nursing strategies for patients with chronic renal failure undergoing maintenance hemodialysis treatment by arteriovenous fistula

background: we aimed to analyze the effect of nursing strategies on patients with chronic renal failure (crf) undergoing maintenance hemodialysis (mhd) treatment by puncturing on arteriovenous fistula (avf). methods: ninety-two patients with chronic renal failure undergoing maintenance hemodialysis (mhd) between jan 2014 and jan 2015 were included in the study (all undergoing avf, dialysis for 2-3 sessions per week, 4-5 h per session) and randomly divided into control group and observation group. patients in control group were given standard nursing care and patients in observation group were given professional nursing of internal fistula. the complication rate and dysfunction rate during internal fistula perioperative period, fistula usage time and effect on life quality of patients of these two groups were compared (during 18-month follow-up). results: the complication rate and dysfunction rate during internal fistula perioperative period of the observation group were significantly lower than that of the control group, and the difference was statistically significant ( p ＜0.05). the median time of internal fistula usage was significantly prolonged, and the health index, emotion index and psychology index quality-of-life in the observation group were significantly higher than that of the control group ( p ＜0.05). conclusion: professional nursing strategies of internal fistula can prolong service time, decrease complications and improve life quality for patients undergoing maintenance hemodialysis treatment via arteriovenous fistula.   keywords: chronic renal failure, arteriovenous fistula (avf), maintenance hemodialysis (mhd), dysfunction rate, quality-of-life (qol)