Wilson Barbara, Harwood Lori
Nurse Practitioner, Hemodialysis, London Health Sciences Centre, London, Ontario, Canada.
Member of ANNA's Michiganna Chapter.
Nephrol Nurs J. 2017 Sep-Oct;44(5):381-388.
There is a lack of consensus in the literature on what constitutes successful arteriovenous fistula (AVF) cannulation outcomes from the patient perspective. The purpose of this study was to describe what successful cannulation means to patients on hemodialysis. A qualitative descriptive approach was used. A purposeful sample of 17 patients dialyzing with an AVF participated in one face-to-face interview. Using content analysis, four themes were identified that impact the patient experience in defining successful cannulation: 1) an emotional response - pain and anxiety, 2) a 'friendly' nurse-patient relationship, 3) nursing interventions/technical skills during cannulation, and 4) the impact of the environment. Results provide valuable insight into what patients define as successful cannulation, recognizing that it goes beyond the actual needle insertion procedure.
从患者角度来看，关于什么构成成功的动静脉内瘘（AVF）穿刺结果，文献中缺乏共识。本研究的目的是描述成功穿刺对血液透析患者意味着什么。采用了定性描述方法。对17名使用AVF进行透析的患者进行了有目的抽样，参与了一次面对面访谈。通过内容分析，确定了影响患者对成功穿刺定义体验的四个主题：1）情绪反应——疼痛和焦虑，2）“友好的”护患关系，3）穿刺过程中的护理干预/技术技能，4）环境的影响。结果为患者所定义的成功穿刺提供了有价值的见解，认识到这不仅仅是实际的针头插入过程。
