论文部分内容阅读
目的:分析药学干预对抗菌药物合理使用的效果。方法:采用投硬币的方法,抽取2015年3月—2016年3月期间收治的患者600例和护理人员20名分为甲组对象和乙组对象(每组患者300例,护理人员10名),甲组对象给予常规药学干预,乙组对象给予药学干预,比较两组对象的用药合理程度、用药差错率,患者的治疗费用,以及抗菌药物不合理使用情况。结果:乙组对象的用药合理程度(对抗菌药物的理解率、处方行为合理率、处方调适率与医嘱执行率)明显高于甲组对象(P<0.05),用药差错率、患者的治疗费用与抗菌药物不合理使用情况(更换药品、联合用药、药物选择、单次剂量和日给药次数)明显优于甲组(P<0.05)。结论:药学干预对抗菌药物合理使用的效果较佳,用药合理性较高,且其用药差错率、治疗费用与抗菌药物不合理使用情况下降。
Objective: To analyze the effect of pharmacy intervention on rational use of antimicrobial agents. Methods: Using coin-casting method, 600 patients admitted from March 2015 to March 2016 and 20 nursing staff were divided into group A and group B (300 patients in each group and 10 nursing staff) The subjects in group A were given routine pharmaceutical interventions. The subjects in group B were given drug interventions. The rationality of medication, the error rate of medication, the treatment cost of patients and the unreasonable use of antimicrobial agents were compared between the two groups. Results: The rationality of medication (understanding rate of antibacterials, reasonable prescription rate, prescription adjustment rate and execution rate of doctor’s orders) in group B were significantly higher than those in group A (P <0.05), medication error rate, patient’s treatment cost Unreasonable use of antibacterials (replacement medicine, combination therapy, drug selection, single dose and daily administration frequency) was significantly better than that of Group A (P <0.05). Conclusion: The pharmacological intervention is effective on the rational use of antimicrobial agents, and its rationality is high, and its medication error rate, treatment costs and the irrational use of antimicrobial agents decrease.