##plugins.themes.bootstrap3.article.main##

ID Lono Wijayanti https://orcid.org/0000-0002-6659-5540
ID Hesmi Fitria Dewi ID Yurike Septianingrum https://orcid.org/0000-0002-7206-6389
ID Riska Rohmawati https://orcid.org/0000-0002-6212-1137
ID Tata Mahyuvi https://orcid.org/0009-0006-8295-5071

Abstract

Background: Arteriovenous fistula (AVF) access is vital for patients undergoing hemodialysis therapy. Proper care of AVF greatly affects the continuity of fistula function and prevents complications such as infection and thrombosis.


Objective: This study was to determine the relationship between knowledge and management of arteriovenous fistula access in hemodialysis patients.


Methods: This study is a correlational analysis with a cross-sectional design. The study population included all dialysis patients, totaling 200 respondents. The sample size was 160 respondents who were randomly selected using the simple random sampling method. Questionnaires were used to collect information, which was then analyzed using Spearman's Rank correlation test.


Results: The results showed that 57.5% of the 160 respondents had insufficient knowledge, and 60% lacked in arteriovenous fistula (cimino) care. The Spearman test results showed a p-value of 0.000 and a correlation of 0.709.


Conclusion: Patients with good knowledge tend to perform AV fistula care more appropriately and consistently.

Downloads

Download data is not yet available.

##plugins.themes.bootstrap3.article.details##

How to Cite
Wijayanti, L., Dewi, H. F., Septianingrum, Y. ., Rohmawati, R. ., & Mahyuvi, T. . (2025). KNOWLEDGE AND CARE OF ARTERIAL VENOUS FISTULA ACCESS IN HEMODIALYSIS PATIENTS: A CROSS-SECTIONAL STUDY. Nurse and Holistic Care, 5(3), 211–221. https://doi.org/10.33086/nhc.v5i3.7354
Section
Articles
Knowledge, Vascular Access Care, Arteriovenous Fistula, Hemodialysis

References

Beckwith, H., Thomas, N., Adwaney, A., Appelbe, M., Gaffney, H., Hill, P., Moabi, D., Prout, V., Salisbury, E., Webster, P., Tomlinson, J. A. P., & Brown, E. A. (2022). Gender Differences in Experiences and Expectations of Hemodialysis in a Frail and Seriously Unwell Patient Population. Kidney International Reports, 7(11), 2421–2430. https://doi.org/10.1016/j.ekir.2022.08.023

Besarab, A., Frinak, S., Margassery, S., & Wish, J. B. (2024). Hemodialysis Vascular Access: A Historical Perspective on Access Promotion, Barriers, and Lessons for the Future. Kidney Medicine, 6(9), 100871. https://doi.org/10.1016/j.xkme.2024.100871

Cahyanto, H. N., Enjelia, D., Susanah, S., Adja, H., & Herwanto, R. (2024). Sistematik Literature Review Nurse-Led Educational Strategies For Long-Term Vascular Access Care In Hemodialysis : A Systematic Review Of Controlled Trials. Jurnal Penelitian Keperawatan Kontemporer, 5(4), 1–16. https://doi.org/https://doi.org/10.59894/jpkk.v5i4.1010

Chen, H., Chen, L., Zhang, Y., Shi, M., & Zhang, X. (2022). Knowledge of vascular access among hemodialysis unit nurses and its influencing factors: a cross-sectional study. Annals of Palliative Medicine, 11(11), 3494–3502. https://doi.org/10.21037/apm-22-1204

Damayanti, M., & Sofyan, O. (2022). Hubungan Tingkat Pendidikan Terhadap Tingkat Pengetahuan Masyarakat di Dusun Sumberan Sedayu Bantul Tentang Pencegahan Covid-19 Bulan Januari 2021. Majalah Farmaseutik, 18(2), 220–226. https://doi.org/10.22146/farmaseutik.v18i2.70171

Dev, S., Luitel, P., Sah, B., Yadav, B. K., Dev, B., Thapaliya, I., Shrestha, K. R., & Shrestha, U. K. (2025). Knowledge, Attitude, and Practice on Arteriovenous Fistula Care Among End-Stage Kidney Disease Patients Receiving Maintenance Hemodialysis: A Single-Center, Prospective Cohort Study in Nepal. Health Science Reports, 8(5), e70823. https://doi.org/10.1002/hsr2.70823

