Nursing Practice guidelines for needling of A.V Fistula/grafts: Beni-Suef City, Egypt.

Authors

  • Magda Bayoumi Medical-surgical nursing department, Faculty of Nursing, Beni-Suef University, Egypt;Medical-surgical nursing department, Nursing Division, College of Health and Sport Sciences, University of Bahrain, Bahrain https://orcid.org/0000-0003-2808-3103
  • Leena Khonji Midwifery and newborn nursing department, Nursing Division, College of Health and Sport Sciences, University of Bahrain, Bahrain

DOI:

https://doi.org/10.17532/jhsci.2020.887

Keywords:

Nursing practice, needling guidelines, arteriovenous fistula, complication, hemodialysis

Abstract

Introduction: Vascular access is considering to the patient undergoing hemodialysis (HD) as his/her soul which indicating patient survival, moreover, vascular access can controlling, directing the dialysis regimen effectiveness. Cannulation techniques are a crucial skill for nurses to minimize arteriovenous fistula (AVF) or graft (AVG) complications.

Methods: A cross-sectional study was applied to assess vascular complication and related factors. The participants were 65 patients on maintenance HD therapy enrolled at the dialysis unit, central Ehnasa’ government hospital, Beni Suef City. Data were collected using developed questionnaires regard patients’ demographic data, clinical, and HD session characteristics, designed Nursing Practice guidelines for needling of AVF/AVG booklet.

Results: Statistically, the results show the most common cannulation technique which was demonstrated is an area method (65%) and needle direction is retrograde with bevel up (66.2%). whereas, the significant positive correlation shows between the cannulation techniques and vascular access complication, duration of dialysis and complication during the dialysis session. Furthermore, the most common complication related to needling practice is aneurysm (44.6%).

Conclusion: Following cannulation, technique guidelines will prevent potential complication, increase vascular access durability, and improve patients’ quality of life.

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Published

2020-04-11

How to Cite

Bayoumi, M., & Khonji, L. (2020). Nursing Practice guidelines for needling of A.V Fistula/grafts: Beni-Suef City, Egypt . Journal of Health Sciences, 10(1), 67-75. https://doi.org/10.17532/jhsci.2020.887

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Section

Research articles