The Impact of Multidisciplinary Collaborative Nursing Intervention on Arteriovenous Fistula in Patients Undergoing Hemodialysis

Author:

Zha Danfeng1,Yang Xionghao2,Yang Yan3ORCID,Zhang Haifen1,Jin Yan1,Li Na1,Zhou Yin1

Affiliation:

1. Department of Nephrology, Renji Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, China

2. Department of Nephrology, Yangpu Hospital, School of Medicine, Tongji University, Shanghai, China

3. Shanghai Jiao Tong University, School of Nursing, Shanghai, China

Abstract

This study was conducted to evaluate the effect of multidisciplinary collaborative nursing intervention on AVF in patients with chronic kidney disease (CKD) undergoing hemodialysis. Patients ( n = 84) with CKD who underwent the first autologous AVF were randomly divided into control group and multidisciplinary collaborative nursing intervention (MCNI) group and they received routine nursing procedure and multidisciplinary collaborative nursing intervention procedure, respectively. The natural blood flow and vessel diameter in MCNI group were higher than that in control group at the fourth week after surgery ( p < .05). The vessel diameter in MCNI group at 2 and 4 weeks after operation was significantly larger than that in control group ( p < .05).In conclusions, the implementation of multidisciplinary collaborative nursing intervention procedure can significantly promote the maturation of AVF, effectively increase the blood flow of AVF and promote the growth of vessel diameter.

Funder

the Shanghai Jiao Tong University School of Nursing, Nursing plateau discipline construction talents program-backbone of scientific research

Publisher

SAGE Publications

Subject

General Nursing

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