Abstract：Objective To explore the application of internal arteriovenous fistula management scheme based on evidence- based concept in maintenance hemodialysis (MHD) patients. Methods A total of 126 MHD patients admitted to the Nanning Second People’s Hospital from January 2020 to December 2021 were selected, and they were divided into control group and observation group according to random number table method, with 63 cases in each group. The control group received routine nursing management, and the observation group received the management scheme of internal arteriovenous fistula based on evidence-based concept. Self-care ability, maturity of arteriovenous fistula, incidence of complications, and quality of life of patients were compared between the two groups. Results After intervention, the scores of all dimensions and total scores of self-care ability in the observation group were higher than those before intervention and higher than those in the control group, and the scores of signs and symptoms management in the control group were higher than those before intervention, and the differences were statistically significant (P＜0.05). The loss rate and complication rate of arteriovenous fistula in the observation group were lower than those in the control group, and the differences were statistically significant (P＜0.05). The score of life quality of the observation group was higher than that before intervention, and the observation group was higher than the control group, and the differences were statistically significant (P＜0.05). Conclusion The management scheme of intervention arteriovenous fistula based on the evidence-based concept can effectively improve the self-care ability of MHD patients, reduce the incidence of arteriovenous fistula complications, improve the function of arteriovenous fistula, and improve the quality of life of patients.
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