Abstract:Objective To establish the whole process case management mode of hemodialysis vascular access, and initially implement and evaluate its impact on clinical work. Methods Established a clinical multidisciplinary cooperation team focusingd on nursing, formulated work indicators, and refined the case management process. January 2021 was listed as the start time of the model. After that, 70 clinical patients from Nanjing Jiangbei Hospital were selected to join the experimental group on a voluntary basis, and the case management model was used for the whole process management, and relevant data were collected. A total of 50 clinical patients before the start of the model from January 2019 to December 2020 were listed as the control group. A quasi experimental two-way cohort study was conducted to observe and compare the impact of the whole process management model under case management on clinical work. Results Under the whole process management mode based on case management, the vascular complications in the experimental group were lower than those in the control group (12.8% vs 28.0%, P＜0.05), the success rate of internal fistula implementation (97.0% vs 88.0%, P＜0.05), satisfaction survey score (97.6% vs 89.9%, P＜0.05), DV blood flow［(661±355) ml/min vs (354±210) ml/min, P＜0.01］, and DV vessel diameter change［(2.65±0.90) mm vs (2.09±0.53) mm, P＜0.05］ were higher than those in the control group, the hospitalization days［(10.26±5.4) d vs (14.28±8.8) d, P＜0.01］ were shorter than those in the control group, and the hospitalization expenses［(16 375±8 841) yuan vs (26 550±25 278) yuan, P＜0.05］ were lower than those in the control group. Conclusion The case management model of hemodialysis vascular access can effectively reduce the complications of internal fistula, reduce medical costs, and improve patient satisfaction with nursing.