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All Journal Jurnal Ilmiah Keperawatan (Scientific Journal of Nursing) Jurnal Keperawatan Komprehensif (Comprehensive Nursing Journal) Jurnal Keperawatan Malang (JKM) Panrannuangku Jurnal Pengabdian Masyarakat Indonesian Nursing Journal of Education and Clinic (Jurnal Pendidikan dan Praktik Keperawatan Indonesia) Jurnal Pengabdian Kepada Masyarakat: Kesehatan (JPKMK)
Gina Nurdina
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Humanities Education Engineering Health Professions Library & Information Science Medicine & Pharmacology Nursing Physics Public Health

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THE EFFECT OF EDUCATION THROUGH ANIMATED VIDEOS ON ARTERIOVENOUS FISTULA (AVF) ACCESS SELF-CARE IN HEMODIALYSIS PATIENTS Fahra Bazillah Hanafiah; Nata Ristantia; Gina Nurdina
INDONESIAN NURSING JOURNAL OF EDUCATION AND CLINIC (INJEC) Vol 11, No 2 (2026): INJEC
Publisher : Asosiasi Institusi Pendidikan Ners Indonesia (AIPNI)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24990/injec.v11i2.1136

Abstract

Introduction : Arteriovenous fistula (AVF) is the preferred vascular access for patients undergoing hemodialysis because of its lower complication rates and better long-term patency. However, inadequate self-care behaviors remain a major cause of AVF complications, including thrombosis, infection, and vascular access failure. Animated video-based education has emerged as a promising educational strategy to improve patient understanding and self-care behavior. Methods : A quasi-experimental study with a pretest–posttest control group design was conducted among 80 hemodialysis patients in a tertiary hospital in Bandung, Indonesia, from November 2025 to January 2026. Participants were assigned into an intervention group (n = 40) receiving animated video-based education in addition to routine nursing education and a control group (n = 40) receiving routine education only. Data were collected using the Scale of Assessment of Self-Care Behaviors with Arteriovenous Fistula in Hemodialysis (ASBHD-AVF). Data were analyzed using paired t-tests, repeated-measures ANOVA, and multiple linear regression. Results : The intervention group demonstrated a significant improvement in AVF self-care behavior scores from 45.68 ± 6.42 at baseline to 67.45 ± 5.73 after the intervention (p < .001), whereas the control group showed only minimal improvement. Repeated-measures ANOVA revealed a significant interaction effect between group and time (F = 86.47, p < .001) with a large effect size (partial η² = .526). Multiple linear regression analysis identified participation in animated video education as the strongest predictor of post-intervention AVF self-care behavior (β = .641, p < .001). Participants also reported positive perceptions regarding the clarity and usefulness of the animated videos. Conclusion : Education through animated videos significantly improved AVF access self-care behaviors among patients undergoing hemodialysis and may serve as an innovative nursing educational strategy to enhance patient self-management.
Co-Authors Dian Anggraini Dian Anggraini Fahra Bazillah Hanafiah Farida Isroani Herdiman Mar’ah, Novya Ashlahatul Nata Ristantia Puspasari, Susy Riza Sukma Agustian Suci Noor Hayati Suci Noor Hayati Susy Puspasari Tri Antika Rizki Kusuma Putri Tri Antika Rizki Kusuma Putri Tri Hapsari Retno Agustina Wylma Dwilestari