Effect of Post-Operative Exercise on Arteriovenous Fistula Maturation in Patients with Chronic Renal Failure: A randomized controlled trial. | ||
| Egyptian Journal of Health Care | ||
| Volume 16, Issue 2, June 2025, Pages 155-167 PDF (468.77 K) | ||
| Document Type: Original Article | ||
| DOI: 10.21608/ejhc.2025.424292 | ||
| Authors | ||
| Noura Mahmoud Elrefaey1; Azza Ibrahim Abdelkader Habiba2; Hoda Abdou Abd El-Monem El-Deeb3 | ||
| 1Assistant Professor of Medical- Surgical Nursing, Faculty of Nursing, Matrouh University | ||
| 2Assistant Professor of Medical- Surgical Nursing, Faculty of Nursing, Damanhour University | ||
| 3Assistant Professor of Medical- Surgical Nursing, Faculty of Nursing, Alexandria University and Assistant professor, Nursing Department, Alriyada College for Health Sciences, Jeddah, Saudi Arabia | ||
| Abstract | ||
| Background: Nearly half a million people requiring hemodialysis, with approximately 100,000 new cases of end-stage renal disease (ESRD) on an annual basis. long-term survival of hemodialysis patients depends on the creation and maintenance of adequate vascular access. Accesses that were nonfunctional after six weeks of maturation are considered primary failures. Aim of the Study: This study aimed to evaluate the effect of post-operative exercise on arteriovenous fistula (AVF) maturation in patients with chronic renal failure. Subjects and methods: Study design: A parallel-group, 2-arm randomized controlled trial of exercise programs for AVF maturation, with single-blind design. Setting: The study conducted at vascular outpatient's clinic, Alexandria Main University Hospital, Alexandria governorate, Egypt. Participants: A purposive sample patient who admitted to the above-mentioned setting who are candidates for AVF creation were recruited. The sample size was 64 participants. Tools: Three tools were developed: Tool I: " Bio-demographic and clinical data assessment sheet " Tool II: " AVF Clinical maturation assessment sheet" Tool III: " AVF Ultrasound maturation ". Results: The results revealed that there is early maturation in the study group over control with statistical significance differences after 2 weeks and after 6 weeks (P=0.032 and 0.001) respectively. After 12 weeks’ assessment 100% of study group and 93.75% of control group represent full AVF clinical maturation. Ultrasound maturation was showed significance difference after 6 weeks’ assessment in the cephalic vein (P=0.012) and brachial artery (P=0.025). Conclusion: Significant clinical maturation assessment of AVF by inspection, palpation and auscultation is earlier and more visible in the study group patients, Furthermore, ultrasonic evaluations revealed accelerated maturation timelines in all study group participants relative to the majority of patients in the control group. Recommendation: It is recommended to include exercise program postoperatively for patients undergoing AVF procedures in treatment plan of these patients. Replicate this study on larger samples and on patients with other types of hemodialysis accesses. | ||
| Keywords | ||
| Arteriovenous fistula; Chronic renal failure; Maturation; Post-operative exercise | ||
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