Interventions to promote self-care of people with arteriovenous fistula
Article first published online: 17 JUN 2013
© 2013 John Wiley & Sons Ltd
Journal of Clinical Nursing
Volume 23, Issue 13-14, pages 1796–1802, July 2014
How to Cite
Sousa, C. N., Apóstolo, J. L., Figueiredo, M. H., Martins, M. M. and Dias, V. F. (2014), Interventions to promote self-care of people with arteriovenous fistula. Journal of Clinical Nursing, 23: 1796–1802. doi: 10.1111/jocn.12207
- Issue published online: 19 JUN 2014
- Article first published online: 17 JUN 2013
- Manuscript Accepted: 28 NOV 2012
- arteriovenous fistula;
- vascular access
Aims and objectives
The literature shows many self-care behaviours related to people with end-stage renal disease (ESRD). Our aim is to identify interventions within the ‘teaching’ that promote self-care (behaviour) with arteriovenous fistula (AVF).
The development of self-care behaviours with the AVF allows the access to maintain the best possible conditions, because its state influences the efficacy of the dialysis treatment. However, few studies assess self-care behaviours that people with ESRD have with the AVF, as well as interventions that promote this self-care.
Our research was conducted in MEDLINE, Health Nursing and Allied Literature (CINAHL), Web of Science and SCOPUS using three search expressions, between the period of 2000–2010. We selected studies that identified interventions that promote self-care with AVF.
No study has shown in detail the interventions that aimed at promoting self-care behaviours with the AVF for patients with ESRD. We verify that the interventions that promote self-care are directed mostly to the moments after AVF construction.
This paper reinforces the need to develop guidelines that provide guidance for self-care with the AVF to be developed by people with ESRD. We also found that self-care behaviours directed to the AVF are mostly associated with postconstruction of the access.
Relevance to clinical practice
Based on these results, it is necessary to delineate clear intervention programmes and objectives, in order to assess self-care with the AVF by people with ESRD, as well as to develop guidelines that provide guidance for self-care for the person with an AVF.