加護病房鎭靜及止痛藥物使用不良反應發生率改善專案之成效探討

Decreasing the Adverse Reactions of Sedation and Analgesic Medicine in the Intensive Care Unit

陳蕙茹(Hui-Ju Chen) ； 翁玲子(Ling-Tzu Weng) ； 廖文進(Wen-Jinn Liaw) ； 張秉宜(Bieng-Yi Chang)

《重症醫學雜誌》 9卷3期 (2008/09) Pp. 156-167

https://doi.org/10.30035/TCCM.200809.0002

摘要

This project was aimed to decrease the incidence of adverse effects of Sedation and Analgesic medicine. All data was collected from a surgical intensive care unit of a medical center in Northern Taiwan. Patients who had been administrated with at least one medicine of Diprivan、Dormicum、Morphine or Fentanyl for more than four hours were recruited. There were three strategies adopted including modifying the drug-administration process of Sedation and Analgesic medicine, establishing the standard steps for assessment and holding staff training and education programs. The incidence of adverse effects of Sedation and Analgesic medicine had significantly decreased from 35% to 10.2%, and further decreased to 3.7% (p＜0.001). Continuing staff training programs are recommended to build up consensus on treatment goals of Sedation and Analgesic medicine use and to decrease the incidence of adverse effects.

關鍵字

鎭靜 ； 止痛 ； 不良反應

並列摘要

This project was aimed to decrease the incidence of adverse effects of Sedation and Analgesic medicine. All data was collected from a surgical intensive care unit of a medical center in Northern Taiwan. Patients who had been administrated with at least one medicine of Diprivan、Dormicum、Morphine or Fentanyl for more than four hours were recruited. There were three strategies adopted including modifying the drug-administration process of Sedation and Analgesic medicine, establishing the standard steps for assessment and holding staff training and education programs. The incidence of adverse effects of Sedation and Analgesic medicine had significantly decreased from 35% to 10.2%, and further decreased to 3.7% (p＜0.001). Continuing staff training programs are recommended to build up consensus on treatment goals of Sedation and Analgesic medicine use and to decrease the incidence of adverse effects.

並列關鍵字

Sedation ； Analgesia ； Adverse effect