PDCA循环在提高癌痛患者阿片类用药合理性中的作用

郑小卫; 陶刚; 丁海樱; 孙娇; 黄萍<sup>*</sup>

引用本文:	郑小卫,陶刚,丁海樱,孙娇,黄萍.PDCA循环在提高癌痛患者阿片类用药合理性中的作用[J].中国现代应用药学,2018,35(6):930-932.
	ZHENG Xiaowei,TAO Gang,DING Haiying,Sun Jiao,HUANG Ping.Effect of PDCA Cycle in Improving the Rationality of Opioid Drugs Use in Cancer Pain Patients[J].Chin J Mod Appl Pharm(中国现代应用药学),2018,35(6):930-932.

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PDCA循环在提高癌痛患者阿片类用药合理性中的作用
郑小卫¹, 陶刚², 丁海樱¹, 孙娇¹, 黄萍¹
1.浙江省肿瘤医院, 杭州 310022;2.浙江省医疗健康集团杭州医院, 杭州 310022

摘要:

目的观察PDCA循环在提高癌痛患者阿片类药物合理使用性中的作用。方法收集PDCA循环前后的患者资料，评估PDCA循环对阿片类药物合理使用率的影响。结果 PDCA循环后阿片类药物的合理使用率从20.24%升高至87.59%，其中，强阿片类药物合理使用率从34.19%升高至91.20%，弱阿片类药物合理使用率从3.45%升高至66.67%，阿片类复方制剂合理使用率从6.12%升高至62.50%。结论 PDCA循环管控模式有效提高了阿片类药物的合理使用率。

关键词: PDCA 阿片类癌痛

DOI：10.13748/j.cnki.issn1007-7693.2018.06.032

分类号:R284.1;R917.101

基金项目:

Effect of PDCA Cycle in Improving the Rationality of Opioid Drugs Use in Cancer Pain Patients

ZHENG Xiaowei¹, TAO Gang², DING Haiying¹, Sun Jiao¹, HUANG Ping¹

1.Zhejiang Cancer Hospital, Hangzhou 310022, China;2.Zhejiang Medical and Health Group Hangzhou Hospital, Hangzhou 310022, China

Abstract:

OBJECTIVE To observe the role of PDCA cycle in improving the rational use of opioid drugs in patients with cancer pain. METHODS The data of patients before and after PDCA cycle were collected to assess the effect of PDCA on the rational use of opioid drugs. RESULTS The rationality of opioid drugs use increased from 20.24% to 87.59%, strong opioids rational use rate increased from 34.19% to 91.20%, weak opioids rational use rate increased from 3.45% to 66.67%, opioid compound rational use rate increased from 6.12% to 62.50%. CONCLUSION PDCA cycle management approach effectively improves the rational use rate of opioid drugs in our hospital.

Key words: PDCA opioid cancer pain