气溶疗法符合基于证据的指导方针和成年重症患者的成本:一项前性观察性研究
Ayushi R Verma1, Jignesh Shah2, Sulochana Kumari3
1Department of Pharmacy Practice, BVDU Poona College of Pharmacy, Pune, Maharashtra, India.
在重症监护室 (ICU) 遵守气溶治疗指南可以改善患者的治疗结果并降低成本. 标准化协议和员工培训是加强对雾化治疗的遵守的关键.
科学领域:
- 临界护理医学 临界护理医学
- 呼吸系统疗法 呼吸系统疗法
- 卫生经济学 卫生经济学
背景情况:
- 气溶治疗是重症监护室 (ICU) 呼吸系统护理的基石.
- 不遵守基于证据的雾化指南可能会对患者的治疗结果产生负面影响,并增加医疗保健支出.
- 评估是否遵守既定指导方针对于优化患者护理和资源配置至关重要.
研究的目的:
- 评估气溶疗法是否符合"印度雾化疗法指南"对重症患者的标准.
- 为了确定与ICU环境中的气溶治疗相关的医疗保健成本.
- 确定影响符合 nebulization 协议的因素.
主要方法:
- 一项前性观察性研究,涉及307名在三级护理医院ICU中的成年患者,持续了6个月.
- 统计分析包括奇平方和威尔科克森等级和值测试,并使用多变量后勤回归来确定合规性预测因素.
- 数据收集的重点是药物治疗和药物管理符合既定指南.
主要成果:
- 主要使用喷射雾化剂 (91.5%),支气管扩展剂和皮质类固醇是常见的药物类别.
- 根据ICU停留时间和ICU类型,遵守药物治疗指南的程度有很大差异,在重症监护和神经病科ICU中更高.
- 遵守药物治疗指南与医疗保健成本显著降低有关 (P = 0.0103).
结论:
- 通过有针对性的干预,协议标准化和员工教育,可以实现更好地遵守气溶治疗指南.
- 坚持以证据为基础的气溶治疗优化了患者的护理,并减少了重症监护室的支出.
- 将这些发现纳入常规临床实践可以改善临床结果和成本效益.
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