Cumplimiento de los cuidados de las fistulas arteriovenosas en pacientes con tratamiento de hemodiálisis en un hospital de la ciudad de Guayaquil.

Abstract

Nursing interventions in the management of arteriovenous fistulas require continuous care, therefore, the evaluation of compliance with the activities contributes to improving the care and quality of life of hemodialysis patients. Objective: To describe the compliance of nursing professionals in the care of arteriovenous fistulas in patients with hemodialysis treatment in a hospital in the city of Guayaquil. Methodology: descriptive, quantitative, prospective, cross-sectional. Population: 40 nursing professionals. Technique: Survey and direct observation, Instrument: Questionnaire and direct observation matrix. Results: Characteristics: age 29 to 39 years (70%), women (75%), with direct care position (72%), work morning shift (100%), with seniority greater than 18 months (72%) , specialists (75%); fistula care before: cleans the patient, washes the arm, skin sepsis (100%); after treatment: hemostasis of the punctured site, placing a dressing, educating the patient, among others (100%); management of arteriovenous fistulas: asepsis stockings, insertion technique, cannulation technique, and patient and family education (100%). Conclusion: The professional has knowledge and experience, which allows him to have a better care management of the arteriovenous fistula, guaranteeing its correct functioning, they also participate in training that guides the prevention of complications. This allows the entire nursing professional to fully comply with this care, contributing to the prevention of infections and reducing the length of stay in the hospital.