Contemporary Nursing

Objective To analyze the application of early assessment methods for vascular access dysfunction in hemodialysis patients and corresponding nursing strategies. Methods This study was conducted from December 2024 to December 2025, involving a total of 100 hemodialysis patients. They were randomly divided into a control group (n=50) and an observation group (n=50) using a lottery method. The control group received conventional nursing care, while the observation group was provided with early assessment of vascular access dysfunction and targeted nursing interventions. The quality of life scores, anxiety and depression scores, incidence of complications, and nursing satisfaction were compared between the two groups. Results Compared with the control group, the observation group demonstrated significantly higher quality of life scores, lower anxiety and depression scores, a significantly lower incidence of complications, and higher nursing satisfaction (P<0.05). Conclusion The application of early assessment methods for vascular access dysfunction and targeted nursing strategies in hemodialysis patients has shown significant efficacy, with a markedly reduced incidence of complications, improved quality of life, enhanced nursing satisfaction, and alleviated anxiety and depression. These findings warrant widespread adoption.

Hemodialysis; Vascular access dysfunction; Early assessment; Nursing interventions