Effectiveness of Nursing Educational Intervention on Vascular Access Self-Care in Hemodialysis

NCT07168239 | Completed

• 1 other identifier: Diaverum08072024
• Study Type: interventional
• Target: 166
• Locations: 1 country
• Sites: 1

Brief Summary

Background: Hemodialysis patients experience health-illness transitions, which are prompted by changes in social and personal roles as they adapt to chronic kidney disease and its treatments. In this context, nurses play a facilitative role in supporting these transitions, aiming to enhance the patients' sense of well-being. There is an increasing need to provide care that positively impacts clinical and health outcomes, including the empowerment of these patients to be as independent as possible including promoting self-care for their vascular access. The present study aims to assess the self-care profile regarding vascular access in a population of patients with chronic kidney disease undergoing outpatient hemodialysis and to evaluate the impact of educational nursing interventions on the transition process to self-care with vascular access in this population. Methods: The investigators conducted a prospective, quantitative, and cross-sectional study with an interventional methodology, which involved an initial diagnostic assessment about self-care behaviours with the arteriovenous fistula, followed by an educational intervention to promote adherence to self-care, and a subsequent re-evaluation of the outcomes after the intervention. The assessment of self-care behaviours with the arteriovenous fistula was carried out by the Self-Care Behaviour Assessment Scale with arteriovenous fistula in Hemodialysis. Data collection was split in three parts: sociodemographic characterization, clinical characterization of participants, and assessment of self-care behaviours with the AVF.

Conditions

Chronic Kidney Disease Patients on Hemodialysis

Outcome Measures

Primary Outcomes (1)

• Self-care behaviours with the arteriovenous fistula after a nursing intervention

  Data collection of self-care behaviours with the AVF, as described for the primary outcomes, after a nursing intervention. Inferential statistical analyses were performed. A paired t-test was used to compare participants' knowledge levels ie. overall score, score on signs and symptoms, and score on complication prevention, at two distinct points.

  3 months

Secondary Outcomes (1)

• Self-care behaviours with the AVF

  1 month

Study Arms (1)

Patients from two Hemodialysis units with AVF as Vascular Access

EXPERIMENTAL

Population of CKD patients undergoing HD from two portuguese HD units. The sample was non-probabilistic and convenience-based, including patients with an AVF in use. A set of health education sessions were developed for patients who did not exhibit fully adequate behaviour in the first assessment of the Scale of Assessment of Self-Care with AVF in HD.

Behavioral: ENHANCING VASCULAR ACCESS SELF-CARE IN HEMODIALYSIS PATIENTS

Interventions

ENHANCING VASCULAR ACCESS SELF-CARE IN HEMODIALYSIS PATIENTS BEHAVIORAL

A set of health education sessions were developed for patients who did not exhibit fully adequate behaviour in the first assessment of the Scale of Assessment of Self-Care with AVF in HD. The sessions were conducted individually through an expository method and providing an informative leaflet. The sessions focused on the areas presented by the scale, i.e. prevention of thrombosis and infection, signs and symptoms of intra/interdialytic complications, haemostasis care, protection of the AV limb and correct assessment of signs and symptoms suggestive of complications with the AVF, evaluation of AVF functionality and detection of thrombosis, changes in colour and sensitivity of the hand corresponding to the AV, pain in the AV limb

Patients from two Hemodialysis units with AVF as Vascular Access

Eligibility Criteria

• Age: 18 Years+
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• CKD patients on outpatient HD
• Independent in self-care
• With AVF as Vascular Access

You may not qualify if:

• Usage of CVC or AVP as Vascular Access
• Cognitive impairment (assessed through the Mini-Mental State Examination developed by Folstein et al., 1975)
• non-fluent in Portuguese language

Sponsors & Collaborators

• Aveiro University: lead

Study Sites (1)

Universidade de Aveiro

Aveiro, 3810, Portugal

Location

Study Officials

• Ana Catarina Brito Silva, Master

  Student

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: NA
• Masking: NONE
• Purpose: TREATMENT
• Intervention Model: SINGLE GROUP
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Registered Nurse

Model Details: INTERVENTIONAL STUDY

Study Record Dates

• First Submitted: August 13, 2025
• First Posted: September 11, 2025
• Study Start: August 1, 2024
• Primary Completion: September 30, 2024
• Study Completion: December 31, 2024
• Last Updated: September 11, 2025

Record last verified: 2025-09

Locations

PT (1)