【摘要】 目的:探讨监测-培训-计划(MTP)模式对门急诊静脉输液合理用药的干预效果。方法:选取珠海地区各级医院2009-2011年静脉输液率作为基线调研样本,对2012年静脉输液率进行现场调查研究,使用教育、管理和监督三方面策略按季度分成4次干预,干预效果与基线比较。数据用SPSS 11.0软件进行统计分析。结果:4次干预后,三级医院门急诊静脉输液率从干预前的34.18%降至干预后的9.52%(P<0.01);二级医院门急诊静脉输液率从干预前的38.83%降至干预后的15.61%(P<0.01);基层医院门急诊静脉输液率从干预前的40.63%降至干预后的26.56%(P<0.01)。结论:MTP干预模式能有效降低门急诊静脉输液率,减少门急诊不合理输液的使用。更多还原

【Abstract】 OBJECTIVE:To explore the effect of MTP(monitoring-training-planning)intervention method on rational use of drug in outpatient and emergency intravenous infusion. METHODS:Taking the intravenous infusion rate of hospitals from Zhuhai area during 2009-2011 as baseline survey sample,on-site survey study was conducted for intravenous infusion rate in 2012;the strategies of education,management and supervision were divided into 4 times of intervention according to the quarter,and compared with baseline information. Data were statistically analyzed by using SPSS11.0 software. RESULTS:After four intervention,outpatient and emergency intravenous infusion rate of third level hospital decreased from 34.18% before intervention to 9.52% after intervention(P<0.01);that of second level hospital decreased from 38.83% before intervention to 15.61% after intervention(P<0.01);that of primary hospital decreased from 40.63% before intervention to 26.56% after intervention(P<0.01). CONCLUSIONS:MTP intervention model can effectively reduce the rate of outpatient and emergency intravenous infusion and reduce the unreasonable outpatient and emergency infusion.更多还原