关键词: 细节优化护理, 血液透析, 人造血管内瘘, 自我效能

Abstract: 【Abstract】Objective To evaluate the effect of optimization specific to nursing practice on the artificial vascular graft fistula and Self -efficacy of maintenance hemodialysis patients Methods Forty maintenance hemodialysis patients with artificial vascular graft fistula was randomly divided into the control group and the intervention group (n=20, respectively). Patients in the control group received conventional methods of nursing, and patients the intervention group received individualized psychological caring after careful routine nursing and psychological asessment. Then the proportion of fistula obstruction, the incidence of fistula– relevant complication, and the score of Self Efficacy Scale were evaluated. Results 1 year after optimization specific to nursing practice, compared with the control group, the proportion of fistula obstruction, the incidence of fistula-relevant complication in the intervention group were much lower (χ2=4.250, P＜0.05), while the score of Self Efficacy Scale was higher (χ2=8.095, P＜0.05). Conclusion Optimization specific to nursing practice could prolong the life of the artificial vascular graft fistula of maintenance hemodialysis patients hence ensure the hemodialysis sufficiency, and improve the patients’consciousness of self efficacy and the confidence to handle difficulty.

Key words: Optimization specific to nursing practice, Hemodialysis, Artificial vascular graft fistula, Self -efficacy