Esra KÖSE
(Mersin Üniversitesi Tıp Fakültesi Hastanesi, Diyaliz Ünitesi, Mersin, Türkiye)
Birgül VURAL DOĞRU
(Mersin Üniversitesi Hemşirelik Fakültesi, İç Hastalıkları Hemşireliği Anabilim Dalı, Mersin, Türkiye)
Meral GÜN
(Mersin Üniversitesi Hemşirelik Fakültesi, İç Hastalıkları Hemşireliği Anabilim Dalı, Mersin, Türkiye)
Yıl: 2021Cilt: 8Sayı: 2ISSN: 2148-7588 / 2687-4644Sayfa Aralığı: 110 - 116İngilizce

37 0
The Effects of Arteriovenous Fistula Knowledge and Self-Care Behaviors of Hemodialysis Patients on Arteriovenous Fistula Complications
Objective: This study was conducted to evaluate the effect of arteriovenous fistula knowledge and self-care behavior of hemodialysis patients onarteriovenous fistula complications.Material and Methods: This cross-sectional and descriptive study was conducted between July 01 and September 01, 2019, with 92 patients whocame to a university hospital for dialysis and who were eligible according to the inclusion criteria. A personal information form and self-carebehaviors evaluation scale for arteriovenous fistula in patients on hemodialysis were used to collect data.Results: The mean age of the participants was 59.2±13.7 years. It was found that 59.8% of the participants had had at least one complicationconcerning arteriovenous fistula. The most frequent complications were found to be thrombosis (43.5%), hematoma and aneurism (25%), stenosis (23.9%), and infection (17.4%). A significant difference was found between allowing a change in needle entry point and the development ofaneurism and hematoma (P < .05). A significant difference was also found between hematoma development and application of pressure to theneedle exit point (P < .05). The total mean score of the self-care behaviors evaluation scale for arteriovenous fistula was 68.1±8.4. A significantdifference was found between total scale scores according to whether patients had experienced aneurism and infection complications (P < .05).Conclusion: The participants’ knowledge of fistula and self-care behavior scores were found to be at a good level. The high rate of fistula complications may derive from the patients not allowing a change in the needle entry point and not applying the correct pressure to the needle exitpoint. As the scale scores of patients with aneurysm and infection complications were lower, it can be considered that fistula self-care behaviorplays a part in the development of complications. Accordingly, it is recommended that patients should be supported with education programsabout fistula complications
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