Journal of Advances in Clinical Nursing

Objective To explore the effect of whole-process tracking care in the continuous quality improvement of vascular access in hemodialysis patients. Methods Patients receiving hemodialysis treatment in our hospital were randomly selected as the study object (time range: October 2022 to October 2023). From them, 80 patients were selected and divided into the control group and the observation group according to the simple sampling method, with 40 cases in each group. The control group provided routine care services, while the observation group carried out whole-process follow-up care to compare the coagulation index, vascular access recirculation rate and the incidence of related complications in the two hemodialysis patients. Results The comparison of aPTT, PT and Fbg in the two groups was not significant: P> 0.05; after nursing intervention, the improvement of hemodialysis patients in the observation group was significantly better than that of the control group, and the difference results (P <0.05); after nursing, the rate of complications in the observation group was significantly lower compared with that of the control group (P <0.05). The blood urea nitrogen recycling rate and blood creatinine recycling rate in the observation group were lower than that of the control group: P <0.05. Conclusion The whole-process follow-up nursing of hemodialysis patients is conducive to continuous dynamic and standardized management, maintaining good hemodialysis vascular access nursing effect, improving the nursing service quality of hemodialysis patients, ensuring the adequacy of dialysis, and reducing the occurrence of related complications.

whole-process follow-up care; Hemodialysis; vascular access; Continuous quality improvement