结构-过程-结果质量评价模式应用于经桡动脉冠状动脉介入术后对其肢体肿胀的影响

Study on the effect of the structure-process-outcome quality assessment model on limb swelling after transradial coronary intervention

目的探究结构-过程-结果质量评价模式应用于经桡动脉冠状动脉介入术后对其肢体肿胀程度的影响。方法选取本院于2016年1月至2018年12月收治的90例行经桡动脉冠状动脉介入术治疗的患者,随机分为研究组和对照组,每组45例。其中对照组开展传统的护理干预,而研究组则在对照组基础上引入结构-过程-结果质量评价模式。记录两组患者干预后的肿胀程度以及视觉模拟疼痛评分情况。结果研究组患者的肿胀程度轻于对照组[(0.11±0.02)cm比(0.38±0.07)cm],疼痛评分低于对照组[(0.81±0.04)分比(4.19±0.13)分],差异有统计学意义(P<0.05)。研究组干预后肢体肿胀程度Ⅰ级、Ⅱ级、Ⅲ级例数分别为3、3、1例,轻于对照组,差异有统计学意义(P<0.05)。结论对于行桡动脉冠状动脉介入术治疗的患者,引入结构-过程-结果质量评价模式,有助于减轻患者术后肢体肿胀程度,值得在临床上做进一步推广。

Objective To explore the effect of the structure-process-outcome quality assessment model on limb swelling after transradial coronary intervention.Methods A total of 90 cases of transradial coronary intervention in our hospital from January 2016 to December 2018 were randomly divided into study group and control group,41 cases in each group.The control group received traditional nursing intervention,and the study group received the structure-process-outcome quality assessment model based on the control group.The limb swelling degree and visual analogue pain score of the two groups were recorded.Results The degree of limb swelling in the study group was(0.11±0.02)cm,which was lighter than that in the control group[(0.38±0.07)cm],and the pain score was(0.81±0.04)points,which was lower than that in the control group[(4.19±0.13)points](P<0.05).The number of grade I,II,and III limb swelling cases in the study group were 3,3,and 1,respectively,which were lighter than those in the control group(P<0.05).Conclusion For patients undergoing transradial coronary intervention,it is helpful to reduce the degree of limb swelling to introduce the structure-processoutcome quality assessment model,which is worthy of further promotion in clinical practice.