Volume 10

Number 2 July 2026

Awareness of Nurses for Vein Preservation in the Patients with CKD in A Tertiary Hospital, Sylhet, Bangladesh

DOI: https://doi.org/10.70357/jdamc.2026.v1002.02

Kar S1 , Das D2 , Munira S3 , Mondal SK4 , Akbar AAG5 , Nath SD6 , Paul RS7 , Dhar PB8 , Islam MF9

Abstract

Background: Chronic kidney disease (CKD) requires reliable vascular access for hemodialysis, with arteriovenous fistula (AVF) being the preferred option. Preservation of peripheral veins is therefore vital. Nurses play a key role in this process; however, awareness of vein-preservation principles among Bangladeshi nurses remains unexplored. Objective: To assess the level of awareness and associated factors regarding vein preservation among nurses caring for CKD patients in a tertiary hospital in Sylhet, Bangladesh. Methods: A descriptive cross-sectional study was conducted among 134 nurses from January to August 2025 using a pretested semi-structured questionnaire. Awareness was scored from 0–13 based on correct responses and categorized into four levels using mean ± SD cutoffs. Data were analyzed with Stata 17 using descriptive statistics, t-tests, and ANOVA, with p<0.05 considered significant. Results: The mean awareness score was 7.21 ± 2.66 out of 13. Most participants (67.91%) had weak awareness, 17.91% average, and 14.18% no awareness, while none achieved high awareness. Although 89.55% recognized the importance of vein preservation, only 32.84% had received formal training, and 11.94% reported the presence of a hospital protocol. Awareness was significantly higher among nurses with nephrology experience (8.58 ± 1.80 vs. 7.00 ± 2.71; p = 0.021) and differed by age group (p = 0.010). Conclusion: Nurses demonstrated only moderate awareness of vein-preservation practices, indicating a critical educational and institutional gap. Incorporating vein-preservation training into nursing curricula, establishing “Save the Veins” policies, and promoting multidisciplinary coordination can enhance knowledge and protect vascular access sites for CKD patients.

Keywords: Chronic kidney disease, vein preservation, arteriovenous fistula, nurse awareness, Bangladesh.


  1. Associate Professor, Department of Nephrology

    Habiganj Medical College, Habiganj

  2. Professor, Department of Nephrology

    Sylhet M A G Osmani Medical College, Sylhet

  3. Medical Officer, Department of Surgical Gastroenterology

    National Gastroliver Institute and Hospital, Dhaka

  4. Associate Professor, Department of Nephrology

    Gopalganj Medical College, Gopalganj

  5. Assistant Professor, Department of Nephrology

    Sylhet M A G Osmani Medical College, Sylhet

  6. Senior Staff Nurse, Dialysis Unit

    Sylhet M A G Osmani Medical College Hospital

  7. Associate Professor, Department of Nephrology

    International Medical College, Tongi, Gazipur

  • Assistant Professor, Department of Neurology

    Sylhet M A G Osmani Medical College, Sylhet

  • Medical Officer, Department of Epidemiology

    Institute of Epidemiology, Disease Control and Research (IEDCR), Dhaka

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    Volume 10, Number 2 July 2026
    Page: 4-10