근거기반 구강간호 실무지침 개정
Updates of Nursing Practice Guideline for Oral Care
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목적: 이 연구는 구강간호 실무지침 초판을 개정하고자 하였다. 방법: 실무지침 갱신방법은 NICE와 SIGN의 지침 개발방법, ‘임상진료지침 실무를 위한 핸드북 1.0’의 수용개작방법을 기반으로 한 22단계의 갱신방법에 따라 진행되었다. 결과: 구강간호 실무지침 개정판은 10개 영역, 79개 권고안으로 구성되어 있다. 각 영역의 권고안 수는 일반적 지침 5개, 구강간호의 적응증 2개, 구강간호 사정 9개, 일반적 구강간호 16개, 중환자 구강간호 12개, 암환자 구강간호 16개, 암환자 구강합병증 간호 12개, 구강간호교육 5개, 의뢰 1개, 기록 1개이다. 권고안의 권고등급은 A 등급 11.8%, B 등급 17.0%, C 등급 68.2%이었다. 12개의 권고안이 새로 추가되었으며, 초판의 7개 권고안이 삭제되었다. 결론: 구강간호 실무지침 개정판은 국내 구강간호 근거기반 실무지침이 될 것으로 기대된다. 본 개정판은 구강간호 실무의 효과를 증진시켜 임상간호 현장에 확산시킬 것으로 본다.
Abstract
Purpose: This study aimed to update the previously published nursing practice guideline for oral care. Methods: The guideline were updated according to the manuals developed by National Institute for Health and Care Excellence (NICE) and Scottish Intercollegiate Guidelines Network (SIGN), and a Handbook for Clinical Practice Guideline Developer Version 1.0. Results: Updated nursing practice guideline for oral care was consisted of 10 domains and 79 recommendations. The number of recommendations in each domain were: 5 general issues, 2 oral care indications, 9 oral assessment, 16 general oral care, 12 oral care for critically ill patients, 16 oral care for cancer patients, 12 oral care for cancer patients with oral complications, 5 oral care education, 1 oral care referral, and 1 documentation and report. In terms of grades for recommendations, 11.4% was grade A, 17.0% was grade B, and 68.2% was grade C. Twelve new recommendations were developed and 7 previous recommendations were deleted. Conclusion: Updated nursing practice guideline for oral care is expected to serve as an evidence-based practice guideline for oral care in South Korea. It is recommended that this guideline be spread to clinical nursing settings nationwide to improve the effectiveness of oral care practice.
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