某基层医院药师干预前后门诊癌痛患者麻醉药品适宜性用药调查

发布时间：2018-05-06 07:32

本文选题：药师 + 麻醉药品　；参考：《临床合理用药杂志》2016年07期

【摘要】：目的探讨药师干预对基层医疗机构门诊癌痛患者麻醉药品不规范用药的影响。方法选取我院2012年-2014年西药房麻醉药品处方和麻醉药品专用病历。参照《成人癌痛临床实践指南》(NCCH)、《麻醉药品临床应用指导原则》和《处方管理办法》等首先对我院药师进行门诊癌痛患者麻醉药品使用及取药流程进行培训。由这些药师在2013年6月1-20日分别对本医疗机构的医师进行门诊癌痛患者正确用麻醉药品的宣传,集中学习,并发放相关资料。干预前(2012年1月-2013年6月1日之前)和干预后(2013年7月1日-2014年12月30日)分别抽取本医疗机构门诊慢性癌痛患者麻醉药品处方,计算并比较干预前后门诊癌痛患者不适当用麻醉药品处方数占总处方数的百分比。结果干预前抽取处方量为2735张,干预后抽取处方数量为2776张。干预前不适宜处方2141张,占78.28%,干预后不适宜处方276张占9.94%。干预后不适宜处方率低于干预前,差异有统计学意义(P0.01)。结论药师干预能够有效改善门诊癌痛患者麻醉药品不适宜用药情况。
[Abstract]:Objective to explore the effect of pharmacist intervention on nonstandard drug use in cancer pain patients in primary medical institutions. Methods the prescription of narcotic drugs and the special medical records of narcotic drugs were selected from 2012 to 2014. Referring to "Clinical practice Guide for Adult Cancer pain", "guidelines for Clinical Application of Narcotic drugs" and "prescription Management methods", the pharmacists in our hospital were trained in the use of narcotic drugs and the procedure of taking drugs in outpatient patients with cancer pain. From June 1 to June 20, 2013, these pharmacists propagandized the correct use of narcotic drugs for outpatients with cancer pain in their own medical institutions, concentrated their study, and distributed relevant materials. Before and after the intervention (January 2012 to June 1, 2013) and after the intervention (July 1, 2013 to December 30, 2014), the prescriptions of narcotic drugs for patients with chronic cancer pain in the outpatient department of this medical institution were drawn, respectively. To calculate and compare the percentage of out-patient cancer pain patients with improper use of narcotic drugs in the total prescriptions before and after intervention. Results 2735 prescriptions were extracted before intervention and 2776 prescriptions were extracted after intervention. There were 2141 unsuitable prescriptions (78.28) before intervention, and 9.94 unsuitable prescriptions after intervention. The unsuitable prescription rate after intervention was lower than that before intervention, and the difference was statistically significant (P 0.01). Conclusion intervention by pharmacists can effectively improve the unsuitable use of narcotic drugs in outpatient patients with cancer pain.
【作者单位】：四川省盐亭县肿瘤医院药剂科;
【分类号】：R95

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