The Preventive Effect of Comprehensive Nursing Intervention on Arteriovenous Fistula Failure in Patients in the Hemodialysis Room

Abstract

Objective: To explore the preventive effect of comprehensive nursing intervention on arteriovenous fistula failure in patients in the hemodialysis room. Methods: 82 patients with arteriovenous fistula in the hemodialysis chamber treated in our hospital from July 2022 to October 2023 were selected as the research subjects. The random number table method divided them into a control group and an experimental group of 41 cases each. The control group received general nursing intervention measures, while the experimental group underwent comprehensive nursing intervention. The incidence of complications (internal fistula failure, bleeding, thrombosis, infection), psychological emotions (SAS scale, SDS scale), quality of life (physical pain, physiological function, emotional function, social function), and nursing satisfaction (very satisfied, basically satisfied, satisfied, dissatisfied) were compared between the two groups of patients. Results: The incidence of complications in the experimental group (4, 9.76%) was significantly lower than that in the control group (29, 70.73%); the SAS scores and SDS scores of the patients in the experimental group after intervention were both lower than those in the control group; the quality of life score (physical pain, physiological function, emotional function, and social function) was all higher than those of the control group; the post-intervention nursing satisfaction of the experimental group (40, 97.57%) was also significantly higher than that of the control group (29, 73.17%); and the listed differences were statistically significant (P < 0.01). Conclusion: For patients with hemodialysis ventricular arteriovenous fistula failure, comprehensive nursing intervention can reduce the incidence of complications, relieve anxiety and stress, improve quality of life and nursing satisfaction, and achieve better preventive effects.