Yanqiu Fan, Xiaoyan Zhou

Department of Cardiology, Jinhu County People’s Hospital, Huaian City, People’s Republic of China

Correspondence: Xiaoyan Zhou, Department of Cardiology, Jinhu County People’s Hospital, Jiangsu Province, Huaian City, People’s Republic of China, Tel: +86 18015198693, Fax +86 51786808708, Email jsjhcardiology@163.com

Background: Transradial puncture has the advantages of significantly fewer complications, less patient pain, shorter hospital stays, and reduced hospital costs, but it tends to cause forearm hematoma, so reducing the rate of forearm hematoma is imperative. This study assessed the value of the plan–do–check–act (PDCA) cycle in standardizing nursing management in reduce the incidence of forearm hematoma in patients after transradial artery Percotaneous Coronary Intervention(PCI).
Methods: This study was conducted on 260 patients with acute myocardial infarction admitted to our hospital between January 2022 and June 2022 who underwent coronary intervention. The subjects were divided into control-group (n=130) and observation-group (n=130) in accordance with their admission time. The control-group received routine nursing care; and the observation-group, was applied with PDCA nursing management in addition to conventional treatment.
Results: The incidence of forearm hematoma in patients after radial artery PCI decreased from 24.62% to 8.46% (P < 0.05).
Conclusion: The PDCA cycle management model was effective in reducing the incidence of forearm hematoma without increasing adverse patient outcomes.

Keywords: plan-do-check-act cycle, radial artery puncture, PCI, forearm hematoma