摘要
目的探讨门诊老年呼吸道感染患者合理用药量化评分体系的建立与应用。方法选取2014年3月～2015年3月广东省中山市小榄人民医院门诊老年呼吸道感染患者的120份用药处方作为研究对象，根据《药品管理法》《处方管理办法》《医院处方点评管理规范（试行）》《抗菌药物临床应用指导原则》等相关规定，并结合医院实际，建立“门诊老年呼吸道感染患者合理用药量化评分表”，对门诊老年呼吸道感染患者合理用药情况进行量化评分，并就点评结果进行反馈交流与干预，观察2015年5月～2016年5月门诊老年呼吸道感染患者的120份用药处方用药合理性，并对评分体系进行评价。结果量化评分体系应用后，门诊老年呼吸道感染患者合理用药率由51．67％（62／120）升高至81．67％（88／120），药物不良反应发生率由21．67％（26／120）降低至11．67％（14／／120）；抗菌药物的使用率由86．67％（104／120）降至62．50％（75／120），抗菌药物使用金额比由19．17％下降至14．17％，抗菌药物使用强度由（9．42±0．41）下降至（6．14±0．12），差异均有统计学意义（P〈0．05）；临床医师反馈率由15．00％（18／120）上升至41．67％（50／120），对用药点评意见的采纳率由33．33％（40／120）提升至85．83％（103／120），差异均有统计学意义（P〈0．05）。结论门诊老年呼吸道感染患者合理用药量化评分体系建立合理，且该体系的可操作性强，能有效提高临床医师认可度与参与度，有效促进门诊老年呼吸道感染患者合理用药。
Objective To explore the establishment and application of rational drug use quantitative scoring system in the treatment of elderly outpatients with respiratory tract infections. Methods One hundred and twenty prescriptions of elderly outpatients with respiratory tract infections in Xiaolan People＇s Hospital of Zhongshan City from March 2014 to March 2015 were selected as the research objects. According to Drug Administration Law, Prescription Management Method, Hospital Prescription Review Management Practices （Trial）, Guiding Principles of Clinical Use of Antibiotics and other related regulations, and combined with the actual situations of hospital, ＂the scale of proper quantitative dosage of elderly outpatients with respiratory tract infection＂ was set up. The rational use of drugs in elderly patients with respiratory tract infections were quantified and scored. And feedback and intervention were taken according to the review results. The medication rationality of 120 prescriptions of elderly outpatients with respiratory tract infection from May 2015 to May 2016 were observed, and the grading system was evaluated. Results After application of the quantita- tive scoring system, the rate of rational drug use in elderly outpatients with respiratory tract infection was increased from 51.67% （62/120） to 81.67% （88/120）; the incidence of adverse drug reactions was decreased from 21.67% （26/120） to 11.67% （14//120）; the rate of antibiotic use was decreased from 86.67% （104/120） to 62.50% （75/120）, the percent- age of antimicrobial drug use was decreased from 19.17% to 14.17%, the intensity of use of antimicrobial agents was decreased from （9.42±0.41） to （6.14±0.12）, the differences were all statistically significant （P 〈 0.05）; the feedback rate of clinicians was increased from 15.00% （18/120） to 41.67% （50/120）, and the adopting rate of comments on medication was raised from 33.33% （40/120） to 85.83% （103/120）, the differences were all statistically s
出处
《中国医药导报》
CAS
2016年第35期123-126,共4页
China Medical Herald
基金
广东省中山市医学科研项目(2016A020265)
关键词
呼吸道感染
合理用药
评分体系
抗菌药物
Resoiratorv tract infection
Rational use
Scorin
system
Antimicrobial agents
