Perceived barriers and attitudes toward arteriovenous fistula creation and use in hemodialysis patients in Palestine
In the dialysis center in Ramallah, we investigated the attitudes and perceived barriers to having arteriovenous fistula (AVF) in 156 patients. The current method of HD access was AVF in 52% and central venous catheter in 47%. Perceived causes of no or delayed AVF were: patient’s refusal of AVF in 5...
| Main Authors: | , , , |
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| Format: | Article |
| Language: | English |
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Taylor & Francis Group
2020-01-01
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| Series: | Renal Failure |
| Subjects: | |
| Online Access: | http://dx.doi.org/10.1080/0886022X.2020.1748650 |
| _version_ | 1818848982228533248 |
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| author | Ala O. Shamasneh Anwar S. Atieh Kamel A. Gharaibeh Abdurrahman Hamadah |
| author_facet | Ala O. Shamasneh Anwar S. Atieh Kamel A. Gharaibeh Abdurrahman Hamadah |
| author_sort | Ala O. Shamasneh |
| collection | DOAJ |
| description | In the dialysis center in Ramallah, we investigated the attitudes and perceived barriers to having arteriovenous fistula (AVF) in 156 patients. The current method of HD access was AVF in 52% and central venous catheter in 47%. Perceived causes of no or delayed AVF were: patient’s refusal of AVF in 54.5%, late referral to a surgical evaluation in 31.3% and too long to surgical appointments in 14.2%. Among those who refused AVF, reasons were: concern about the surgical procedure in 42.5%, poor understanding of disease/access in 23.3%, fear of needles in 15.1%, denial of disease or need for HD in 17.8%, and cosmetic reasons in 1.4%. Forty six percent of patients believed they received education about AVF prior to the creation of HD access, and 73.7% would recommend AVF as the method of access due to the lower risk of infection (96%), easier to care for (16%), easier showering (14%), and better-associated hygiene (3%). In conclusion, the majority would recommend an AVF as the mode of vascular access for HD. The most common barrier to having an AVF was patient’s refusal to undergo AVF creation because of their concern about the surgical procedure. A systematic evaluation of the process that precedes the creation of AVF may allow for better utilization. |
| first_indexed | 2024-12-19T06:25:59Z |
| format | Article |
| id | doaj.art-7fdcf2efe36f4cb288cc437848c4357a |
| institution | Directory Open Access Journal |
| issn | 0886-022X 1525-6049 |
| language | English |
| last_indexed | 2024-12-19T06:25:59Z |
| publishDate | 2020-01-01 |
| publisher | Taylor & Francis Group |
| record_format | Article |
| series | Renal Failure |
| spelling | doaj.art-7fdcf2efe36f4cb288cc437848c4357a2022-12-21T20:32:34ZengTaylor & Francis GroupRenal Failure0886-022X1525-60492020-01-0142134334910.1080/0886022X.2020.17486501748650Perceived barriers and attitudes toward arteriovenous fistula creation and use in hemodialysis patients in PalestineAla O. Shamasneh0Anwar S. Atieh1Kamel A. Gharaibeh2Abdurrahman Hamadah3Department of Internal Medicine, Faculty of Medicine, Al-Quds UniversityDepartment of Internal Medicine, Faculty of Medicine, Al-Quds UniversityDepartment of Internal Medicine, Faculty of Medicine, Al-Quds UniversityDepartment of Medicine, Faculty of Medicine, Hashemite UniversityIn the dialysis center in Ramallah, we investigated the attitudes and perceived barriers to having arteriovenous fistula (AVF) in 156 patients. The current method of HD access was AVF in 52% and central venous catheter in 47%. Perceived causes of no or delayed AVF were: patient’s refusal of AVF in 54.5%, late referral to a surgical evaluation in 31.3% and too long to surgical appointments in 14.2%. Among those who refused AVF, reasons were: concern about the surgical procedure in 42.5%, poor understanding of disease/access in 23.3%, fear of needles in 15.1%, denial of disease or need for HD in 17.8%, and cosmetic reasons in 1.4%. Forty six percent of patients believed they received education about AVF prior to the creation of HD access, and 73.7% would recommend AVF as the method of access due to the lower risk of infection (96%), easier to care for (16%), easier showering (14%), and better-associated hygiene (3%). In conclusion, the majority would recommend an AVF as the mode of vascular access for HD. The most common barrier to having an AVF was patient’s refusal to undergo AVF creation because of their concern about the surgical procedure. A systematic evaluation of the process that precedes the creation of AVF may allow for better utilization.http://dx.doi.org/10.1080/0886022X.2020.1748650end stage renal diseasehemodialysisarteriovenous fistulacentral venous catheterbarriers |
| spellingShingle | Ala O. Shamasneh Anwar S. Atieh Kamel A. Gharaibeh Abdurrahman Hamadah Perceived barriers and attitudes toward arteriovenous fistula creation and use in hemodialysis patients in Palestine Renal Failure end stage renal disease hemodialysis arteriovenous fistula central venous catheter barriers |
| title | Perceived barriers and attitudes toward arteriovenous fistula creation and use in hemodialysis patients in Palestine |
| title_full | Perceived barriers and attitudes toward arteriovenous fistula creation and use in hemodialysis patients in Palestine |
| title_fullStr | Perceived barriers and attitudes toward arteriovenous fistula creation and use in hemodialysis patients in Palestine |
| title_full_unstemmed | Perceived barriers and attitudes toward arteriovenous fistula creation and use in hemodialysis patients in Palestine |
| title_short | Perceived barriers and attitudes toward arteriovenous fistula creation and use in hemodialysis patients in Palestine |
| title_sort | perceived barriers and attitudes toward arteriovenous fistula creation and use in hemodialysis patients in palestine |
| topic | end stage renal disease hemodialysis arteriovenous fistula central venous catheter barriers |
| url | http://dx.doi.org/10.1080/0886022X.2020.1748650 |
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