利用列线图模型预防抗生素药物相关腹泻及效果分析  

Prevention of Antibiotic Related Diarrhea with Nomogram Model and Its Effect Analysis

作　　者：赵东芳[1] 孙雪 陈晨[1] 刘雪梅 刘然 王新[1] 苏春燕[1] 李葆华[1] ZHAO Dong-fang;SUN Xue;CHEN Chen;LIU Xue-mei;LIU Ran;WANG Xin;SU Chun-yan;LI Bao-hua(Peking University Third Hospital)

机构地区：[1]北京大学第三医院

出　　处：《医院管理论坛》2022年第12期54-57,9,共5页Hospital Management Forum

摘　　要：目的评价基于列线图的风险分级管理对住院患者抗生素药物相关腹泻的干预效果。方法选择某三级综合医院呼吸科病房使用抗生素治疗的588名住院患者作为研究对象,将2020年7月到2021年4月住院的293例患者做为研究组,2019年1月到9月住院的291例患者做为对照组,比较基于风险评估的分级管理对患者抗生素药物相关腹泻发生率的影响。结果研究组患者抗生素药物相关腹泻发生率为3.75%,对照组为11.34%,其中低危患者中研究组抗生素药物相关腹泻发生率为2.73%,对照组为8.24%,高危患者中研究组抗生素药物相关腹泻发生率为10.81%,对照组为45.83%,差异均具有统计学意义(p<0.05)。结论基于风险评估的分级管理能够有效减少住院患者抗生素药物相关腹泻的发生。Objective To evaluate the intervention effect of risk grading management based on nomogram on antibiotic related diarrhea in inpatients. Methods A total of 588 inpatients treated with antibiotics in the respiratory department wards of a tertiary general hospital were selected as the study subjects. 293 patients admitted from July 2020 to April 2021 were selected as the study group, and 291 patients admitted from January to September 2019 were selected as the control group. Compared the effect of grading management based on risk assessment on the incidence of antibiotic related diarrhea in patients. Results The incidence of antibiotic related diarrhea was 3.75% in the study group and 11.34% in the control group. The incidence of antibiotic related diarrhea in low-risk patients was 2.73% in the study group and 8.24% in the control group. The incidence of antibiotic related diarrhea in high-risk patients was 10.81% in the study group and 45.83% in the control group. The differences were statistically significant(p<0.05). Conclusion Grading management based on risk assessment can effectively reduce the occurrence of antibiotic related diarrhea in inpatients.

关 键 词：风险评估 分级管理 抗生素药物相关腹泻 列线图模型 

分 类 号：R197.3[医药卫生—卫生事业管理]