Application of early assessment methods for vascular access dysfunction in hemodialysis patients and nursing strategies
血液透析患者血管通路功能障碍的早期评估方法应用及护理对策

摘要

目的 分析对血液透析患者血管通路功能障碍早期评估方法以及护理对策。方法 本次研究时间为2024年12月-2025年12月，血液透析患者共计100例纳入研究，随机抽签法分为对照组与观察组，对照组纳入50例，观察组50例，对照组常规护理方法，观察组采用血管通路功能障碍早期评估以及针对性护理措施，对患者生活质量评分，焦虑抑郁评分，并发症发生率及护理满意程度进行比较。结果 相比对照组，观察组患者生活质量评分较高，焦虑抑郁评分较低，并发症发生率较低，护理满意程度较高差异显著，P＜0.05。结论 对血液透析患者采用血管通路障碍早期评估方法应用以及针对性护理措施效果显著，患者并发症发生率显著较低，生活质量显著提升，提升护理满意程度且改善焦虑、抑郁程度，值得推广。

Abstract

Objective To analyze the application of early assessment methods for vascular access dysfunction in hemodialysis patients and corresponding nursing strategies.
Methods This study was conducted from December 2024 to December 2025, involving a total of 100 hemodialysis patients. They were randomly divided into a control group (n=50) and an observation group (n=50) using a lottery method. The control group received conventional nursing care, while the observation group was provided with early assessment of vascular access dysfunction and targeted nursing interventions. The quality of life scores, anxiety and depression scores, incidence of complications, and nursing satisfaction were compared between the two groups.
Results Compared with the control group, the observation group demonstrated significantly higher quality of life scores, lower anxiety and depression scores, a significantly lower incidence of complications, and higher nursing satisfaction (P<0.05).
Conclusion   The application of early assessment methods for vascular access dysfunction and targeted nursing strategies in hemodialysis patients has shown significant efficacy, with a markedly reduced incidence of complications, improved quality of life, enhanced nursing satisfaction, and alleviated anxiety and depression. These findings warrant widespread adoption.