Impact of stage-specific limb function exercises guided by a selfmanagement education model on arteriovenous fistula maturation status  

作　　者：Yi Li Li-Jun Huang Jian-Wen Hou Dan-Dan Hu 

机构地区：[1]Department of Nursing,The People's Hospital of Jianyang City,Jianyang 641400,Sichuan Province,China [2]Department of Nephrology,The People's Hospital of Jianyang City,Jianyang 641400,Sichuan Province,China [3]Department of Head and Neck Surgery,Zhejiang Cancer Hospital,Hangzhou 310000,Zhejiang Province,China [4]School of Nursing,Shangqiu Institute of Technology,Shangqiu 476005,Henan Province,China

出　　处：《World Journal of Clinical Cases》2024年第14期2316-2323,共8页世界临床病例杂志

基　　金：Supported by The Research Project 2022 of The People's Hospital of Jianyang City,No.JY202208.

摘　　要：BACKGROUND The exercise of limb function is the most economical and safe method to promote the maturation of arteriovenous fistula(AVF).However,due to the lack of a uni-fied exercise standard in China,many patients have insufficient awareness of the importance of AVF,leading to poor effectiveness of limb function exercise.The self-management education model can effectively promote patients to take pro-active health-related actions.This study focuses on the characteristics of patients during the peri-AVF period and conducts a phased limb function exercise under the guidance of the self-management education model to observe changes in fac-tors such as the maturity of AVF.AIM To assess the impact of stage-specific limb function exercises,directed by a self-management education model,on the maturation status of AVFs.METHODS This study is a randomized controlled trial involving 74 patients with forearm AVFs from the Nephrology Department of a tertiary hospital in Sichuan Province,China.Patients were randomly divided into an observation group and a control group using a random number table method.The observation group underwent tailored stage-specific limb func-tion exercises,informed by a self-management education model which took into account the unique features of AVF at various stages,in conjunction with routine care.Conversely,the control group was given standard limb function exercises along with routine care.The assessment involves the maturity of AVFs post-intervention,post-operative complications,and the self-management level of the fistula in both groups patients.Analyses were conducted using SPSS version 23.0.Count data were represented by frequency and percentage and subjected to chi-square test comparisons.Measurement data adhering to a normal distribution were presented as mean±SD.The independent samples t-test was utilized for inter-group comparisons,while the paired t-test was used for intra-group comparisons.For measurement data not fitting a normal distribution,the median and interquartile range were

关 键 词：SELF-MANAGEMENT Education model Stage-specific Limb function exercises Arteriovenous fistula Maturation status 

分 类 号：R651.2[医药卫生—外科学]