International Journal of Nursing Research

Objective To explore the effect of fine nursing intervention on the maintenance of autogenous arteriovenous fistula in dialysis patients with diabetes nephropathy (DN). Methods 74 DN patients were included as the study subjects, all of whom underwent hemodialysis treatment in our hospital from January 2024 to January 2025. Randomly divide them into two groups, with 37 cases in each group. The control group receives routine nursing care, while the observation group receives refined nursing intervention. Compare the intervention effects. Results The maintenance effect of autologous arteriovenous fistula in the observation group was better than that in the control group (P<0.05); The self-care compliance of the observation group was higher than that of the control group (P<0.05); Compared with the control group, the incidence of adverse events in the observation group was lower (P<0.05). Conclusion The implementation of refined nursing in DN patients undergoing hemodialysis has significant effects. It can not only optimize the maintenance of the patient's arteriovenous fistula, but also improve their self-care compliance and reduce the incidence of complications. It is worthy of clinical promotion and application.

Refined nursing; Diabetes nephropathy; Dialysis; Autogenous arteriovenous fistula