간호 분야 실무지침의 수용개작 방법론에 따른 통증간호 실무지침의 개발
Development of the Nursing Practice Guideline for Pain Management according to the Guideline Adaptation Process
1
조회
0
다운로드
4
인용
0
참고문헌
키워드
초록
연구목적: 본 연구의 목적은 국내에서 사용할 수 있는 통증 사정 및 관리를 위한 간호실무지침을 개발하기 위한 것이다. 연구방법: 통증간호실무지침의 수용개작은 국내외에서 엄격한 근거기반 실무지침의 개발과정을 따른 실무지침을 선정하고, 이를 2012년 병원간호사회에서 개발한 실무지침 수용개작 방법론에 따라 24단계로 시행되었다. 연구결과: 연구결과, 통증간호실무지침은 9개 영역, 234개 권고안, 253개 권고항, 274개 근거수준과 권고등급으로 구성되었다. 영역별 권고항 수는 일반적 지침 13개, 통증사정 51개, 통증중재 14개, 급성통증의 약물적 중재 66개, 만성암성통증의 약물적 중재 41개, 만성비암성통증의 약물적 중재 35개, 통증중재의 비약물적 방법 21개, 통증간호의 기록 2개, 통증간호교육 10개의 권고항으로 구성되었다. 결론: 본 연구에서 개발된 통증간호실무지침의 사용은 통증간호에 대한 간호사의 지식, 수행을 향상시킬 뿐 아니라, 통증환자의 통증의 감소, 간호만족도 향상에 기여할 것이다.
Abstract
Purpose: This study was done to develop a evidence-based guideline for pain assessment and management in Korea by adapting previously developed pain guidelines. Methods: The guideline adaptation process was conducted using 24 steps according to the guideline adaptation manual developed by Hospital Nurses Association in 2012. Results: The newly developed pain management guideline consisted of 9 domains and 234 recommendations. The number of recommendations in each domain was: 13 general instruction items, 51 pain assessments, 14 pain interventions, 66 pharmacological interventions for acute pain, 41 pharmacological interventions for chronic cancer pain, 35 pharmacological interventions for chronic noncancer pain, 21 non-pharmacological interventions, 2 documentations, 10 nursing education items, for pain. Conclusion: The findings suggest that the new pain management guideline can be used to address pain in hospital settings.
참고문헌 (30)
- Field MJ, "Clinical practice guideline: Directions for a new program" (1990), National Academies Press
- Jeremy Grimshaw, "Toward Evidence-Based Quality Improvement.", Journal of General Internal Medicine, 21(S2), pp.S14~S20 (2006), Springer Science and Business Media LLC[DOI]
- J Fransen, "Influence of guideline adherence on outcome in a randomised controlled trial on the efficacy of methotrexate with folate supplementation in rheumatoid arthritis", Annals of the Rheumatic Diseases, 63(10), pp.1222~1226 (2004), BMJ[DOI]
- Adaptation process of nursing practice guideline and standardization of nursing practice guideline adaptation, research report, "Gu MO", Korean Hospital Nurses Association, ~ (2011)
- Shirley A. Brekken, "Pain Management", Nursing Administration Quarterly, 32(4), pp.288~295 (2008), Ovid Technologies (Wolters Kluwer Health)[DOI]
- 구미옥, "국내 근거기반 임상간호실무지침 주제의 우선순위 결정", 임상간호연구, 18(1), pp.39~51 (2012), 병원간호사회[DOI]
- 송명희, "조혈모세포 이식 간호사의 통증관리와 관계된 지식·태도 연구", 석사, 지역사회간호학, pp.2000
- 소정원, "수술 후 통증관리에 대한 간호사의 지식과 태도", 석사, 임상사례관리, pp.2011
- 김희량, "내 ․ 외과 간호사의 근거기반 통증사정 및 관리 가이드라인 수행도", 성인간호학회지, 28(5), pp.546~558 (2016), 한국성인간호학회[DOI]
- Savvas SM, "An evidencebased program to improve analgesic practice and pain outcomes in residential aged care facilities", Journal of American Geriatrics Society, 62(8), pp.1583~1589 (2014)
