The Relationship Between Self-care Behaviours Regarding Arteriovenous Fistula and the Fear of Fistula Failure in Individuals Receiving Haemodialysis Treatment

Overview

Journal J Res Nurs

Publisher Sage Publications

Specialty Nursing

Date 2024 Sep 18

PMID 39291229

Authors

Sahin Alabacak

Selda Arslan

Affiliations

Soon will be listed here.

Abstract

Background: Many problems regarding the self-care behaviours of haemodialysis patients are recognised; however, the fear experienced by the patients cannot be adequately explained.

Aims: This study was conducted to determine the relationship between self-care behaviours related to arteriovenous fistula and fear of fistula failure in individuals receiving haemodialysis treatment.

Methods: In this descriptive and relational study, 259 patients who met the inclusion criteria constituted the sample of the study. A multiple regression analysis enter model was used to evaluate the predictive power of the Self-Care Behaviours in Arteriovenous Fistula Scale.

Results: It was found that the primary source of fear related to the fistula was the fear of fistula failure with a rate of 79.5%, and the patients who had this fear had a lower mean self-care scale score. The variables account for 12% of the self-care situation, and it is seen that the model is significant.

Conclusions: It was concluded that increasing the fear of failure decreased the self-care score. This study is important for raising awareness among nurses regarding the fear of fistula failure. Nurses must provide appropriate care for vascular access and try to alleviate patients' anxiety and fears by listening to them.

References

Silva D, Silva R, Pereira E, Ferreira H, Alcantara V, Oliveira F . The body marked by the arteriovenous fistula: a phenomenological point of view. Rev Bras Enferm. 2018; 71(6):2869-2875. DOI: 10.1590/0034-7167-2017-0898. View

Wang S, Chiu Y, Kung L, Chen T, Hsiao S, Hsiao P . Patient assessment of chronic kidney disease self-care using the chronic kidney disease self-care scale in Taiwan. Nephrology (Carlton). 2018; 24(6):615-621. DOI: 10.1111/nep.13475. View

Shafi S, Saleem M, Anjum R, Abdullah W, Shafi T . Refusal of hemodialysis by hospitalized chronic kidney disease patients in Pakistan. Saudi J Kidney Dis Transpl. 2018; 29(2):401-408. DOI: 10.4103/1319-2442.229270. View

Stavropoulou A, Grammatikopoulou M, Rovithis M, Kyriakidi K, Pylarinou A, Markaki A . Through the Patients' Eyes: The Experience of End-Stage Renal Disease Patients Concerning the Provided Nursing Care. Healthcare (Basel). 2017; 5(3). PMC: 5618164. DOI: 10.3390/healthcare5030036. View

Jayanti A, Foden P, Wearden A, Mitra S . Illness Beliefs in End Stage Renal Disease and Associations with Self-Care Modality Choice. PLoS One. 2016; 11(7):e0154299. PMC: 4930164. DOI: 10.1371/journal.pone.0154299. View

Rioux J, Marshall M, Faratro R, Hakim R, Simmonds R, Chan C . Patient selection and training for home hemodialysis. Hemodial Int. 2015; 19 Suppl 1:S71-9. DOI: 10.1111/hdi.12254. View

Wong K, Velasquez A, Powe N, Tuot D . Association between health literacy and self-care behaviors among patients with chronic kidney disease. BMC Nephrol. 2018; 19(1):196. PMC: 6091174. DOI: 10.1186/s12882-018-0988-0. View

Gjorgjievski N, Dzekova-Vidimliski P, Gerasimovska V, Pavleska-Kuzmanovska S, Gjorgievska J, Dejanov P . Primary Failure of the Arteriovenous Fistula in Patients with Chronic Kidney Disease Stage 4/5. Open Access Maced J Med Sci. 2019; 7(11):1782-1787. PMC: 6614255. DOI: 10.3889/oamjms.2019.541. View

Ozen N, Tosun N, Cinar F, Bagcivan G, Yilmaz M, Askin D . Investigation of the knowledge and attitudes of patients who are undergoing hemodialysis treatment regarding their arteriovenous fistula. J Vasc Access. 2016; 18(1):64-68. DOI: 10.5301/jva.5000618. View

10.

Aljuaid M, Alzahrani N, Alshehri A, Alkhaldi L, Alosaimi F, Aljuaid N . Complications of arteriovenous fistula in dialysis patients: Incidence and risk factors in Taif city, KSA. J Family Med Prim Care. 2020; 9(1):407-411. PMC: 7014907. DOI: 10.4103/jfmpc.jfmpc_848_19. View

11.

Sousa C, Marujo P, Teles P, Lira M, Novais M . Self-Care on Hemodialysis: Behaviors With the Arteriovenous Fistula. Ther Apher Dial. 2017; 21(2):195-199. DOI: 10.1111/1744-9987.12522. View

12.

Sousa C, Marujo P, Teles P, Lira M, Dias V, Novais M . Self-Care Behavior Profiles With Arteriovenous Fistula in Hemodialysis Patients. Clin Nurs Res. 2018; 29(6):363-367. DOI: 10.1177/1054773818787110. View

13.

Enworom C, Tabi M . Evaluation of Kidney Disease Education on Clinical Outcomes and Knowledge of Self-Management Behaviors of Patients with Chronic Kidney Disease. Nephrol Nurs J. 2015; 42(4):363-72. View

14.

Sousa C, Apostolo J, Figueiredo M, Dias V, Teles P, Martins M . Construction and validation of a scale of assessment of self-care behaviors with arteriovenous fistula in hemodialysis. Hemodial Int. 2014; 19(2):306-13. DOI: 10.1111/hdi.12249. View

15.

Ramezani T, Sharifirad G, Rajati F, Rajati M, Mohebi S . Effect of educational intervention on promoting self-care in hemodialysis patients: Applying the self-efficacy theory. J Educ Health Promot. 2019; 8:65. PMC: 6442253. DOI: 10.4103/jehp.jehp_148_18. View

16.

Lilympaki I, Makri A, Vlantousi K, Koutelekos I, Babatsikou F, Polikandrioti M . EFFECT OF PERCEIVED SOCIAL SUPPORT ON THE LEVELS OF ANXIETY AND DEPRESSION OF HEMODIALYSIS PATIENTS. Mater Sociomed. 2016; 28(5):361-365. PMC: 5149439. DOI: 10.5455/msm.2016.28.361-365. View

17.

Hsieh H, Lin M, Chiu Y, Wu P, Cheng L, Jian F . Economic evaluation of a pre-ESRD pay-for-performance programme in advanced chronic kidney disease patients. Nephrol Dial Transplant. 2017; 32(7):1184-1194. DOI: 10.1093/ndt/gfw372. View

18.

Beaudry A, Ferguson T, Rigatto C, Tangri N, Dumanski S, Komenda P . Cost of Dialysis Therapy by Modality in Manitoba. Clin J Am Soc Nephrol. 2018; 13(8):1197-1203. PMC: 6086697. DOI: 10.2215/CJN.10180917. View

19.

Nordyke R, Nicholson G, Gage S, Lithgow T, Himmelfarb J, Rivara M . Vascular access-specific health-related quality of life impacts among hemodialysis patients: qualitative development of the hemodialysis access-related quality of life (HARQ) instrument. BMC Nephrol. 2020; 21(1):16. PMC: 6958666. DOI: 10.1186/s12882-020-1683-5. View

20.

Richard C . Preservation of vascular access for hemodialysis in acute care settings. Crit Care Nurs Q. 2010; 34(1):76-83. DOI: 10.1097/CNQ.0b013e3182048ca4. View