关键词: 血透透析；移植物动静脉内瘘；并发症；证据总结；循证护理学

Abstract: Objective: To search, evaluate, and summarize the evidence for the prevention and management of complications related to arteriovenous graft in patients with maintenance hemodialysis. Methods: A systematic search was conducted in UpToDate, BMJ best clinical practices, JBI, AHRQ, SIGN, PubMed, CNKI, Chinese Medical Journal full-text database, Yimaitong, WanFang database, and VIP database to find the relevant literature related to the prevention and management of complications of arteriovenous graft in patients with hemodialysis, including clinical decision-making, evidence summary, guidelines, expert consensus, systematic evaluation, randomized controlled trial, etc. The retrieval time limit is from the establishment of the database to June 30, 2023. Professional evidence-based nursing staff evaluated the quality of the included articles and extracted and summarized evidence. Results: A total of 15 articles were included, including seven clinical decision-making, five guidelines, one expert consensus, one queue research article and one randomized controlled trial. Based on the suggestions of clinical professionals, five topics were summarized, and 33 evidence items were included, including perioperative management, monitoring and screening, usage and maintenance, personnel and training, and health education. Conclusion: The evidence for the prevention and management of arteriovenous graft complications in maintenance hemodialysis patients summarized in this study is comprehensive and scientific, providing evidence-based basis for clinical medical staff to standardize the management of arteriovenous graft.

Key words: hemodialysis; arteriovenous graft; complications; evidence summary; evidence-based nursing