品管圈在降低风湿科非甾体类抗炎药不良反应中的应用.pdfVIP

中国药物应用与监测 2014 年8 月第11卷第4期 Chinese Journal of Drug Application and Monitoring, Vol.11, No.4, August 2014 品管圈在降低风湿科非甾体类抗炎药不良反应中的应用 蒋　楠，李晓兰，刘秋玉，冯子芸，黄霞霞，邓小虎（解放军总医院风湿科，北京100853 ） [摘要]　目的：探讨品管圈活动对降低风湿科非甾体类抗炎药不良反应的效果。方法：成立品管圈，运用PDCA 法，以降低 “风湿科非甾体类抗炎药不良反应”为主题，对发生不良反应的原因进行统计、分析，制定相应的改进措施。结果：通过观察 并总结风湿科非甾体类抗炎药不良反应发生的原因，从健康教育的形式、内容、入院评估、身心并护等方面入手，使风湿科 非甾体类抗炎药不良反应的发生率从活动前的17.1%降低至活动后的6.9%。结论：品管圈活动降低了风湿科非甾体类抗炎 药不良反应的发生率，提高了用药安全性，培养了同事间的团队精神，使责任制整体护理更好的运用于临床工作中。 [关键词]　品管圈；风湿病；非甾体类抗炎药；不良反应 [ 中图分类号]　R971+.1　　 [ 文献标识码]　A　 [ 文章编号]　1672 – 8157(2014)04 – 0250 – 03 Application of quality control circle in reducing the adverse reaction of non-steroidal anti-inflammatory drugs in rheumatology department JIANG Nan, LI Xiao-lan, LIU Qiu-yu, FENG Zi-yun, HUANG Xia-xia, DENG Xiao-hu(Department of Rheumatology, PLA General Hospital, Beijing 100853, China) [ABSTRACT]　Objective: To evaluate the effect of quality control circle activities in reducing the adverse reaction of non- steroidal anti-inflammatory drugs in rheumatology department. Methods: Quality control circle was set up and PDCA method was applied to analyze the cause of adverse reactions induced by non-steroidal anti-inflammatory drugs, and the corresponding improvement measures were formulated. Reducing adverse reactions associated with non-steroidal anti-inflammatory drugs in rheumatology department was set as the primary goal. Results: By improving the form and content of health education, admission assessment, offering physical and mental support, the occurrence rate of adverse reactions induced by non-steroidal anti-inflammatory drug decreased from prior 17.1% to now 6.9%. Conclusion: Quality control circle activities reduced the occurrence rate of non- steroidal anti-inflammatory drugs adverse reactions in rheumatology department and improved the medical security. Meanwhile, teamwork among colleagues was established in the process of data collecting and explaining,