Summary of the best evidence for promoting maturation of autologous arteriovenous fistulas in patients undergoing maintenance hemodialysis
10.3760/cma.j.cn115682-20220623-03039
- VernacularTitle:促进维持性血液透析患者自体动静脉内瘘成熟的最佳证据总结
- Author:
Wenbo ZHU
1
;
Jinghua XIA
;
Yue ZHOU
;
Dan SONG
;
Xue BAI
;
Jing HAO
;
Ping LIU
;
Yuxia GUAN
Author Information
1. 中国医学科学院北京协和医院肾内科血液净化中心，北京 100730
- Keywords:
Arteriovenous fistula;
Maintenance hemodialysis;
Evidence summary;
Evidence-based nursing
- From:
Chinese Journal of Modern Nursing
2023;29(17):2251-2259
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To search, review and summarize the best evidence on promoting maturation of autologous arteriovenous fistula (AVF) in patients undergoing maintenance hemodialysis (MHD) .Methods:In accordance with the relevant methods of evidence-based nursing, evidence was retrieved from relevant websites and databases according to the "6S" pyramid model, including clinical decision-making, guidelines, expert consensus, group standards, and systematic reviews. The search time limit was from April 20, 2012 to April 20, 2022. Two investigators assessed the quality of the evidence, and the evidence team extracted and summarized the evidence.Results:A total of 17 articles were included, including 1 clinical decision-making, 6 guidelines, 1 expert consensus, 1 group standard and 8 systematic reviews. Totally 28 best evidences were summarized from 6 aspects: team education, perioperative management, functional exercise, physical therapy, drug application, first puncture timing and scheme.Conclusions:The best evidence provides a reference for medical staff to standardize the management of AVF in MHD patients. It is recommended that medical staff develop individualized plans based on medical conditions, clinical judgment, and patient wishes when applying relevant evidence.
