论文部分内容阅读
目的探讨指标化管理在癌痛规范化药物治疗中的作用,为临床药师的用药干预工作提供参考。方法根据癌痛规范化药物治疗的要求设定7项质控指标,依据各项指标要求进行用药干预,并将癌痛镇痛治疗纳入专项处方点评,对连续10个季度各项指标达标率的动态变化情况进行统计分析。结果设定的7项质控指标中4项指标的整体达标率明显提高(P<0.01),其他3项指标较容易达标,达标率无明显变化(P>0.05)。剂量个体化指标达标难度最大,动态疼痛评估的两项指标及给药途径指标的达标率波动较大。结论在癌痛规范化药物治疗管理中,指标化管理具有目标明确、可操作性强突出、作用明显等特点,具有一定的推广价值。
Objective To explore the role of index management in the standardization of cancer pain treatment and provide a reference for clinical pharmacists intervention. Methods Seven quality control indexes were set according to the requirements of standardized treatment of cancer pain. Drug intervention was made according to the requirements of each index. Cancer pain management was included in the review of special prescriptions. The dynamic compliance rate of each index for 10 consecutive quarters Statistical analysis of changes. Results The overall compliance rate of the four indicators in the seven quality control indexes was significantly increased (P <0.01). The other three indicators were more easily reached the standard compliance rate (P> 0.05). Dosage individualized indicators of the most difficult to achieve the goal, the two indicators of dynamic pain assessment and route of administration indicators of compliance rate fluctuations. Conclusion In the standardization of cancer pain treatment and management, the index management has the characteristics of clear objectives, strong operability, obvious effect and so on. It has certain promotion value.