Dias, B. F., Silva, F., Fonseca, I., Almeida, P., & Queirós, J. (2025). Hemodialysis vascular access in the elderly: Promising results from a tertiary center. Nefrología (English Edition), 45(3), 228–237. https://doi.org/10.1016/j.nefroe.2025.02.011

Elwakeel, H., & Elalfy, K. (2013). Vascular Access for Hemodialysis - How to Maintain in Clinical Practice (H. Suzuki (ed.)). IntechOpen. https://doi.org/10.5772/54352

García, G. G., Iyengar, A., Kaze, F., Kierans, C., Padilla-Altamira, C., & Luyckx, V. A. (2022). Sex and gender differences in chronic kidney disease and access to care around the globe. Seminars in Nephrology, 42(2), 101–113. https://doi.org/10.1016/j.semnephrol.2022.04.001

Golenia, A., Olejnik, P., Żołek, N., Wojtaszek, E., & Małyszko, J. (2023). Cognitive Impairment and Anxiety Are Prevalent in Kidney Transplant Recipients. Kidney & Blood Pressure Research, 48(1), 587–595. https://doi.org/10.1159/000533755

Guo, S., Wang, Y., Zou, C., Liu, L., He, T., Gan, X., Tian, X., & Yuan, L. (2025). Analysis of arteriovenous fistula failure factors and construction of nomogram prediction model in patients with maintenance hemodialysis. Renal Failure, 47(1). https://doi.org/10.1080/0886022X.2025.2500665

Gupta, A., Kumar, V., Peswani, A. R., & Suresh, A. (2022). Outcomes of Arteriovenous Fistula Creation in Patients Undergoing Hemodialysis: An Indian Experience. Cureus, 14(1), e20921. https://doi.org/10.7759/cureus.20921

Hanafy, M., Ahmed, S., Abdalla, K. F., & Gendey, J. F. (2022). Factors Affecting Arteriovenous Fistula Survival among Hemodialysis Patients. Egyptian Journal of Health Care, 13(4), 138–151.

ISN. (2022). Epidemiology of chronic kidney disease: an update 2022. International Society of Nephrology.

MacRae, J. M., Dipchand, C., Oliver, M., Moist, L., Lok, C., Clark, E., Hiremath, S., Kappel, J., Kiaii, M., Luscombe, R., & Miller, L. M. (2016). Arteriovenous access failure, stenosis, and thrombosis. Canadian Journal of Kidney Health and Disease, 3(1). https://doi.org/10.1177/2054358116669126

Ng, J. H., Vialet, J., & Diefenbach, M. A. (2021). Illness perception in patients with chronic kidney disease and kidney failure: A scoping review protocol. BMJ Open, 11(2), 1–5. https://doi.org/10.1136/bmjopen-2020-042298

Ningsih, O. S., Handi, H., Wea, L. D., & Tono, K. F. (2022). Atriovenous Fistula dan Double Catheter Lumen. Universitas Muhammadiyah Buton, Volume 8, 222–230. https://doi.org/https://doi.org/10.35326/pencerah.v8i1.1913

Pinto, R., Sousa, C., Salgueiro, A., & Fernandes, I. (2022). Arteriovenous fistula cannulation in hemodialysis: A vascular access clinical practice guidelines narrative review. The Journal of Vascular Access, 23(5), 825–831. https://doi.org/10.1177/11297298211006972

Sajjadi, S. L., Ghafourifard, M., & Khosroshahi, H. T. (2024). The effect of individualized education on learning needs of patients undergoing hemodialysis: a randomized controlled clinical trial. BMC Nephrology, 25(1), 452. https://doi.org/10.1186/s12882-024-03886-3

Salih, S. S. M., Mohamed, K. O., Mohamedali, A. O. O., Mahmoud, A. A. O., Ibrahim, D. A. S., Abdallah, K. F., Salih, M. S. K., Abdhameed, A. E. B., Salih, N. S. A., & Salih, K. S. K. (2025). Predictors of early arteriovenous fistula failure in patients with end stage renal disease on hemodialysis : a systematic review and meta-analysis. Patient Safety in Surgery, 19(24). https://doi.org/https://doi.org/10.1186/s13037-025-00449-9

Satta, E., Romano, C., Alfarone, C., Raiola, I., Scarpati, L., Lo Iacono, F., Di Maio, M., Russo, L., Russo, D., & Pagliuca, M. M. (2022). [A narrative review on arteriovenous fistula for hemodialysis]. Giornale italiano di nefrologia : organo ufficiale della Societa italiana di nefrologia, 39(4).

