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KMID : 1221920180110010028
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Journal of Korean Critical Care Nursing
2018 Volume.11 No. 1 p.28 ~ p.34
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The effect of Arteriovenous Fistula Cannulation Direction and Puncture Distance on the Recirculation Rate of Hemodialysis Patients
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Lim Hyo-Jeong
Choi Eun-Hee
Kim Eun-Ju
Jeong Ji-Yoon
Ban Seung-Su
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Abstract
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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.
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KEYWORD
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Hemodialysis, Arteriovenous fistula, Puncture
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