Nurse-assisted arterio-venous fistula cannulation during home hemodialysis: first results of the DIADIDEAL study

Laurence Pautret, Anne-Céline Galle, Anne Radiguet, Catherine Thibault, Ludivine Videloup, Sonia Guillouët, Thierry Lobbedez, Patrick Henri, Maxence Ficheux, Clémence Béchade
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Abstract

Introduction: We have launched a pilot study, called DIADIDEAL, to propose nurse-assistance at home for arterio-venous fistula (AVF) cannulation in home hemodialysis (HHD) patients. The aim of the present study was to describe enrollment of the patients and their nurses.

Materials: All prevalent HD patients on 30th November 2018 with no medical contraindication to HDD treatment and all incident patients on dialysis from the 30th November 2018 to the 21st April 2023 were eligible.

Results: Among 155 prevalent HD patients, 4 patients were included. Among the 276 incident patients on dialysis during the study period, 6 were included. We have phoned 23 nurse centers during the recruitment period. Eight of them agreed to learn in our unit how to cannulate AVF; 27 private nurses were enrolled.

Discussion: The results of the DIADIDEAL study will be available in 2024; we hope it will lead to a reimbursement of nurse-AVF cannulation at home in HDD.

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家庭血液透析期间护士协助动静脉瘘插管:DIADIDEAL 研究的初步结果
导言:我们发起了一项名为 "DIADIDEAL "的试验性研究,建议护士协助家庭血液透析(HHD)患者在家中进行动静脉瘘(AVF)插管。本研究旨在描述患者及其护士的注册情况:2018年11月30日所有流行的HHD患者,且无HDD治疗的医学禁忌症,以及2018年11月30日至2023年4月21日所有透析的事件患者均符合条件:在155名流行的HD患者中,有4名患者被纳入。在研究期间进行透析的 276 名事件患者中,有 6 名患者被纳入。在招募期间,我们给 23 个护士中心打了电话。讨论:讨论:DIADIDEAL 研究结果将于 2024 年公布;我们希望该研究能为 HDD 患者在家中进行护士动静脉瓣膜置管提供报销。
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