Document Type : Original Article
Authors
1
1Assisstant lecturer of Medical Surgical Nursing, Faculty of Nursing, Tanta University, Egypt. 2Doctorate student of Medical Surgical Nursing, Faculty of Nursing, Tanta University, Egypt.
2
Professor of Medical Surgical Nursing, Faculty of Nursing, Tanta University, Egypt.
3
Professor of Internal Medicine and Nephrology, Faculty of Medicine, Tanta University Egypt
4
Professor of Medical Surgical Nursing, Faculty of Nursing, Tanta University, Egypt
5
Assistant Professor of Medical Surgical Nursing, Faculty of Nursing, Tanta University Egypt.
Abstract
Background: Arteriovenous fistula is a lifeline which the hemodialysis patients need to
take care of it. So, Self-learning package is a perfect individualized and face to face
method of learning to maintain arteriovenous fistula functional status and prevent its
related complications. Aim: was to evaluate the effect of self-learning package on
knowledge, practice and clinical outcomes for arteriovenous fistula patients with renal
failure. Design and Setting; A quasi-experimental study was conducted in the Dialysis
Unit of student hospital and Dialysis Unit at Tanta International Hospital both affiliated to
Tanta University Hospitals. A convenience sampling of (60) patients receiving
hemodialysis through arteriovenous fistula, were divided into two equal study and control
groups. Tools: three tools were used for data collection; Tool (I) Structured interview
schedule, Tool (II) Assessment of Self-Care Behaviors with Arteriovenous Fistula in
Hemodialysis (III) Index of independence of activities of daily living at AVF limb site
and Tool (IV) Arteriovenous Fistula access site related complications assessment tool.
Results; the main results revealed that there was a highly significant improvement in total
knowledge level among study group patients,improvement in the patients' total self-care
behaviors level and Furthermore, improvement in the patients' pain severity level.
Conclusion: Self learning package had an effect on improving knowledge, self-care
behaviors and decrease pain among arteriovenous fistula patients with renal failure
Recommendations: encourage patient compliance to self-learning package & further
studies to be conducted on a larger sample size
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