Assessment of knowledge and self-reported practices regarding self-care of arteriovenous (AV) fistula among patients undergoing hemodialysis

Authors

Deepa Muthusamy, the tamil nadu dr. MGR medical universityFollow
R Sudha, VHS-M A Chidambaram College of Nursing, Tamil Nadu, IndiaFollow
Grace PalFollow
Cheranmadevi PFollow

Abstract

Background: End stage renal disease (ESRD) occurs when chronic kidney disease reaches an advanced state. Among the available treatments for ESRD, the Hemodialysis is the most utilized treatment. To facilitate Hemodialysis, Arteriovenous fistula is created by connecting artery to a vein. Aim: The present study aims to assess the knowledge and practice regarding self-care of Arteriovenous fistula among patients undergoing hemodialysis .Method: The research approach was quantitative in nature and descriptive research design was used. The study was conducted among 100 patients undergoing Hemodialysis in selected hospitals, Chennai. The samples were selected by non- probability purposive sampling technique. Interview guide which consists of semi- structured items was used to collect demographic and clinical data. Structured multiple choice items and 3 point likert scale was used to assess knowledge and practice. Results: The study findings revealed that the mean score for moderately adequate knowledge was 11.33 with standard deviation of 0.51 and the mean score for inadequate knowledge was 6.77 with standard deviation of 1.89. The mean score for moderate practice was 30.36 with the standard deviation of 3.35 and the mean score for poor practice was 16.22 with the standard deviation of 5.03. There was a low negative correlation found between knowledge and practice towards self-care of AV fistula which was not statistically significant at 5% level of significance. Conclusion: Majority of the patients had inadequate knowledge and had poor practice. There was a low negative correlation between knowledge and practice towards self-care of arteriovenous fistula. The study findings gave an insight about the knowledge and practice regarding self-care of arteriovenous fistula among patients undergoing hemodialysis. It also helped to understand the educational needs of patients and the nurses responsibility towards imparting knowledge to enhance better practice.

Recommended Citation

Muthusamy, Deepa; Sudha, R; Pal, Grace; and P, Cheranmadevi (2021) "Assessment of knowledge and self-reported practices regarding self-care of arteriovenous (AV) fistula among patients undergoing hemodialysis," Manipal Journal of Nursing and Health Sciences: Vol. 7: Iss. 2, .
Available at: https://impressions.manipal.edu/mjnhs/vol7/iss2/5