Volume 24, Issue 104, July - August, 2020

Evaluation of quality of vascular access care in hemodialysis patients

Mohamad Karimian¹, Atieh Okhli², Hosna Saghaei³, Ali Gholami^4♦, Asma Tarjoman^5,6, Milad Borji⁷, Somayeh mahdikhani⁸

¹Assistant Professor of Vascular Surgery, Ilam University of Medical Science, Ilam, Iran
²Department of Nursing, Gonbad Kavoos Branch, Islamic Azad University, Gonbad Kavoos, Iran
³Student Research committee, kermanshah University of Medical Sciences, kermanshah, IR Iran
⁴Assistant Professor of Anesthesiology, Department of Anesthesiology, Kermanshah University of Medical Sciences, IR Iran
⁵Student Research committee, Ilam University of Medical Sciences, Ilam, IR Iran
⁶Zoonotic Disease Research Center, Ilam University of Medical Sciences, Ilam, IR Iran
⁷Department of Nursing, Faculty of Nursing and Midwifery, Ilam University of Medical Science, Ilam, Iran
⁸Public Health and Infectious Diseases department, Undergraduate, Sapienza University of Roma, Italy

^♦Corresponding author
Assistant Professor of Anesthesiology, Department of Anesthesiology, Kermanshah University of Medical Sciences, kermanshah, IR Iran; Email: gholamiali57@yahoo.com

ABSTRACT

Objectives: Nurses have a special role in maintaining the quality and efficiency of vascular access, which is why they need to be effective in caring for these patients. Method: This is a cross-sectional study and available sampling method in which data were collected through observation of nurses' performance. In this study, 200 caring techniques, in 2019 years were observed for patients undergoing hemodialysis. All observations were made by one nurse. The tool used was a checklist of care techniques, which included two parts: demographic characteristics, and techniques of venipuncture and patient connection to the hemodialysis machine, with 14 questions. Data were analyzed using descriptive statistics after entering the SPSS16 software. Results: According to the findings, the achieved score 64 (59.8%) for nursing function in AVF care, considerate Optimal, 44 (47.3) in CVC care, Moderate and in share items 104 (52.0) was Optimal domain. Conclusion: According to the findings, nurses needed a VAS training in CVC care, suggesting that educational interventions be required. For this reason, it is recommended that appropriate training workshops and interventions be performed for nurses.

Keywords: Vascular access, Quality of performance, Nurse, Hemodialysis

Medical Science, 2020, 24(104), 2347-2350

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