This study investigated the status of arteriovenous fistula (AVF) self-management among patients on maintenance hemodialysis and explored the roles of self-efficacy and quality of life in influencing these behaviors. A cross-sectional survey was conducted at a tertiary hospital in China, involving 336 participants. Data were collected using the ASBHD-AVF scale, the Chronic Disease Self-Efficacy Scale, and the WHOQOL-BREF. The results showed that the mean AVF self-management score was 82.65±16.32, with only 31.25% of patients achieving a high level of self-management. Significant differences in scores were observed based on education, dialysis vintage, and complication history. Furthermore, AVF self-management was significantly and positively correlated with self-efficacy and multiple domains of quality of life. The findings indicated that AVF self-management was at a moderate level and was heavily influenced by patient confidence and overall well-being. Consequently, nursing strategies were recommended to focus on enhancing self-efficacy and providing targeted education for high-risk groups, such as those with lower education levels or shorter dialysis histories, to prevent complications and protect this vital treatment lifeline.

Hanxi Gao, Hongmei Liu, Linzhuo Wei, Yuxin Ye, Liping Zhang, Jia Jiang, Wenchen Zhang. Self-management of Arteriovenous Fistula and Its Associated Factors among Patients Undergoing Maintenance Hemodialysis: A Cross-sectional Study. Academic Journal of Medicine & Health Sciences (2026), Vol. 7, Issue 3: 23-26. https://doi.org/10.25236/AJMHS.2026.070304.

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