主管:国家卫生健康委员会
主办:国家卫生计生委医院管理研究所
中国科学引文数据库(CSCD)来源期刊
中国科技论文统计源期刊 中国科技核心期刊
《中文核心期刊要目总览》入选期刊

Chinese Nursing Management ›› 2022, Vol. 22 ›› Issue (8): 1210-1215.doi: 10.3969/j.issn.1672-1756.2022.08.019

• Evidence-based Nursing • Previous Articles     Next Articles

Evidence-based nursing practice for preventing Arteriovenous Fistula dysfunction in hemodialysis patients

NIU Hongyan, LIU Jinfeng, ZHU Xiying, JIANG Lihua, ZHAO Xiuming, HUANG Zhujun, SUN Lin, HUANG Li   

  1. Blood Purification Center, The First People's Hospital of Changzhou, Changzhou, Jiangsu province, 213000, China
  • Online:2022-08-15 Published:2022-08-15

Abstract: Objective: To summarize the evidence-based evidence for the prevention of Arteriovenous Fistula (AVF)dysfunction, and to evaluate its clinical effects. Methods: We searched relevant guidelines, expert consensus and systematic reviews for the prevention of AVF dysfunction and summarized the best evidence to construct evidence-based practice program. The program was applied to clinical practice, and the incidence of AVF dysfunction, the cognitive level of nurses and patients related knowledge and the the change of examination item execution rate before and after implementation were evaluated. Results: Before and after evidence-based practice, there was no significant difference between the two groups on incidence of AVF dysfunction (P=0.171). There was a statistically significant difference between the two groups on the scores of knowledge questionnaire (P<0.001). There was a statistically significant difference between the two groups on nurses' and patients' implementation rates of review items (P<0.001). Conclusion: The evidence-based practice program for preventing AVF dysfunction can improve nurses' and patients' awareness of relevant knowledge, promote the implementation of preventive measures for AVF dysfunction, and further implementation will help to reduce the incidence of dysfunction.

Key words: hemodialysis; Arteriovenous Fistula; dysfunction; evidence-based nursing

CLC Number: R47;R197