[Objective] To explore the effect of clinical care pathways in perioperative patients with autologous arteriovenous fistula balloon expansion. [Method] 202 patients undergoing autologous arteriovenous fistula from July 2021 to June 2022 were randomly divided into a control group (101 cases) and an observation group (101 cases) to compare the incidence rates of postoperative complications, hospitalization days, hospitalization expenses, knowledge of self-management of arteriovenous fistula and nursing satisfaction. [Results] In the observation group, the incidence of arteriovenous fistula was higher than that of the control group, and the hospitalization days and hospitalization costs were lower than that of the control group. The difference between the two groups was statistically significant (P < 0.05). [Conclusion] The application of the clinical nursing path to intervene in patients with autologous arteriovenous fistula balloon dilation can reduce the incidence of postoperative complications, shorten the hospital length of time, reduce hospitalization costs and improve patient satisfaction, which is clinical promotion significance.
References
[1]
Chun, S., Ryu, J., Ryu, K.M. and Seo, P.W. (2021) Expandability of Cephalic Veins after Brachial Plexus Block in Arteriovenous Fistula Formation for Hemodialysis. JournalofChestSurgery, 54, 31-35. https://doi.org/10.5090/kjtcs.20.135
[2]
Xiao, Y.W., Pan, H.X., Bao, Y.Q., et al. (2017) Correlation Study of Vascular Wall Changes and Calcium and Phosphorus Metabolism in Arteriovenous Fistula in Hemodialysis Patients. Western Medicine, 29, 226-229.
[3]
Zhang, H. and Li, W. (2021) Establishment and Maintenance of Autogenous Arteriovenous Fistula in Hemodialysis Patients: A New Beacon. Chronic Diseases and Translational Medicine, 7, 217-219. https://doi.org/10.1016/j.cdtm.2021.09.001
[4]
Zhao, L., Cai, Q., Wang, D.Y., et al. (2020) Analysis of the Effect of Color Doppler Ultrasound on Arteriovenous Fistula in Uremic Hemodialysis Patients. Advances in Modern Biomedicine, 20, 2309-2312.
[5]
Li, Q. and Yin, Z. (2021) Effect of Self-Management and Thrombus Monitoring on Patients with Autogenous Arteriovenous Fistula. American Journal of Translational Research, 13, 11806-11813.
[6]
Li, Y., Cui, W., Wang, J., Zhang, C. and Luo, T. (2021) Factors Associated with Dysfunction of Autogenous Arteriovenous Fistula in Patients with Maintenance Hemodialysis: A Retrospective Study. Annals of Palliative Medicine, 10, 4047-4054. https://doi.org/10.21037/apm-20-2196
[7]
Ecevit, A.N., Karaca, O.G., Kalender, M. and Darçın, O.T. (2021) Midterm Results of Salvage Surgery for Autogenous Dialysis Access in Aneurysmal Arteriovenous Fistulas. Therapeutic Apheresis and Dialysis, 25, 947-953. https://doi.org/10.1111/1744-9987.13630
[8]
Sun, X., He, Y., Ma, Y., He, H., Zhang, L., de Seabra Rodrigues Dias, I.R., et al. (2018) A Single-Center Retrospective Analysis of the Efficacy of a New Balloon Catheter in Autogenous Arteriovenous Fistula Dysfunction Resistant to Conventional Balloon Angioplasty. Annals of Vascular Surgery, 48, 79-88. https://doi.org/10.1016/j.avsg.2017.09.025
[9]
Granata, A., Maccarrone, R., Di Lullo, L., Morale, W., Battaglia, G.G., Di Nicolò, P., et al. (2020) Feasibility of Routine Ultrasound-Guided Percutaneous Transluminal Angioplasty in the Treatment of Native Arteriovenous Fistula Dysfunction. The Journal of Vascular Access, 22, 739-743. https://doi.org/10.1177/1129729820943076
[10]
He, X., Feng, Z.P., Liu, Z.Y., et al. (2021) Investigation on the Mechanism of p38MAPK in the Failure of Autogenous Arteriovenous Fistula Caused by Stenosis. Journal of Physiology and Pharmacology, 72, 545-553.
[11]
Zhang, Y.J., Zhu, Y.L. and Xiong, X.H. (2016) Application of Mind Mapping in Health Education for Patients with Active Endovenous Fistula. Blood Purification in China, 15, 358-360.
[12]
Chen, L.Y., Hu, Y.C., Fu, J.N., et al. (2020) Knowledge of Hemodialysis Access in Patients on Maintenance Hemodialysis. Chongqing Medical, 49, 3656-3659.
[13]
Jiang, H.L. (2019) Preparation of the Self-Management Scale of Autologous Arteriovenous Fistula in Maintenance Hemodialysis Patients. Shandong University, Jinan.
[14]
Evans, M., Morgan, A.R., Whyte, M.B., Hanif, W., Bain, S.C., Kalra, P.A., et al. (2021) New Therapeutic Horizons in Chronic Kidney Disease: The Role of SGLT2 Inhibitors in Clinical Practice. Drugs, 82, 97-108. https://doi.org/10.1007/s40265-021-01655-2
[15]
Qian, C.X. and Wang, L.T. (2019) Application of the Clinical Care Pathway Combined with Video Health Education in the Perioperative Period of Knee Replacement Patients. General Practice Care, 17, 1865-1868.
[16]
Ren, X.H. (2016) Effect of Clinical Care Pathway on Postoperative Pain and Functional Rehabilitation in Patients with Artificial Total Knee Arthroplasty. Journal of Practical Clinical Medicine, 20, 132-135.
[17]
Bualan (2019) Analysis of the Effectiveness of Clinical Care Pathway in Total Knee Replacement Care. Disease Surveillance and Control, 13, 325-326.
