Yousif Kalthoum Ibrahim, Abu-Aisha Hasan, Abboud Omar Ibrahim
College of Nursing Sciences, The National Ribat University, Burrie, Khartoum, Sudan.
Department of Medicine, Al-Mughtaribeen University, Gabra, Khartoum, Sudan.
Saudi J Kidney Dis Transpl. 2017 Sep-Oct;28(5):1027-1033. doi: 10.4103/1319-2442.215149.
End-stage renal disease is a worldwide problem that requires highly skilled nursing care. Hemodialysis (HD) is a corner-stone procedure in the management of most patients who require renal replacement therapy. Adequate vascular access is essential for the successful use of HD. Appropriate knowledge in taking care of vascular access is essential for minimizing complications and accurately recognizing vascular access-related problems. This study was to evaluate the effect of an educational program for vascular access care on nurses' knowledge at nine dialysis centers in Khartoum State. This was a Quasi experimental study (pre-and post-test for the same group). Sixty-one nurses working in these HD centers were chosen by simple random sampling method. A structured face-to-face interview questionnaire based on the Kidney Dialysis Outcome Quality Initiative (K/DOQI) clinical practice guidelines for vascular access care was used. Instrument validity was determined through content validity by a panel of experts. Reliability of the instrument was tested by a pilot study to test the knowledge scores for 15 nurses. The Pearson correlation coefficient obtained was (r = 0.82). Data collection was taken before and after the educational intervention. A follow-up test was performed three month later, using the same data collection tools. Twenty-two individual variables assessing the knowledge levels in aspects related to the six K/DOQI guidelines showed improvement in all scores of the nurses' knowledge after the educational intervention; and the differences from the preeducational scores were statistically significant (P < 0.001). The study showed that a structured educational program based on the K/DOQI clinical practice guidelines had a significant impact on the dialysis nurses knowledge in caring for vascular access in HD patients. The knowledge level attained was maintained for at least three months after the educational intervention.
终末期肾病是一个全球性问题，需要高技能的护理。血液透析（HD）是大多数需要肾脏替代治疗的患者管理中的一项基础程序。充足的血管通路对于成功进行血液透析至关重要。掌握照顾血管通路的适当知识对于将并发症降至最低并准确识别与血管通路相关的问题至关重要。本研究旨在评估一项血管通路护理教育计划对喀土穆州九个透析中心护士知识的影响。这是一项准实验研究（对同一组进行前后测试）。通过简单随机抽样方法选择了在这些血液透析中心工作的61名护士。使用了一份基于肾脏透析结果质量倡议（K/DOQI）血管通路护理临床实践指南的结构化面对面访谈问卷。仪器效度由专家小组通过内容效度确定。通过一项预试验对15名护士的知识得分进行测试来检验该仪器的可靠性。获得的皮尔逊相关系数为（r = 0.82）。在教育干预前后进行数据收集。三个月后使用相同的数据收集工具进行随访测试。评估与六项K/DOQI指南相关方面知识水平的22个个体变量显示，教育干预后护士的所有知识得分均有所提高；与教育前得分的差异具有统计学意义（P < 0.001）。研究表明，基于K/DOQI临床实践指南的结构化教育计划对透析护士护理血液透析患者血管通路的知识有显著影响。教育干预后所达到的知识水平至少维持了三个月。
