Evidence mapPaperPMID 39873372Full record

SynthesisJournal of renal care2025

Educational or Behavioural Interventions to Improve Long-Term Haemodialysis Vascular Access Self-Management: A Systematic Review.

Colette Wembenyui, Nicole Marsh, Emily Larsen, Ann Bonner

Abstract readSystematic Review
In one paragraph

Synthesis in Journal of renal care, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Trial
  2. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors.

Colette WembenyuiSchool of Nursing and Midwifery, Griffith University, Brisbane, Queensland, Australia.ORCID http://orcid.org/0000-0002-1418-7342
Nicole MarshSchool of Nursing and Midwifery, Griffith University, Brisbane, Queensland, Australia.ORCID http://orcid.org/0000-0002-5779-1304
Emily LarsenSchool of Nursing and Midwifery, Griffith University, Brisbane, Queensland, Australia.ORCID http://orcid.org/0000-0001-6272-8484
Ann BonnerSchool of Nursing and Midwifery, Griffith University, Brisbane, Queensland, Australia.ORCID http://orcid.org/0000-0001-9920-6743

Funding

The authors received no specific funding for this work.
6 · The paper itself

Abstract

backgroundGlobally, haemodialysis is the most frequent type of kidney replacement therapy and necessitates access to the bloodstream either through a native arteriovenous fistula, arteriovenous graft or central venous catheter. Vascular access complications are a major cause of morbidity and mortality in adults receiving haemodialysis, and effective vascular access self-management is required.

objectiveTo examine the effectiveness of educational or behavioural interventions designed to improve self-management of long-term vascular access in adults receiving haemodialysis.

designSystematic review.

methodEnglish language publications from January 2013 to May 2023 retrieved from PubMed, Embase, CINAHL, Cochrane Library, PsycINFO and Joanna Briggs Institute (JBI) databases were undertaken. Two independent reviewers identified studies for full-text review, data extraction and quality assessment. Data synthesis and quality assessment followed the JBI guidelines for quantitative reviews.

resultsSeven studies involving 540 participants were included: two studies were randomised control trials and five were quasiexperimental. All studies involved patient education, predominantly provided by nurses, and employed a variety of teaching resources, such as education booklets, practical demonstrations and videos. Outcomes measured included vascular access self-management behaviours, self-efficacy and vascular access knowledge although there was no consistency between studies. Overall, vascular access self-management significantly improved following education.

conclusionEducational interventions led to improvements in self-management behaviours in adults with long-term haemodialysis vascular access. However, there was insufficient evidence for the delivery and duration of intervention education. Further research is needed. An evidence-based nurse-led codesign intervention could lead to improvements in vascular access self-management.

Indexed as

Patient Education as TopicRenal DialysisSelf-ManagementVascular Access DevicesHumanschronic kidney diseasehaemodialysiskidney failurelong‐term vascular accessself‐management

Identifiers

PMID39873372
PMCPMC11774008

What Socratic holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.