title: Self-Care on Hemodialysis: Behaviors With the Arteriovenous Fistula.
abstract: End stage renal disease (ESRD) patients should be educated to maintain and preserve the arteriovenous fistula (AVF) in the best condition. The purpose of this work was to evaluate self-care frequency and factors that influenced such frequency. A prospective study was performed in 101 hemodialysis patients. Self-care behaviors were measured with the Scale of Assessment of Self-Care Behaviours with Arteriovenous Fistula in Hemodialysis. A regression model was used to determine the relevant predictors of self-care frequency and their influence. The incidence of self-care behaviors was 71.0%. The regression model showed that self-care behaviors were positively influenced by gender (female), ESRD etiology (hypertension, polycystic kidneys and other kidney diseases), duration of AVF and negatively by the existence of previous AVF and health professional (doctor). The frequency of self-care behaviors was lower than expected and below an appropriate standard. Education programs designed to improve self-care behaviors with AVF should be further explored in a prospective randomized trial.
authors.affiliation: Nursing School of Porto, Porto, Portugal.|CINTESIS - Center for Health Technology and Services Research Faculty of Medicine, Porto University, Porto, Portugal.
authors.forename: Clemente Neves
authors.initials: CN
authors.lastname: Sousa
authors.affiliation: Nursing School of Lisbon, Lisbon, Portugal.
authors.forename: Patrícia
authors.initials: P
authors.lastname: Marujo
authors.affiliation: School of Economics and LIAAD-INESC Porto LA, Porto University, Porto, Portugal.
authors.forename: Paulo
authors.initials: P
authors.lastname: Teles
authors.affiliation: SOS Renal Service, Olinda Pernambuco, Brasil and Nursing Master student, Federal University of Pernambuco, Recife, Brazil.
authors.forename: Marta Nunes
authors.initials: MN
authors.lastname: Lira
authors.affiliation: Nursing School of Lisbon, Lisbon, Portugal.
authors.forename: Maria Eulália Leite Mota
authors.initials: ME
authors.lastname: Novais
mesh_terms: D001166:Arteriovenous Shunt, Surgical / Q000379:methods*; D005260:Female; D006801:Humans; D007676:Kidney Failure, Chronic / Q000628:therapy*; D008297:Male; D008875:Middle Aged; D011446:Prospective Studies; D006435:Renal Dialysis / Q000379:methods*; D012648:Self Care / Q000379:methods*
keywords: Arteriovenous fistula; Behaviors; Hemodialysis; Self-care; Vascular access