치매환자 인지프로그램 실무지침 개발을 위한 융합적 효과검증
Convergence effectiveness verification for developing practice guidelines for dementia patients cognitive programs
0
조회
0
다운로드
4
인용
0
참고문헌
키워드
초록
본 연구는 치매환자에게 적합한 인지 프로그램 실무지침을 개발하는 과정에서의 효과성을 검증하는 절차를 기술한 방법론적 연구이다. 근거중심의 임상진료지침 신규개발 방법에 기초하여 국내 치매환자용 인지프로그램 실무지침 예비 권고안을 개발하였다. 이후, 효과검증을 위해 전문가 내용타당도 및 실무자 현장 적용성 검증을 수행하였다. 실무지침은 최종 4개 유형으로 구성하였으며 구성항목의 내용타당도는 0.87∼1점을 나타냈다. 현장 적용성의 하위항목에서는 적절성이 3.95∼4.34점, 적용가능성이 3.57∼4.27점, 효과성예측이 3.84∼4.22점이었다. 전문가 내용타당도 및 현장 적용성 예측 조사를 통해 본 연구에서 개발한 실무지침이 임상에 종사하는 치매 인지프로그램 관리자의 중재 계획 수립과 임상 근거로 활용할 수 있음을 확인하였다. 추후 연구에서는 치매환자에게 최적의 치료적 활동을 제시하기 위한 근거중심의 실무지침 개발연구가 더욱 활성화되어야 할 것이다.
Abstract
This study is a methodological study that explains the procedure for verifying effectiveness in developing practical guidelines for cognitive programs suitable for dementia patients. Based on the development of evidence-based new clinical practice guidelines, a preliminary recommendation for the domestic dementia patient care guidelines was developed. The practical guidelines consisted of the final four types, and the content validity score of the configuration items was 0.87 to 1 point. In the sub-categories of field applicability, appropriateness score was 3.95 to 4.34 points, applicability score was 3.57 to 4.27 points, and predicted effect score was 3.84 to 4.22 points. Through the examination of the content validity and field applicability of experts, it was confirmed that the practical guidelines developed in this study can be used as the basis for establishing an intervention plan for dementia cognitive program managers engaged in clinical practice. In future studies should further facilitate the development of evidence-based treatment guidelines to select appropriate treatment activities for dementia patients.
참고문헌 (31)
- "Risk reduction of cognitive decline and dementia: WHO guidelines" (2019)[URL]
- National Institute of Dementia, "Korean dementia observatory 2018" (2019), National Institute of Dementia
- G. D’Onofrio, "Update on Dementia" (2016)
- Riyoung Na, "A Systematic Review and Meta-Analysis of Nonpharmacological Interventions for Moderate to Severe Dementia", PSYCHIATRY INVESTIGATION, 16(5), pp.325~335 (2019), 대한신경정신의학회[DOI]
- H. R. Ji, "The effects of the continuous dementia nursing intervention program on cognitive function and depression of the elderly with mild dementia in the community", Journal of Korean Gerontological Nursing, 6(2), pp.216~227 (2004)
- "Dementia: assessment, management and support for people living with dementia and their carers" (2018)[URL]
- Linda Clare, "Cognitive training and cognitive rehabilitation for people with early-stage Alzheimer's disease: A review", Neuropsychological Rehabilitation, 14(4), pp.385~401 (2004), Informa UK Limited[DOI]
- Freddi Segal‐Gidan, "Alzheimer's Disease Management Guideline: Update 2008", Alzheimer's & Dementia, 7(3) (2011), Wiley[DOI]
- Vitória Carvalho Vilela, "What do Cochrane systematic reviews say about non-pharmacological interventions for treating cognitive decline and dementia?", Sao Paulo Medical Journal, 135(3), pp.309~320 (2017), FapUNIFESP (SciELO)[DOI]
- "Fact sheet (Dementia and the role of occupational therapy)" (2017)[URL]
- Luciane F. Viola, "Effects of a multidisciplinar cognitive rehabilitation program for patients with mild Alzheimer's disease", Clinics, 66(8), pp.1395~1400 (2011), FapUNIFESP (SciELO)[DOI]
- 조승현, "작업치료 중심의 복합 인지재활이 경도 치매 환자의 인지기능에 미치는 영향: 무작위 배정 대조군 연구", 대한작업치료학회지, 25(3), pp.71~86 (2017), 대한작업치료학회
- Quality Care Strategy for Long-term Care Hospitals and Nursing Homes, "Korea Institute for Health and Social Affairs", Korea Institute for Health and Social Affairs, ~ (2017)
- "Cognitive activity type program e-book(cognitive training tool)" (2017)[URL]
- J. E. Yoo., "Recent Changes and Challenges in National Dementia Policy in Korea", Health and welfare policy forum, 276, pp.6~18 (2019)
- 박민수, "근거중심의학", Neonatal medicine, 15(1), pp.1~5 (2008), 대한신생아학회
- 임선미, "근거수준별 문헌의 질 평가 도구", 대한의사협회지, 54(4), pp.419~429 (2011), 대한의사협회
- D. Atkins, "Grading quality of evidence and strength of recommendations", BMJ, 328(7454), pp.1490~ (2004), BMJ[DOI]
- 신우종, "체계적 고찰과 메타분석의 개요", Hanyang Medical Reviews, 35(1), pp.9~17 (2015), 한양대학교 의과대학[DOI]
- H. S. Roh, "The development of guideline on home visiting physical therapy for the elderly", Master's, pp.2017
- MARY R. LYNN, "Determination and Quantification Of Content Validity", Nursing Research, 35(6), pp.382???386~ (1986), Ovid Technologies (Wolters Kluwer Health)[DOI]
- D. Polit, "The content validity index : Are you sure you know what's being reported? Critique and recommendations", Research in Nursing & Health, 29(5), pp.489~497 (2006)[DOI]
- Denise F. Polit, "Is the CVI an acceptable indicator of content validity? Appraisal and recommendations", Research in Nursing & Health, 30(4), pp.459~467 (2007), Wiley[DOI]
- J. R. Cates, "Evaluating the quality of clinical practice guidelines", Journal of Manipulative Physiological Therapeutics, 24(3), pp.170~176 (2001)
- J. Ngo, "Systematic review of recent dementia practice guidelines", Age and Ageing, 44(1), pp.25~33 (2015)[DOI]
- J. H. Keffer, "Guidelines and algorithms : Perceptions of why and when they are successful and how to improve them", Clinical Chemistry, 47(8), pp.1563~1572 (2001)[DOI]
- "Changing practice in dementia care in the community: developing and testing evidence-based interventions, from timely diagnosis to end of Life(EVIDEM)" (2015)[URL]
- "Best practice guideline for accommodating and managing behavioral and psychological symptoms of dementia in residential care" (2012)[URL]
- 구본대, "한국형 치매임상진료지침 소개", 대한의사협회지, 54(8), pp.861~875 (2011), 대한의사협회
- R. Graham, "Clinical Practice Guidelines We Can Trust" (2011), National Academies Press
- A Study for Community-Based Age-Friendly Integrated Healthcare Model, "J. H. Seo", Korea Institute for Health and Social Affairs, ~ (2017)