ANXIETY OF HEMODIALYSIS PATIENT WITH ACCESS ARTERIOVENOUS FISTULA (AV-SHUNT): A QUALITATIVE STUDY

  • Siti Nafisah Master of Nursing Study Program, Universitas Diponegoro, Indonesia
  • Meira Irawati Master of Nursing Study Program, Universitas Diponegoro, Indonesia
  • Wahyu Hidayati Master of Nursing Study Program, Universitas Diponegoro, Indonesia
Keywords: Arteriovenous fistula, hemodialysis, anxiety

Abstract

Background: Cannulation is an intervention that inserts a needle through the skin into a blood vessel. Av-shunt is the most recommended access for use in the hemodialysis therapy process. Psychosocial problems, especially feelings of anxiety and fear can be felt by patients due to AV-shunt. Anxiety is a scientific attitude experienced by each individual as a form of response in dealing with problems or threats Vascular access complications may threaten lives and reduce treatment satisfaction and life quality.  Objectives: This study aimed to describe hemodialysis patient anxiety with arteriovenous fistula (AV-shunt) access. Methods: A descriptive qualitative study using the in-depth interview method with phenomenology approach. The study was carried out with four informants undergoing hemodialysis in RSUD dr. Haryoto Lumajang. Samples were taken using purposive sampling. Participant statements were recorded using a voice recorded, transcribed, coded, interpreted, and categorized to create a theme. Results: The study results produced three themes: (1) Emotional feeling perceived associated with AV-shunt experience: Anxiety, fear, and helplessness, (2) Physical and physical activity changes: Dark skin, dry skin, limp body, and fatigue, and (3) Patient knowledge regarding av-shunt, i.e., AV-shunt access and based on information sources. Conclusion: Patients with arteriovenous fistula (AV-shunt) access had anxieties caused by cannulation initial pain, fear, and sense of uselessness.

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References

Academic, M. K. A., Al-juboori, A. K., & Dean, T. (2015). Anxiety and Depression Symptoms of Renal Failure Patients Undergoing Hemodialysis at Al Sadder Teaching Hospital in Al Amarah City. Kufa Journal for Nursing Sciences, 5(2), 1–11.

Baleegh, E., Elsayed, M., Hassan, E., Radwan, M., Ibrahim, N., Ahmed, E., & El-gilany, H. (2019). The effect of Benson’s relaxation technique on anxiety , depression and sleep quality of elderly patients undergoing hemodialysis. Innovative Journal, 9(02), 23–31. DOI: https://doi.org/10.15520/ijnd.v9i02.2443

Baral S, Pant V, S. D. (2017). Dialysis adequacy in ESRD patients on maintenance hemodialysis in a tertiary care center. In JIM (Vol. 37, Issue 2, pp. 29–32).

Bossola, M., Pepe, G., Picca, A., Calvani, R., & Marzetti, E. (2019). Treating symptoms to improve the quality of life in patients on chronic hemodialysis. International Urology and Nephrology, 51(5), 885–887. DOI: https://doi.org/10.1007/s11255-019-02121-5

Chiou, C. P., & Chung, Y. C. (2012). Effectiveness of multimedia interactive patient education on knowledge, uncertainty and decision-making in patients with end-stage renal disease. Journal of Clinical Nursing, 21(9), 1223–1231. DOI: https://doi.org/10.1111/j.1365-2702.2011.03793.x

Cohen, S. D., Cukor, D., & Kimmel, P. L. (2016). Anxiety in patients treated with hemodialysis. Clinical Journal of the American Society of Nephrology, 11(12), 2250–2255. DOI: https://doi.org/10.2215/CJN.02590316

Drew, D. A., Lok, C. E., Cohen, J. T., Wagner, M., Tangri, N., & Weiner, D. E. (2015). Vascular access choice in incident hemodialysis patients: A decision analysis. Journal of the American Society of Nephrology, 26(1), 183–191. DOI: https://doi.org/10.1681/ASN.2013111236

El-Sheikh, M., & El-Ghazaly, G. (2016). Assessment of hemodialysis adequacy in patients with chronic kidney disease in the hemodialysis unit at Tanta University Hospital in Egypt. Indian Journal of Nephrology, 26(6), 398–404. DOI: https://doi.org/10.4103/0971-4065.168141

Falodun, O., Ogunbiyi, A., Salako, B., & George, A. K. (2011). Skin changes in patients with chronic renal failure. Saudi Journal of Kidney Diseases and Transplantation, 22(2), 268–272.

Firman, R., Mugianti, S., Sunarno, I., & Winarni, S. (2016). The quality life of renal failure patient undergo hemodialysis. Jurnal Ners Dan Kebidanan (Journal of Ners and Midwifery), 3(2), 118–122. DOI: https://doi.org/10.26699/jnk.v3i2.ART.p118-122

Harwood, L., Wilson, B., & Goodman, M. (2017). Arteriovenous fistula for hemodialysis : A scoping review. Continuing Nursing Education, 44(5), 411–427.

