Abstract: 【Abstract】Objective To explore the effect of setting up a full-time nursing post for blood purification vascular access center in our hospital. Methods A total of 1,529 patients undergoing vascular access surgery for hemodialysis from July to December 2018 in First Affiliated Hospital of Zhengzhou University were selected as the control group, and the perioperative routine nursing mode was implemented by the ward nurses. A total of 1,824 patients undergoing vascular access surgery from January to June 2019 were recruited as the intervention group; a vascular access full-time nursing post was established, and standardized vascular access management process was implemented in the intervention group. The intervention effects of the two groups were compared after follow-up for six months. Results There were significant differences both in ratios of current vascular access type (c2=12.546, P=0.002) and access type for new patients (c2=17.526, P=0.002) between the two groups; in current vascular access type, AVF rate increased from 67.5% to 72.9% (c2=11.743, P=0.001) and central venous catheterization (CVC) rate reduced from 31.1% to 25.5% (c2=12.544, P<0.001); in access type for new patients, AVF rate increased from 49.3% to 56.8% (c2=11.849, P=0.001) and CVC rate reduced from 40.5% to 36.2% (c2=4.097, P=0.043). Fistula patency rate within 6 months after operation increased from 85.1% to 89.2% (c2=8.928, P=0.003). Follow-up rate increased from 30.1% to 50.1% (c2=98.558, P<0.001). Conclusion The vascular access full-time nurses involved in blood access management of the patients. Their work effectively increased the AVF rate, fistula patency rate and follow- up compliance.

Key words: Hemodialysis, Vascular access management, Vascular access nurse