수술환자의 심부정맥혈전증 예방 지침 수용개작
Development of the Prevention Guideline of Deep Vein Thrombosis in Patients with Surgery according to the Guideline Adaptation Process
0
조회
0
다운로드
2
인용
0
참고문헌
키워드
초록
Backgrounds: 심부정맥혈전증(Deep Vein Thrombosis,. DVT)은 폐색전증(Pulmonary Embolism, PE)등과 같은 치명적인 질환의 원인으로 장기간의 부동이나 수술, 마비, 외상 등에 의해 발생한다. 본 연구는 다양한 위험요인을 가진 외과환자들에게 사용할 수 있는 근거기반의 심부정맥혈전증 예방 실무지침을 수용개작하여 국내 간호현장에서 유용하게 사용하고 심부정맥혈전증 예방에 기여하고자 한다. Methods: 2012년 구 등이 개발한 “간호분야 실무지침 수용개작”방법론 에 근거하여 24단계의 수용개작과정을 진행하였다. Results: 본 연구에서 수용 개작된 심부정맥혈전증 예방을 위한 권고안은 8개 영역의 79개 권고안으로 구성되었다. 권고안에 대해 근거강도와 근거등급을 평가하였고 배경지식도 제시하였다. Conclusion: 수용개작 된 심부정맥혈전증 예방지침은 간호실무의 기초를 위한 근거기반 실무지침에 추가되었다. 앞으로 수용개작된 심부전맥혈전증 예방 가이드라인이 적극적으로 활용할 수 있도록 확산과정이 필요하다.
Abstract
Purpose: Deep Vein Thrombosis (DVT) is the cause of fatal diseases such as pulmonary embolism, due to aprolonged immobility, surgery, paralysis, and injuries. This study aimed to develop an evidence-based practiceguideline for DVT prevention and apply it to patients with surgery in diverse nursing sites in South Korea. Methods: A 24-staged processes of adaptation was carried out on the basis of “adaptation of nursing practicalguidelines” developed by Gu et al., in 2012. Results: Developed nursing guidelines of DVT prevention arecomposed of 79 recommendations in 8 domains. The extent and ratings of each recommendation with itsevidence were addressed along with the background information. Conclusion: The developed DVT preventionguideline is necessary to be added to the evidence-based practice guidelines for the fundamentals of nursingpractice. The developed guideline is needed to be disseminated to diverse nursing clinical settings in order toprevent DVT and enhance the quality nursing care.
참고문헌 (18)
- Fowler SB, "Evidence-based practice: The cochrane nursing care corner", Clinical Nurse Specialist, 28(1), pp.4~6 (2014)[DOI]
- Dalheim A, "Factors influencing the development of evidence-based practice among nurses: A self-report survey", BMC Health Services Research, 12, pp.367~ (2012)[DOI]
- Iverson RE, "Deep venous thrombosis: Prevention and management", Clinics in Plastic Surgery, 40(3), pp.389~398 (2013)[DOI]
- Majid S, "Adopting evidence-based practice in clinical decision making: Nurses' perceptions, knowledge, and barriers", Journal of the Medical Library Association, 99(3), pp.229~236 (2011)[DOI]
- 구미옥, "정맥주입요법 간호실무지침 수용개작", 임상간호연구, 19(1), pp.128~142 (2013), 병원간호사회
- 구미옥, "국내 근거기반 임상간호실무지침의 주제 선정", 임상간호연구, 17(3), pp.307~318 (2011), 병원간호사회
- Patel AP, "An analysis of deep vein thrombosis in 1277 consecutive neurosurgical patients undergoing routine weekly ultrasonography", Journal of Neurosurgery, 118(3), pp.505~509 (2013)[DOI]
- "Japanese DVT prophylaxis guideline, modified for actuality in Korea clinical environment" (2009)[URL]
- Anthony M, "Nursing assessment of deep vein thrombosis", Medsurg Nursing, 22(2), pp.95~98 (2013)
- Duff J, "Prevention of venous thromboembolism in hospitalized patients: Analysis of reduced cost and improved clinical outcomes", Journal of Vascular Nursing, 31(1), pp.9~14 (2013)[DOI]
- Elpern E, "The application of intermittent pneumatic compression devices for thromboprophylaxis:An observational study found frequent errors in the application of these mechanical devices in ICUs", American Journal of Nursing, 113(4), pp.30~36 (2013)[DOI]
- 김정숙, "하지압박요법이 중증 뇌손상 환자의 대퇴 정맥 혈류 속도변화에 미치는 영향", Journal of Korean Academy of Nursing, 39(2), pp.288~297 (2009), 한국간호과학회[DOI]
- Choi DO, "Nurses' knowledge and compliance on deep vein thrombosis", Journal of Korean Critical Care Nursing, 4(1), pp.75~87 (2011)
- 구미옥, "국내 근거기반 임상간호실무지침 주제의 우선순위 결정", 임상간호연구, 18(1), pp.39~51 (2012), 병원간호사회[DOI]
- Chaichana KL, "Deep venous thrombosis and pulmonary embolisms in adult patients undergoing craniotomy for brain tumors", Neurological Research, 35(2), pp.206~211 (2013)[DOI]
- Gaston S, "Venous thromboembolism(VTE)risk assessment and prophylaxis : A comprehensive systematic review of the facilitators and barriers to healthcare worker compliance with clinical practice guidelines in the acute care setting", The Joanna Briggs Institute Library of Systematic Reviews, 10(57), pp.3812~3893 (2012)
- Grimshaw J, "Toward evidence-based quality improvement. Evidence (and its limitations) of the effectiveness of guideline dissemination and implementation strategies 1966-1998", Journal of General Internal Medicine, 21(suppl 2), pp.S14~S20 (2006)[DOI]
- Mermel LA, "Prevention of intravascular catheter-related infections", Annals of Internal Medicine, 132(5), pp.391~402 (2000)[DOI]