Talk Description
133R - Research Paper
Abstract
Aim:
To examine the effectiveness of educational and behavioural interventions designed to improve self-management of long-term vascular access in adults receiving haemodialysis.
Method:
A systematic review ofEnglish language publicationsfrom January 2013 to May 2023 retrieved from PubMed, Embase, CINAHL, Cochrane Library, PsycINFO and Joanna Briggs Institute (JBI) databases was undertaken. Two review authors identified studies for full review, data extraction and quality assessment. Data synthesis and quality assessment followed the JBI guideline for quantitative review and JBI critical appraisal tool. The review was prospectively registered with PROSPERO (CRD42023414193).
Results:
Seven studies involving 540 participants were included; two studies were randomised control trials and five were quasi-experimental. All studies involved patient education, predominately provided by nurses, and employing a variety of teaching resources such as education booklets, practical demonstrations, videos, and other patients’ experiences. The self-management assessment tools varied among the studies. Outcomes measured included vascular access self-management behaviours, self-efficacy, and vascular access knowledge, and results revealed significant improvements post educational interventions.
Conclusion:
Educational and behavioural interventions improved self-management behaviours of patients with long-term vascular access. However, there were inconsistencies in self-management interventions. An evidence-based nurse-led self-management education intervention could lead to improvements in vascular self-management.
Abstract
Aim:
To examine the effectiveness of educational and behavioural interventions designed to improve self-management of long-term vascular access in adults receiving haemodialysis.
Method:
A systematic review ofEnglish language publicationsfrom January 2013 to May 2023 retrieved from PubMed, Embase, CINAHL, Cochrane Library, PsycINFO and Joanna Briggs Institute (JBI) databases was undertaken. Two review authors identified studies for full review, data extraction and quality assessment. Data synthesis and quality assessment followed the JBI guideline for quantitative review and JBI critical appraisal tool. The review was prospectively registered with PROSPERO (CRD42023414193).
Results:
Seven studies involving 540 participants were included; two studies were randomised control trials and five were quasi-experimental. All studies involved patient education, predominately provided by nurses, and employing a variety of teaching resources such as education booklets, practical demonstrations, videos, and other patients’ experiences. The self-management assessment tools varied among the studies. Outcomes measured included vascular access self-management behaviours, self-efficacy, and vascular access knowledge, and results revealed significant improvements post educational interventions.
Conclusion:
Educational and behavioural interventions improved self-management behaviours of patients with long-term vascular access. However, there were inconsistencies in self-management interventions. An evidence-based nurse-led self-management education intervention could lead to improvements in vascular self-management.