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The Effect of Virtual Training on the Preparation of Arteriovenous Fistulas in Hemodialysis Patients
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Fatemeh Ghodsi   , Moosa Sajjadi , Tahereh Baluchi Beidokhti |
| Gonabad University of Medical Sciences & Gonabad University of Medical Sciences , sajjadi1975@gmail.com |
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Abstract: (26 Views) |
Introduction: The arteriovenous fistula is considered one of the most suitable methods for vascular access in patients undergoing hemodialysis. Inadequate fistula function is the most common cause of secondary interventions and repeated hospitalizations in these patients. Therefore, the present study was conducted to determine the effect of virtual training on arteriovenous fistula maturation in hemodialysis patients.
Methods: This study employed a randomized controlled clinical trial design. Forty-four patients from the Nikan, Pazhohesh, and Saleh Afshar hemodialysis centers in Mashhad in 2024 were selected using the available method and divided into experimental and control groups, with quadruple permutation blocks. The experimental group received training on care methods for service access during arteriovenous fistula preparation in hemodialysis patients in six sessions (one session per week) via the WhatsApp social network. Data were collected using a demographic questionnaire and checklist to assess the status of patients before and after the intervention. Data were analyzed using independent t-tests, chi-square tests, and Fisher's exact tests with SPSS version 20 software at a significance level of p < 0.05.
Results: The results showed that there was no statistically significant difference between the test and control groups in terms of distal pulse, finger sensation, appropriate fistula length, change, aneurysm, movement disorder, and pain (p>0.05), but there was a statistically significant difference between the test and control groups in terms of the presence of trills, swelling, edema, dyspnea, and persistence (p>0.05).
Conclusion: The results demonstrate that virtual training in vascular access care methods is an effective preparation method for arteriovenous fistulas in hemodialysis patients. The findings of this study can be applied to train renal patients in clinics and medical centers.
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| Keywords: Virtual education, Arteriovenous fistula, Hemodialysis |
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Full-Text [PDF 375 kb]
(15 Downloads)
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Type of Study: Quantitative-Research |
Subject:
General
Received: 2025/05/12 | Accepted: 2025/09/24 | Published: 2025/07/1
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