某“三甲”医院护理人员对注射用奥美拉唑钠用药风险认知的调查分析

发布时间：2018-08-24 21:32

【摘要】：目的:为更好地提高护理人员对注射用奥美拉唑钠的风险识别能力,加强病区药品的风险管理,保障患者用药安全提供参考。方法:选取某"三甲"医院该药使用频次相对较多的临床科室的护理人员作为研究对象,采用自行设计的问卷分别于2012、2014年对该院急诊科、消化科、ICU、CCU的护理人员进行注射用奥美拉唑钠用药风险相关知识的调查和分析。结果:2012年和2014年分别发放问卷51份和81份,分别回收有效问卷51份和81份,有效回收率均为100%。两次调查中100%的受访护理人员能够正确选择至少1种溶剂,能正确选择2种溶剂的分别占1.96%及3.70%;对该药滴注时间回答正确率分别为94.12%、96.30%;对该药溶解后最好多长时间内用完的回答正确率均低于9%;对该药不良反应的回答正确率分别为3.92%、1.23%;对该药相互作用的回答正确率分别为1.96%、6.17%;对该药与哪些制剂配伍相对稳定的回答正确率分别为17.65%、22.22%;临床遇到相关不良反应的比例分别为25.49%、13.58%;临床遇到与其他注射剂配伍不当的比例分别为15.69%、22.22%,配伍不当次数最多的药物为奥硝唑氯化钠注射液;希望加强医药护人员的继续教育的比例均在45%以上。结论:该院护理人员对注射用奥美拉唑钠的用药风险认知存在一定不足,药品风险管理不够完善,风险防范意识相对薄弱。建议医院加强药品风险管理制度的建设,护理人员加强药品风险知识的学习,并发挥临床药师在药品风险管理中的作用,以降低相关用药风险和减少药品不良事件的发生。
[Abstract]:Objective: to improve the ability of nursing staff to recognize the risk of omeprazole sodium for injection, to strengthen the risk management of drugs in ward, and to provide reference for the safety of drug use in patients. Methods: the nursing staff of a clinical department in a "Sanjia" hospital were selected as the research objects. The self-designed questionnaire was used in the emergency department of the hospital in 2012 and 2014, respectively. The nurses of ICUU CCU were investigated and analyzed about the risk of omeprazole sodium for injection. Results: 51 questionnaires and 81 valid questionnaires were sent out in 2012 and 2014, respectively. In both surveys, 100% of the nurses interviewed were able to select at least one solvent correctly. 1.96% and 3.70% of the two solvents could be correctly selected, the correct rate of the answer to the drip time was 94.121,96.30, the correct rate of the best time to use the drug after dissolution was lower than 9%, and the correct rate of the adverse reaction of the drug was lower than that of the latter. 3.92 and 1.23, respectively; the correct answer rate for the interaction of the drug was 1.96 and 6.17, respectively; the correct rate for the relative stability of the drug's compatibility with which preparations was 17.65 and 22.22; the proportion of clinical adverse reactions was 25.490.13.58; the clinical and other notes. The proportion of inappropriate compatibility was 15.69 and 22.222.Ornidazole sodium chloride injection was the most frequently used drug. The rate of continuing education for medical and nursing personnel is over 45%. Conclusion: the nursing staff of our hospital have some deficiencies in the cognition of drug risk of omeprazole sodium for injection, the drug risk management is not perfect, and the awareness of risk prevention is relatively weak. It is suggested that the hospital should strengthen the construction of drug risk management system, the nursing staff should strengthen the study of drug risk knowledge, and the role of clinical pharmacists in drug risk management should be brought into play in order to reduce the risk of drug use and the occurrence of adverse drug events.
【作者单位】：北京医院药学部;
【分类号】：R47

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