Shintia, C., & Khadafi, M. (2021). Tingkat Pengetahuan Pasien Chronic Kidney Disease (Ckd) Terhadap Akses Hemodialisa Dan Perawatan Akses Hemodialisa Di RSUD Dr. Pirngadi Kota Medan 1Cahyani. Jurnal Ilmiah Simantik, 5(2), 37–41. http://www.tjyybjb.ac.cn/CN/article/downloadArticleFile.do?attachType=PDF&id=9987

SKI. (2023). Survei Kesehatan Indonesia.

Sousa, C. N., Paquete, A. R. C., Teles, P., Pinto, C. M. C. B., Dias, V. F. F., Ribeiro, O. M. P. L., Manzini, C. S. S., Nicole, A. G., Souza, L. H., & Ozen, N. (2020). Investigating the Effect of a Structured Intervention on the Development of Self-Care Behaviors With Arteriovenous Fistula in Hemodialysis Patients. Clinical Nursing Research, 30(6), 866–874. https://doi.org/10.1177/1054773820974834

Stegmayr, B., Willems, C., Groth, T., Martins, A., Neves, N. M., Mottaghy, K., Remuzzi, A., & Walpoth, B. (2021). Arteriovenous access in hemodialysis: A multidisciplinary perspective for future solutions. The International Journal of Artificial Organs, 44(1), 3–16. https://doi.org/10.1177/0391398820922231

Suci, M., & Joelya, D. (2023). Hubungan antara usia dan lama menderita diabetes melitus tipe 2 dengan kejadian disfungsi ereksi berdasarkan skor iief-5 di poliklinik endokrin rsu haji medan. Universitas Muhammadiyah Sumatera Utara Medan.

Wang, S. L., Chiu, Y. W., Kung, L. F., Chen, T. H., Hsiao, S. M., Hsiao, P. N., Hwang, S. J., & Hsieh, H. M. (2019). Patient assessment of chronic kidney disease self-care using the chronic kidney disease self-care scale in Taiwan. Nephrology, 24(6), 615–621. https://doi.org/10.1111/nep.13475

Wijayanti, L., Yusuf, A., Widyawati, I. Y., Septianingrum, Y., Rohmawati, R., & Mahgfiroh, A. (2024). Study of the Elements Affecting the Patients’ Quality of Life During Hemodialysis. South Eastern European Journal of Public Health, 23(1), 452–458. https://doi.org/10.70135/seejph.vi.724

Yolgösteren, A. (2020). Relationship between hemodialysis patients’ educational level and arteriovenous fistula patency. Vascular, 28(5), 604–608. https://doi.org/10.1177/1708538120918417

Zaky Mubarak1, Faradisa Yuanita Fahmi, S. A. (2022). Pengaruh Edukasi Terhadap Tingkat Pengetahuan Tentang Perawatan Diri Penggunaan Akses Ateriovenous Shunt Pasien Hemodialisis. Jurnal Ilmiah Ilmu Keperawatan Indonesia, Vol 13 No 4 (2022): Edisi Spesial. https://doi.org/https://doi.org/10.36089/nu.v13i4.919

Zhang, J., Wu, L., Wang, P., Pan, Y., Dong, X., Jia, L., & Zhang, A. (2024). Prevalence of cognitive impairment and its predictors among chronic kidney disease patients: A systematic review and meta-analysis. PloS One, 19(6), e0304762. https://doi.org/10.1371/journal.pone.0304762

Lono Wijayanti, Center for Continuing Care Research (C3R), Universitas Nahdlatul Ulama Surabaya

Hesmi Fitria Dewi, Nursing Department, Faculty of Nursing and Midwifery, Universitas Nahdlatul Ulama Surabaya

Yurike Septianingrum, Nursing Department, Faculty of Nursing and Midwifery, Universitas Nahdlatul Ulama Surabaya

Riska Rohmawati, Nursing Department, Faculty of Nursing and Midwifery, Universitas Nahdlatul Ulama Surabaya

Tata Mahyuvi, Nursing Department, Faculty of Nursing and Midwifery, Universitas Nahdlatul Ulama Surabaya