{"title":"Self-cannulation for home hemodialysis: a review of current practices and implementation approaches.","authors":"Maria C Bermudez, Osama El Shamy","doi":"10.1097/MNH.0000000000001121","DOIUrl":null,"url":null,"abstract":"<p><strong>Purpose of review: </strong>This review provides a comprehensive overview of self-cannulation in home hemodialysis (HHD), highlighting key elements essential for successful implementation.</p><p><strong>Recent findings: </strong>Despite policy support, self-cannulation is underutilized. Early patient education, patient-centered care, and shared decision-making can increase interest in self-care. Comprehensive support strategies, including needle-phobia assessment and management, cannulation aids, and effective training, build patient confidence and competence.</p><p><strong>Summary: </strong>A multifaceted approach, including education, empowerment, and effective training, is crucial for successful self-cannulation. By incorporating individualized cannulation technique selection and comprehensive support, care providers can empower patients to adopt self-cannulation and HHD. Further research is needed to address knowledge gaps and promote best practices.</p>","PeriodicalId":10960,"journal":{"name":"Current Opinion in Nephrology and Hypertension","volume":" ","pages":"94-100"},"PeriodicalIF":3.1000,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Current Opinion in Nephrology and Hypertension","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1097/MNH.0000000000001121","RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2025/10/14 0:00:00","PubModel":"Epub","JCR":"Q3","JCRName":"PERIPHERAL VASCULAR DISEASE","Score":null,"Total":0}
引用次数: 0
Abstract
Purpose of review: This review provides a comprehensive overview of self-cannulation in home hemodialysis (HHD), highlighting key elements essential for successful implementation.
Recent findings: Despite policy support, self-cannulation is underutilized. Early patient education, patient-centered care, and shared decision-making can increase interest in self-care. Comprehensive support strategies, including needle-phobia assessment and management, cannulation aids, and effective training, build patient confidence and competence.
Summary: A multifaceted approach, including education, empowerment, and effective training, is crucial for successful self-cannulation. By incorporating individualized cannulation technique selection and comprehensive support, care providers can empower patients to adopt self-cannulation and HHD. Further research is needed to address knowledge gaps and promote best practices.
期刊介绍：
A reader-friendly resource, Current Opinion in Nephrology and Hypertension provides an up-to-date account of the most important advances in the field of nephrology and hypertension. Each issue contains either two or three sections delivering a diverse and comprehensive coverage of all the key issues, including pathophysiology of hypertension, circulation and hemodynamics, and clinical nephrology. Current Opinion in Nephrology and Hypertension is an indispensable journal for the busy clinician, researcher or student.
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