- Development of evaluation tool for applying nursing-Decubitus ulcer nursing, fall prevention nursing, pain nursing, research report, "Korean Hospital Nurses Association", Korean Hospital Nurses Association, ~ (2010)
- Ministry of Health and Welfare, "Cancer pain management guideline. 6th ed", Ministry of Health and Welfare, ~ (2015)
- 심우석, "대상포진 및 대상포진후신경통 환자의 치료", The Korean Journal of Pain, 21(2), pp.93~105 (2008), 대한통증학회
- Horgas AL, "Evidence-based geriatric nursing protocols for best practice", pp.246~267 (2012), Springer
- Judith A. Paice, "Management of Chronic Pain in Survivors of Adult Cancers: American Society of Clinical Oncology Clinical Practice Guideline", Journal of Clinical Oncology, 34(27), pp.3325~3345 (2016), American Society of Clinical Oncology (ASCO)[DOI]
- American Society of Anesthesiologists Task Force on Acute Pain Management, "Practice Guidelines for Acute Pain Management in the Perioperative Setting", Anesthesiology, 116(2), pp.248~273 (2012), Ovid Technologies (Wolters Kluwer Health)[DOI]
- Scottish Intercollegiate Guidelines Network(SIGN), "Management of chronic pain", SIGN, ~ (2013)
- 홍성정, "통증관리 근거중심 가이드라인의 국내 타당성 검증 - 복부수술 환자를 대상으로 -", 임상간호연구, 18(1), pp.159~170 (2012), 병원간호사회[DOI]
- M. C. Brouwers, "AGREE II: advancing guideline development, reporting and evaluation in health care", Canadian Medical Association Journal, 182(18), pp.E839~E842 (2010), Joule Inc.[DOI]
- Fitch K, "The RAND", UCLA appropriateness method user's manual, 2001
- Kim SY, "NECA‘s handbook for clinical practice guideline developer", National Evidence-based Healthcare Collaborating Agency, ~ (2015)
- Kim SY, "Manual for guideline adaptation(ver 2.0)", National Evidence-based Healthcare Collaborating Agency, ~ (2011)
- Leonard A. Mermel, "Clinical Practice Guidelines for the Diagnosis and Management of Intravascular Catheter‐Related Infection: 2009 Update by the Infectious Diseases Society of America", Clinical Infectious Diseases, 49(1), pp.1~45 (2009), Oxford University Press (OUP)[DOI]
- Randy Cornelius, "Evidence-Based Practice Guideline : Acute Pain Management in Older Adults", Journal of Gerontological Nursing, 43(2), pp.18~27 (2017), SLACK, Inc.[DOI]
- Roger Chou, "Guidelines on the management of postoperative pain", The Journal of Pain, 17(2), pp.131~157 (2016), Elsevier BV[DOI]
- 원영화, "암성 통증지침 적용 전후 긴급진료실 환자의 통증조절 및 관리실태", 석사, 임상전문간호학전공, pp.2012
- Juliana Barr, "Clinical Practice Guidelines for the Management of Pain, Agitation, and Delirium in Adult Patients in the Intensive Care Unit", Critical Care Medicine, 41(1), pp.263~306 (2013), Ovid Technologies (Wolters Kluwer Health)[DOI]
- 박중철, "만성통증의 최신 약물치료", 대한의사협회지, 53(9), pp.815~823 (2010), 대한의사협회
- 강윤규, "근골격계 만성 통증의 평가와 치료", Korean Journal of Family Medicine, 24(2), pp.1~111 (2003), 대한가정의학회
- 문정희, "임상 간호사의 암성 통증관리에 대한 지식과 수행", 석사, 간호학과 간호학전공, pp.2014