Background Several guidelines recommend that patients with chronic kidney disease treated by haemodialysis (HD) take care of their own arteriovenous fistula (AVF). The dialysis nurse plays an important role in the development of such self‐care behaviours. A very small number of instruments are available to assess self‐care behaviours with AVF in Turkey. Objective Cultural adaptation and psychometric testing of the Turkish version of the scale of assessment of self‐care behaviours with arteriovenous fistula in haemodialysis (ASBHD‐AVF) patients. Design Cross‐sectional validation study. Participants and Measurements This study was conducted involving 160 patients in the Bolu region in Turkey. The guidelines provided by Sousa and Rojjanasrirat were taken into account in the scale translation, adaptation and validation process. Validity was analysed through content validity and construct validity. The latter was measured through principal component analysis with varimax rotation, considering only factor loadings of 0.30 or larger. Reliability analysis was based on internal consistency measured by Cronbach's α. Results A two‐factor structure was extracted explaining 59.01% of the total variance. Cronbach's α was 0.91, 0.85 and 0.84 for the overall scale, the self‐care in prevention of complications subscale and the self‐care in management of signs and symptoms subscale, respectively. Conclusions The Turkish version of the scale of ASBHD‐AVF patients is a reliable and valid instrument and can therefore be used.

The purpose of this study was to evaluate the psychometric properties of the Brazilian Scale for the Assessment of Self-Care Behaviors with Arteriovenous Fistula in Hemodialysis. Cross-sectional validation study, followed the recommendation provided by Sousa and Rojjanasrirat. Content validity, explanatory and confirmatory factor analyses used to check validity and Cronbach’s alpha was the reliability measure. Three hundred hemodialysis patients with arteriovenous fistula were included in the study. The expert committee assessed the content validity. Exploratory factor analysis confirmed the same two-factor structure found for the original scale, explaining 60.10% of the variance. Such solution was checked by confirmatory factor analysis with Cronbach’s alpha equal to 0.920, 0.810, and 0.884 for the overall scale, the self-care in management of signs and symptoms and the self-care in prevention of complications subscales respectively. The scale has good psychometric properties to assess self-care behaviors and can be used with Brazilian patients on hemodialysis with arteriovenous fistula.

O estudo objetivou descrever a adesão ao uso de imunossupressores e fatores influenciadores de transplantados renais. Trata-se de um estudo transversal descritivo-exploratório quantitativo realizado em um hospital universitário do Estado do Rio de Janeiro que contou com 47 transplantados entre 2013 e 2017. Utilizou-se um formulário para coleta de dados sociodemograficos e para avaliação da adesão à terapia imunossupressora aplicou-se o instrumento Basel Assessment of Adherence to Immunosuppressive Medications Scale BAASIS. Para coleta e análise dos dados foi criado um questionário no software EpiInfo®7.2. Conclusão: O trabalho evidenciou que a não adesão à terapia imunossupressora é um problema importante devido ao seu potencial de perda de enxerto renal e foi possível traçar os pontos de dificuldade entre os pacientes não aderentes e, através da escala BAASIS identificar os pontos- chave de limitação para então intervir estrategicamente, visando aumentar sobrevida do enxerto, melhorar a qualidade de vida e prestar assistência direcionada às mudanças necessárias.

Introduction: Hemodialysis (HD) patients should be trained to develop selfcare behaviors in order to prevent and preserve their arteriovenous fistula (AVF). The aim of this study was identifying the factors that affect the levels of self-care behavior with AVF by HD patients.

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