| 曾燕,晏瑜洁,谭慧龙,蒋文艳,熊巨良,钟少文,李明娟.临床药师运用PDCA循环法对内分泌科患者抗菌药物的合理性使用与管理的实践研究[J].中国药事,2023,(5):588-595 |
| 临床药师运用PDCA循环法对内分泌科患者抗菌药物的合理性使用与管理的实践研究 |
| The Rational Use and Management of Clinical Pharmacists Using the PDCA Cycle Method for Antibacterial Drugs in Endocrinology Patients |
| 投稿时间：2022-08-24 |
| DOI：10.16153/j.1002-7777.2023.05.013 |
| 中文关键词: 临床药师 PDCA循环法 抗菌药物 合理使用 |
| 英文关键词: clinical pharmacist PDCA circulation method antibacterial drugs rational use |
| 基金项目:邵阳市科技局指导项目，PDCA循环法在内分泌科患者抗菌药物合理性使用与管理中的实践研究(编号 2021049ZD)；邵阳市社科联一般项目，糖尿病足感染患者PDCA管理模式的探讨与应用研究(编号 22YBB34) |
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| 中文摘要: |
| 目的：探究PDCA循环管理的运用对降低住院患者抗菌药物使用率、使用强度及联合用药的影响，为临床合理使用抗菌药物提供参考。方法：运用PDCA循环法对内分泌科住院患者抗菌药物的使用进行干预，利用医院HIS信息系统回顾性抽取邵阳学院附属第二医院内分泌科(2019-2021年)住院患者的抗菌药物使用率、抗菌药物使用强度、联合使用抗菌药物人数占比、住院患者平均使用抗菌药物疗程等，在临床药师干预跟踪后，对抗菌药物的使用数据进行对比。结果：经过PDCA循环管理后，内分泌科室住院患者的抗菌药物使用率从实施前(2019年)的41.17%，经干预后下降至(2021年)39.17%； 使用强度从实施前的43.76 DDDs，经干预后下降至32.07 DDDs；抗菌药物联合使用人数占比从干预前的 41.97%，下降至干预后的24.73%；人均使用抗菌药物天数从实施前的21.17天，经干预后下降至17.17天； 以上数据干预前后差异均具有统计学意义(P＜0.05)。结论：应用PDCA循环法对患者的用药进行管控可降低患者抗菌药物使用率、使用强度，减少抗菌药物的联用，缩短使用疗程，PDCA循环法的干预有利于抗菌药物的合理使用。 |
| 英文摘要: |
| Objective: To explore the eff ect of PDCA circulation management on reducing the use rate, intensity of use and combination of antibiotics in inpatients, and to provide reference for the rational use of antibiotics in clinical practice. Methods: PDCA circulation method was used to intervene the use of antibiotics in patients of endocrinology department. Using the hospital’s HIS information system, we retrospectively sampled the antibiotic use rate, the intensity of antimicrobial use, the proportion of the number of combined use of antimicrobial drugs, the average course of antibacterial drug use of the inpatients in the Department of Endocrinology, the Second Affiliated Hospital of Shaoyang University (2019 to 2021), etc. After the intervention and tracking of clinical pharmacists, the results of antimicrobial drug use data were compared. Results: After the PDCA cycle management, the antimicrobial use rate of inpatients in the endocrine department decreased from 41.17% before implementation (2019) to 39.17% after intervention (2021). The use intensity decreased from 43.76 DDDs before implementation to 32.07 DDDs after the intervention. The proportion of the combined use of antibacterial drugs decreased from 41.97% before intervention to 24.73% after intervention. The number of days per person using antibiotics decreased from 21.17 days before implementation to 17.17 days after intervention. The above data before and after intervention were statistically significant (P＜0.05). Conclusion: The application of PDCA circulation method to control the drug use of antibiotics in patients can reduce the use rate and intensity of antibiotics, the combination of antibiotics and the course of treatment. The intervention of PDCA cycle is conducive to the rational use of antimicrobials. |
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