Depres-sion Scale and the Beck Depression In-ventory. J Psychosom Res, 73:139-144.
Sousa CN, Apóstolo JL, Figueiredo MH, Martins MM, Dias VF (2014). Interven-tions to promote self-care of people with arteriovenous fistula. J Clin Nurs, 23: 1796-802.
Delfosse F, Boyer J, Lemaitre V, Inghels Y (2012). Disconnection of arteriovenous fistula: standardize the coverage of the hemorragic risk. Nephrol Ther, 8: 23-34.
Vahedian J, Jalayifar AM, Keramati MR, Nabavizadeh F, Vahedian M (2012). Pri-mary success of bifurcated vein patch ar-teriovenous fistula and Brescia-Cimino methods. Iran J Kidney Dis, 6: 124-8.
Murphy F (2011). The ongoing challenges with renal vascular access. Br J Nurs, 20(4):S6, S8, S10 passim.
| Files | ||
| Issue | Vol 45 No 10 (2016) | |
| Section | Original Article(s) | |
| Keywords | ||
| Chronic renal failure Arteriovenous fistula (AVF) Maintenance hemodialysis (MHD) Dysfunction rate Quality-of-life (QOL) | ||
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