MTP干预模式在某地区医疗机构降低门急诊静脉输液率的应用  

Application of MTP Intervention Model in the Reduction of Intravenous Infusion Rates in Outpatient and Emergency Departments of Medical Institutions in a Particular Area

作　　者：黄勇斌[1] 钟丽珍[1] 曾祥仲[1] 吴文渊 

机构地区：[1]广东省中医院珠海医院药剂科,广东珠海519015 [2]珠海市结核病防治所,广东珠海519000

出　　处：《中国药房》2014年第26期2482-2484,共3页China Pharmacy

摘　　要：目的:探讨监测-培训-计划(MTP)模式对门急诊静脉输液合理用药的干预效果。方法:选取珠海地区各级医院2009-2011年静脉输液率作为基线调研样本,对2012年静脉输液率进行现场调查研究,使用教育、管理和监督三方面策略按季度分成4次干预,干预效果与基线比较。数据用SPSS 11.0软件进行统计分析。结果:4次干预后,三级医院门急诊静脉输液率从干预前的34.18%降至干预后的9.52%(P<0.01);二级医院门急诊静脉输液率从干预前的38.83%降至干预后的15.61%(P<0.01);基层医院门急诊静脉输液率从干预前的40.63%降至干预后的26.56%(P<0.01)。结论:MTP干预模式能有效降低门急诊静脉输液率,减少门急诊不合理输液的使用。OBJECTIVE： To explore the effect of MTP （monitoring-training-planning） intervention method on rational use of drug in outpatient and emergency intravenous infusion. METHODS： Taking the intravenous infusion rate of hospitals from Zhuhai area during 2009-2011 as baseline survey sample, on-site survey study was conducted for intravenous infusion rate in 2012; the strategies of education, management and supervision were divided into 4 times of intervention according to the quarter, and compared with baseline information. Data were statistically analyzed by using SPSSll.0 software. RESULTS： After four intervention, outpatient and emergency intravenous infusion rate of third level hospital decreased from 34.18% before intervention to 9.52% after intervention （P〈0.01）; that of second level hospital decreased from 38.83% before intervention to 15.61% after intervention （P〈 0.01） ; that of primary hospital decreased from 40.63% before intervention to 26.56% after intervention （P〈0.01）. CONCLUSIONS： MTP intervention model can effectively reduce the rate of outpatient and emergency intravenous infusion and reduce the unreasonable outpatient and emergency infusion.

关 键 词：静脉输液 MTP干预 医疗机构 

分 类 号：R952[医药卫生—药学]