Harwood Lori, Wilson Barbara, Goodman Maren
Nurse Practitioner, Hemodialysis, London Health Sciences Centre, London, Ontario, Canada.
Member of ANNA's Michiganna Chapter.
Nephrol Nurs J. 2017 Sep-Oct;44(5):411-425.
The arteriovenous fistula (AVF) is the recommended access for most people requiring hemodialysis. Success or failure of cannulation of the AVF greatly impacts the patient's experience. Research suggests that skill development in this area is needed. This scoping review was conducted to review current research on cannulation of the AVF to find strategies to improve successful cannulation. Results of this scoping review (n = 36)demonstrated that most studies can be categorized under the technique of cannulation, and concerns and preferences with the AVF as a consequence of cannulation. There are large gaps in the literature, with interventions to improve cannulation and a need to understand more about cannulation from both patient and nurse perspectives.
动静脉内瘘（AVF）是大多数需要血液透析的人推荐使用的血管通路。AVF穿刺的成功与否对患者的体验有很大影响。研究表明，这方面需要进行技能培养。本范围综述旨在回顾当前关于AVF穿刺的研究，以寻找提高穿刺成功率的策略。该范围综述的结果（n = 36）表明，大多数研究可归类为穿刺技术，以及穿刺导致的对AVF的担忧和偏好。文献中存在很大差距，包括改善穿刺的干预措施，以及需要从患者和护士的角度更深入地了解穿刺情况。
