뇌졸중 작업치료 지침의 질 평가
Quality Evaluation of the Occupational Therapy Guidelines for Stroke
2
조회
0
다운로드
1
인용
0
참고문헌
키워드
초록
목적 : 본 연구는 임상지침 중 뇌졸중 환자의 작업치료를 다룬 지침을 확인하고, 확인된 지침들의 질과특성에 대해 알아보고자 하였다. 연구방법 : 본 연구는 2008년부터 2019년까지 국내․외의 재활 치료 지침을 살펴보았으며, 검색어는‘stroke’, ‘guideline’, ‘practice guideline’, ‘recommendation’, ‘protocol compliance’, ‘practice guideline’, ‘뇌졸중 가이드라인’, ‘뇌졸중 지침’ 등으로 하였다. 결과 : 검색을 통해 총 708편의 논문이 검색되었고, 자료 선정 기준에 부합한 지침 8편을 최종적으로선정하였다. 선정된 논문은 캐나다, 미국, 영국, 한국, 호주 등에서 개발한 지침이었으며. 8개의 지침중 1개는 작업치료 지침이었고, 나머지 7개는 재활치료 지침이었다. 지침에서 다룬 내용을 총 36개의주제로 분류하였으며, 이 중 호주 뇌졸중 재활치료 지침은 28개, 영국과 미국심장협회(AHA)의 지침은24개, 한국에서 개발한 뇌졸중 재활치료 지침은 23개 등의 내용을 포함하고 있었다. 결론 : 본 연구에서는 기존의 뇌졸중 환자를 위한 작업치료 지침을 확인하고, 지침들의 질과 특성을 비교해보았다. 이는 추후 뇌졸중 작업치료 지침 개발을 위한 중요한 기초자료가 될 수 있을 것으로 사료된다.
Abstract
Objective : The purpose of this study was to identify occupational therapy guidelines for patients with stroke according to the clinical guidelines, and to investigate the quality and characteristics of the identified guidelines. Methods : This involved a review of domestic and foreign rehabilitation treatment guidelines from 2008 to 2019. These guidelines were searched using, the search terms: ‘stroke’, ‘guideline’, ‘practice guideline’, ‘recommendation’, ‘protocol compliance’, ‘practice guideline’, and ‘stroke guidelines’. Results : A total of 708 papers were identified from the search. Eight guidelines met the selection criteria and were included in this review. The selected guidelines were developed in Canada, Australia, the United States, the United Kingdom, and Korea. One of the eight guidelines was occupational therapy guidelines, and the other seven were rehabilitation guidelines. The guidelines were categorized into a total of 36 topics, including 28 guidelines for stroke rehabilitation in Australia, 24 guidelines for the British and American Heart Association, and 23 guidelines for stroke rehabilitation developed in Korea. Conclusion : In this study, the guidelines for occupational therapy for existing stroke patients were identified, and the quality and characteristics of the guidelines were compared. The results of this study will provide important basic data for the development of occupational therapy guidelines for stroke in the future.
