Effect of Refined Nursing on Maintenance of Autogenous Arteriovenous Fistula in Dialysis Patients with Diabetes Nephropathy

目的：探究糖尿病肾病透析患者应用精细化护理的效果。方法：将我院自2024.1~2025.5收治的82例糖尿病肾病透析患者纳入研究。应用奇偶分组法均分为精细化组(n = 41)、基础组(n = 41)。基础组给予基础护理，精细化组在此基础上加用精细化护理。比较两组的自体动静脉内瘘维护知识掌握水平、自我护理能力、并发症发生情况。结果：精细化组自体动静脉内瘘维护知识掌握水平高于基础组(P Objective: To explore the effect of fine nursing on dialysis patients with diabetes nephropathy. Methods: 82 dialysis patients with diabetes nephropathy admitted from 2024.1 to 2025.5 in our hospital were included in the study. Using the parity grouping method, the subjects were divided into a refined group (n = 41) and a basic group (n = 41). The basic group receives basic care, while the refined group receives additional refined care on this basis. The level of knowledge, self-care ability, and incidence of complications in the maintenance of autogenous arteriovenous fistula between two groups were compared. Result: The level of knowledge on maintenance of arteriovenous fistula in the refined group was higher than that in the basic group (P < 0.05); the self-care ability of the refined group was higher than that of the basic group (P < 0.05); the incidence of complications in the refined group was lower than that in the basic group (P < 0.05). Conclusion: Fine nursing can improve the level of autogenous arteriovenous fistula maintenance knowledge of dialysis patients with diabetes nephropathy, improve the ability of self-care, and reduce complications.