Contemporary Nursing

Objective To analyze the application effects of early assessment methods and nursing strategies for vascular access dysfunction in hemodialysis patients. Methods A retrospective study was conducted on 32 maintenance hemodialysis patients admitted from January 2024 to January 2025 at our hospital. Patients were divided into an experimental group and a control group based on preliminary vascular access function assessments. The experimental group underwent early assessment using a multi-indicator combined evaluation system combined with individualized nursing interventions, while the control group received routine assessments and nursing care. Changes in blood flow, dialysis adequacy, complication incidence, and quality of life were compared between the two groups. Results The experimental group demonstrated significantly better performance than the control group in early dysfunction identification rate, blood flow recovery, dialysis adequacy improvement, and complication incidence (P<0.05). Conclusion The multi-indicator combined evaluation system combined with nursing interventions can significantly improve early identification rates of vascular access dysfunction, enhance dialysis quality, reduce complication risks, and improve patients' quality of life, demonstrating high clinical application value.

Hemodialysis; Vascular access function; Early assessment; Nursing intervention; Complications