Research on nursing practice of transcutaneous femoral vein as temporary vascular access for artificial liver

Objective: To investigate the current nursing practice and influencing factors of transcutaneous femoral vein temporary liver access in infection department, so as to provide basis for formulating targeted management measures and improving related nursing procedures. Methods: A questionnaire was designed by ourselves and convenient sampling method was adopted to investigate nursing staff in infection department of 4 Wuhan Grade III hospitals from April to June 2025. The questionnaire included general investigation, establishment of vascular access, management during catheter placement and extubation treatment. Results: A total of 320 questionnaires were sent out, and 305 valid questionnaires were collected, with an effective recovery rate of 95.31%. The total score of the questionnaire was (50.52±6.329), which was at the medium level. Age, years of work experience, job title, educational level, whether a member of the dialysis team, and the number of training sessions received by nursing staff within the past year are relevant influencing factors for the practice of percutaneous femoral arteriovenous hemodialysis access care ( P ＜0.05). Conclusion: The nursing practice of transcutaneous femoral vein artificial liver temporary access is ideal, but there are still some weak links, the main reasons may be related to the shortage of nursing staff, the inability to obtain evidence, and the complicated process. It suggests that clinical institutions should rationally adjust nursing staff scheduling, play an active role of expert groups, carry out information technology, and continuously improve nursing norms and procedures.