肿瘤患者全自动注药泵泵注氟尿嘧啶的流程再造研究.docVIP

肿瘤患者全自动注药泵泵注氟尿嘧啶的流程再造研究 丁从兰 仇巧巧 张南格 金玉慧 安徽省肿瘤医院肿瘤内科一病区 X 关注成功！ 加关注后您将方便地在 我的关注中得到本文献的被引频次变化的通知！ 新浪微博 腾讯微博 人人网 开心网 豆瓣网 网易微博 摘????要： 目的:探讨肿瘤患者应用全自动注药泵泵注氟尿嘧啶的流程改进, 以提高氟尿嘧啶安全给药的品质。方法:选择2016年6月-12月200例次应用全自动注药泵泵注氟尿嘧啶的肿瘤患者83例, 6月-8月泵注氟尿嘧啶的患者37例100例次为对照组, 10月-12月泵注氟尿嘧啶的患者59例100例次为干预组。干预组实施再造后的泵注流程, 对照组实施再造前的泵注流程, 分别在氟尿嘧啶泵注结束时, 比较两组患者泵注结束时间误差、患者满意度。结果:秩和检验分析显示, 两组患者的泵注结束时间误差差异有统计学意义 (P0.01) ;t检验分析显示, 两组患者满意度得分在泵注巡视、健康教育、流速准确性、故障处理四个方面以及满意度总分差异均有统计学意义 (P0.05) 。结论:对肿瘤患者全自动注药泵泵注氟尿嘧啶的流程进行再造, 能够提高泵注时间的准确性, 改善患者满意程度, 提高安全给药的品质。 关键词： 肿瘤; 全自动注药泵; 流程再造; 收稿日期：2017-06-27 The Application of the Process Reengineering to Improve the Quality of the Intravenous Pumping of Fluorouracil in Cancer Patients DING Cong-lan QIU Qiao-qiao ZHANG Nan-ge Anhui Tumour Hospital; Abstract： Objective:To improve the quality of the intravenous pumping of fluorouracil in cancer patients, a study was carried out on the application of the Process Reengineering. Methods: Eighty-three patients was recruited who were treated with fluorouracil injected by automatic injection pump in Anhui Provincial Cancer Hospital between June 2016 and December 2016, 200 times for a total. Thirty-seven cases were enrolled in control group between June and August, fifty-nine cases in the intervention group between August and December. In the control group, the patients accepted a conventional technique of intravenous pumping and the Process Reengineering of intravenous pumping.The difference of the time error and the patient satisfaction between the two group was measured. Result: The time error between the two group was statistically significant (P0.01) by rank test.The t-test showed the significant difference of the patient satisfaction of tour, health education, time accuracy and the satisfaction scores (P 0.01) . Conclusion: The application of the process reengineering to improve the quality of the intravenous pumping of fluorouracil can improve the accuracy of the end time and satisfaction in cancer patients,