创建"癌痛规范化治疗示范病房"对麻醉药品使用管理的影响
Establishment of standardized treatment demonstration ward for cancer pain and its influence on the management of narcotic drugs
章圣苗 1刘盛军2
作者信息
- 1. 苍南县中医院 药剂科,浙江 温州 325800
- 2. 苍南县中医院 内二科,浙江 温州 325800
- 折叠
摘要
目的 探讨创建"癌痛规范化治疗示范病房"对麻醉药品使用管理的影响效果.方法 分析研究组(2015年～2016年创建"癌痛规范化治疗示范病房"后)、对照组(2013年至2014年创建"癌痛规范化治疗示范病房"前)各类麻醉药品使用量及用药频度(DDDs),每月抽取肿瘤科麻醉处方30张,分析处方书写质量合格率及不合理使用率.结果 研究组癌痛患者麻醉药品使用量及用药频度,羟考酮缓释片用量快速上升、用药频度遥遥领先,吗啡片用量和用药频度逐步上升,吗啡缓释片用药频度逐步下降,芬太尼透皮贴用药频度有所下降,哌替啶针用量和用药频度持续维持低位.研究组处方书写质量合格率为99.3％,对照组处方书写质量合格率为81.1％,研究组麻醉药品不合理使用率仅为4.00％、合理使用率则高达96.00％,对照组麻醉药品不合理使用率高达18.5％、合理使用率仅为81.5％,数据对比P<0.05.结论 创建"癌痛规范化治疗示范病房"后麻醉药品结构更加合理,可提高麻醉药品处方书写质量合格率,降低不合理使用率,规范合理使用癌痛药品对保障患者用药有效性和安全性具有积极意义.
Abstract
Objective To explore the effect of setting up standardized treatment demonstration ward for cancer pain on the management of narcotic drugs. Methods The study group (from 2015 to 2016 to create "the standardized treatment of cancer pain ward") and control group (from 2013 to 2014 to create a standardized pain treatment demonstration unit ") all kinds of narcotic drugs dosage and medication frequency (DDDs), a monthly 30 prescriptions from tumor anesthesia, analysis of prescription writing quality qualified the rate and the rate of unreasonable use. Results The study group of patients with cancer pain drug usage and DDDs, oxycodone dosage rises fast, DDDs way ahead, dosage of morphine increased gradually, morphine dosage gradually decreased, transdermal fentanyl DDDs decreased, pethidine dosage remains low. The research group for the passing rate of prescription writing quality 99.3％, the control group of prescription writing quality qualified rate is 81.1％, the research group of narcotic drug use rate was only 4％, reasonable utilization rate is as high as 96％ is not reasonable, unreasonable use of narcotic drugs control group was as high as 18.5％, reasonable utilization rate is only 81.5％ (P<0.05). Conclusion The creation of "standardized pain treatment demonstration unit" narcotic drugs more reasonable structure, can improve the quality of narcotic drugs prescription writing qualified rate, reduce the rate of unreasonable use, reasonable use of pain medicine has positive significance to ensure patient safety and efficacy of.
关键词
癌痛规范化治疗示范病房/麻醉药品/处方/不合理使用率Key words
cancer pain standardized treatment demonstration ward/narcotic drugs/prescription/irrational use rate引用本文复制引用
出版年
2017
NETL
NSTL
万方数据