多学科协作模式在胃肠道术后静脉输液规范管理中的应用
Application of Multidisciplinary Collaborative Mode in the Standard Management of Intravenous Infusion after Gastrointestinal Surgery
尚建英 1文丹 1白玲 1张奕涵1
作者信息
- 1. 电子科技大学医学院附属绵阳医院·绵阳市中心医院 四川 绵阳 621000
- 折叠
摘要
目的 探讨多学科协作模式在胃肠道术后患者静脉输液规范管理中的应用效果.方法 选取2023年4月-9月某院胃肠外科术后患者为研究对象,根据入院时间分为对照组与干预组,比较两组患者的静脉输液率等指标.结果 实施多学科协作模式后,胃肠道术后患者静脉输液率从88.34%降低至82.08%(P<0.05);干预组术后第一天、第三天、第七天的药品品种数量、输液袋数、输液总量及抗菌药物使用率和DDDs均较对照组降低(P<0.05),输液天数、住院总费用、药品费用较对照组降低(P<0.05);基本杜绝了静脉使用中成药.结论 实施多学科协作模式有助于降低胃肠道术后患者静脉输液率,减少患者术后早期静脉输液量,提高合理用药水平,实现患者的加速康复.
Abstract
Objective To explore the application effect of multidisciplinary collaborative mode in the standard man-agement of intravenous infusion in patients after gastrointestinal surgery.Methods Patients undergoing gastrointesti-nal surgery in a hospital from April to September 2023 were selected as participants,and were divided into control group and intervention group according to the time of admission.The intravenous infusion rate and other indicators were com-pared between the two groups.Results After the implementation of multidisciplinary cooperation mode,the intrave-nous infusion rate of patients after gastrointestinal surgery was reduced from 88.34%to 82.08%(P<0.05).In the in-tervention group,the number of drug varieties,the number of infusion bags,the total amount of infusion,the utilization rate of antibiotics and DDDs on the first day,the third day and the seventh day after surgery were lower than those in the control group(P<0.05),and the number of infusion days,the total hospitalization cost and the drug cost were lower than those in the control group(P<0.05),and the intravenous use of proprietary Chinese medicine was basically elimi-nated.Conclusion The implementation of multidisciplinary collaborative mode is helpful to reduce the rate of intrave-nous infusion in patients after gastrointestinal surgery,reduce the amount of intravenous infusion in the early postopera-tive period,improve the level of rational drug use,and achieve enhanced recovery of patients.
关键词
多学科协作模式/PDCA/加速康复外科/胃肠道手术/静脉输液Key words
Multidisciplinary Collaborative Mode/PDCA/Enhanced Recovery after Surgery/Gastrointestinal Surgery/Intravenous Infusion引用本文复制引用
基金项目
四川省医院协会医院管理科研专项基金(YXJKCB-2023-55)
出版年
2024
NETL
NSTL
万方数据