基于问题的学习教育对Ⅰ类切口围术期抗菌药预防使用的影响

Effect of Problem-based Education on Antibiotic Prophylaxis in Perioperative Period of Type I Incision

目的:探讨实施基于问题的学习(PBL)教育对医务人员在Ⅰ类切口围术期抗菌药预防使用的影响,为抗菌药的使用管理提供参考依据。方法:根据卫生部相关规定,对茂南区属8所医疗机构医务人员进行培训,对照组采用常规的集中培训模式,观察组在此基础上结合2011年1月～2011年12月医院Ⅰ类切口围术期抗菌药预防使用情况分析,找出存在的问题,对医务人员进行PBL教育,分别在2个月后抽取两组治疗的Ⅰ类切口病历各40份,观察并比较两组预防用抗菌药使用率、品种合理率、疗程合理率、时机合理率及联合用药情况。结果:观察组实施PBL教育后,在预防用抗菌药使用率、品种合理率、疗程合理率、用药时机合理率、联合用药等方面均明显优于对照组,差异有统计学意义(P<0.05)。结论:实施PBL教育可提高医务人员的抗菌药物使用水平,促进抗菌药的合理使用,具有可行性,值得推广。

Objective： To explore the effect of problem-based learning （PBL） on antibiotic prophylaxis in the perioperative period of type I incision in order to provide reference for the antibiotic application management. Method： According to the relevant provisiens of ministry of Healib, the medical staff from eight medical institutions of Maonan district was trained. The control group was with rou- tine intensive training, and the observation group was combined with PBL on the base of the analysis on antibiotic prophylaxis in the perioperative period of type I incision during January to December in the year of 2011. Two months later, 40 medical records of type I incision from the two groups were withdrawn and the use frequency, respective reasonable rate of category, treatment period and appli- cation time, and combination application were observed and compared. Result ： After PBL education, the observation indices in the ob- servation group were all improved compared with those in the control group with statistically significant difference（ P 〈 0.05 ）. Conclusion： The implementation of PBL education can improve the level of antibiotic use in medical staff and promote the rational use with feasibility and promotion.