근거기반 욕창간호 실무지침 개정
Updates of Evidence-Based Nursing Practice Guidelines for Pressure Injury
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목적: 본 연구는 욕창에 대한 이전 근거기반 간호 임상실무지침을 업데이트하기 위해 수행되었다. 방법: 이 지침은 국제 표준을 기반으로 22단계로 개정되었다. 결과: 욕창간호 임상실무지침은 4개의 영역과 494개의 권고 사항으로 구성되었다. 각 영역의 권고사항 수는 다음과 같다. 31개의 병원 정책, 64개의 평가, 386개의 예방 및 관리, 13개의 교육. 권고 등급은 A가 10.3%, B가 13.8%, C가 75.9%이었다. 이 중 40개의 권고사항(8.1%)이 주요 개정 대상이었으며, 55개(11.0%)의 권고사항이 새롭게 추가되었다. 25개의 권고사항은 단어의 수정 또는 추가와 같은 작은 개정이 있었으며, 단 하나의 권고사항만이 삭제되었다. 결론: 개정된 욕창간호 임상실무지침은 한국에서 욕창의 근거기반 임상실무지침으로 활용될 것으로 예상된다. 이 지침은 환자 성과의 향상을 위해 욕창 예방 및 관리에 대한 정보를 제공하여 의료인, 환자 및 보호자(돌봄 제공자)에게 도움이 될 것이다.
Abstract
Purpose: This study was conducted to update the previous evidence-based nursing clinical practice guidelines for pressure injury. Methods: The guideline was revised in 22 steps based on the international standards. Results: The updated nursing practice guideline for pressure injury consisted of four domains and 494 recommendations. The numbers of recommendations in each domain was: 31 hospital policy, 64 assessment, 386 prevention and management, and 13 education. The recommended grade was 10.3% for A, 13.8% for B, and 75.9% for C. Of these, the major revision was done in 40 recommendations (8.1%). A total of 55 recommendations (11.0%) were newly added. 25 recommendations had minor revisions such as changes oradditions for some words, and only one recommendation was deleted. Conclusion: The revised nursing practice guidelines for pressure injury are expected to serve as an evidence-based practice guideline forpressure injury in Korea. This guideline will provide healthcare providers, patients, and caregivers with information to help prevent and manage pressure injuries, leading to improving patient outcomes.
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