Construcción y validación del contenido de un video acerca del autocuidado de la fístula arteriovenosa / Construction and validation of content of a video on self-care with arteriovenous fistula

OBJETIVO: Validar el contenido del guion de un video educativo para promover el autocuidado de la fístula arteriovenosa en los pacientes renales crónicos, con enfermeras y comunicadores sociales. MÉTODO: Estudio metodológico que construyó y validó un video educativo. En primer lugar, las demandas de autocuidado se identificaron por medio de una revisión de la literatura sobre autocuidado con fístula arteriovenosa. A continuación, la construcción del video siguió los pasos de preproducción, producción y posproducción. La validación del contenido del video ocurrió en la fase de preproducción y contó con 22 jueces de enfermería y profesionales de los medios. El estudio fue aprobado por el Comité de Ética en Investigación, bajo el Certificado de ética: 61705516.0.0000.5208. RESULTADOS: Los siguientes ítems presentaron una evaluación negativa de los jueces: las escenas descritas reflejan estereotipos o discriminación (p = 0,008), el ritmo de las escenas es agotador (p = 0,001/p = 0,034), los personajes/imágenes son atractivos para el público (p = 0,006), las ilustraciones reflejan aspectos importantes del tema en el estudio (p = 0,006), las ilustraciones motivan la comprensión del mensaje de video (p = 0,001) y la estructura general es creativa (p = 0,001). CONCLUSIÓN: El video educativo fue considerado válido por jueces de enfermería y profesionales de los medios de comunicación, para promover el autocuidado de la fístula arteriovenosa en pacientes renales

OBJECTIVE: To validate the content of the script of an educational video to promote self-care with arteriovenous fistula in chronic renal patients with nurses and social communicators. METHOD: Methodological study that constructed and validated an educational video. Firstly, the demands of self-care were identified through a literature review on self-care with arteriovenous fistula. Then the construction of the video followed the steps of pre-production, production and post-production. The script's content validation occurred in the pre-production phase and counted on 22 nursing judges and media professionals. The study was approved by the Ethics Committee in Research, under opinion 61705516.0.0000.5208. RESULTS: The following items received a negative evaluation from the judges: "The scenes described reflect stereotypes or discrimination" (p = 0.008) and "The pace of the scenes is tiring" (p = 0.001/p = 0.034), "The characters/images are appealing to the audience (p = 0.006), "The illustrations reflect important aspects of subject under study" (p = 0.006), "The illustrations promote the understanding of the video message" (p = 0.001) and "The general structure is creative" (p = 0.001). CONCLUSION: The educational video was considered valid by the nursing judges and media professionals to promote self-care with arteriovenous fistula among renal patients

Self-care actions for the maintenance of the arteriovenous fistula: An integrative review.

OBJECTIVE: To identify self-care actions for the maintenance of arteriovenous fistula of renal patients. METHOD: An integrative review study was conducted and literature were searched in Medline/PubMed, Scopus, CINAHL, LILACS, BDENF and SciELO Library databases using the descriptors chronic renal insufficiency, arteriovenous fistula, self-care, and knowledge. The inclusion criteria were that the documents be written in Portuguese, English, and Spanish, full text available, published in the last five years, and that they address the research question. Reflection articles, theses, dissertations, editorials of non-scientific journals, and research studies that did not follow the necessary methodological rigor were excluded. Data were analyzed with the IRAMUTEQ software. RESULTS: Fifteen articles were selected and comprised the final sample. Seven classes of self-care actions emerged from the text segments analysis and grouped into three categories: 1) Self-care actions that maintain the arteriovenous fistula; 2) Self-care actions for the prevention and the monitoring of complications with arteriovenous fistula; 3) Self-care actions directed at the perioperative period of arteriovenous fistula preparation. CONCLUSION: The results allowed us to identify important care for the maintenance of arteriovenous fistula functionality. The self-care actions identified in this study can guide a nursing care policy for implementation with protocols that help identify problems related to self-care actions and, thus, subsidize the development of actions aimed at the renal patient. However, more studies with high levels of evidence that identify self-care actions with arteriovenous fistula and the factors involved in its implementation are needed.