Learning Objective 1: a view guided by nursing intervention for arteriovenous fistula surgery patients, their families related to proper implementation of post-operative care knowledge.
Learning Objective 2: To reduce post-operative complications, and thus improve the quality of care.
The study adapted the One Group Pretest Posttest Design, During the study period, 30 patients were evaluated, and integrity of post surgery education and nursing care were 72.7%. Among the nursing care and education items, functional assessment of arterior-venous fistula, wound care and patients education was not adequate , and the AV shunt assessment and treatment were not accuracy. Therefore, A guiding program for post AV fistula surgery including the nursing care, wound care, patient education, assessment method for post-operative and the promotion of education and training was developed.
After the implantation of guiding program for post AV shunt surgery care, the integrity of post surgery education and nursing care increased to 100% (+ 27.3%). The patient satisfaction with nursing care and education increased from 78.0% to 94.3%(+16.3%). guiding program for post AV shunt surgery care not only to teached patients how to relieve the symptoms of post-operative discomfort, but also enhanced patients' understanding of treatment regimens and reduced anxiety.
The study revealed that the guiding program for post AV shunt surgery care could reduce post-operative complications, and improve the nursing quality.
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