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作 者:张莹[1] 谷清[1] 刘丽宏[1] ZHANG Ying;GU Qing;LIU Li-hong(Department of Pharmacy,Beijing Chaoyang Hospital,Capital Medical University,Beijing 100043,China)
机构地区:[1]首都医科大学附属北京朝阳医院药事部,北京100043
出 处:《临床药物治疗杂志》2021年第4期58-62,共5页Clinical Medication Journal
摘 要:目的评价首都医科大学附属北京朝阳医院(西院)重症监护病房(ICU)住院患者鼻饲给药情况并进行合理性分析,为临床鼻饲给药操作提供参考和建议。方法采用回顾性分析法,收集2020年1—6月ICU经鼻饲给药的58例患者病历信息,将鼻饲给药使用情况及合理性进行统计分析。结果采用鼻饲给药的患者病历信息涉及90个药物品种,鼻饲给药医嘱共6890条,给药频次共27 532次。其中给药剂型应用不合理3499次(12.71%),鼻饲管位置与药物特性不适宜417次(1.51%),药物配伍不合理1012次(3.68%),给药时机不合理786次(2.85%),多品种同时给药操作15 769次(57.28%),药品预处理操作不合理714次(2.59%)。结论该院ICU临床鼻饲用药存在一些不合理情况,应加强对医护人员鼻饲给药理论知识培训及临床实践指导,利用合理化用药软件进行干预,以提高鼻饲给药治疗的合理性。Objective The general situation and rationality of medication administration through feeding tubes for hospitalized intensive care unit(ICU)patients were evaluated and analyzed in the Capital Medical University Affiliated Beijing Chaoyang Hospital(west campus),so as to provide reference and suggestions for clinical medication administration and operation through feeding tubes. Methods Retrospective analysis method was used to collect the medical records of 58 patients in ICU ward from January to June in 2020 who were given drugs through nasal feeding,and statistical analysis was conducted on medication administration and rationality. Results Medication administration through nasal feeding tubes included a total of90 drug varieties,medical orders for nasal feeding were 6890 items,and the frequency were 27 532 times. Among them,inappropriate application of drug dosage form occurred 3499 times(12. 71%);inappropriate between nasal feeding tube and drug characteristics occurred 417 times(1. 51%);unreasonable compatibility between drugs occurred 1012 times(3. 68%);unreasonable administration timing occurred 786 times(2. 85%);simultaneous administration of multiple drugs occurred 15 769 times(57. 28%);and unreasonable drug pretreatment operations occurred 714 times(2. 59%). Conclusion There are some unreasonable conditions in clinical nasal feeding medication in ICU ward of our hospital. It is necessary to strengthen the theoretical knowledge in training and clinical practice guidance on nasal feeding medication for medical staff,and intervene by rational drug use software to improve the rationality of nasal feeding medication therapy.
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