Kurniawati, D. P., Widyawati, I. Y., & Mariyanti, H. (2018). Edukasi Dalam Meningkatkan Kepatuhan Intake Cairan Pasien Penyakit Ginjal Kronik (PGK) on Hemodialisis. FIK Universitas Airlangga, 1–7.

Mancini, A. (2016). Hypotension and frequent hemodialysis: Clarification requested regarding the KDOQI hemodialysis adequacy guideline 2015 update. American Journal of Kidney Diseases, 67(3), 532–533. DOI: https://doi.org/10.1053/j.ajkd.2015.12.012

Mencarelli, F., Busutti, M., & Montini, G. (2015). Chronic kidney disease. Pediatric Urology: Contemporary Strategies from Fetal Life to Adolescence, 353–363. DOI: https://doi.org/10.1007/978-88-470-5693-0_29

Moist, L. M., Lee, T. C., Lok, C. E., Al-Jaishi, A., Xi, W., Campbell, V., Graham, J., Wilson, B., & Vachharajani, T. J. (2013). Education in vascular access. Seminars in Dialysis, 26(2), 148–153. DOI: https://doi.org/10.1111/sdi.12055

Mollaoǧlu, M., Tuncay, F. Ö., Fertelli, T. K., & Yürügen, B. (2012). Effect on anxiety of education programme about care of arteriovenous fistula in patients undergoing hemodialysis. Journal of Vascular Access, 13(2), 152–156. DOI: https://doi.org/10.5301/jva.5000013

Rajan, E. J. uidt. E., & Subramanian, S. (2016). The effect of depression and anxiety on the performance status of end-stage renal disease patients undergoing hemodialysis. Saudi Journal of Kidney Diseases and Transplantation : An Official Publication of the Saudi Center for Organ Transplantation, Saudi Arabia, 27(2), 331–334. DOI: https://doi.org/10.4103/1319-2442.178555

Rodrigues, F., Bartolo, A., Pacheco, E., Pereira, A., Silva, C. F., & Oliveira, C. (2018). Psycho-Education for Anxiety Disorders in Adults: A Systematic Review of its Effectiveness. Journal of Forensic Psychology, 3(2), 1–5. DOI: https://doi.org/10.4172/2475-319X.1000142

Santoso, M. D. Y. (2018). Tinjauan Sistematik: Kecemasan Pasien Penyakit Ginjal Kronik Dengan Tindakan Hemodialisis. Jurnal Kesehatan Mesencephalon, 4(2), 99–105. DOI: https://doi.org/10.36053/mesencephalon.v4i2.74

Shahnavazi, M., Parsa-Yekta, Z., Yekaninejad, M. S., Amaniyan, S., Griffiths, P., & Vaismoradi, M. (2018). The effect of the emotional intelligence education programme on quality of life in haemodialysis patients. Applied Nursing Research, 39(8049), 18–25. DOI: https://doi.org/10.1016/j.apnr.2017.10.017

Sitoresmi, H., Irwan, A. M., & Sjattar, E. L. (2020). Nursing Intervention for Patients With Chronic Renal Failure Who Undergoing Hemodialysis : A Systemtic Review. Jurnal Ilmiah Keperawatan (Scientific Journal of Nursing), 6(1), 108–118. DOI: https://doi.org/10.33023/jikep.v6i1.451

Sultan, S., Hynes, N., Hamada, N., & Tawfick, W. (2012). Patients on hemodialysis are better served by a proximal arteriovenous fistula for long-term venous access. Vascular and Endovascular Surgery, 46(8), 624–634. DOI: https://doi.org/10.1177/1538574412462635

Taylor, M. J., Hanson, C. S., Casey, J. R., Craig, J. C., Harris, D., & Tong, A. (2016). “You know your own fistula, it becomes a part of you”-Patient perspectives on vascular access: A semistructured interview study. Hemodialysis International, 20(1), 5–14. DOI: https://doi.org/10.1111/hdi.12340

Wiliyanarti, P. F., & Muhith, A. (2019). Life Experience of Chronic Kidney Diseases Undergoing Hemodialysis Therapy. NurseLine Journal, 4(1), 54. DOI: https://doi.org/10.19184/nlj.v4i1.9701

World Health Organization. Global Burden Of Kidney Disease. (2018). Bulletin of the World Health Organization, 96, 414–422. DOI: https://doi.org/10.2471/BLT.17.206441

Published
2021-12-18
How to Cite
Nafisah, S., Irawati, M., & Hidayati, W. (2021). ANXIETY OF HEMODIALYSIS PATIENT WITH ACCESS ARTERIOVENOUS FISTULA (AV-SHUNT): A QUALITATIVE STUDY. Nurse and Health: Jurnal Keperawatan, 10(2), 240-248. https://doi.org/10.36720/nhjk.v10i2.240
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