Abstract
Introduction: End-stage renal disease (ESRD) requiring hemodialysis has shown an increasing trend in Malaysia. Vascular access (VA) dysfunction is among the primary reasons behind morbidity and mortality among ESRD patients. VA dysfunction exits in all three (3) types of available access: arteriovenous graft (AVG), arteriovenous fistula (AVF), and central venous catheter (CVC). In Malaysia, among the largest causes and the issues of failure in hemodialysis (HD) treatment is the lack of good vascular access (VA). The purpose of this study is to identify the level of satisfaction and the association of HD vascular access with adherence to treatment among hemodialysis patients. Methodology: This quantitative cross-sectional and observational study included 118 ESRD patients among selected Private Hospital in Malaysia. Comparison between access satisfaction and adherence across access type. One way ANOVA was conducted to see the mean difference between the three types of vascular access. Finding: The results shows, AVF was used by 52.3%, AVG by 27.9%, and CVC by 18.6% from overall patients. A one Way ANOVA shows a significant difference in satisfaction between the three types of vascular access with lowest mean score (showing highest satisfaction) in patients with AVG, and then followed by AVF, and CVC (27.84 vs 31.66 vs 44.29; P =.001). Conclusion: The findings of the study have shown that, patients with AVG access type experienced high satisfaction and high adherence to treatment among hemodialysis patients. Compared to the AVF, AVG have greatest advantages such as AVG suitable for patent’s with small or weak vein, especially among the diabetic patients.
Published Version
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