TITLE: Investigating the Effect of a Structured Intervention on the Development of Self-Care Behaviors With Arteriovenous Fistula in Hemodialysis Patients.

Abstract：This study aimed to assess the effectiveness of a structured intervention on the frequency of self-care behaviors with arteriovenous fistula (AVF) by patients on hemodialysis. This is a quasi-experimental study with pre- and post-measurements. Participants were assigned to an intervention group (IG) (n = 48) or to a control group (CG) (n = 41). IG patients were subject to a structured intervention on self-care with AVF (SISC-AVF) consisting of both a theoretical and a practical part. After SISC-AVF application, patients in the IG showed better overall self-care behaviors with AVF than patients in the CG (79.2% and 91.4%, respectively, p < .001) as well as better self-care concerning both the management of signs and symptoms (90.1% and 94.4% respectively, p = .004) and the prevention of complications (72.7% and 89.5%, respectively, p < .001). The study results suggest that the SISC-AVF had positive effects on patients in the IG.

Source: Sousa CN, Paquete A, Teles P, et al. Investigating the Effect of a Structured Intervention on the Development of Self-Care Behaviors With Arteriovenous Fistula in Hemodialysis Patients[J]. Clin Nurs Res, 2020 :1054773820974834. DOI: 10.1177/1054773820974834.

摘要：这项研究旨在评估结构性干预对血液透析患者在动静脉内瘘（AVF）自我护理行为频率的有效性。这是一个具有前测量和后测量的准实验研究。参与者被分配到干预组（IG）（n = 48）或对照组（CG）（n = 41）。干预组（IG）患者应接受AVF的自我护理结构性干预（SISC-AVF），包括理论部分和实践部分。应用SISC-AVF后，与CG患者相比，IG患者的AVF总体自我护理行为表现更好（分别为79.2％和91.4％，p <0.001），并且在关心体征和症状（分别为90.1％和94.4％，p = .004）和并发症的预防（分别为72.7％和89.5％，p <.001）方面有更好地表现。研究结果表明，SISC-AVF对IG患者具有积极作用。

启发： 护理方面的患者教育是很重要的，本研究可做护理研究方面的参考.