욕창간호 실무지침 개정
Updates of Nursing Practice Guideline for Pressure Injury
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초록
목적 : 본 연구는 기존의 한국 욕창간호 근거기반 실무지침을 개정하기 위해 시행되었다. 방법 : 개정과정은 국제표준 갱신방법에 따라 22 단계를 걸쳐 수행되었다. 결과 : 욕창간호 실무지침 개정은 4개의 영역과 436개의 권고안으로 구성되었다. 각 영역의 권고안 수는 병원정책 25개, 사정 51개, 예방 및 관리 350개, 교육 10개이었다. 권고등급은 A가 2.5%, B가 13.3%, C가 84.2% 이었다. 새로 제안된 권고안은 총 299개(68.6 %)이었고, 32개(7.4 %)는 근거가 변경되거나 문장을 변경 또는 추가하는 등 주요 개정을 하였다. 소규모 개정(25개/5.7 %)은 단어를 변경하거나 추가함으로써 이루어졌으며, 이전 권고안 80개(18.3 %)는 그대로 유지하였다. 결론: 욕창간호 실무지침은 국제표준 갱신방법에 따라 개정되었다. 개정된 지침은 의료종사자와 욕창대상자들을 위한 교육자료로 사용될 수 있다.
Abstract
Purpose: This study was conducted to update the existing evidence-based nursing clinical practice guideline in management of pressure injury in South Korea. Methods: The update process underwent the 22 steps according to the update method based on the international standards. Results: The updated nursing practice guideline for pressure injury consists of 4 domains and 436 recommendations. The numbers of recommendations in each domain were 25 for hospital policies, 51 for assessment, 350 for prevention and management, and 10 for education. There were 2.5% of A, 13.3% of B, 84.2% of C in terms of grading of recommendations. Among these, the major revision was done in 32 recommendations (7.4%). A total of 299 recommendations (68.6%) were added newly. Minor revisions, such as change or addition of some words, were also made in 25 recommendations(5.7%).No change was made in 80 recommendations (18.3%) compared to the previous ones. Conclusion: The nursing practice guideline for pressure injury has been updated. This updated guideline can be used as educational materials for both healthcare workers and patients with pressure injury.
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