摘要
目的:评估“计划-执行-检查-处理”(PDCA)循环法在泌尿外科围术期抗菌药物管理中的应用效果。方法:将2021年1月—2023年3月江南大学附属中心医院(无锡市第二人民医院)实施常规抗菌药物管理的泌尿外科手术患者40例作为对照组,2023年4月—2025年3月实施PDCA循环法的泌尿外科手术患者40例作为试验组。对比两组抗菌药物使用知识评分、抗菌药物管理情况与不合理用药情况。结果:试验组用药时机、药物种类、用药疗程、用法用量、给药途径评分高于对照组(P<0.05)。试验组抗菌药物使用强度低于对照组(P<0.001),停药时间、疗程、住院时间较对照组短(P<0.001);两组感染率比较,差异无统计学意义(P>0.05)。试验组不合理用药率低于对照组(P=0.025)。结论:PDCA循环法可提高医师对抗菌药物使用知识的掌握程度以及泌尿外科围术期抗菌药物管理质量,减少不合理用药。
Objective:To evaluate the application effect of the"plan-do-check-act"(PDCA)cycle method in the management of antimicrobial drugs during the perioperative period of urology.Methods:From January 2021 to March 2023,forty patients who underwent urological surgeries at Jiangnan University Affiliated Central Hospital(Wuxi Second People's Hospital)and implemented routine antimicrobial drug management were selected as the control group.From April 2023 to March 2025,forty patients who underwent urological surgeries and implemented the PDCA cycle method were selected as the experimental group.The scores of knowledge regarding the use of antibacterial drugs,the management of antibacterial drugs,and the occurrence of irrational drug use between the two groups were compared.Results:The scores for the timing of medication administration,the types of drugs used,the duration of treatment,the dosage and administration method,and the route of administration in the experimental group were all higher than those in the control group(P<0.05).The usage intensity of antibacterial drugs in the experimental group was lower than that in the control group(P<0.001),and the duration of drug withdrawal,treatment course,and hospital stay were shorter than those in the control group(P<0.001).The comparison of infection rates between the two groups showed no statistically significant difference(P>0.05).The rate of inappropriate medication in the experimental group was lower than that in the control group(P=0.025).Conclusion:The PDCA cycle method can enhance physicians'understanding of antibiotic use knowledge and improve the quality of antibiotic management during the perioperative period of urology,thereby reducing irrational drug use.
作者
袁夏
陈惠
Yuan Xia;Chen Hui Jiangnan(University Affiliated Central Hospital(Wuxi Second People's Hospital),Wuxi 214000,Jiangsu Province,China)
出处
《中外医药研究》
2025年第36期159-161,共3页
JOURNAL OF CHINESE AND FOREIGN MEDICINE AND PHARMACY RESEARCH
