Hemodialysis patients with arteriovenous fistula: knowledge, attitude and
               practice

Pessoa, Natália Ramos Costa; Linhares, Francisca Márcia Pereira

doi:10.5935/1414-8145.20150010

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RESEARCH • Esc Anna Nery 19 (1) • Jan-Mar 2015 • https://doi.org/10.5935/1414-8145.20150010 copy

Hemodialysis patients with arteriovenous fistula: knowledge, attitude and practice

Authorship SCIMAGO INSTITUTIONS RANKINGS

Objective:

To identify the knowledge, attitude and practice in self-care patients receiving dialysis with arteriovenous fistula.

Methods:

Descriptive study and cross-sectional quantitative approach in 30 patients using the AV fistula to performed dialysis at the Barao de Lucena Hospital.

Results:

97.7% of patients had inadequate knowledge. The attitude was adequate in 70% of those who responded the survey. The self-care practice with the fistula was inadequate in 97.7% of patients.

Conclusion:

Although most patients have an appropriate attitude toward the care of the fistula, their knowledge and practice were inadequate. The inadequate knowledge, probably, influenced the inadequate practice. The use of written material can be recommended as a facilitator for a future educational strategies instrument, since it also allows for subsequent reading by the user, allowing him to overcome any doubts.

Renal Dialysis; Health education; Self-care; Arteriovenous Fistula

Variables	N = 30	%
Self-care on maturation
Preventing overweight	15	50
Exercising with a malleable object	12	40
Preventing member injury	9	30
Dressing clean and dry	7	23.3
Verification of fremitus	1	3.3
Loose bandage	0	0
Care during the use
Reduction of fluid intake	29	96.7
Preventing overweight	26	86.7
Washing the member with the AVF with soap and water before hemodialysis	22	73.3
Do not administer medications in the member with the AVF	21	70
Do not assess blood pressure in member with AVF	20	66.7
Do not perform blood collections on member with AVF	18	60
Administer cold compresses followed by warm compresses	10	33.3
Do not sleep over the arm	9	30
Reduction of sodium intake	5	16.7
Total	30	100

Variables	N = 30	%
Benefit of self-care
Yes	30	100
No	0	0
Motivation for self-care
Yes	27	90
No	3	10
Preparation for self-care
Yes	24	80
No	6	20
Total	30	100

Variables	N = 30	%
Self-care during maturation
Avoiding traumas on the member	13	43.3
Exercises with a malleable object	12	40
Avoiding excessive weight	11	36.7
Dressing clean and dry	6	20
Verification of fremitus	2	6.7
Loosed bandage	0	0
Care during use
Avoiding excessive weight load	28	93.3
Avoiding assessing blood pressure on the member with AVF	21	70
Avoiding administration of medications on the member with AVF	21	70
Avoiding blood collections on the member with AVF	18	60
Washing the member with soap and water before hemodialysis	18	60
Reduction of water intake	13	43.3
Administration of cold compresses followed by warm compresses	10	33.3
Avoiding sleeping over the arm	9	30
Reduction of sodium intake	1	3.3
Total	30	100

Variables	Practice
Variables	Adequate		Inadequate
Knowledge	N = 30	%	N=30	%	χ²
Hygiene of member with soap and water					0.046
Adequate	17	56.6	8	26.6
Inadequate	1	3.3	4	13.3
Reduction of water intake					0.374
Adequate	13	43.3	16	53.3
Inadequate	0	0	1	3.3
Total	30	100	30	100

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[1] Corresponding author: Natália Ramos Costa Pessoa. E-mail: nataliarcpessoa@gmail.com