Influence of arteriovenous fistula on daily living behaviors involving the upper limbs in hemodialysis patients: a cross-sectional questionnaire study
Abstract Background Arteriovenous fistulae can restrict daily living behaviors involving the upper limbs in hemodialysis patients, but no studies have investigated the detailed effects of an arteriovenous fistula on routine life activities. Accordingly, many medical caregivers are unable to explain...
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| Format: | Article |
| Language: | English |
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BMC
2018-10-01
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| Series: | BMC Nephrology |
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| Online Access: | http://link.springer.com/article/10.1186/s12882-018-1097-9 |
| _version_ | 1828205086287855616 |
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| author | Yuuta Hara Kosuke Sonoda Koji Hashimoto Kazuaki Fuji Yosuke Yamada Yuji Kamijo |
| author_facet | Yuuta Hara Kosuke Sonoda Koji Hashimoto Kazuaki Fuji Yosuke Yamada Yuji Kamijo |
| author_sort | Yuuta Hara |
| collection | DOAJ |
| description | Abstract Background Arteriovenous fistulae can restrict daily living behaviors involving the upper limbs in hemodialysis patients, but no studies have investigated the detailed effects of an arteriovenous fistula on routine life activities. Accordingly, many medical caregivers are unable to explain the effects of an arteriovenous fistula on daily life, particularly during non-dialysis periods, because they cannot observe them directly. Methods Thirty outpatients undergoing hemodialysis at 2 facilities scored the difficulty due to an arteriovenous fistula in performing 48 living behaviors during non-dialysis and 10 behaviors during dialysis into 5 grades in a comprehensive questionnaire survey. These behaviors were selected based on an open-answer pre-questionnaire administered to the 30 patients beforehand. The scores were also compared between dominant arm and non-dominant arm arteriovenous fistula groups. Results During non-dialysis, the difficulty scores of behaviors restricted out of concern for arteriovenous fistula obstruction (wear a wristwatch, hang a bag on the arm, carry a baby or a dog in the arms, wear a short-sleeved shirt, etc.) increased. The difficulties of “wear a wristwatch” and “hang a bag on the arm” were significantly higher in the non-dominant arm arteriovenous fistula group (both P < 0.05). In contrast, scores related to motor function (write, eat or drink, scratch an itch, etc.) increased remarkably during dialysis because of connection of the arteriovenous fistula to the dialysis machine. The difficulties of “write” and “eat or drink” were significantly higher in the dominant arm arteriovenous fistula group (both P < 0.05). Conclusions Several key daily living behaviors restricted by an arteriovenous fistula were identified in this questionnaire survey. These results will be useful for pre-operative explanation of arteriovenous fistula surgery and arm selection in end-stage renal disease patients. |
| first_indexed | 2024-04-12T12:34:04Z |
| format | Article |
| id | doaj.art-5e9ffd32c05345e29f4b3cdb03be762d |
| institution | Directory Open Access Journal |
| issn | 1471-2369 |
| language | English |
| last_indexed | 2024-04-12T12:34:04Z |
| publishDate | 2018-10-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Nephrology |
| spelling | doaj.art-5e9ffd32c05345e29f4b3cdb03be762d2022-12-22T03:32:56ZengBMCBMC Nephrology1471-23692018-10-011911910.1186/s12882-018-1097-9Influence of arteriovenous fistula on daily living behaviors involving the upper limbs in hemodialysis patients: a cross-sectional questionnaire studyYuuta Hara0Kosuke Sonoda1Koji Hashimoto2Kazuaki Fuji3Yosuke Yamada4Yuji Kamijo5Department of Nephrology, Shinshu University School of MedicineDepartment of Nephrology, Shinshu University School of MedicineDepartment of Nephrology, Shinshu University School of MedicineDepartment of Nephrology, Shinshu University School of MedicineDepartment of Nephrology, Shinshu University School of MedicineDepartment of Nephrology, Shinshu University School of MedicineAbstract Background Arteriovenous fistulae can restrict daily living behaviors involving the upper limbs in hemodialysis patients, but no studies have investigated the detailed effects of an arteriovenous fistula on routine life activities. Accordingly, many medical caregivers are unable to explain the effects of an arteriovenous fistula on daily life, particularly during non-dialysis periods, because they cannot observe them directly. Methods Thirty outpatients undergoing hemodialysis at 2 facilities scored the difficulty due to an arteriovenous fistula in performing 48 living behaviors during non-dialysis and 10 behaviors during dialysis into 5 grades in a comprehensive questionnaire survey. These behaviors were selected based on an open-answer pre-questionnaire administered to the 30 patients beforehand. The scores were also compared between dominant arm and non-dominant arm arteriovenous fistula groups. Results During non-dialysis, the difficulty scores of behaviors restricted out of concern for arteriovenous fistula obstruction (wear a wristwatch, hang a bag on the arm, carry a baby or a dog in the arms, wear a short-sleeved shirt, etc.) increased. The difficulties of “wear a wristwatch” and “hang a bag on the arm” were significantly higher in the non-dominant arm arteriovenous fistula group (both P < 0.05). In contrast, scores related to motor function (write, eat or drink, scratch an itch, etc.) increased remarkably during dialysis because of connection of the arteriovenous fistula to the dialysis machine. The difficulties of “write” and “eat or drink” were significantly higher in the dominant arm arteriovenous fistula group (both P < 0.05). Conclusions Several key daily living behaviors restricted by an arteriovenous fistula were identified in this questionnaire survey. These results will be useful for pre-operative explanation of arteriovenous fistula surgery and arm selection in end-stage renal disease patients.http://link.springer.com/article/10.1186/s12882-018-1097-9Arteriovenous fistulaDialysisDominant armLiving behaviorMotor function |
| spellingShingle | Yuuta Hara Kosuke Sonoda Koji Hashimoto Kazuaki Fuji Yosuke Yamada Yuji Kamijo Influence of arteriovenous fistula on daily living behaviors involving the upper limbs in hemodialysis patients: a cross-sectional questionnaire study BMC Nephrology Arteriovenous fistula Dialysis Dominant arm Living behavior Motor function |
| title | Influence of arteriovenous fistula on daily living behaviors involving the upper limbs in hemodialysis patients: a cross-sectional questionnaire study |
| title_full | Influence of arteriovenous fistula on daily living behaviors involving the upper limbs in hemodialysis patients: a cross-sectional questionnaire study |
| title_fullStr | Influence of arteriovenous fistula on daily living behaviors involving the upper limbs in hemodialysis patients: a cross-sectional questionnaire study |
| title_full_unstemmed | Influence of arteriovenous fistula on daily living behaviors involving the upper limbs in hemodialysis patients: a cross-sectional questionnaire study |
| title_short | Influence of arteriovenous fistula on daily living behaviors involving the upper limbs in hemodialysis patients: a cross-sectional questionnaire study |
| title_sort | influence of arteriovenous fistula on daily living behaviors involving the upper limbs in hemodialysis patients a cross sectional questionnaire study |
| topic | Arteriovenous fistula Dialysis Dominant arm Living behavior Motor function |
| url | http://link.springer.com/article/10.1186/s12882-018-1097-9 |
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