Journal of Modern Nursing MedicineJPCNS

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.

PDCA cycle management; Transradial PCI; Limb swelling