主管:国家卫生健康委员会
主办:国家卫生健康委医院管理研究所
中国科技核心期刊(中国科技论文统计源期刊)
中国科学引文数据库(CSCD)核心库期刊
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中国护理管理 ›› 2022, Vol. 22 ›› Issue (4): 609-613.doi: 10.3969/j.issn.1672-1756.2022.04.025

• 护理安全 • 上一篇    下一篇

进展性缺血性脑卒中患者替罗非班规范化给药流程的临床实践

郭桂丽 常红 高兰 赵文博 马青峰   

  1. 首都医科大学宣武医院神经内科卒中抢救中心,100053 北京市(郭桂丽);神经内科(常红,高兰,赵文博,马青峰)
  • 出版日期:2022-04-15 发布日期:2022-04-15
  • 通讯作者: 常红,硕士,主任护师,副教授,硕士生导师,护理部副主任,E-mail:changhong19791111@126.com
  • 作者简介:郭桂丽,硕士,主管护师,护士长

Clinical practice of standardization of tirofiban medication process in patients with progressive ischemic stroke

GUO Guili, CHANG Hong, GAO Lan, ZHAO Wenbo, MA Qingfeng   

  1. Stroke Acute Care Center of Neurology Department, Xuanwu Hospital Capital Medical University, Beijing, 100053, China
  • Online:2022-04-15 Published:2022-04-15
  • Contact: E-mail:changhong19791111@126.com

摘要: 目的:评价进展性缺血性脑卒中患者替罗非班规范化给药流程的应用效果。方法:分析患者替罗非班药物使用问题环节并制定规范化给药流程,包括药物使用规范、专用成组医嘱、多部门联合建立核磁检查快速通道、设立药物使用专用筐,设计药物使用信息栏,比较给药流程使用前后关键环节时间差异。结果:实施替罗非班规范化给药流程后,患者入院给药等待时间、给药中断时间均明显缩短,口服药物桥接时间精确,差异具有统计学意义(P<0.05)。结论:应用进展性缺血性脑卒中患者替罗非班规范化给药流程方案可以缩短患者入院给药等待时间,缩短给药中断时间,精确口服药物桥接时间,提高患者用药安全性。

关键词: 进展性缺血性脑卒中;替罗非班;药物使用;流程规范化

Abstract: Objective: To evaluate the clinical efficacy of standardized process of the medication administration of tirofiban in patients with progressive ischemic stroke. Methods: The problems linked in the usage of tirofiban was analyzed and a standardized process of medication administration after admission was formulated, including drug administration specifications, dedicated group prescription, a fast track for nuclear magnetic examination under multi-department cooperation, special frame of drug usage, and drug substances information column. Results: Compared with the non-standardized process of medication administration, the standardized process significantly reduced the waiting time of medication administration, drug interruption time, and accurate drug bridging time, respectively. Conclusion: The standardized process of the medication administration of tirofiban in patients with progressive ischemic stroke can effectively shorten the waiting time of medication administration, drug interruption time, and accurate the drug bridging time, which is beneficial for the safety of patient’s medication administration.

Key words: progressive ischemic stroke; tirofiban; medication administration; standardized process

中图分类号:  R47