The application of PDCA cycle management in reducing the rate of limb swelling in patients undergoing transradial PCI
PDCA循环管理在降低经桡动脉PCI术患者肢体肿胀率中的应用

摘要

目的 探究PDCA循环管理对降低经桡动脉PCI术患者肢体肿胀率的效果，改善就医体验。方法 选取我院心内科2023年4月1日至2023年10月31日共28周行经桡动脉PCI术的746例患者，前14周400例为对照组行常规护理，后14周346例为改良组行PDCA循环管理护理。PDCA循环管理包括计划、实施、检查、处理阶段，涉及组建管理小组、原因分析、改进措施制定、人员培训、健康宣教等，并比较两组肢体肿胀发生情况、护理满意度及疼痛情况。结果 改良组肢体肿胀发生率为2.60%，显著低于对照组的8.75%；护理满意度为93.64%，高于对照组的87.75%；疼痛评分低于对照组。结论 PDCA循环管理模式能有效降低肢体肿胀率，减轻患者疼痛，提高护理满意度，但存在样本量小、随访时间短等局限性，未来需进一步优化。

Abstract

Objective To explore the effect of PDCA cycle management on reducing the rate of limb swelling in patients undergoing transradial PCI and improving the medical experience.
Methods A total of 746 patients who underwent transradial PCI in the Department of Cardiology of our hospital from April 1, 2023 to October 31, 2023 for a total of 28 weeks were selected. In the first 14 weeks, 400 cases were the control group and received routine care, and in the following 14 weeks, 346 cases were the modified group and received PDCA cycle management care. The PDCA cycle management includes the stages of planning, implementation, inspection and handling, involving the formation of a management team, cause analysis, formulation of improvement measures, personnel training, health education, etc., and the occurrence of limb swelling, nursing satisfaction and pain in the two groups were compared.
Results The incidence of limb swelling in the modified group was 2.60%, significantly lower than 8.75% in the control group. The satisfaction rate of nursing was 93.64%, which was higher than 87.75% of the control group. The pain score was lower than that of the control group.
Conclusion   The PDCA cycle management model can effectively reduce the rate of limb swelling, alleviate patients' pain, and improve nursing satisfaction. However, it has limitations such as small sample size and short follow-up time, and further optimization is needed in the future.