scholarly journals Construction and validation of a scale of assessment of self-care behaviors with arteriovenous fistula in hemodialysis

2014 ◽  
Vol 19 (2) ◽  
pp. 306-313 ◽  
Author(s):  
Clemente Neves Sousa ◽  
João Luís Alves Apóstolo ◽  
Maria Henriqueta Jesus Silva Figueiredo ◽  
Vanessa Filipa Ferreira Dias ◽  
Paulo Teles ◽  
...  
2021 ◽  
pp. 105477382198980
Author(s):  
Marta Nunes Lira ◽  
Clemente Neves Sousa ◽  
Maria Carolina Medeiros Wanderley ◽  
Natália Ramos Costa Pessoa ◽  
Kelly Cristiane Rocha Lemos ◽  
...  

The purpose of this study was to evaluate the psychometric properties of the Brazilian Scale for the Assessment of Self-Care Behaviors with Arteriovenous Fistula in Hemodialysis. Cross-sectional validation study, followed the recommendation provided by Sousa and Rojjanasrirat. Content validity, explanatory and confirmatory factor analyses used to check validity and Cronbach’s alpha was the reliability measure. Three hundred hemodialysis patients with arteriovenous fistula were included in the study. The expert committee assessed the content validity. Exploratory factor analysis confirmed the same two-factor structure found for the original scale, explaining 60.10% of the variance. Such solution was checked by confirmatory factor analysis with Cronbach’s alpha equal to 0.920, 0.810, and 0.884 for the overall scale, the self-care in management of signs and symptoms and the self-care in prevention of complications subscales respectively. The scale has good psychometric properties to assess self-care behaviors and can be used with Brazilian patients on hemodialysis with arteriovenous fistula.


2018 ◽  
Vol 29 (6) ◽  
pp. 363-367 ◽  
Author(s):  
Clemente Neves Sousa ◽  
Patrícia Marujo ◽  
Paulo Teles ◽  
Marta Nunes Lira ◽  
Vanessa Filipa Ferreira Dias ◽  
...  

Patients with end-stage renal disease should be educated and trained to take care of their own arteriovenous fistula (AVF) with the purpose of developing self-care behaviors concerning vascular access. This was a prospective and observational study. We designed this research to identify clinically meaningful self-care behavior profiles in hemodialysis (HD) patients, and it was carried out in a private dialysis unit in the Lisbon region, Portugal, involving 101 patients. The proportion of male patients was 66.3%, the mean age was 60.9 years, and the frequency of self-care behaviors was 71%. Cluster analysis based on the subscale scores grouped patients in two clusters named “moderate self-care” and “high self-care.” Those profiles exhibit significant differences concerning gender, education, employment, dialysis vintage, AVF duration, and information on care with the AVF. Identification of self-care-behavior profiles in HD patients with AVF enables one to adjust education programs to the patients’ characteristics.


2016 ◽  
Vol 7 (1) ◽  
pp. 37-41
Author(s):  
José Melquiades Ramalho Neto ◽  
Evelyn Rolim dos Santos Rocha ◽  
Aran Rolim Mendes De Almeida ◽  
Maria Miriam Lima Da Nóbrega

Objetivos: trata-se de estudo que visou analisar a percepção de pacientes renais crônicos frente à fístula arteriovenosa implantada em seu corpo; descrever as emoções e sentimentos provocados pela implantação da fístula arteriovenosa e identificar o autocuidado para a sua preservação. Metodologia: pesquisa exploratória, cujos dados foram coletados com 10 participantes em outubro de 2011, e analisados mediante a técnica do Discurso do Sujeito Coletivo. Resultados: os dados revelaram nos pacientes um desvelamento do eu frente à fístula, e um velamento da fístula a partir do eu, emergindo situações de transtornos físicos, emocionais e psíquicos, superados em sua grande maioria pelos laços de vida e esperança ao longo do tratamento. Conclusão: é necessário que o enfermeiro tenha competência técnica e conhecimento dos aspectos que levem em consideração os sentimentos e as necessidades de tais pacientes.Descritores: Insuficiência Renal Crônica, Diálise Renal, Fístula Arteriovenosa, Percepção.ARTERIOVENOUS FISTULA IN CHRONIC RENAL PATIENTS PERSPECTIVEObjectives: the study aimed to analyze the perception of chronic renal patients across the arteriovenous fistula implanted in your body; describe the emotions and feelings caused by the implementation of arteriovenous fistula; and identify self-care for its preservation. Methodology: exploratory study whose data were collected with 10 participants in October 2011 and used the Discourse of the Collective Subject technique being used to analyze the data. Results: the data revealed in patients an unveiling of the self against the fistula, and a fistula veiling from me, emerging situations of physical, emotional and mental disorders, overcome mostly by bonds of life and hope throughout the treatment. Conclusion: it is necessary that the nurse has expertise and knowledge of aspects to take into consideration the feelings and needs of such patients.Descriptors: Renal Insufficiency Chronic, Renal Dialysis, Arteriovenous Fistula, Perception.LA FÍSTULA ARTERIOVENOSA EN CRÓNICA PERSPECTIVA DE LOS PACIENTES RENALESObjetivos: el estudio buscó analizar la percepción de los pacientes renales crónicos a través de la fístula arteriovenosa implantado en su cuerpo; describir las emociones y los sentimientos causados por la aplicación de la fístula arteriovenosa; e identificar el auto-cuidado para su preservación. Metodologia: investigación exploratoria cujos datos fueron recolectados con 10 participantes, en octubre de 2011 y utilizan la técnica del Discurso del Sujeto Colectivo para el análisis de los datos. Resultados: los dados revelaron en los pacientes una revelación del yo contra la fístula y fístula velo de mí, situaciones emergentes de trastornos físicos, emocionales y mentales, a superar su mayoría por bonos de la vida y la esperanza de todo el tratamiento. Conclusión: es necesario que la enfermera tiene la experiencia y el conocimiento de los aspectos a tener en cuenta los sentimientos y necesidades de estos pacientes.Descriptores: Insuficiência Renal Crónica, Diálisis Renal, Fístula Arteriovenosa, Percepción.


2020 ◽  
Vol 7 (3) ◽  
pp. 369-377 ◽  
Author(s):  
Natália Ramos Costa Pessoa ◽  
Laís Helena de Souza Soares Lima ◽  
Gutembergue Aragão dos Santos ◽  
Cecília Maria Farias de Queiroz Frazão ◽  
Clemente Neves Sousa ◽  
...  

2015 ◽  
Author(s):  
Clemente Neves Sousa ◽  
Maria Henriqueta Figueiredo ◽  
Vanessa Filipa Dias ◽  
Paulo Teles ◽  
João Luís Apóstolo

2020 ◽  
pp. 105477382097483
Author(s):  
Clemente Neves Sousa ◽  
Ana Rita Cabral Paquete ◽  
Paulo Teles ◽  
Cristina Maria Correia Barroso Pinto ◽  
Vanessa Filipa Ferreira Dias ◽  
...  

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.


2018 ◽  
Vol 23 (2) ◽  
pp. 167-172 ◽  
Author(s):  
Miao‐miao Yang ◽  
Hui‐hua Zhao ◽  
Xiao‐qiang Ding ◽  
Guo‐hong Zhu ◽  
Zhen‐hua Yang ◽  
...  

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