Impact of FOCUS-PDCA on reducing the incidence of complications after transradial intervention.

IF 1.4 4区医学 Q3 CARDIAC & CARDIOVASCULAR SYSTEMS Minerva cardiology and angiology Pub Date : 2024-10-08 DOI:10.23736/S2724-5683.24.06544-X

Tong Zhou, Jing Liu, Shuangshuang Wang, Qian Zhang

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Abstract

Background: The aim of this study was to evaluate the effect of the find, organize, clarify, understand, select-plan, do, check, act (FOCUS-PDCA) procedure on reducing the incidence of complications at the puncture site.

Methods: Patients who underwent the transradial interventional therapy (TRI) were divided into control (N.=160) and FOCUS-PDCA (N.=158) groups. The postoperative complications at the puncture site was observed in the two groups, and the pain, bleeding, swelling and comfort of the two groups were compared and analyzed.

Results: Two hours after surgery, the number of pain-free patients in the observation group was significantly higher than that in the control group (62.1% vs. 44.4%, P=0.014). The degree of swelling at 6 and 2 hours after TRI in observation group was significantly lower than that in control group (-0.08±0.23 vs. -0.00±0.17, P=0.001). No early radial artery occlusion was found in either group. The postoperative comfort score in observation group was significantly higher than that in control group (101.94±9.99 vs. 91.14±14.50, P<0.001).

Conclusions: The FOCUS-PDCA approach may reduce the incidence of early pain and long-term swelling after TRI, improve patient comfort, and enhance the quality of specialist care. The results suggested that FOCUS-PDCA had the value of popularization and application.

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FOCUS-PDCA 对降低经桡动脉介入术后并发症发生率的影响。

背景：本研究旨在评估发现、组织、澄清、理解、选择-计划、执行、检查、行动（FOCUS-PDCA）程序对降低穿刺部位并发症发生率的影响：方法：将接受经桡动脉介入治疗（TRI）的患者分为对照组（160 人）和 FOCUS-PDCA 组（158 人）。观察两组患者术后穿刺部位的并发症情况，并对两组患者的疼痛、出血、肿胀和舒适度进行比较和分析：术后两小时，观察组患者无痛人数明显高于对照组（62.1% 对 44.4%，P=0.014）。观察组在 TRI 术后 6 小时和 2 小时的肿胀程度明显低于对照组（-0.08±0.23 vs. -0.00±0.17，P=0.001）。两组均未发现早期桡动脉闭塞。观察组术后舒适度评分明显高于对照组（101.94±9.99 vs. 91.14±14.50，P=0.001）：FOCUS-PDCA方法可降低TRI术后早期疼痛和长期肿胀的发生率，改善患者舒适度，提高专科护理质量。结果表明，FOCUS-PDCA 具有推广和应用价值。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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