{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,5]],"date-time":"2026-05-05T01:31:14Z","timestamp":1777944674656,"version":"3.51.4"},"reference-count":29,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2026,3,7]],"date-time":"2026-03-07T00:00:00Z","timestamp":1772841600000},"content-version":"vor","delay-in-days":6,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2026,3,1]],"date-time":"2026-03-01T00:00:00Z","timestamp":1772323200000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"funder":[{"DOI":"10.13039\/501100003347","name":"Fudan University","doi-asserted-by":"publisher","award":["FDNC0011"],"award-info":[{"award-number":["FDNC0011"]}],"id":[{"id":"10.13039\/501100003347","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Journal of Renal Care"],"published-print":{"date-parts":[[2026,3]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>The arteriovenous fistula, while serving as a vital \u2018lifeline\u2019 for haemodialysis, poses significant clinical challenges; it can extend beyond local dysfunction to adversely affect patients\u2019 physiological, psychological and social well\u2010being.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>This study explored the multidimensional experiences of patients receiving haemodialysis regarding the creation and maintenance of an arteriovenous fistula, based on the biopsychosocial model.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Design<\/jats:title>\n                    <jats:p>This study employed the biopsychosocial model as a theoretical framework and an interpretive phenomenological qualitative analysis methodology.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Participants<\/jats:title>\n                    <jats:p>\n                      Participants (\n                      <jats:italic>N<\/jats:italic>\n                      \u2009=\u200923) were recruited from two haemodialysis centres and a nephrology department.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Approach<\/jats:title>\n                    <jats:p>Data were collected through semi\u2010structured interviews and analysed using interpretive phenomenological analysis. NVivo 11 was used to manage the qualitative data.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Findings<\/jats:title>\n                    <jats:p>The arteriovenous fistula experience was interconnected across biological, psychological and social domains. Physically, patients reported frequent somatic symptoms and arteriovenous fistula\u2010related complications. Psychologically, they underwent a process of cognitive restructuring while contending with persistent negative emotions. Socially, the arteriovenous fistula impaired daily functioning and challenged trust in healthcare, yet also highlighted the crucial role of social support.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>For patients receiving haemodialysis, the arteriovenous fistula represents both a lifeline and a source of ongoing distress. A multidimensional understanding of this experience is essential for guiding more patient\u2010centred, targeted and humane clinical management.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/jorc.70052","type":"journal-article","created":{"date-parts":[[2026,3,8]],"date-time":"2026-03-08T11:03:35Z","timestamp":1772967815000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["The Heavy Toll of Lifeline: An Analysis of the Multidimensional Experience and Interaction Mechanisms of Establishing Arteriovenous Fistula in Patients Receiving Haemodialysis"],"prefix":"10.1111","volume":"52","author":[{"given":"Longfei","family":"Wang","sequence":"first","affiliation":[{"name":"School of Nursing Fudan University Shanghai China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Lijuan","family":"Zhao","sequence":"additional","affiliation":[{"name":"School of Nursing Fudan University Shanghai China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Chen","family":"Zhang","sequence":"additional","affiliation":[{"name":"Baoshan Branch Shanghai Fudan University HuaShan Hospital Shanghai China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9232-4197","authenticated-orcid":false,"given":"Wenwen","family":"Lu","sequence":"additional","affiliation":[{"name":"Shanghai Fudan University HuaShan Hospital Shanghai China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yin","family":"Zheng","sequence":"additional","affiliation":[{"name":"Baoshan Branch Shanghai Fudan University HuaShan Hospital Shanghai China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0009-0002-7782-6866","authenticated-orcid":false,"given":"Bihong","family":"Huang","sequence":"additional","affiliation":[{"name":"Shanghai Fudan University HuaShan Hospital Shanghai China"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2026,3,7]]},"reference":[{"key":"e_1_2_12_2_1","doi-asserted-by":"publisher","DOI":"10.1038\/s41598-025-28159-3"},{"key":"e_1_2_12_3_1","doi-asserted-by":"publisher","DOI":"10.1053\/j.ajkd.2013.08.023"},{"key":"e_1_2_12_4_1","doi-asserted-by":"publisher","DOI":"10.1038\/s41581-022-00542-7"},{"key":"e_1_2_12_5_1","doi-asserted-by":"publisher","DOI":"10.1177\/10497323241301296"},{"key":"e_1_2_12_6_1","doi-asserted-by":"publisher","DOI":"10.1111\/1744-9987.14174"},{"key":"e_1_2_12_7_1","doi-asserted-by":"publisher","DOI":"10.1126\/science.847460"},{"key":"e_1_2_12_8_1","doi-asserted-by":"publisher","DOI":"10.4103\/1319-2442.265467"},{"key":"e_1_2_12_9_1","doi-asserted-by":"publisher","DOI":"10.1001\/jamasurg.2021.4527"},{"key":"e_1_2_12_10_1","doi-asserted-by":"publisher","DOI":"10.2215\/CJN.02950707"},{"key":"e_1_2_12_11_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.wombi.2021.10.002"},{"key":"e_1_2_12_12_1","first-page":"54\u201365","article-title":"Research on Comprehensive Analysis of Patient Comfort and Complication Rate Using Haemodialysis Indwelling Needles in AVF Puncture in Haemodialysis Treatment","volume":"34","author":"Jin G.","year":"2024","journal-title":"European Journal of Translational Myology"},{"key":"e_1_2_12_13_1","doi-asserted-by":"publisher","DOI":"10.1111\/sdi.12465"},{"key":"e_1_2_12_14_1","doi-asserted-by":"publisher","DOI":"10.1053\/j.semvascsurg.2016.11.002"},{"key":"e_1_2_12_15_1","doi-asserted-by":"publisher","DOI":"10.3389\/fpsyg.2025.1552518"},{"key":"e_1_2_12_16_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12913-022-08490-5"},{"key":"e_1_2_12_17_1","doi-asserted-by":"publisher","DOI":"10.1053\/j.ajkd.2019.12.001"},{"key":"e_1_2_12_18_1","doi-asserted-by":"publisher","DOI":"10.34067\/KID.0006622021"},{"key":"e_1_2_12_19_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12888-023-05312-8"},{"key":"e_1_2_12_20_1","doi-asserted-by":"publisher","DOI":"10.5301\/jva.5000618"},{"key":"e_1_2_12_21_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.xkme.2022.100456"},{"key":"e_1_2_12_22_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11135-017-0574-8"},{"key":"e_1_2_12_23_1","doi-asserted-by":"publisher","DOI":"10.2215\/CJN.11251210"},{"key":"e_1_2_12_24_1","doi-asserted-by":"publisher","DOI":"10.1080\/0886022X.2020.1748650"},{"key":"e_1_2_12_25_1","doi-asserted-by":"publisher","DOI":"10.1590\/0034-7167-2017-0898"},{"key":"e_1_2_12_26_1","doi-asserted-by":"publisher","DOI":"10.4236\/ojn.2016.612098"},{"key":"e_1_2_12_27_1","doi-asserted-by":"publisher","DOI":"10.2215\/CJN.0000000000000529"},{"key":"e_1_2_12_28_1","volume-title":"Interpretative Phenomenological Analysis: Theory, Method and Research","author":"Smith J. 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