근거기반 유치도뇨간호 실무지침 개정
Updates of Nursing Evidence-Based Practice Guideline for Indwelling Urinary Catheterization
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목적: 본 연구는 유치도뇨간호를 위한 이전(초판)의 근거기반 임상간호실무지침을 업데이트하기 위해 수행되었다. 방법: 국제 표준을 기반으로 22 단계로 지침이 수정되었다. 개정에 활용될 실무지침의 질은 Appraisal of Guidelines for Research and Evaluation II 로 평가하였다. 개정될 실무지침 권고안 초안의 내용 적절성과 임상실무에서 적용 가능성의 평가는 RAND Corporation의 RAND/UCLA Appropriateness Method 의사결정 방법을 사용하였다. 갱신용 지침으로는 4개의 지침이 활용되었다. 결과: 유치도뇨간호 실무지침 개정은 9개의 영역과 134개의 권고사항으로 구성되었다. 각 영역의 권고사항 수는 다음과 같다: 사정 4개, 물품 20개, 유치도뇨 삽입 11개, 유치도뇨관 유지 52개, 유치도뇨관 및 소변백 교환 4개, 유치도뇨관 제거 9개, 합병증 관리 22개, 교육과 상담 5개, 그리고 기관의 지원 7개. 권고안의 권고등급 A는 8.2%, B는 38.1%, C는 53.7%이었다. 이 중에서 주요 개정은 11개(8.2%)의 권고안이었다. 29개(21.6%)의 권고안이 새로 추가되었다. 30개(22.4%)의 권고안은 단어나 문장의 변경 또는 추가와 같은 작은 개정이었으며, 13개의 권고안이 삭제되었다. 결론: 개정된 실무지침은 한국에서 유치도뇨간호를 위한 근거기반 임상간호실무지침으로서 역할을 할 것으로 기대된다. 이 지침은 건강관리제공자, 환자 및 돌봄제공자에게 유치도뇨간호를 관리하는데 도움되는 정보를 제공하여 환자관리를 개선할 것이다.
Abstract
Purpose: This study was conducted to update the existing evidence-based nursing clinical practice guideline forindwelling urinary catheterization (IUC). Methods: The guideline have been revised in 22 steps based oninternational standards. The quality of the practice guidelines to be used for revision was evaluated using theAppraisal of Guidelines for Research and Evaluation II. The evaluation of the content appropriateness andapplicability of the draft recommendations of the revised practice guidelines was performed using theRAND/UCLA Appropriateness Method, a decision-making method developed by the RAND Corporation. Four guidelines were used for the revision. Results: The updated nursing practice guideline for IUC consistedof 9 domains and 134 recommendations. The numbers of recommendations in each domain were: 4Assessment, 20 Equipment, 11 Catheter insertion, 52 Catheter maintenance, 4 Catheter and drainage bagchange, 9 Catheter removal, 22 Complications management, 5 Education and consult, and 7 Hospital support. The recommended grade was 8.2% for A, 38.1% for B, and 53.7% for C. Among these, the major revision wasdone in 11 recommendations (8.2%). A total of 29 recommendations (21.6%) were newly added. 30 (22.4%)recommendations had minor revisions such as changes or addition for some words or sentences, and 13 (9.7%)recommendations were deleted. Conclusion: Revised nursing practice guideline is expected to serve as anevidence-based practice guideline for IUC in Korea. This guideline will provide health care providers, patients,and caregivers with information to help manage IUC, leading to improved patient outcomes.
