Abstract

Objective To analyze the application effect of pretreatment system for the risk factors of dysfunction in hemodialysis patients with arteriovenous fistula. Methods The pretreatment system for the risk factors of dysfunction was used in the maintenance practice of hemodialysis patients with arteriovenous fistula in our hospital since June 2014. Totally 50 patients undergoing maintenance hemodialysis from June 2013 to May 2014 in our hospital were selected as the control group, and 46 patients with similar practice from June 2014 to May 2015 were selected as the experimental group. The differences in related indexes between two groups after intervention were compared. Results The incidence of complications related to arteriovenous fistula, and the dysfunction rate of internal fistula in the experimental group were significantly lower than the control group. However, the score of quality of life in the experimental group was higher than that in the control group (P<0.05). Conclusions The application of pretreatment system for the risk factors of dysfunction in hemodialysis patients with arteriovenous fistula can significantly reduce the incidence of complications and the risk of fistula dysfunction, and improve patients′ quality of life. Key words: Renal dialysis; Nursing care; Internal fistula; Dysfunction; Risk; Prevention

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