Summary of best evidence for the management of arteriovenous fistula buttonhole puncture in hemodialysis patients
10.3969/j.issn.1671-8348.2025.06.026
- VernacularTitle:血液透析患者动静脉内瘘扣眼穿刺法管理的最佳证据总结
- Author:
Pan WANG
1
;
Junnan XIAO
;
Yuxiao XIA
;
Xiuli FENG
Author Information
1. 广州医科大学附属第二医院,广州 510260
- Keywords:
end stage renal disease;
hemodialysis;
arteriovenous fistula;
buttonhole puncture method;
summary of evidence
- From:
Chongqing Medicine
2025;54(6):1427-1434
- CountryChina
- Language:Chinese
-
Abstract:
Objective To summarize the best evidence of the management cycle of arteriovenous fistula buttonhole puncture,and to provide evidence-based support for the standardized management of arteriovenous fistula buttonhole puncture method in clinical practice.Methods Establishing evidence-based nursing issues,according to the"6s Evidence Model",computer searches were conducted on domestic and foreign databases,guideline websites,and professional association websites for relevant literature on arteriovenous fistula button-hole puncture in hemodialysis patients.The search period was from the establishment of the database to De-cember 31,2023.The guidelines were independently evaluated by four nursing staff who had received system-atic evidence-based nursing training,and other types of literature were independently evaluated by two person-nel.The JBI evidence grading system was applied to extract,evaluate,and grade evidence.Results Through literature search,a total of 15 articles were included,including 5 decision-making articles,5 guidelines,1 expert opinion article,3 expert consensus articles,and 1 systematic review article.Twenty-one best pieces of evidence had been summarized from seven aspects:puncture method selection,tunnel establishment,scab removal treatment,blunt needle insertion,puncture personnel training,infection prevention,and counseling and educa-tion.Conclusion This study summarizes the best evidence of the arteriovenous fistula buttonhole puncture management cycle,and provides a basis for clinically standardized the management of arteriovenous fistula buttonhole puncture.
