Knowledge of arteriovenous fistula care in patients with end-stage kidney disease in south Asian countries: A systematic review and meta-analysis.

IF 1.8 4区医学 Q3 HEALTH CARE SCIENCES & SERVICES Chronic Illness Pub Date : 2024-03-01 Epub Date: 2023-04-04 DOI:10.1177/17423953231167378

Veena Natti Krishna, Bhaskar Tiwary, Megha Nagaraj Nayak, Nikita Patel, Priyaj Gandhi, Piyusha Majumdar

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Abstract

Objectives: To find the prevalence of knowledge of arteriovenous fistula (AVF) self-care, its characteristics, and associated factors among hemodialysis patients and summarize the findings of various domains of AVF self-care in south Asian countries.

Methods: The systematic literature search was performed on online databases and additional sources to retrieve published articles on AVF self-care. We estimated the pooled prevalence using a random effects model in meta-analysis. Additionally, thematic knowledge regarding various aspects of AVF self-care was narratively summarized.

Results: Among the articles retrieved seven studies met our inclusion and exclusion criteria. The prevalence of AVF self-care in individual studies ranged from 59% to 99%, with an overall random pooled prevalence of 81% (95% CI, 68% to 94%). Major factors associated with self-care of AVF knowledge included patients' educational status, age, vintage of hemodialysis, and healthcare personnel's advice.

Discussion: Knowledge scarcity regarding potential measures of AVF self-care obligates the need for continuous education in hemodialysis patients. A multidisciplinary approach is vital to enhance self-care from pre- to post-creation of AVF in hemodialysis patients as well as their caregivers in order to prolong the patency rates and decrease the subsequent morbidity and mortality due to failure of AVF.

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南亚国家终末期肾病患者动静脉瘘护理知识：系统回顾和荟萃分析。

目的了解血液透析患者对动静脉瘘（AVF）自我护理知识的普及率、其特点及相关因素，并总结南亚国家动静脉瘘自我护理各个领域的调查结果：我们通过在线数据库和其他来源进行了系统性文献检索，以检索已发表的有关 AVF 自我护理的文章。我们在荟萃分析中使用随机效应模型估算了汇总患病率。此外，我们还对有关 AVF 自我护理各个方面的专题知识进行了叙述性总结：在检索到的文章中，有七项研究符合我们的纳入和排除标准。个别研究中 AVF 自我护理的发生率从 59% 到 99% 不等，总体随机汇总发生率为 81%（95% CI，68% 到 94%）。与AVF自我护理知识相关的主要因素包括患者的教育状况、年龄、血液透析的年份以及医护人员的建议：讨论：由于缺乏有关动静脉瘘自我护理潜在措施的知识，因此有必要对血液透析患者进行持续教育。多学科方法对于加强血液透析患者及其护理人员从动静脉瘘建立前到建立后的自我护理至关重要，这样才能延长通畅率，降低因动静脉瘘失败而导致的发病率和死亡率。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Chronic Illness Multiple-

CiteScore

3.80

自引率

0.00%

发文量

期刊介绍： Chronic illnesses are prolonged, do not resolve spontaneously, and are rarely completely cured. The most common are cardiovascular diseases (hypertension, coronary artery disease, stroke and heart failure), the arthritides, asthma and chronic obstructive pulmonary disease, diabetes and epilepsy. There is increasing evidence that mental illnesses such as depression are best understood as chronic health problems. HIV/AIDS has become a chronic condition in those countries where effective medication is available.