Assessment of problems faced by patients with arteriovenous fistula and the effect of information booklet on knowledge of homecare management of arteriovenous fistula among hemodialysis atients of a selected hospital, Kolkata
Nibedita Ghosh, Kathika Pattanayak, Kasturi Mandal, Madhusri Manna
Background: Arteriovenous fistula has proven to be the best kind of permanent vascular access for people who are receiving hemodialysis. It is important to take care of the vascular access to prevent complications. Materials and methods: An Pre experimental study was conducted to find out the effect of an information booklet on knowledge of homecare management of arteriovenous fistula among hemodialysis patients along with identification of problems faced by patients with arteriovenous fistula. Data were collected by structured interview schedule from 50 hemodialysis patients had areteriovenous fistula. On 1st day patients were asked to verbalized the problems they faced followed by pretesting of knowledge on home care management of arteriovenous fistula. Then Patients were handed over an information booklet and explained. On the eighth day posttest was taken. Result: It has been found that the most common physiological, psychological and daily living problems faced by patients with arteriovenous fistula were swelling at fistula site, worry about finance and difficulty faced in caring shopping bags respectively. In pre-test 44% patients had average knowledge, where as in post-test 48% patients had very good knowledge about homecare management of arteri-ovenous fistula. The mean difference of pre-test and post-test knowledge score was statistically significant (t‘49’ =2.0096, P< 0.05). Conclusion: The information booklet on homecare management of arteriovenous fistula can be used as an effective patient education tool to improve knowledge. It can be used to prepare the patients for homecare management of arteriovenous fistula to prevent complication and to keep the fistula functioning.