Status and barriers to functional monitoring of autogenous arteriovenous fistula in 506 hemodialysis centers
Objective To investigate the practice and barriers to functional monitoring of autogenous arteriove-nous fistula(AVF)in hemodialysis centers in China.Methods Using convenience sampling,from March to April 2022,a questionnaire was designed based on the literature of AVF functional monitoring,and a total of 527 hemodialysis centers in China were investigated from 3 aspects,including monitoring process and system,monitoring method and cont ent,and monitoring team construction.Results 506 questionnaires were effectively recovered,with a recovery rate of 96.02％.The implementation rate of the 12 entries of AVF functional monitoring ranged from 12.65％～79.84％,with an overall score of(4.97±3.03).The scores had statistically significant differences in 6 admin-istrative regions of China in monitoring process and system,monitoring method and content,and monitoring team building,as well as the total scores(P＜0.001).Barriers were centered on management specification,human resource allocation,professional training,and healthcare costs.Conclusion Hospital administrators should construct and per-fect the relevant management system according to the scale and actual situation of different hemodialysis centers,strengthen the supervision of AVF functional monitoring as well as the personalised management of monitoring pro-tocols,and promote the development of a multidisciplinary cooperation model for vascular access.
HemodialysisAutogenous Arteriovenous FistulaMonitoringBarrierNursing Care
万方数据
维普
