Interventions to promote self-care of people with arteriovenous fistula

Clemente N. Sousa*, João Luís Apóstolo, Maria Henriqueta Figueiredo, Maria Manuela Martins, Vanessa F. Dias

*Corresponding author for this work

Research output: Contribution to journalReview articlepeer-review

20 Citations (Scopus)


Aims and objectives: The literature shows many self-care behaviours related to people with end-stage renal disease (ESRD). Our aim is to identify interventions within the 'teaching' that promote self-care (behaviour) with arteriovenous fistula (AVF). Background: The development of self-care behaviours with the AVF allows the access to maintain the best possible conditions, because its state influences the efficacy of the dialysis treatment. However, few studies assess self-care behaviours that people with ESRD have with the AVF, as well as interventions that promote this self-care. Design: Discursive paper. Methods: Our research was conducted in MEDLINE, Health Nursing and Allied Literature (CINAHL), Web of Science and SCOPUS using three search expressions, between the period of 2000-2010. We selected studies that identified interventions that promote self-care with AVF. Results: No study has shown in detail the interventions that aimed at promoting self-care behaviours with the AVF for patients with ESRD. We verify that the interventions that promote self-care are directed mostly to the moments after AVF construction. Conclusions: This paper reinforces the need to develop guidelines that provide guidance for self-care with the AVF to be developed by people with ESRD. We also found that self-care behaviours directed to the AVF are mostly associated with postconstruction of the access. Relevance to clinical practice: Based on these results, it is necessary to delineate clear intervention programmes and objectives, in order to assess self-care with the AVF by people with ESRD, as well as to develop guidelines that provide guidance for self-care for the person with an AVF.
Original languageEnglish
Pages (from-to)1796-1802
Number of pages7
JournalJournal of Clinical Nursing
Issue number13-14
Publication statusPublished - Jul 2014


  • Arteriovenous fistula
  • Haemodialysis
  • Self-care
  • Vascular access


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