Abstract: 【Abstract】Objective To investigate the present situation and influencing factors of functional exercise for the autogenous arteriovenous fistula(AVF) side limb in maintenance hemodialysis (MHD) patients. Methods A total of 485 MHD patients in one hemodialysis center in Guangzhou, one in Shenzhen and one in Changzhou between August to September 2019 were investigated. Results Exercise for the AVF side limbs was carried out in 250 patients (51.5%), in which 165 patients (34.0%) exercised their limbs through handgrip of soft balls. Multivariate logistic regression analysis showed that patients having one to 3 hobbies had the OR value of 2.024 (95% CI 1.310~3.127) P=0.001and those having more than 3 hobbies had the OR value of 2.156 (95% CI 1.043~4.457) P=0.038 as compare with those having no hobby; patients knowing a little about AVF maintenance had the OR value of 2.024 (95% CI 0.484~8.459)，P=0.334, those knowing much about AVF maintenance had the OR value of 3.160 (95% CI 0.825~12.102)P=0.093, and those knowing all knowledge about AVF maintenance had the OR value of 4.261 (95% CI 1.105 ~ 16.426)P=0.035 as compared with those knowing nothing about AVF maintenance. Conclusion The present situation of functional exercise for the AVF side limb was unsatisfactory. We recommend that health education from nurses about the functional exercise should be emphasized to increase the compliance of functional exercise of the patients, especially for those with less hobbies.

Key words: Arteriovenous fistula, Maintenance hemodialysis, Functional exercise