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Interventions to promote self-care of people with arteriovenous fistula

Authors

  • Clemente N Sousa Msc, RN,

    PhD Student, Adjunct Professor, Corresponding author
    1. Instituto Ciências Biomédicas Abel Salazar, Oporto University, Oporto, Portugal
    2. Escola Superior Enfermagem do Porto, Porto, Portugal
    • Correspondence: Clemente Neves Sousa, Adjunct Professor, Escola Superior de Enfermagem do Porto, Rua Dr. António Bernardino de Almeida, 4200-072 Porto, Portugal. Telephone: +351225073500.

      E-mail: clementesousa@esenf.pt

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  • João Luís Apóstolo PhD, RN,

    Adjunct Professor
    1. Escola Superior Enfermagem do Coimbra, Coimbra, Portugal
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  • Maria Henriqueta Figueiredo PhD, RN,

    Coordinator Professor
    1. Escola Superior Enfermagem do Porto, Porto, Portugal
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  • Maria Manuela Martins PhD, RN,

    Coordinator Professor
    1. Escola Superior Enfermagem do Porto, Porto, Portugal
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  • Vanessa F Dias MpH, RN

    PhD Student
    1. ICS–University Católica Porto, USF St. André Canidelo, Gaia, Portugal
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Abstract

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).

Background

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.

Design

Discursive paper.

Methods

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.

Results

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.

Conclusions

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.

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