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Measuring patient satisfaction with vascular access: vascular access questionnaire development and reliability

Sarah Daisy Kosa¹, Cynthia Bhola, Charmaine E Lok

¹2 Clinical Epidemiology and Biostatistics, McMaster University, Hamilton - Canada.

The Journal of Vascular Access

|January 31, 2015

Summary

Hemodialysis patients reported high satisfaction with vascular access, particularly fistulas. A new questionnaire, the short-form vascular access questionnaire (SF-VAQ), reliably measures patient satisfaction.

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Area of Science:

Nephrology
Patient-Reported Outcomes

Background:

Vascular access is crucial for hemodialysis patients.
Assessing patient satisfaction with vascular access is important for care quality.

Purpose of the Study:

To measure hemodialysis patient satisfaction with vascular access.
To evaluate the psychometric properties of a new measurement tool for vascular access satisfaction.

Main Methods:

Developed and administered a vascular access satisfaction survey to hemodialysis patients.
Reduced and refined survey items into the short-form vascular access questionnaire (SF-VAQ).
Evaluated the SF-VAQ's psychometric properties, including reliability and internal consistency.

Main Results:

The SF-VAQ, a 13-item questionnaire, was administered to 132 hemodialysis patients.
Overall patient satisfaction with vascular access was high (mean Likert score 5.98/7).
Patients reported highest satisfaction with fistulas (6.46), followed by catheters (5.92) and grafts (5.21).
The SF-VAQ demonstrated excellent test-retest reliability (0.92) and internal consistency (0.84).

Conclusions:

The SF-VAQ is a reliable and valid tool for assessing patient satisfaction with vascular access.
The SF-VAQ can be used to gather patient perspectives on their vascular access.
Hemodialysis patients express the highest satisfaction with fistulas compared to grafts and catheters.