참고문헌 (31)
- "The Agree II Instrument" (2009)[URL]
- American Occupational Therapy Association (AOTA), "Policy 5.3. 1: Definition of occupational therapy practice for state regulation", American Journal of Occupational Therapy, 48, pp.1072~1073 (1994)
- American Occupational Therapy Association (AOTA), "Occupational Therapy Practice Framework: Domain and Process (3rd Edition)", The American Journal of Occupational Therapy, 68(Supplement_1), pp.S1~S48 (2014), AOTA Press[DOI]
- Baker, W. H., "Stroke in a defined elderly population, 1967-1985 : A less lethal and disabling but no less common disease", Stroke, 28(2), pp.284~290 (1997)[DOI]
- Bero, L. A., "Closing the gap between research and practice : An overview of systematic reviews of interventions to promote the implementation of research findings", The British Medical Journal, 317(7156), pp.465~468 (1998)[DOI]
- Brouwers, M. C., "AGREE II : Advancing guideline development, reporting and evaluation in health care", Canadian Medical Association Journal, 182(18), pp.839~842 (2010)[DOI]
- Carl, H. S., "Guidelines for the management of cognitive and behavioral problems in dementia", Journal of the American Board of Family Medicine, 25(3), pp.350~366 (2012)[DOI]
- "Stroke facts" (2014)[URL]
- "A guide to utilization of K-AGREE Ⅱ" (2009)[URL]
- Field, M. J., "Clinical practice guidelines: Directions for a new program" (1990), National Academy Press
- Grimshaw, J. M., "Knowledge translation of research findings", Implementation Science, 7(1), pp.1~17 (2012)[DOI]
- 한대성, "한국 치매 작업치료 가이드라인 개발", 대한작업치료학회지, 26(1), pp.75~89 (2018), 대한작업치료학회[DOI]
- Hebert, D., "Canadian stroke best practice recommendations : Stroke rehabilitation practice guidelines, update 2015", International Journal of Stroke, 11(4), pp.459~484 (2016)[DOI]
- Henry, H., "Evolution of the American college of cardiology", American heart association clinical guidelines, 2015, pp.65(25), 2726~2734
- Hoffmann-Eßer, W., "Guideline appraisal with AGREE II : Systematic review of the current evidence on how users handle the 2overall assessments", PloS One, 12(3), pp.1~15 (2017)[DOI]
- Kim, D. Y., "Clinical practice guideline for stroke rehabilitation in Korea 2016", Brain & Neurorehabilitation, 10(1), pp.1~139 (2017)[DOI]
- Kim, N. S., "Guide to the development of care guidelines", Ministry of Health, Welfare and Family Affairs Korean Medical Association, ~ (2009)
- Knight, S., "A systematic critical appraisal of evidence-based clinical practice guidelines for the rehabilitation of children with moderate or severe acquired brain injury", Archives of Physical Medicine and Rehabilitation, 100(4), pp.711~723 (2019)[DOI]
- Latham, N. K., "Occupational therapy activities and intervention techniques for clients with stroke in six rehabilitation hospitals", American Journal of Occupational Therapy, 60(4), pp.369~378 (2006)[DOI]
- Legg, L., "Occupational therapy for patients with problems in activities of daily living after stroke", Cochrane Database of Systematic Reviews, 2006(4), pp.1~48 (2006)[DOI]
- Miller, E. L., "Comprehensive overview of nursing and interdisciplinary rehabilitation care of the stroke patient : A scientific statement from the American Heart Association", Stroke, 41(10), pp.2402~2448 (2010)[DOI]
- Na, E. W., "A survey on the state of physically disabled elderlies in Kangwha", Annals of Rehabilitation Medicine, 21(6), pp.1124~1133 (1997)
- "Stroke rehabilitation in adults" (2013)[URL]
- Roger, V. L., "Heart disease and stroke statistics-2012 update : A report from the American Heart Association", Circulation, 125(1), pp.2~220 (2012)[DOI]
- "National clinical guideline for stroke" (2016)[URL]
- "Management of patients with stroke: Rehabilitation, prevention and management of complications and discharge planning" (2010)[URL]
- "Clinical guidelines for stroke management" (2017)[URL]
- Stroke Unit Trialists’ Collaboration., "Organised inpatient(stroke unit)care for stoke", Cochrane Database of Systematic Reviews, 2013(9), pp.1~84 (2013)[DOI]
- Winstein, C. J., "Guidelines for adult stroke rehabilitation and recovery : A guideline for healthcare professionals from the American Heart Association(AHA)", American Stroke Association, 2016, pp.47(6), 98~169
- Wolf, T. J., "Occupational therapy practice guidelines for adults with stroke" (2015), AOTA Press, The American Occupational Therapy Association (AOTA)
- Woolf, S. H., "Potential benefits, limitations, and harms of clinical guidelines", The British Medical Journal, 318(7182), pp.527~530 (1999)[DOI]