1*PhD Scholar, Apollo College of Nursing, Chennai, Tamil Nadu; Professor, Billroth College of Nursing, Chennai, Tamil Nadu. Affiliated to The Tamil Nadu Dr. MGR Medical University, Chennai, Tamil Nadu, India
2Vice Principal, Apollo College of Nursing, Chennai, Tamil Nadu. Affiliated to The Tamil Nadu Dr. MGR Medical University, Chennai, Tamil Nadu, India
3Professor, Apollo College of Nursing, Chennai, Tamil Nadu. Affiliated to The Tamil Nadu Dr. MGR Medical University, Chennai, Tamil Nadu, India
4Professor, Meenakshi College of Nursing, Meenakshi Academy of Higher Education & Research (MAHER), Chennai, Tamil Nadu
5PhD Scholar, Associate Professor, Department of Medical Surgical Nursing, Nehru College of Nursing and Research Institute, Coimbatore, Tamil Nadu, India. Affiliated to The Tamil Nadu Dr. MGR Medical University, Chennai, Tamil Nadu, India
6Professor, Apollo College of Nursing, Chennai, Tamil Nadu, India
Background: Vascular access is crucial for hemodialysis patients but prone to complications like infections and thrombosis, leading to morbidity. Many patients lack self-efficacy in maintenance despite nurse-led education's proven benefits, with limited evidence from Indian settings.
Methods: A quasi-experimental design assessed a structured vascular access care intervention's effect on self-efficacy in 30 hemodialysis patients with permanent access at Billroth Hospital, Chennai, using purposive sampling. Pre- and post-tests employed a validated self-efficacy questionnaire after one-month intervention in experimental vs. control groups.
Results: Experimental group self-efficacy improved significantly (pre-test mean 4.87 ± 2.42 to post-test 7.6 ± 2.24, t=4.1, p<0.05); high self-efficacy rose from 26.6% to 80%. Control showed no change. Dialysis frequency associated with baseline self-efficacy (χ²=13.909, p<0.05).
Conclusion: The intervention effectively boosted self-efficacy, advocating nurse-led education integration to enhance self-management and reduce complications in resource-limited dialysis units.
Keywords: vascular access, self-efficacy, hemodialysis, structured intervention, nurse-led education, patient self-management.
How to cite this article: Raja M, Vijayalakshmi K, Sasikala D, Anitha J, Suganthakumari F, Hilda Rose Mary. Effectiveness of Structured Vascular Access Care Intervention on Self-Efficacy among Hemodialysis Patients: A Quasi-Experimental Study. Int J Drug Deliv Technol. 2026;16(15s): 852-858. DOI: 10.25258/ijddt.16.15s.95
Source of support: Nil.
Conflict of interest: None