Effect of Teaching Guidelines on Uremic Patients Regarding Arteriovenous Fistula Occlusion

Document Type : Scientific peer reviewed journal

Authors

1 Medical Surgical Nursing, Faculty of Nursing, Benha University, Egypt

2 Medical Surgical Nursing, Faculty of Nursing, Benha University , Egypt

Abstract

Background: ArterioVenous Fistula (AVF) is the preferred hemodialysis access type because it
has better rates and fewer complications than other types.
The aim of this study was to evaluate the
effect of teaching guidelines on uremic patients regarding arteriovenous fistula occlusion.
Research
design
: A quasi experimental design was utilized to meet the aim of study. Setting: This study was
conducted in dialysis unit at Benha University Hospital and Benha Teaching Hospital.
The sample: All
available patients (purposive sample) at dialysis unit, the total sample included100 patients.
Tools:
Two tools were used for data collection. I: questionnaire sheet for patients was used and consist of
three parts. Socio demographic data for patient, medical history for patient and knowledge assessment.
II: Patients' self-care practices regarding AVF prevention.
Results: 31% of the studied patients were
aged from50-60years, while 41% of them diploma education and more than half (58%) of them were
males and not working. Regarding studied patients their knowledge about AV fistula pre and post
guidelines of studied patients had in correct answers pre implementing guidelines. While post
guidelines implementation of them were having correct answers .
Conclusion: Less than third of the
studied patients had good level of total knowledge during pre-guideline and more than three quarters of
the patients had good level of total knowledge during post guideline. There was statistically significant
relation between total knowledge and total self-practices scores about arteriovenous fistula.
Recommendation: Develop and implement health education program for uremic patients to increase
their knowledge about arteriovenous fistula and practices should be followed before and after dialysis
session. Further researches are needed to study barriers and motivators' factors to encourage patients
for maintain about fistula.


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