OBJECTIVE: To explore the effect of comprehensive intervention mode on the rational use of Ribonucleic acid Ⅱ for injection, and to provide reference for the management of adjuvant drugs for cancer therapy. METHODS: The rational use of ribonucleic acid Ⅱ was interfered by establishing evaluation criteria, reviewing medical record, establishing tumor therapy adjuvant management work group, classifying drug prescription right, examining and approving off-label drug use, strengthening the assessment and training, clinical pharmacists intervention. The utilization of ribonucleic acid Ⅱ was analyzed statistically in our hospital during Apr.-Jun. 2015 (before intervention), Jul.-Sept. 2015 (after the first intervention), Oct.-Dec. 2015 (after the second intervention) and Jan.-Mar. 2016 (after the third intervention). RESULTS: The reasonable rate of Ribonucleic acid Ⅱ for injection was 77.34% before intervention, and 83.25%, 83.64%, 95.12% after the first, second and third intervention respectively; the difference was statistically significant compared to before intervention (P<0.05). The irrational types included inappropriate indications, unsuitable treatment course, inappropriate usage and dosage, and unsuitable drug combination, etc. The percentage of these irrational types decreased from 2.96%, 4.93%, 13.79% and 0.99% before intervention to 1.63%, 0, 3.25% and 0 after the third intervention, respectively. The utilization rate of Ribonucleic acid Ⅱ for injection was reduced from 8.81% before intervention to 3.93% after the third intervention, the differences were statically significant (P<0.05). CONCLUSIONS: The comprehensive intervention model combined with multiple intervention methods can promote the rational use of Ribonucleic acid Ⅱ for injection. It is suggested to further study and evaluate the intervention effect of this model on other adjuvant drugs for cancer therapy.
关键词
注射用核糖核酸Ⅱ合理用药肿瘤治疗辅助药
Keywords
Ribonucleic acid Ⅱ for injectionRational drug useAdjuvant drugs for cancer therapy