Background: ArterioVenous Fistula (AVF) is the preferred hemodialysis access type because it has better rates and fewer complications than other types. The aim of this study was to evaluate the effect of teaching guidelines on uremic patients regarding arteriovenous fistula occlusion. Research design: A quasi experimental design was utilized to meet the aim of study. Setting: This study was conducted in dialysis unit at Benha University Hospital and Benha Teaching Hospital. The sample: All available patients (purposive sample) at dialysis unit, the total sample included100 patients. Tools: Two tools were used for data collection. I: questionnaire sheet for patients was used and consist of three parts. Socio demographic data for patient, medical history for patient and knowledge assessment. II: Patients' self-care practices regarding AVF prevention. Results: 31% of the studied patients were aged from50-60years, while 41% of them diploma education and more than half (58%) of them were males and not working. Regarding studied patients their knowledge about AV fistula pre and post guidelines of studied patients had in correct answers pre implementing guidelines. While post guidelines implementation of them were having correct answers .Conclusion: Less than third of the studied patients had good level of total knowledge during pre-guideline and more than three quarters of the patients had good level of total knowledge during post guideline. There was statistically significant relation between total knowledge and total self-practices scores about arteriovenous fistula. Recommendation: Develop and implement health education program for uremic patients to increase their knowledge about arteriovenous fistula and practices should be followed before and after dialysis session. Further researches are needed to study barriers and motivators' factors to encourage patients for maintain about fistula. |
