PDCA循环管理对降低经桡动脉穿刺介入术后前臂血肿发生率的作用

目的探讨PDCA循环管理对降低经桡动脉穿刺介入术后前臂血肿发生率的作用。方法选择于我院心内科2018年第四季度与2019年第一季度行经桡动脉穿刺途径介入手术的746例患者作为研究对象,将2018年第四季度运用常规管理模式的400例患者作为对照组,2019年第一季度运用PDCA管理模式的346例患者作为试验组。比较两组的前臂血肿发生情况、护理满意度及疼痛情况。结果试验组前臂血肿发生率为2.60%,明显低于对照组的8.75%(P<0.05)。试验组的护理满意度为93.64%,明显高于对照组的87.75%(P<0.05)。试验组的疼痛评分为(4.21±1.33)分,明显低于对照组的(6.33±1.98)分(P<0.05)。结论应用PDCA循环管理模式可明显降低经桡动脉穿刺介入术后患者前臂血肿的发生率。

Role of PDCA circulation management on reducing the incidence of forearm hematoma after radial artery puncture intervention

Objective To explore the role of PDCA circulation management on reducing the incidence of forearm hematoma after radial artery puncture. Methods A total of 746 patients who underwent interventional surgery via radial artery puncture in the fourth quarter of 2018 and the first quarter of 2019 were selected as the study objects. In the fourth quarter of 2018, 400 patients using conventional management model were taken as control group, and 346 patients using PDCA management model in the first quarter of 2019 were taken as experimental group. The occurrence of forearm hematoma, nursing satisfaction and pain were compared between the two groups. Results The incidence of forearm hematoma in the experimental group was 2.60%, which was significantly lower than 8.75% in the control group(P<0.05).The nursing satisfaction in the experimental group was 93.64%, which was significantly higher than 87.75% in the control group(P<0.05). The pain score in the experimental group was(4.21±1.33), which was significantly lower than(6.33±1.98)in the control group(P<0.05). Conclusion The PDCA circulation management model can significantly reduce the incidence of forearm hematoma after radial artery puncture intervention.