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The effect of Arteriovenous Fistula Cannulation Direction and Puncture Distance on the Recirculation Rate of Hemodialysis Patients  

Lim, Hyo Jeong (Inje University Sanggye Paik Hospital)
Choi, Eun Hee (Department of Nursing, Korean Bible University)
Kim, Eun Ju (Inje University Sanggye Paik Hospital)
Jeong, Ji Yoon (Inje University Sanggye Paik Hospital)
Ban, Seung Su (Inje University Sanggye Paik Hospital)
Publication Information
Journal of Korean Critical Care Nursing / v.11, no.1, 2018 , pp. 28-34 More about this Journal
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.
Keywords
Hemodialysis; Arteriovenous fistula; Puncture;
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