Study to Evaluate the Effectiveness of IEC Package on Knowledge Regarding Home Care of Cimino- Brescia Fistula (CBF) Undergoing Hemodialysis Patients of Selected Hospitals in Metropolitan City.”

Abstract

Introduction: Chronic Kidney Disease (CKD) is a progressive and irreversible disorder characterized by the gradual loss of kidney function. Hemodialysis is a life-sustaining therapy for patients with end-stage renal disease (ESRD), requiring a reliable vascular access such as the Cimino-Brescia fistula (arteriovenous fistula). Proper home care of the fistula is vital to prevent complications and ensure treatment efficacy. However, many hemodialysis patients lack adequate knowledge about fistula care. Educational interventions like Information, Education, and Communication (IEC) packages can play a key role in improving patient knowledge and self-care practices.

Aim of the Study: To evaluate the effectiveness of an IEC package on knowledge regarding home care of Cimino-Brescia fistula among hemodialysis patients in selected hospitals of a metropolitan city.

Methodology: A quantitative, pre- experimental one-group pre-test post-test design was adopted. The study included 65 hemodialysis patients selected through non-probability purposive sampling. Data were collected using a self-structured questionnaire covering demographic details and knowledge on fistula care. After the pre-test, participants received an IEC package comprising structured teaching, pamphlets, and exercise demonstration videos. Post-test was conducted on the fifth day. Data were analyzed using descriptive statistics, paired t-test, and Fisher’s Exact Test.

Results: The mean pre-test knowledge score was 9.3 (SD = 2.3), which increased to 16.3 (SD

= 3.2) in the post-test. The calculated t-value was 24.8 (p < 0.05), indicating a highly significant improvement in knowledge after the intervention. Significant associations were found between pre-test knowledge and demographic variables such as age (p = 0.008) and education (p = 0.014).

Conclusion: The study concluded that the IEC package was highly effective in enhancing patients’ knowledge regarding home care of the Cimino-Brescia fistula. Regular educational interventions can empower patients, prevent complications, and improve treatment outcomes and quality of life.