Application of multidisciplinary team collaboration model in vascular access management of patients with maintenance hemodialysis

Objective To explore the application effect of the multidisciplinary team collaboration model in vascular access management for patients with maintenance hemodialysis.

Methods A total of 102 patients with maintenance hemodialysis in the hospital from October 2023 to October 2024 were selected as the research subjects, and they were randomly divided into observation group and control group by the random number table method, with 51 cases in each group. The observation group received routine nursing combined with the multidisciplinary team collaboration model, while the control group received routine nursing. The multidisciplinary team collaboration model involved professionals from multiple disciplines, including nephrologists, vascular surgeons, interventional radiologists, B-ultrasound doctors, clinical pharmacists, nutritionists, psychological counselors, the head nurse of the blood purification center, and blood purification specialist nurses. The intervention duration was 6 months. The related indicators of dialysis adequacy urea reduction ratio (URR), equilibrium urea clearance rate (eKt/V), psychological burden the Self-rating Anxiety Scale (SAS) and the Self-rating Depression Scale (SDS), vascular access satisfaction degree the Simple Version of Vascular Access Questionnaire (VAQ), quality of life the Kidney Disease-Targeted Areas Scale (KDTA) and the 36-item Short-form Health Survey (SF-36), and complications were compared between the two groups before and after the intervention.

Results After the intervention, the levels of URR and eKt/V and the score of each dimension of quality of life in the observation group were significantly higher than those in the control group, while the SAS and SDS scores were significantly lower than those in the control group (P < 0.05). After the intervention, the satisfaction rate of vascular access in the observation group was 96.08% (49/51), which was significantly higher than 80.39% (41/51) in the control group (χ²=6.044, P=0.014). The total complication rate in the observation group was 1.96% (1/51), which was significantly lower than 13.73% (7/51) in the control group (P < 0.05).

Conclusion The adoption of the multidisciplinary team collaboration model for patients with maintenance hemodialysis is beneficial for improving the adequacy of hemodialysis, reducing psychological burden, enhancing vascular access satisfaction and quality of life, and preventing complications.