Wilson Barbara, Harwood Lori
Nephrology Nurse Practitioner with a focus in hemodialysis, London Health Sciences Centre, London, Ontario, Canada.
Member of ANNA's Michiganna Chapter.
Nephrol Nurs J. 2018 Jul-Aug;45(4):327-336.
There is a lack of consensus on what constitutes successful arteriovenous fistula (AVF) cannulation. The purpose of this study was to describe outcomes of successful cannulation of the AVF from both patient and healthcare provider perspectives. This was a mixed method study. Results reflecting the patient's description of success through interviews were reported previously. A sample of nursing and physician experts in vascular access completed a one-time survey. Results from healthcare providers suggest they consider cannulator ability to assess the AVF, knowledge of AVF anatomy, and patient-centered care as most important to cannulation success. Patient comfort, patient-centered care, and available support staff (i.e., expert cannulators) were perceived by both patients and healthcare provider groups as contributing to success. Strategies that promote patient comfort, patient-centered care, and having access to cannulation experts have the potential to improve cannulation outcomes.
对于何为成功的动静脉内瘘（AVF）穿刺，目前尚无共识。本研究的目的是从患者和医护人员的角度描述成功进行AVF穿刺的结果。这是一项混合方法研究。先前已报告了通过访谈反映患者对成功的描述的结果。一组血管通路方面的护理和医师专家完成了一项一次性调查。医护人员的调查结果表明，他们认为穿刺者评估AVF的能力、对AVF解剖结构的了解以及以患者为中心的护理对穿刺成功最为重要。患者舒适度、以患者为中心的护理以及有可用的支持人员（即专业穿刺者）在患者和医护人员群体中都被视为有助于取得成功。促进患者舒适度、以患者为中心的护理以及有机会接触穿刺专家的策略有可能改善穿刺结果。
