风险分级护理对老年维持性血液透析患者动静脉内瘘管理中的影响

Objective This study aimed to evaluate the effects of a risk-stratified nursing intervention on arteriovenous fistula(AVF) management in elderly patients undergoing maintenance hemodialysis(MHD). Methods A total of 83 elderly MHD patients admitted to our hospital between January 2024 and January 2025 were enrolled and randomly assigned to either an observation group(n=43) or a control group(n=40) using a random number table. The control group received routine AVF care, while the observation group was given additional risk-stratified nursing interventions. The two groups were compared in terms of AVF functional integrity, complication rates, and quality of life scores after the intervention. Results After the interevention, the rate of good AVF function and the quality of life score of the patients in the observation group were significantly higher than those in the control group, and the incidence of complications was significantly lower than that of the control group(P<0.05). Conclusion The implementation of risk-stratified nursing in AVF care for elderly MHD patients contributes to enhanced fistula functionality, reduced complications, and improved quality of life, indicating its value for broader clinical adoption.