Cuidados de la fístula arteriovenosa
Fecha
2016-06-17
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Jaén: Universidad de Jaén
Resumen
[ES]Los propios pacientes y los enfermeros generalistas que no se encuentran en unidades nefrológicas, presentan con frecuencia dudas y comportamientos que sugieren un déficit de conocimientos sobre el cuidado de la fístula arteriovenosa (FAV) y somos los enfermeros los que debemos asumir el rol de entrenadores. La conservación del acceso vascular se basa en unos cuidados exhaustivos y protocolizados, los cuales permitan un desarrollo apropiado y posteriormente una utilización apropiada. Los cuidados del acceso deben comenzar antes de la realización de la FAV, continuar en el postoperatorio inmediato, durante el periodo de maduración y tras el inicio en el programa de hemodiálisis. El objetivo de éste trabajo es hacer una revisión bibliográfica acerca de los cuidados de enfermería y los autocuidados del paciente sobre las fístulas arteriovenosas y la elaboración de un manual para enfermeros generalistas y un tríptico para pacientes que los contenga.
[EN] The patients themselves and general nurses, who are not in nephrology units, often have doubts and behaviors that suggest a lack of knowledge about the care of the arteriovenous fistula (AVF) and are nurses who must assume the role of trainers. The preservation of vascular access is based on comprehensive and protocolised cares, which allow appropriate development and appropriate use later. Access care should begin before the completion of the AVF; continue in the immediate postoperative period, during the ripening period and after starting the hemodialysis program. The aim of this work is to review the literature about nursing care and patient self-care on arteriovenous fistulas and the development of a manual for general nurses and a leaflet for patients that contains them.
[EN] The patients themselves and general nurses, who are not in nephrology units, often have doubts and behaviors that suggest a lack of knowledge about the care of the arteriovenous fistula (AVF) and are nurses who must assume the role of trainers. The preservation of vascular access is based on comprehensive and protocolised cares, which allow appropriate development and appropriate use later. Access care should begin before the completion of the AVF; continue in the immediate postoperative period, during the ripening period and after starting the hemodialysis program. The aim of this work is to review the literature about nursing care and patient self-care on arteriovenous fistulas and the development of a manual for general nurses and a leaflet for patients that contains them.