Nurten Ozen1, Nuran Tosun2, Fatma Ilknur Cinar3, Gulcan Bagcivan4, Mahmut Ilker Yilmaz4, Dilek Askin5, Dilek Mut6, Volkan Ozen1, Mujdat Yenicesu7, Evis Zajm8. 1. Department of Anesthesiology and Reanimation, Okmeydani Research and Training Hospital Kasimpasa Building, Istanbul - Turkey. 2. Retired associate professor, Ankara - Turkey. 3. Gulhane School of Nursing, Health of Science University, Ankara - Turkey. 4. Division of Nephrology, Gulhane Research and Training Hospital, Ankara - Turkey. 5. Department of Pediatrics, Haydarpasa Sultan Abdulhamid Research and Training Hospital, İstanbul - Turkey. 6. Department of Anesthesiology and Reanimation, Gulhane Research and Training Hospital, Ankara - Turkey. 7. Can Dialysis Center, Ankara - Turkey. 8. Dialysis Nurse, Ankara - Turkey.
Abstract
PURPOSE: The major cause of morbidity in hemodialysis patients is arteriovenous fistula deficiency. The patient should have adequate knowledge to ensure arteriovenous fistula patency. Our aim is to investigate the knowledge and attitude of the patients undergoing hemodialysis treatment regarding arteriovenous fistula. METHODS: This study was conducted on 335 patients who met the study criteria. Data collection forms evaluating the "Socio-Demographic and Medical Characteristics" and "Knowledge and Attitudes about arteriovenous fistula" of the patients were developed following a literature review by the investigators. RESULTS: The rules most known and implemented were "to not measure blood pressure" and "to not draw blood from arms with fistula", while the least known and implemented were "to use blood vessels on the hands in arms without fistula for intravenous intervention" and "to know which situations cause hypotension". CONCLUSIONS: Hemodialysis patients with arteriovenous fistulas need to know that developing self-care behavior is a means to reconcile lifestyles with current health status. Accordingly, planned training in self-care should be provided to hemodialysis patients and their families, and nurses should repeat information to patients who demonstrate a lack of knowledge.
PURPOSE: The major cause of morbidity in hemodialysis patients is arteriovenous fistula deficiency. The patient should have adequate knowledge to ensure arteriovenous fistula patency. Our aim is to investigate the knowledge and attitude of the patients undergoing hemodialysis treatment regarding arteriovenous fistula. METHODS: This study was conducted on 335 patients who met the study criteria. Data collection forms evaluating the "Socio-Demographic and Medical Characteristics" and "Knowledge and Attitudes about arteriovenous fistula" of the patients were developed following a literature review by the investigators. RESULTS: The rules most known and implemented were "to not measure blood pressure" and "to not draw blood from arms with fistula", while the least known and implemented were "to use blood vessels on the hands in arms without fistula for intravenous intervention" and "to know which situations cause hypotension". CONCLUSIONS: Hemodialysis patients with arteriovenous fistulas need to know that developing self-care behavior is a means to reconcile lifestyles with current health status. Accordingly, planned training in self-care should be provided to hemodialysis patients and their families, and nurses should repeat information to patients who demonstrate a lack of knowledge.
Authors: Natália Ramos Costa Pessoa; Laís Helena de Souza Soares Lima; Gutembergue Aragão Dos Santos; Cecília Maria Farias de Queiroz Frazão; Clemente Neves Sousa; Vânia Pinheiro Ramos Journal: Int J Nurs Sci Date: 2020-06-13