Application effects of nursing quality sensitive indicator in the symptom of limb swelling after transradial coronary intervention

ObjectiveTo explore the application effects of nursing quality sensitive indicator in the symptom of limb swelling after transradial coronary intervention(TCI).

MethodsThe patient's limbs swelling was taken as the outcome index, and the irregular release of hemostatic valve, incorrect placement of patients' limbs and inadequate guidance of postoperative limb exercise were taken as the process indexes.According to the quality control circle combined with PDCA cycle method, 84 patients treated with TCI from October to December 2019 and 80 patients treated with TCI from January to March 2020 were divided into the control group and observation group, respectively.The occurrence of limb swelling and pain scores were compared between two groups.

ResultsAfter the implementation of the strategy to prevent limb swelling after TCI in January 2020, the differences of the degree of limb swelling between two groups were not statistically significant(P>0.05).The no limb swelling rate in observation group(18.8%) was higher than that in control group(3.6%), and the incidence rate of mild swelling in observation group(40.0%) was lower than that in control group(54.8%), and the differences of the pain scores in observation group after 2, 4, 8 and 24 h of operation were lower than those in control group(P < 0.05 to P < 0.01).

ConclusionsThree key problems in the quality control of postoperative limb swelling after TCI can be found through the nursing quality sensitive indicator, and then targeted rectification, which can further reduce pain and improve the quality of nursing.