Effect of Teaching Guidelines on Uremic Patients Regarding Arteriovenous Fistula Occlusion

Abstract

Background: ArterioVenous Fistula (AVF) is the preferred hemodialysis access type because ithas better rates and fewer complications than other types. The aim of this study was to evaluate theeffect of teaching guidelines on uremic patients regarding arteriovenous fistula occlusion. Researchdesign: A quasi experimental design was utilized to meet the aim of study. Setting: This study wasconducted in dialysis unit at Benha University Hospital and Benha Teaching Hospital. The sample: Allavailable 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 ofthree 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 wereaged from50-60years, while 41% of them diploma education and more than half (58%) of them weremales and not working. Regarding studied patients their knowledge about AV fistula pre and postguidelines of studied patients had in correct answers pre implementing guidelines. While postguidelines implementation of them were having correct answers .Conclusion: Less than third of thestudied patients had good level of total knowledge during pre-guideline and more than three quarters ofthe patients had good level of total knowledge during post guideline. There was statistically significantrelation between total knowledge and total self-practices scores about arteriovenous fistula.Recommendation: Develop and implement health education program for uremic patients to increasetheir knowledge about arteriovenous fistula and practices should be followed before and after dialysissession. Further researches are needed to study barriers and motivators' factors to encourage patientsfor maintain about fistula.