NCT07168239

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

• Status: Completed
• Phase: N/A
• Study type: Interventional
• Enrollment: 166 (actual)
• Sponsor: Aveiro University · Academic / Other
• Sex: All
• Age: 18 Years
• Healthy volunteers: Not accepted

Summary

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.

Conditions

• Chronic Kidney Disease Patients on Hemodialysis

Interventions

Type	Name	Description
BEHAVIORAL	ENHANCING VASCULAR ACCESS SELF-CARE IN HEMODIALYSIS PATIENTS	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. The sessions were conducted individually through an expository method and providing an informative leaflet. The sessions focused on the areas presented by the scale, i.e. prevention of thrombosis and infection, signs and symptoms of intra/interdialytic complications, haemostasis care, protection of the AV limb and correct assessment of signs and symptoms suggestive of complications with the AVF, evaluation of AVF functionality and detection of thrombosis, changes in colour and sensitivity of the hand corresponding to the AV, pain in the AV limb

Timeline

• Start date: 2024-08-01
• Primary completion: 2024-09-30
• Completion: 2024-12-31
• First posted: 2025-09-11
• Last updated: 2025-09-11

Locations

1 site across 1 country: Portugal