集束化管理在早产儿输注高危药物流程中的效果研究  

Cluster Management of Infusion of High-risk Drugs in Preterm Infants

作　　者：王素君 朱宏瑞 崔岢丰 谭利娜 WANG Sujun;ZHU Hongrui;CUI Kefeng;TAN Lina(Preterm Child Intensive Care Unit,Henan Provincial Children’s Hospital Zhengzhou Children’s Hospital/Affiliated Children’s Hospital of Zhengzhou University,Zhengzhou 450018,Henan,China)

机构地区：[1]河南省儿童医院郑州儿童医院/郑州大学附属儿童医院早产儿重症监护室,河南郑州450018

出　　处：《中国药物滥用防治杂志》2022年第4期519-523,共5页Chinese Journal of Drug Abuse Prevention and Treatment

摘　　要：目的:探讨集束化管理在早产儿输注高危药物中的应用效果。方法:纳入河南省儿童医院2019年5月—2021年5月收治的需输注高危药物的早产儿80例为研究对象,按照随机数字表法分为研究组和对照组,每组40例。研究组采用集束化管理,对照组采用常规管理,比较两组药物不良反应发生率、风险事件、临床指标、满意度。结果:研究组药物不良反应发生率低于对照组(P<0.05);研究组药物风险事件发生率低于对照组(P<0.05);研究组ICU住院时间、病情好转时间、出院时间均短于对照组(P<0.05);研究组满意度高于对照组(P<0.05)。结论:集束化管理方案能够降低输注高危药物早产儿的药物不良反应风险,提高用药安全性,控制风险,加快患儿康复,提升患者管理满意度。Objective:To investigate the application effect of cluster management in the infusion of high-risk drugs in preterm infants.Methods:A total of 80 premature infants who needed to be infused with high-risk drugs in Henan Children’s Hospital from May 2019 to May 2021 were enrolled.They were divided into study group and control group according to random number table method,with 40 cases in each group.The study group was treated with cluster management,and the control group was treated with routine management.The incidence of adverse drug reactions,risk events,clinical indicators and satisfaction were compared between the two groups.Results:The incidence of adverse drug reactions in the study group was lower than that in the control group(P<0.05).The incidence of drug risk events in the study group was lower than that in the control group(P<0.05).ICU hospitalization time,disease improvement time and discharge time in the study group were shorter than those in the control group(P<0.05).The satisfaction of the study group was higher than that of the control group(P<0.05).Conclusion:Cluster management scheme can reduce the risk of adverse drug reactions in premature infants receiving infusion of high-risk drugs,improve drug safety,control risks,accelerate the rehabilitation of children,and improve patient management satisfaction.

关 键 词：集束化管理 高危药物 早产儿 用药安全性 

分 类 号：R95[医药卫生—药学]