Construction and validation of a scale of assessment of self‐care behaviors with arteriovenous fistula in hemodialysis

Sousa, Clemente Neves; Apóstolo, João; Figueiredo, María Henriqueta; Dias, Vanessa Filipa Ferreira; Teles, Paulo; Martins, Manuela

doi:10.1111/hdi.12249

Cited by 19 publications

(44 citation statements)

References 6 publications

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“…Futhermore, some patients showed a frequency of self‐care behaviors a little above 25% only and none of the patients performed all self‐care behaviors. Patients in our sample exhibited less self‐care behaviors with AVF when compared with the scale validation study, where the frequency of such behaviors was 82.4% (minimum of 21.9%; maximum of 100%) . In another study with 30 ESRD patients on HD, 97.7% had inadequate self‐care behaviors with AVF .…”

Section: Discussionmentioning

confidence: 48%

“…Information concerning demographic characteristics (age, gender, education, employment, marital status) and clinical characteristics (ESRD etiology, dialysis vintage, previous AVFs, AVF duration, information about care with the AVF) was collected from a questionnaire designed by the authors. Information concerning self‐care behaviors with the AVF was collected from the Scale of Assessment of Self‐Care Behaviours with Arteriovenous Fistula in Hemodialysis (ASBHD‐AVF) . This scale has 16 items in two sub‐scales: prevention of complications (10 items) and management of signs and symptoms (6 items) .…”

Section: Methodsmentioning

confidence: 99%

“…When information about vascular access is provided to patients, an improvement in access self‐care is achieved and consequently patients have better care with their fistula. Little is known about the relationship between patients' self‐care with AVF and self‐care frequency.…”

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confidence: 99%

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Self‐Care on Hemodialysis: Behaviors With the Arteriovenous Fistula

et al. 2017

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End stage renal disease (ESRD) patients should be educated to maintain and preserve the arteriovenous fistula (AVF) in the best condition. The purpose of this work was to evaluate self-care frequency and factors that influenced such frequency. A prospective study was performed in 101 hemodialysis patients. Self-care behaviors were measured with the Scale of Assessment of Self-Care Behaviours with Arteriovenous Fistula in Hemodialysis. A regression model was used to determine the relevant predictors of self-care frequency and their influence. The incidence of self-care behaviors was 71.0%. The regression model showed that self-care behaviors were positively influenced by gender (female), ESRD etiology (hypertension, polycystic kidneys and other kidney diseases), duration of AVF and negatively by the existence of previous AVF and health professional (doctor). The frequency of self-care behaviors was lower than expected and below an appropriate standard. Education programs designed to improve self-care behaviors with AVF should be further explored in a prospective randomized trial.

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Section: Discussionmentioning

confidence: 48%

Section: Methodsmentioning

confidence: 99%

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Self‐Care on Hemodialysis: Behaviors With the Arteriovenous Fistula

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“…The Chinese version of ASBHD-AVF was translated and adapted from the Portuguese version of Scale of Assessment of Self-Care Behaviors with Arteriovenous Fistula in Hemodialysis (ASBHD-AVF) (7). The original ASBHD-AVF included 16 items in two subscales: management of signs and symptoms (six items), and prevention of complications (10 items) using a 5-point Likert scale (one represented never, and five represented always).…”

Section: The Chinese Version Of Asbhd-avfmentioning

confidence: 99%

“…However, after a systematic literature review, it was verified that little was known on the state of AVF self-care behavior, especially in China. The scale of assessment of self-care behaviors with arteriovenous fistula in hemodialysis (ASBHD-AVF) was designed and validated in Portugal to measure the self-care behavior in hemodialysis patients with arteriovenous fistula (7). Thus, the aim of this study was to translate the ASBHD-AVF into Chinese, test the reliability and validity of the Chinese ASBHD-AVF, and to assess the self-care behavior of Chinese patients undergoing hemodialysis with AVF.…”

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Self‐Care Behavior of Hemodialysis Patients With Arteriovenous Fistula in China: A Multicenter, Cross‐Sectional Study

et al. 2018

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Improving the level of arteriovenous fistula (AVF) self‐care behavior by people receiving hemodialysis is an effective way to reduce the occurrence of complications and mortality. The aim of this study was to assess the self‐care behavior of Chinese patients undergoing hemodialysis with arteriovenous fistula. The assessment of self‐care behaviors with arteriovenous fistula in hemodialysis (ASBHD‐AVF, Portuguese version) was translated into Chinese using Brislin's translation model. The content validity was evaluated by six experts. Then we involved 301 hemodialysis patients with AVF to explore the construct validity of the Chinese version of ASBHD‐AVF. Ultimately 216 patients from eight dialysis centers of general hospitals in China were recruited to evaluate the patients’ self‐care behavior about AVF. Measures included demographic questionnaire, and the Chinese ASBHD‐AVF. The Chinese ASBHD‐AVF that included 12 items has a good internal consistency (α = 0.865) and content validity (CVI = 0.979). Principal component analysis generated two factors which explained 53.525% of the total variance. About 69.9% of hemodialysis patients’ AVF self‐care behavior were at a low or moderate level. The level of self‐care behavior and knowledge need to be improved. Nurses should give specific guidance according to the patients’ own characteristics and different influence factors, in order to improve the recipients’ self‐care behavior.

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Self-care actions for the maintenance of the arteriovenous fistula: An integrative review

Pessoa

Lima

Santos

et al. 2020

International Journal of Nursing Sciences

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Objective To identify self-care actions for the maintenance of arteriovenous fistula of renal patients. Method An integrative review study was conducted and literature were searched in Medline/PubMed, Scopus, CINAHL, LILACS, BDENF and SciELO Library databases using the descriptors chronic renal insufficiency, arteriovenous fistula, self-care, and knowledge. The inclusion criteria were that the documents be written in Portuguese, English, and Spanish, full text available, published in the last five years, and that they address the research question. Reflection articles, theses, dissertations, editorials of non-scientific journals, and research studies that did not follow the necessary methodological rigor were excluded. Data were analyzed with the IRAMUTEQ software. Results Fifteen articles were selected and comprised the final sample. Seven classes of self-care actions emerged from the text segments analysis and grouped into three categories: 1) Self-care actions that maintain the arteriovenous fistula; 2) Self-care actions for the prevention and the monitoring of complications with arteriovenous fistula; 3) Self-care actions directed at the perioperative period of arteriovenous fistula preparation. Conclusion The results allowed us to identify important care for the maintenance of arteriovenous fistula functionality. The self-care actions identified in this study can guide a nursing care policy for implementation with protocols that help identify problems related to self-care actions and, thus, subsidize the development of actions aimed at the renal patient. However, more studies with high levels of evidence that identify self-care actions with arteriovenous fistula and the factors involved in its implementation are needed.

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Construction and validation of a scale of assessment of self‐care behaviors with arteriovenous fistula in hemodialysis

Cited by 19 publications

References 6 publications

Self‐Care on Hemodialysis: Behaviors With the Arteriovenous Fistula

Self‐Care on Hemodialysis: Behaviors With the Arteriovenous Fistula

Self‐Care Behavior of Hemodialysis Patients With Arteriovenous Fistula in China: A Multicenter, Cross‐Sectional Study

Self-care actions for the maintenance of the arteriovenous fistula: An integrative review

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