Analysis of the Application Value of the Six Sigma Methodology in Nursing Management after Percutaneous Coronary Intervention
DOI:
https://doi.org/10.59958/hsf.7827Keywords:
Six Sigma methodology, percutaneous coronary intervention, postoperative complications, preventive managementAbstract
Objective: The incidence of postoperative complications after percutaneous coronary intervention (PCI) is relatively high, seriously affecting the prognosis of patients. This study explores the application value of the Six Sigma methodology in the preventive management of complications after PCI. Methods: The clinical data of 102 patients who underwent PCI in our hospital from March 2021 to January 2022 were retrospectively analyzed. In accordance with different management methods, these patients were divided into the reference group (n = 49, conventional management method) and the observation group (n = 53, Six Sigma methodology). The anxiety and depression levels, quality of life, cardiac function indexes (left ventricular ejection fraction, left ventricular end-diastolic volume, left ventricular end-systolic volume, and stroke volume), and incidence of complications were compared between the two groups. Results: Before management, no difference was observed in anxiety and depression levels, quality of life, and cardiac function indexes in both groups (p > 0.05). After management, the observation group demonstrated lower anxiety and depression levels, higher quality of life, and lower incidence of complications than the reference group did (p < 0.05), with no significant difference in cardiac function indexes (p > 0.05). Conclusions: The Six Sigma methodology can improve the quality of life and reduce the incidence of postoperative complications, with a high promotion and application value in nursing management after PCI.
References
Akbari T, Al-Lamee R. Percutaneous Coronary Intervention in Multi-Vessel Disease. Cardiovascular Revascularization Medicine: Including Molecular Interventions. 2022; 44: 80–91.
Kandan SR, Johnson TW. Management of percutaneous coronary intervention complications. Heart (British Cardiac Society). 2019; 105: 75–86.
Ishii H. Coronary stent infection: A catastrophic complication after percutaneous coronary intervention. International Journal of Cardiology. 2021; 344: 82–83.
Voll F, Kuna C, Ndrepepa G, Kastrati A, Cassese S. Antithrombotic treatment in primary percutaneous coronary intervention. Expert Review of Cardiovascular Therapy. 2021; 19: 313–324.
Doll JA, Hira RS, Kearney KE, Kandzari DE, Riley RF, Marso SP, et al. Management of Percutaneous Coronary Intervention Complications: Algorithms From the 2018 and 2019 Seattle Percutaneous Coronary Intervention Complications Conference. Circulation. Cardiovascular Interventions. 2020; 13: e008962.
Oosterhuis WP, Severens MJ. Performance specifications and six sigma theory: Clinical chemistry and industry compared. Clinical Biochemistry. 2018; 57: 12–17.
Johnson H. Restorative Quality Improvement: Novel Application of Six Sigma in a Skilled Nursing Facility. Journal of Nursing Care Quality. 2021; 36: 67–73.
Godley M, Jenkins JB. Decreasing Wait Times and Increasing Patient Satisfaction: A Lean Six Sigma Approach. Journal of Nursing Care Quality. 2019; 34: 61–65.
Moffatt S, Garry C, McCann H, Teeling SP, Ward M, McNamara M. The Use of Lean Six Sigma Methodology in the Reduction of Patient Length of Stay Following Anterior Cruciate Ligament Reconstruction Surgery. International Journal of Environmental Research and Public Health. 2022; 19: 1588.
World Medical Association. World Medical Association Declaration of Helsinki: ethical principles for medical research involving human subjects. JAMA. 2013; 310: 2191–2194.
Rabinowitz J, Williams JBW, Hefting N, Anderson A, Brown B, Fu DJ, et al. Consistency checks to improve measurement with the Hamilton Rating Scale for Anxiety (HAM-A). Journal of Affective Disorders. 2023; 325: 429–436.
Bobes J, Bulbena A, Luque A, Dal-Ré R, Ballesteros J, Ibarra N, et al. A comparative psychometric study of the Spanish versions with 6, 17, and 21 items of the Hamilton Depression Rating Scale. Medicina Clínica (Barc), 2003; 120: 693–700. (In Spanish)
Ware JE, Jr, Sherbourne CD. The MOS 36-item short-form health survey (SF-36). I. Conceptual framework and item selection. Medical Care. 1992; 30: 473–483.
Hoole SP, Bambrough P. Recent advances in percutaneous coronary intervention. Heart (British Cardiac Society). 2020; 106: 1380–1386.
Angiolillo DJ, Galli M, Collet JP, Kastrati A, O'Donoghue ML. Antiplatelet therapy after percutaneous coronary intervention. EuroIntervention: Journal of EuroPCR in Collaboration with the Working Group on Interventional Cardiology of the European Society of Cardiology. 2022; 17: e1371–e1396.
Zhang T, Qi X. Greater Nursing Role for Enhanced Post-Percutaneous Coronary Intervention Management. International Journal of General Medicine. 2021; 14: 7115–7120.
Teeling SP, Dewing J, Baldie D. A Realist Inquiry to Identify the Contribution of Lean Six Sigma to Person-Centred Care and Cultures. International Journal of Environmental Research and Public Health. 2021; 18: 10427.
Hutting N, Caneiro JP, Ong'wen OM, Miciak M, Roberts L. Person-centered care for musculoskeletal pain: Putting principles into practice. Musculoskeletal Science & Practice. 2022; 62: 102663.
Sillner AY, Madrigal C, Behrens L. Person-Centered Gerontological Nursing: An Overview Across Care Settings. Journal of Gerontological Nursing. 2021; 47: 7–12.
Ilin M, Bohlen J. Six Sigma Method. StatPearls. StatPearls Publishing: Treasure Island (FL). 2024.
Niñerola A, Sánchez-Rebull MV, Hernández-Lara AB. Quality improvement in healthcare: Six Sigma systematic review. Health Policy (Amsterdam, Netherlands). 2020; 124: 438–445.
Daly A, Teeling SP, Ward M, McNamara M, Robinson C. The Use of Lean Six Sigma for Improving Availability of and Access to Emergency Department Data to Facilitate Patient Flow. International Journal of Environmental Research and Public Health. 2021; 18: 11030.
Yang L, Wang H, Cao J, Qian Y, Gu Y, Chu C. Effects of Six Sigma methodology on depression and anxiety of patients with end-stage renal disease. Annals of Palliative Medicine. 2021; 10: 4375–4383.
Zimmermann GDS, Siqueira LD, Bohomol E. Lean Six Sigma methodology application in health care settings: an integrative review. Revista Brasileira De Enfermagem. 2020; 73: e20190861. (In English, Portuguese)
Davies C, Lyons C, Whyte R. Optimizing nursing time in a day care unit: Quality improvement using Lean Six Sigma methodology. International Journal for Quality in Health Care: Journal of the International Society for Quality in Health Care. 2019; 31: 22–28.
Shi ZY, Huang PH, Chen YC, Huang HM, Chen YF, Chen IC, et al. Sustaining Improvements of Surgical Site Infections by Six Sigma DMAIC Approach. Healthcare (Basel, Switzerland). 2022; 10: 2291.
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