Nurse-led shared decision-making for hemodialysis vascular access: a randomized controlled trial - Takeaways - MDSpire

Nurse-led shared decision-making for hemodialysis vascular access: a randomized controlled trial

  • By

  • Fan Yang

  • Wenhua Yang

  • Fangfang Lu

  • Tao Liang

  • Yanzhi Zhang

  • July 3, 2026

  • 0 min

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  • 1

    The study evaluated a nurse-led shared decision-making model for vascular access management in hemodialysis patients.

  • 2

    120 hemodialysis patients were randomly assigned to either an experimental group receiving SDM or a control group receiving standard education.

  • 3

    The experimental group showed significantly lower decisional conflict and preoperative anxiety compared to the control group post-intervention.

  • 4

    Higher decision satisfaction and arteriovenous fistula selection rates were observed in the experimental group.

  • 5

    The nurse-led model effectively reduced decisional conflict and anxiety while promoting patient-centered vascular access decisions.

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