참고문헌 (25)
- Tractenberg RE, "Reliability of the urinary symptom questionnaires for people with neurogenic bladder(USQNB)who void or use indwelling catheters", Spinal Cord, 59, pp.939~947 (2021)[DOI]
- 최은영, "중소병원 간호사의 유치도뇨관 관련 요로감염 감염관리 수행 영향 요인", 임상간호연구, 25(3), pp.303~313 (2019), 병원간호사회[DOI]
- Ndomba AL, "Urinary tract infections and associated factors among patients with indwelling urinary catheters attending Bugando medical centre a tertiary hospital in northwestern Tanzania", Microorganisms, 10(2), pp.473~ (2022)[DOI]
- 안준희, "배뇨곤란 대상자 사례기반 교육이 간호 대학생의 단순도뇨 지식, 단순도뇨 자신감 및 단순도뇨 술기능력에 미치는 효과", 융합정보논문지, 11(2), pp.57~63 (2021), 중소기업융합학회[DOI]
- 박민아, "도뇨관 관리를 위해 가정간호에 의뢰된 환자의 요로감염실태", 가정간호학회지, 28(2), pp.178~185 (2021), 한국가정간호학회[DOI]
- Andersen MJ, "Inhibiting host-protein deposition on urinary catheters reduces associated urinary tract infections", Elife, 11, pp.e75798~ (2022)[DOI]
- "Guidelines for prevention and control of healthcare associated infections" (2017)[URL]
- Mitchell BG, "The frequency of urinary tract infections and the value of antiseptics in community-dwelling people who undertake intermittent urinary catheterization : A systematic review", American Journal of Infection Control, 49(8), pp.1058~1065 (2021)[DOI]
- "Indwelling urinary catheterization: Evidence-based clinical nursing practice guideline, series 4" (2015)[URL]
- 조용애, "근거기반 구강간호 실무지침 개정", 임상간호연구, 26(2), pp.141~153 (2020), 병원간호사회[DOI]
- "Handbook for clinical practice guideline developer 2.0" (2022)[URL]
- Choi BR, "RAM(RAND", UCLA Appropriateness Method)applied to decision making method, 2010, pp.4(1), 58~62
- "The RAND/UCLA appropriateness method user's manual" (2001)[URL]
- "Catheterisation: Indwelling catheters in adults - Urethral and suprapubic. Evidence-based guidelines for best practice in urological health care" (2012)[URL]
- Hooton TM, "Diagnosis, prevention, and treatment of catheter-associated urinary tract infection in adults : 2009 international clinical practice guidelines from the Infectious Diseases Society of America", Clinical Infectious Diseases, 50(5), pp.625~663 (2010)[DOI]
- Loveday HP, "Epic3 : National evidence-based guidelines for preventing healthcare-associated infections in NHS hospitals in England", Journal of Hospital Infection, 86(Suppl 1), pp.S1~S70 (2014)[DOI]
- Gould CV, "Healthcare Infection Control Practicers Advisory Committee. Guideline for prevention of catheter-associated urinary tract infections 2009", Infection Control and Hospital Epidemiology, 31(4), pp.319~326 (2010)[DOI]
- Lo E, "Strategies to prevent catheter-associated urinary tract infections in acute care hospitals : 2014 update", Infection Control and Hospital Epidemiology, 35(5), pp.464~479 (2014)[DOI]
- "Male external catheters in adults: Urinary catheter management-Condom catheter urinary sheath penile sheath. Evidencebased guidelines for best practice in urological health care" (2016)[URL]
- Kidd EA, "Urethral(indwelling or intermittent)or suprapubic routes for short-term catheterisation in hospitalised adults", Cochrane Database of Systematic Reviews, 12, pp.CD004203~ (2015)[DOI]
- Nicolle LE, "Clinical practice guideline for the management of asymptomatic bacteriuria : 2019 update by the Infectious Diseases Society of America", Clinical Infectious Diseases, 68(10), pp.e83~e110 (2019)[DOI]
- "Management of suspected bacterial lower urinary tract infection in adult women: A national clinical guideline. SIGN 160" (2020)[URL]
- 강철인, "Clinical Practice Guidelines for the Antibiotic Treatment of Community-Acquired Urinary Tract Infections", Infection and Chemotherapy, 50(1), pp.67~100 (2018), 대한감염학회
- Clark E, "From outdated to updated, keeping clinical guidelines valid", International Journal for Quality in Health Care, 18(3), pp.165~166 (2006)[DOI]
- 박경희, "욕창간호 실무지침 개정", 임상간호연구, 25(1), pp.67~79 (2019), 병원간호사회[DOI]