Abstract: Objective   To observe the effect of ultrasound-guided arteriovenous fistula puncture training for nurses based on the perspective of patients’ demands.   Methods  Thirty-four nurses in the dialysis center were divided into experimental group or control group by convenience sampling method, with 17 in each group. The experimental group used ultrasound-guided arteriovenous fistula puncture training based on patients' demands, while the control group used conventional training methods. Number of patients subjected to the puncture, success rate of first puncture, puncture-related complications, overall success rate of the puncture, master rate of ultrasound-guided puncture training, and number of puncture required by the operation training were observed in the two groups.  Results  A total of 32 nurses were enrolled and completed the study, and 16 in each group. A total of 41 patients were su  bjected to ultrasound-guided puncture, including 28 in the experimental group and 13 in the control group. There was no significant difference in the success rate of first puncture between the two groups (78.6% vs. 76.9%, c2=0.000,  P=1.000). The overall puncture success rate of experimental group was significantly higher than that of control group (96.1% vs. 89.9%, c2=8.242, P=0.004). The master rate of ultrasound-guided puncture training for nurses in experimental group was significantly higher than that in control group (81.3% vs. 43.8%, c2=4.800, P=0.028). The median number of puncture times (interquartile distance) required for nurses to master ultrasound-guided puncture in experimental group was 13.0 (12.0, 14.0), significantly less than that in control group of 16.0 (15.0, 17.0) (Z=-13.000, P＜0.001).  Conclusions  The method of ultrasound-guided arteriovenous fistula puncture training based on patients' needs can significantly improve the overall puncture success rate in hemodialysis patients with difficult vascular access and the training effect of nurses.

Key words: Patients' demands, Ultrasonography, Arteriovenous fistula, Vascular access