ArticleHealth science reports2025
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.
Article in Health science reports, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.
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Who cites it
2 citing papers in PubMed.
- Latent Profile Analysis of Autologous Arteriovenous Fistula Self-Management in Patients Undergoing Maintenance Hemodialysis.Patient preference and adherence · 2026Article
- Knowledge, attitudes, and practices regarding the functional status of arteriovenous fistulas among hemodialysis patients.Scientific reports · 2025Article
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8 authors.
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Abstract
Background and Aims: The majority of complications arising from the arteriovenous fistula (AVF) site for hemodialysis (HD) can be prevented through the implementation of a daily self-care plan. This study aimed to assess the knowledge, attitude, and practice (KAP) of hemodialysis patients with end-stage kidney disease (ESKD) regarding AVF self-care preoperative, postoperative, and during follow-up. Methods: This prospective cohort study was conducted at a tertiary referral center in Nepal. It included ESKD patients over 18 years with AVF. Patients were interviewed preoperative, postoperative, and at 2, 4, and 6 weeks. KAP was assessed as percentages, and associations were analyzed using the Results: Among 173 AVF patients, 98.8% had poor knowledge preoperative, while 98.3% had good knowledge postoperative, with significant improvement in the overall score of knowledge ( Conclusion: Although the majority of patients undergoing HD planned for AVF exhibited a favorable attitude towards fistula care, their knowledge was poor. Knowledge significantly improved with follow-ups, but motivation for self-care decreased over time. Patients' practices generally aligned with knowledge scores, emphasizing the importance of regular reminders and periodic evaluations by healthcare workers for practical aspects of AVF care for all ESKD patients undergoing HD.
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