The impact of early graded personalized prevention and control nursing on the prevention of thrombosis in autologous arteriovenous fistulas in hemodialysis patients
早期分级个性化防控护理在血液透析患者自体动静脉内瘘血栓预防中的影响

摘要

目的 分析对血液透析患者实施早期分级个性化防控护理后对预防自体动静脉内瘘血栓发生的临床效果。方法 收集2025年4月-2026年4月于我院接受血液透析治疗的64例患者资料，按随机数字表划分为同等例数的两组。进行前瞻性分析。对照组接受常规护理，观察组接受早期分级个性化防控护理。对比两组患者干预前后对自体动静脉内瘘的自我管理水平以及并发症发生率。结果 干预后，两组对自体动静脉内瘘的自我管理评分对比，为观察组更高（P＜0.05）；两组自体动静脉内瘘并发症发生率对比，为观察组更低（P＜0.05）。结论 早期分级个性化防控护理在血液透析患者自体动静脉内瘘血栓预防中效果显著，可有效提高患者对自体动静脉内瘘的自我管理能力，降低并发症发生率。

Abstract

Objective To analyze the clinical effect of implementing early graded personalized prevention and control nursing on the prevention of thrombosis in autologous arteriovenous fistulas in hemodialysis patients.
Methods The data of 64 patients who received hemodialysis treatment in our hospital from April 2025 to April 2026 were collected. They were divided into two groups with an equal number of cases according to the random number table. A prospective analysis was conducted. The control group received routine care, and the observation group received early graded personalized prevention and control nursing. The self-management level of autologous arteriovenous fistulas and the incidence of complications of the two groups before and after the intervention were compared.
Results After the intervention, the comparison of self-management scores of autologous arteriovenous fistulas between the two groups showed that the observation group had a higher score (P < 0.05); the comparison of the incidence of complications of autologous arteriovenous fistulas between the two groups showed that the observation group had a lower incidence (P < 0.05).
Conclusion   Early graded personalized prevention and control nursing has a significant effect in the prevention of thrombosis in autologous arteriovenous fistulas in hemodialysis patients, which can effectively improve the self-management ability of patients for autologous arteriovenous fistulas and reduce the incidence of complications.