Evidence-based nursing practice for extending the lifespan of arteriovenous fistulas in maintenance hemodialysis patients based on the Stetler model
10.3760/cma.j.cn115682-20250308-01141
- VernacularTitle:基于Stetler模式的延长维持性血液透析患者自体动静脉内瘘使用寿命的循证护理实践
- Author:
Aiyan DU
1
;
Yan YU
;
Renyan XU
;
Yawen WANG
;
Ye XU
;
Congmin ZHAO
;
Yuan ZHANG
;
Wei ZHOU
;
Xiaodong CAO
;
Xiaofen SHI
Author Information
1. 南京医科大学无锡医学中心/无锡市人民医院/南京医科大学附属无锡人民医院血液净化中心，无锡 214000
- Publication Type:Journal Article
- Keywords:
Hemodialysis;
Arteriovenous fistula;
Stetler model;
Evidence-based practice
- From:
Chinese Journal of Modern Nursing
2025;31(33):4506-4511
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To develop an evidence-based nursing practice program based on the Stetler model to extend the lifespan of arteriovenous fistulas (AVF) in maintenance hemodialysis (MHD) patients and evaluate its effectiveness.Methods:An evidence-based nursing practice program was constructed based on the best evidence for extending AVF lifespan in MHD patients. Expert group discussions were held to determine review indicators. A baseline survey was conducted among 100 MHD patients and 42 nurses using covenience sompling at the Blood Purification Center of Wuxi People's Hospital from January to December 2023, to identify barriers and facilitators. In the following year, from January to December 2024, the evidence-based practice was implemented at the same hospital, and the AVF surgical intervention rate and AVF self-management levels of MHD patients were compared before and after the practice.Results:No statistically significant difference was found in the AVF surgery rates before and after the evidence-based practice ( P>0.05) . However, after implementing the evidence-based practice, MHD patients' scores on the AVF self-management scale significantly improved, and the difference was statistically significant ( P<0.01) . Conclusions:The evidence-based practice based on the Stetler model is beneficial for standardizing the clinical management of AVF, reducing the need for surgical interventions, and improving MHD patients' ability to self-manage their AVF.
