摘要
目的分析PDCA循环管理方法在老年患者合理使用非甾体类抗炎药(NSAIDs)的应用效果。方法180例使用NSAIDs治疗的老年患者,按照PDCA循环法的实施情况分为实施前组(2018年10月~2019年3月)、实施后组(2019年4~12月),各90例。统计实施前后患者的非甾体类药物使用情况。结果实施后,用法用量正确率100.00%、联合用药率98.89%,高于实施前的68.87%、80.00%,用药疗程(8.01±0.21)d短于实施前的(10.12±0.36)d,差异有统计学意义(P<0.05)。实施后,NSAIDs的选用合理率98.89%、用药交代率77.78%,高于实施前的78.89%、35.56%,胃肠道预防用药的使用率70.00%、不良反应的发生率2.22%低于实施前的97.78%、26.76%,差异有统计学意义(P<0.05)。结论PDCA循环管理法可有效促进老年人NSAIDs的合理使用,值得推广。
Objective To analyze the effect of PDCA cycle management method to standardize the rational use of non-steroidal anti-inflammatory drugs(NSAIDs)in the elderly.Methods A total of 180 elderly patients treated with NSAIDs were divided into pre-implementation(October 2018 to March 2019)and postimplementation(April December 2019)according to the implementation of PDCA cycle method,with 90 cases in each group.The use of non-steroidal anti-inflammatory drugs before and after implementation were collected.Results After implementation,the correct rate of usage and dosage was 100.00%,and the combined medication rate was 98.89%,which were higher than 68.87%and 80.00%before implementation;the course of treatment was(8.01±0.21)d,which was shorter than(10.12±0.36)d before implementation,and the difference was statistically significant(P<0.05).After implementation,the rational selection rate of NSAIDs was 98.89%,and the drug explanation rate was 77.78%,which were higher than 78.89%and 35.56%before implementation;the use rate of gastrointestinal preventive drugs was 70.00%,and the incidence of adverse reactions 2.22%,which were lower than 97.78%and 26.76%before implementation,and the difference was statistically significant(P<0.05).Conclusion PDCA cycle management method can effectively promote the rational use of NSAIDs in the elderly,which is worthy of promotion.
作者
吴玉英
WU Yu-ying(Nanhai District Fourth People’s Hospital,Foshan 528211,China)
出处
《中国现代药物应用》
2020年第20期227-230,共4页
Chinese Journal of Modern Drug Application
关键词
PDCA循环法
老年人
非甾体类抗炎药
合理使用
PDCA cycle management method
Elderly patients
Non-steroidal anti-inflammatory drugs
Rational use
