Analysis of ICU nurses' application of prophylactic antimicrobial drugs for Class I incision surgery
ICU护士对Ⅰ类切口手术预防性抗菌药物应用分析

摘要

目的 从ICU护理执行与监督视角，分析Ⅰ类切口手术预防性抗菌药物应用现状，为优化护理用药实践提供参考。方法 回顾性选取医院ICU病房2018年1月—2019年12月4293例Ⅰ类切口手术病历，统计ICU护理操作相关指标（给药时机执行、疗程监督、联合用药反馈），数据采用描述性分析。结果 选取的2018、2019这两年病历中，预防性抗菌药物使用有1075例，使用率为25%，护理执行环节药物种类选择合理有1022例，合理率为95%，护理疗程监督给药时机和用药疗程合理有1032和1046例，占96%和97%，联合用药有19例，占比为1.8%。结论 Ⅰ类切口预防用药护理执行总体规范，但仍存在少部分药物种类选择不当、给药时机不合理和用药疗程过长等问题，仍需进一步规范ICU护理人员对抗菌药物在Ⅰ类切口手术中的预防性应用。

Abstract

Objective To analyze the current situation of prophylactic antimicrobial drug application in Class I incision surgery from the perspective of ICU nursing execution and supervision, and to provide reference for optimizing nursing medication practice.
Methods 4293 cases of Class I incision surgery medical records from January 2018 to December 2019 in the ICU ward of the hospital were retrospectively selected, and ICU nursing operation-related indicators (administration timing execution, regimen supervision, and feedback of co-medication) were counted, and the data were analyzed descriptively.
Results In the selected medical records of these two years, 2018 and 2019, there were 1075 cases of prophylactic antimicrobial drug use, with a utilization rate of 25%; there were 1022 cases of reasonable selection of drug types in the nursing execution session, with a reasonable rate of 95%; there were 1032 and 1046 cases of reasonable timing of drug administration and medication regimen in the nursing regimen supervision, with a percentage of 96% and 97%; and there were 19 cases of combined medication use, with a percentage of 1.8%.
Conclusion   The overall standardization of preventive medication care implementation for Class I incision, but there are still a small number of problems such as improper selection of drug type, unreasonable timing of administration and too long medication regimen, which still need to further standardize the ICU nursing staff on the preventive application of antimicrobial drugs in Class I incision surgery.