The effect of Arteriovenous Fistula Cannulation Direction and Puncture Distance on the Recirculation Rate of Hemodialysis Patients
- Author:
Hyo Jeong LIM
1
;
Eun Hee CHOI
;
Eun Ju KIM
;
Ji Yoon JEONG
;
Seung Su BAN
Author Information
1. Staff Nurse, Inje University Sanggye Paik Hospital, Korea.
- Publication Type:Original Article
- Keywords:
Hemodialysis;
Arteriovenous fistula;
Puncture
- MeSH:
Arteriovenous Fistula;
Catheterization;
Humans;
Methods;
Needles;
Punctures;
Renal Dialysis
- From:
Journal of Korean Critical Care Nursing
2018;11(1):28-34
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
PURPOSE: The purpose of this study was to compare the effect of recirculation rate according to cannulation direction and interval among hemodialysis patients with arteriovenous fistula (AVF).METHOD: The research used repeated measures design. This study was conducted among thirty patients who received hemodialysis three times a week for longer than a year through AVF at the I University hospital. Three different types of interventions were administered to the participants each week for three weeks. Needles were placed at a different distance and in a different direction each week: 7 cm apart from each other in antegrade direction during the first week, 5 cm apart in retrograde direction in the following week, and 7 cm apart in retrograde direction in the third week.RESULTS: No significant differences in the recirculation rate were found due to any of the three tested methods (p = 1.00).CONCLUSION: This finding suggests that, if the patients have well-functioned AVF, we can choose an appropriate intervention from among the three methods in consideration of the patient's diverse needs.
