Effectiveness of Nursing Educational Intervention on Vascular Access Self-Care in Hemodialysis

Aveiro University

Status: Completed

Conditions: Chronic Kidney Disease Patients on Hemodialysis

Treatments: Behavioral: ENHANCING VASCULAR ACCESS SELF-CARE IN HEMODIALYSIS PATIENTS

Study type: Interventional

Funder types: Other

Identifiers

NCT07168239

Diaverum08072024

Details and patient eligibility

About

Background: Hemodialysis patients experience health-illness transitions, which are prompted by changes in social and personal roles as they adapt to chronic kidney disease and its treatments. In this context, nurses play a facilitative role in supporting these transitions, aiming to enhance the patients' sense of well-being.

There is an increasing need to provide care that positively impacts clinical and health outcomes, including the empowerment of these patients to be as independent as possible including promoting self-care for their vascular access.

The present study aims to assess the self-care profile regarding vascular access in a population of patients with chronic kidney disease undergoing outpatient hemodialysis and to evaluate the impact of educational nursing interventions on the transition process to self-care with vascular access in this population.

Methods: The investigators conducted a prospective, quantitative, and cross-sectional study with an interventional methodology, which involved an initial diagnostic assessment about self-care behaviours with the arteriovenous fistula, followed by an educational intervention to promote adherence to self-care, and a subsequent re-evaluation of the outcomes after the intervention. The assessment of self-care behaviours with the arteriovenous fistula was carried out by the Self-Care Behaviour Assessment Scale with arteriovenous fistula in Hemodialysis.

Data collection was split in three parts: sociodemographic characterization, clinical characterization of participants, and assessment of self-care behaviours with the AVF.

Enrollment: 166 patients

Sex: All

Ages: 18+ years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• CKD patients on outpatient HD
• Independent in self-care
• With AVF as Vascular Access

Exclusion criteria

• Usage of CVC or AVP as Vascular Access
• Cognitive impairment (assessed through the Mini-Mental State Examination developed by Folstein et al., 1975)
• non-fluent in Portuguese language

Trial design

Primary purpose: Treatment

Allocation: N/A

Interventional model: Single Group Assignment

Masking: None (Open label)

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166 participants in 1 patient group

Patients from two Hemodialysis units with AVF as Vascular Access

Experimental group

Description:

Population of CKD patients undergoing HD from two portuguese HD units. The sample was non-probabilistic and convenience-based, including patients with an AVF in use. A set of health education sessions were developed for patients who did not exhibit fully adequate behaviour in the first assessment of the Scale of Assessment of Self-Care with AVF in HD.

Treatment:

Behavioral: ENHANCING VASCULAR ACCESS SELF-CARE IN HEMODIALYSIS PATIENTS