Objective:To explore and analyze the construction of vascular access core nursing team and its application in blood purification patients.Methods:From May 2018 to May 2020, convenience sampling was used to select 120 patients with blood purification in Department of Nephrology of Henan Provincial People's Hospital as the research object. The patients were divided into the control group and the observation group by random number table method, 60 cases in each group. The control group carried out routine nursing, and the observation group constructed a vascular access core nursing team to implement specialized nursing on the basis of the control group. The composition of vascular access, the success rate of one puncture, the incidence of complications, and nutritional indicators before and after intervention were compared between the two groups.Results:The observation group had a lower vascular access rate of central venous catheter, and a higher success rate of one puncture than those of the control group, with statistical differences ( P<0.05) . The incidence of complications in the observation group was lower than that in the control group, and the difference was statistically significant ( P<0.05) . After nursing, the levels of albumin, hemoglobin and prealbumin in the observation group were higher than those in the control group, and the differences were statistically significant ( P<0.05) . Conclusions:Establishing a vascular access core nursing team to implement specialized nursing and applying it in blood purification patients can effectively reduce the incidence of related complications, improve the nutritional status of patients, and have a good overall nursing effect, which is worthy of clinical promotion.

Objective To explore the effects of multidisciplinary network management oriented by nurse specialists on nutritional status and peritonitis in peritoneal dialysis(PD)patients. Methods From February to August 2018,a total of 78 PD patients with regular visit in Department of Nephrology of Henan Province People's Hospital were selected as subjects by convenience sampling. All of patients were divided into control group and observation group with the method of random number table,36 cases in each group. Control group carried out the routine PD management model,while observation group implemented the multidisciplinary network management oriented by PD nurse specialists for 6 months. We compared the nutritional indicators[Modified Subjective Global Assessment(SGA),hemoglobin,albumin and phosphate] and incidence of peritonitis of patients between two groups. Results After intervention,the score of modified SGA and phosphate of observation group were lower than those of control group;the hemoglobin and albumin of observation group were higher than those of control group with statistical differences(P<0.05). In observation group,the score of modified SGA and phosphate after intervention were lower than those before intervention;the hemoglobin and albumin after intervention were higher than those before intervention with statistical differences (P< 0.05). The incidence of peritonitis of observation group was 0.02(4/216)times a patient·month within 6 months during observation period lower than that[0.06(12/216)times a patient·month]of control group with a statistical difference(χ2=4.154,P< 0.05). Conclusions Multidisciplinary network management model oriented by PD nurse specialists can effectively improve PD patients' nutritional status,incidence of peritonitis which provides a new thinking for clinical management for PD patients.