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Effects of an arteriovenous fistula stenosis prevention program in patients receiving hemodialysis

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Author(s)
Haegyeong LeeGyuli BaekEunju Lee
Keimyung Author(s)
Lee, Eun Ju
Department
Dept. of Nursing (간호학)
Journal Title
Osong Public Health Res Perspect
Issued Date
2023
Volume
14
Issue
4
Keyword
Arteriovenous fistulaHemodialysis unitshospitalPatient care planning
Abstract
Background:
To increase the efficiency of hemodialysis, an appropriate vascular pathway must be created, and its function must be maintained. This study aimed to identify the effects of an arteriovenous fistula (AVF) stenosis prevention program on upper muscular strength, blood flow, physiological indexes, and self-efficacy among patients receiving hemodialysis.

Methods:
The participants were patients receiving hemodialysis at Keimyung University Dongsan Medical Center in Daegu, Republic of Korea. They were divided into experimental and control groups based on the day of the week they received hemodialysis at the outpatient department and included 25 participants each. The study was conducted for 8 weeks.

Results:
The AVF stenosis prevention program was effective in improving upper extremity muscle strength (F=15.23, p<0.001) and blood flow rate (F=36.00, p<0.001). As a result of the program, the phosphorus index level, which is a physiological indicator in hemodialysis patients, decreased (F=8.64, p<0.001). Encouragement and support through text messages and practice lists also resulted in an increase in self-efficacy (F=18.62, p<0.001).

Conclusion:
The AVF stenosis prevention program in this study resulted in an increase in upper extremity muscle strength through grip strength exercises and was effective in preventing AVF stenosis by increasing the blood flow rate.
Keimyung Author(s)(Kor)
이은주
Publisher
College of Nursing (간호대학)
Type
Article
ISSN
2233-6052
Source
https://ophrp.org/journal/view.php?doi=10.24171/j.phrp.2023.0101
DOI
10.24171/j.phrp.2023.0101
URI
https://kumel.medlib.dsmc.or.kr/handle/2015.oak/45087
Appears in Collections:
2. College of Nursing (간호대학) > Dept. of Nursing (간호학)
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