基于加权TOPSIS法评价与药学干预对癌痛治疗效果的分析

Effect of evaluation based on weighted TOPSIS method and pharmaceutical intervention on the treatment of cancer pain

目的促进癌痛治疗的合理性。方法多学科讨论制订癌痛治疗合理性评价细则,并据此采用加权TOPSIS法对本院2017年7-12月的60份癌痛病历进行评价。根据评价结果进行药学干预,干预后采用相同的评价方法评价2018年1-6月份60份癌痛病历,对比干预前后癌痛治疗合理性变化。结果 2017年7-12月60份病历中相对接近度最高的为85.19%,最低的为48.60%,大于60%的有44例(占73.33%);2018年1-6月60份病历中相对接近度最高的为95.32%,最低的为49.40%,大于60%的有55例(占91.67%)。药学干预前后癌痛治疗合理性差异有统计学意义(P<0.05)。结论基于加权TOPSIS法制订的癌痛治疗合理性评价方法把影响癌痛治疗的多个因素结合起来,相对传统单个指标评价,评价结果更加简明扼要、直观、可靠。药学干预可以提高癌痛治疗的合理性。

Objective To promote rational treatment for cancer pain. Methods We formulated rules for rational evaluation of cancer pain by multidisciplinary discussion, and the weighted TOPSIS method was used to evaluate 60 cases of cancer pain in our hospital from July to December of 2017. We had pharmaceutical intervention according to the evaluation results, the same method was used to evaluate another 60 cases of cancer pain from January to June of 2018 after the pharmaceutical intervention. We compared the rationality of cancer pain treatment before and after the pharmaceutical intervention. Results Among the 60 cases from July to December of 2017, there were 44(73.3%) showed proximity degree higher than 60%, the highest degree at 85.19%, and the lowest degree at 48.60%. Among the 60 cases from January to June of 2018, 55(95.32%) degree higher than 60%, the highest degree at 95.32%, and the lowest degree at 49.40%. The rationality of cancer pain treatment was significant after the pharmaceutical intervention(P<0.05). Conclusion The rationality evaluation of cancer pain based on the weighted TOPSIS method combines multiple factors that affect the treatment of cancer pain. The evaluation is more concise, intuitive and reliable than the traditional single index evaluation. Pharmaceutical intervention can improve the rationality of cancer pain treatment.