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目的:分析住院部医护人员对毛细支气管炎(简称毛支炎)住院儿童遵照循证医学证据的依从性。方法:分析2007-07/2009-06 405例3～24个月毛支炎儿童住院病历资料,评估医护人员治疗依从性。结果:医护人员依从性为:合理用支扩剂53%;没有使用激素治疗4%;没有使用利巴韦林治疗9%;没有使用胸部理疗76%;合理用抗菌药18%;记录脱水情况36%;血氧饱和度监测42%;氧疗42%;健教100%。结论:医护人员对毛支炎住院儿童遵照循证医学证据治疗的依从性存在差异,有改善医疗护理质量空间。
Objective: To analyze the compliance of inpatient medical staff with evidence-based medical evidence on hospitalized children with bronchiolitis (Mao-Mao). Methods: Data of 405 inpatients with Maoitis children aged 3-24 months from 2007-07 / 2009-06 were analyzed to assess the compliance of medical staff. Results: The compliance of medical staff was as follows: 53% of bronchodilators were used rationally; 4% of patients did not use hormone therapy; 9% of patients did not use ribavirin; 76% of patients did not use chest treatment; 18% of rational use of antibacterial drugs; 36%; oxygen saturation monitoring 42%; oxygen therapy 42%; health education 100%. Conclusion: There is a difference in compliance between medical staff and hospitalized children with fulgidomyelitis according to evidence-based medical evidence. There is room for improvement in the quality of medical care.