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上海市某综合型医院临床氧疗医嘱合理性与规范性的调查研究

Survey on the rationality and standardization of clinical oxygen therapy in a general hospital in Shanghai

摘要:

目的:了解综合型医院院内氧疗医嘱开具的合理与规范情况。方法:整群抽样选取上海长海医院2018年3月1日至6月1日住院并行吸氧治疗的患者为研究对象,采用Neves等编制的"住院患者氧疗调查表"收集患者的年龄、性别,科室,入院诊断、氧疗指征、氧疗医嘱、氧疗参数等资料,依据英国胸科协会2017年《成人医疗保健和紧急场所氧气使用指南》标准评定氧疗医嘱的合理性与规范性。结果:调查科室为内科、外科及专科(包括妇科、产科、儿科、眼科、耳鼻喉科、急诊科、重症医学科、老年科、皮肤科、介入科、肿瘤科、口腔科、康复医学科、感染科),共调查吸氧患者464例,其中内科病房71例、外科病房309例、专科病房84例。医嘱合理率为92.2%(428/464),内科病房合理率(64.7%,46/71)低于专科病房(92.8%,78/84)和外科病房(98.3%,304/309),差异有统计学意义(χ 2=91.09, P<0.01);普通病房患者398例、危重症病房患者66例,普通病房合理率(90.9%,362/398)低于危重症病房(100.0%,66/66),差异有统计学意义(χ 2=6.47, P<0.05)。医嘱规范率为22.4%(104/464),专科病房(54.8%,46/84)优于内科病房(26.8%,19/71)和外科病房(12.6%,39/309),危重症病房(65.2%,43/66)优于普通病房(15.3%,61/398),差异均有统计学意义(χ 2=68.35, P<0.01;χ 2=80.81, P<0.01)。 结论:综合型医院院内氧疗合理性总体尚可,规范性急需提高。不同科室、不同等级病房间的氧疗医嘱合理性及规范性存在差异。

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abstracts:

Objective:To survey the current status of oxygen therapy in a comprehensive hospital in Shanghai and to assess its rationality and standardization.Methods:Cluster sampling method was adopted in selecting in-patients who received oxygen therapy from various departments in Changhai Hospital from March 2018 to June 2018. General information such as gender, age, and department were recorded. The self-developed Oxygen Therapy Form for Inpatients was used to collect clinical data such as admission diagnosis, oxygen therapy indications, oxygen therapy orders, and related parameters. BTS guideline for Oxygen use in adults in Health care and Emergency Settings was used to assess the rationality and standardization of oxygen therapy. Results:In this survey, 464 patients were assessed for their oxygen treatment orders. According to the guidelines, the overall reasonable rate of oxygen therapy was 92.2% (428/464); the standardization rate of oxygen therapy was 22.4% (104/464). Among them, the reasonable rate of oxygen therapy in internal medicine ward (64.7%, 46/71) was lower than that in surgery ward (98.3%, 304/309) and in wards of other specialties (92.8%, 78/84) (χ 2=91.09, P<0.01); while the reasonable rate of general ward (90.9%, 362/398) was lower than that of ICU (100.0%, 66/66) (χ 2=6.47, P<0.05). In the standardization assessment, the wards of other specialties (54.8%, 46/84) were better than the internal medicine ward (26.8%, 19/71) and the surgery ward (12.6%, 39/309) (χ 2=68.35, P<0.01); while the ICU (65.2%, 43/66) was superior to the general ward (15.3%, 61/398) (χ 2=80.81, P<0.01). Conclusions:The rationality of oxygen therapy in the general hospital is acceptable, but the standardization needs to be improved. There are some differences in the rationality and standardization of oxygen therapy orders among different departments and different levels of wards.

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