| 摘要: |
| 目的:建立儿科人血白蛋白临床应用评价标准,并依据标准分析评价儿科人血白蛋白的临床应用现状。方法:通过LIKERT 五分量表法确定儿科人血白蛋白合理应用评价指标;根据评价指标,建立人血白蛋白临床应用评价标准;根据建立的评价标准对杭州市儿童医院2019 年6 月至2020 年5 月使用人血白蛋白的127 例非手术住院病例进行临床应用现状分析与评价。结果:根据人血白蛋白评价标准的主要指标点评127 份医嘱,主要存在与其他药物连续静脉滴注时未冲管21 例(38. 18%)、剂量或给药途径不合理18 例(32. 73%)、治疗低蛋白血症者未达到使用指征8 例( 14. 55%)、无适应证或适应证不适宜6 例(10. 91%)、滴速与溶媒不合理2 例(3. 64%)。结论:通过LIKERT 五分量表法建立儿科人血白蛋白临床应用评价标准,评价并分析人血白蛋白临床应用的不合理因素,对促进临床合理使用人血白蛋白具有一定价值。 |
| 关键词: LIKERT 五分量表法 人血白蛋白 评价标准 合理用药 |
| DOI：10.13407/j.cnki.jpp.1672-108X.2023.01.001 |
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| 基金项目:浙江省药学会医院药学科研专项,编号2018ZYY33。 |
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| Establishment and Application of Clinical Evaluation Criteria for Pediatric Human Serum Albumin Based on Likert Five Subscale Method |
| Jiang Yingying1, Zhan Yaoping2, Xu Xiangxiang1 |
| (1. Hangzhou Children’s Hospital, Hangzhou 310014, China; 2. Zhejiang Provincial People’s Hospital, Hangzhou 310014, China) |
| Abstract: |
| Objective: To establish the evaluation criteria for the clinical application of human serum albumin in pediatrics, and analyze
and evaluate the clinical application status of human serum albumin according to the criteria. Methods: Firstly, the evaluation index of
pediatric human serum albumin rational application was determined by Likert five subscale method. Secondly, according to the
evaluation index, the clinical application evaluation standard of human serum albumin was established. Finally, according to the
established evaluation criteria, the clinical application status of 127 non-surgical inpatients who used human serum albumin from June
2019 to May 2020 was analyzed and evaluated. Results: According to the main indicators of human serum albumin evaluation criteria,
127 medical orders were evaluated. There were 21 cases (38. 18%) of not flushing tube when continuous intravenous drip with other
drugs, 18 cases (32. 73%) of unreasonable dosage or administration route, 8 cases (14. 55%) who did not meet the indications for the
treatment of hypoproteinemia, 6 cases (10. 91%) with no indication or inappropriate indication, and 2 cases (3. 64%) of unreasonable
dripping speed or solvent. Conclusion: The evaluation standard of clinical application of human serum albumin in pediatrics is
established by Likert five subscale method, and the unreasonable factors of clinical application of human serum albumin are evaluated
and analyzed, to promote the rational use of human serum albumin in the clinic. |
| Key words: Likert five subscale method human serum albumin evaluation rational use of drugs |
