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接受血液透析治疗的个体中动静脉内瘘自我护理行为与对瘘管失败的恐惧之间的关系。

The relationship between self-care behaviours regarding arteriovenous fistula and the fear of fistula failure in individuals receiving haemodialysis treatment.

作者信息

Alabacak Şahin, Arslan Selda

机构信息

Nurse, Ankara City Hospital, Turkey.

Associate Professor, Necmettin Erbakan University, Nursing Department, Konya,Turkey.

出版信息

J Res Nurs. 2024 Aug;29(4-5):388-398. doi: 10.1177/17449871241235636. Epub 2024 Aug 18.

Abstract

BACKGROUND

Many problems regarding the self-care behaviours of haemodialysis patients are recognised; however, the fear experienced by the patients cannot be adequately explained.

AIMS

This study was conducted to determine the relationship between self-care behaviours related to arteriovenous fistula and fear of fistula failure in individuals receiving haemodialysis treatment.

METHODS

In this descriptive and relational study, 259 patients who met the inclusion criteria constituted the sample of the study. A multiple regression analysis enter model was used to evaluate the predictive power of the Self-Care Behaviours in Arteriovenous Fistula Scale.

RESULTS

It was found that the primary source of fear related to the fistula was the fear of fistula failure with a rate of 79.5%, and the patients who had this fear had a lower mean self-care scale score. The variables account for 12% of the self-care situation, and it is seen that the model is significant.

CONCLUSIONS

It was concluded that increasing the fear of failure decreased the self-care score. This study is important for raising awareness among nurses regarding the fear of fistula failure. Nurses must provide appropriate care for vascular access and try to alleviate patients' anxiety and fears by listening to them.

摘要

背景

血液透析患者的自我护理行为存在诸多问题,然而患者所经历的恐惧却无法得到充分解释。

目的

本研究旨在确定接受血液透析治疗的个体中,与动静脉内瘘相关的自我护理行为和对瘘管失败的恐惧之间的关系。

方法

在这项描述性关联研究中,符合纳入标准的259名患者构成了研究样本。采用多元回归分析进入模型来评估动静脉内瘘自我护理行为量表的预测能力。

结果

发现与瘘管相关的恐惧的主要来源是对瘘管失败的恐惧,发生率为79.5%,有这种恐惧的患者自我护理量表平均得分较低。这些变量占自我护理情况的12%,且该模型具有显著性。

结论

得出结论,对失败的恐惧增加会降低自我护理得分。本研究对于提高护士对瘘管失败恐惧的认识具有重要意义。护士必须为血管通路提供适当护理,并通过倾听患者来缓解他们的焦虑和恐惧。

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