Comprehensive Nursing Care for Vascular Access in Hemodialysis Patients with End-Stage Renal Disease

With lifestyle and dietary changes, the number of kidney disease patients in China is rising. For end-stage renal disease (ESRD) patients, long-term hemodialysis is crucial for survival, requiring reliable vascular access. This review summarizes the essential nursing care for vascular access in ESRD, focusing on preoperative and postoperative strategies, psychological support, physical preparation, fistula maturity assessment, and puncture techniques. It also addresses common complications and their management. Integrating new technologies with traditional nursing practices can enhance treatment outcomes, reduce complications, and improve the quality of life for hemodialysis patients, underscoring the vital role of skilled nursing in ESRD care.