多学科协作模式在胃肠道术后静脉输液规范管理中的应用  

Application of Multidisciplinary Collaborative Mode in the Standard Management of Intravenous Infusion after Gastrointestinal Surgery

作　　者：尚建英 文丹 白玲 张奕涵 SHANG Jianying;WEN Dan;BAI Ling(Mianyang Central Hospital,School of Medicine,University of Electronica Science and Technology of China,Mianyang,Sichuan,621000,China;不详)

机构地区：[1]电子科技大学医学院附属绵阳医院·绵阳市中心医院,四川绵阳621000

出　　处：《中国卫生质量管理》2024年第8期41-45,共5页Chinese Health Quality Management

基　　金：四川省医院协会医院管理科研专项基金(编号:YXJKCB-2023-55)。

摘　　要：目的探讨多学科协作模式在胃肠道术后患者静脉输液规范管理中的应用效果。方法选取2023年4月-9月某院胃肠外科术后患者为研究对象,根据入院时间分为对照组与干预组,比较两组患者的静脉输液率等指标。结果实施多学科协作模式后,胃肠道术后患者静脉输液率从88.34%降低至82.08%(P<0.05);干预组术后第一天、第三天、第七天的药品品种数量、输液袋数、输液总量及抗菌药物使用率和DDDs均较对照组降低(P<0.05),输液天数、住院总费用、药品费用较对照组降低(P<0.05);基本杜绝了静脉使用中成药。结论实施多学科协作模式有助于降低胃肠道术后患者静脉输液率,减少患者术后早期静脉输液量,提高合理用药水平,实现患者的加速康复。Objective To explore the application effect of multidisciplinary collaborative mode in the standard management of intravenous infusion in patients after gastrointestinal surgery.Methods Patients undergoing gastrointestinal surgery in a hospital from April to September 2023 were selected as participants,and were divided into control group and intervention group according to the time of admission.The intravenous infusion rate and other indicators were compared between the two groups.Results After the implementation of multidisciplinary cooperation mode,the intravenous infusion rate of patients after gastrointestinal surgery was reduced from 88.34%to 82.08%(P<0.05).In the intervention group,the number of drug varieties,the number of infusion bags,the total amount of infusion,the utilization rate of antibiotics and DDDs on the first day,the third day and the seventh day after surgery were lower than those in the control group(P<0.05),and the number of infusion days,the total hospitalization cost and the drug cost were lower than those in the control group(P<0.05),and the intravenous use of proprietary Chinese medicine was basically eliminated.Conclusion The implementation of multidisciplinary collaborative mode is helpful to reduce the rate of intravenous infusion in patients after gastrointestinal surgery,reduce the amount of intravenous infusion in the early postoperative period,improve the level of rational drug use,and achieve enhanced recovery of patients.

关 键 词：多学科协作模式 PDCA 加速康复外科 胃肠道手术 静脉输液 

分 类 号：R197.323[医药卫生—卫生事业管理]