Shaheen Majid, Schubert Foo, Brendan Luyt, Xue Zhang, Yin-Leng Theng, Yun-Ke Chang, Intan A Mokhtar
Adopting evidence-based practice in clinical decision making: nurses' perceptions, knowledge, and barriers
Journal of the Medical Library Association : JMLA
exercise limb function economical safe method promote maturation arteriovenous fistula avf however due lack unified exercise standard china many patients insufficient awareness importance avf leading poor effectiveness limb function exercise selfmanagement education model effectively promote patients take proactive healthrelated actions study focuses characteristics patients periavf period conducts phased limb function exercise guidance selfmanagement education model observe changes factors maturity avf assess impact stagespecific limb function exercises directed selfmanagement education model maturation status avfs study randomized controlled trial involving 74 patients forearm avfs nephrology department tertiary hospital sichuan province china patients randomly divided observation group control group using random number table method observation group underwent tailored stagespecific limb function exercises informed selfmanagement education model took account unique features avf various stages conjunction routine care conversely control group given standard limb function exercises along routine care assessment involves maturity avfs postintervention postoperative complications selfmanagement level fistula groups patients analyses conducted using spss version 230 count data represented frequency percentage subjected chisquare test comparisons measurement data adhering normal distribution presented mean sd independent samples ttest utilized intergroup comparisons paired ttest used intragroup comparisons measurement data fitting normal distribution median interquartile range presented analyzed using wilcoxon rank sum test 8wk postoperative mark observation group demonstrated significantly higher scores avf symptom recognition symptom prevention selfmanagement compared control group p 005 however variance symptom management scores observation control groups lacked statistical significance p 005 4 wk operation observation group displayed superior vessel diameter depth skin drainage vessels comparison control group p 005 observation group manifest elevated blood flow rates drainage vessels relative control group distinction statistically significant p 005 8wk postoperative interval observation group outperformed control group notable enhancements blood flow rates vessel diameter depth skin drainage vessels p 001 seven days following procedure observation group manifested significantly diminished limb swelling overall reduced complication rate contrast control group p 005 evaluation infection thrombosis embolism arterial aneurysm stenosis incision bleeding showed notable differences two groups p 005 4wk postoperative juncture complications observation control groups statistically indistinguishable p 005 stagespecific limb function exercises guidance selfmanagement education model amplify capacity avf patients discern prevent symptoms additionally expedite avf maturation mitigate postoperative limb edema underscoring efficacy valuable method care upkeep avf hemodialysis patients