[논문]뇌졸중 작업치료 지침의 질 평가

이은영; 한대성; 박지혁

doi:10.22683/tsnr.2021.10.3.057

뇌졸중 작업치료 지침의 질 평가
Quality Evaluation of the Occupational Therapy Guidelines for Stroke 원문보기

Therapeutic science for rehabilitation = 재활치료과학, v.10 no.3, 2021년, pp.57 - 69

이은영 (원광대학교병원 재활의학과) , 한대성 (상지대학교 작업치료학과) , 박지혁 (연세대학교 소프트웨어디지털헬스케어융합대학 작업치료학과)

초록
AI-Helper

목적 : 본 연구는 임상지침 중 뇌졸중 환자의 작업치료를 다룬 지침을 확인하고, 확인된 지침들의 질과 특성에 대해 알아보고자 하였다. 연구방법 : 본 연구는 2008년부터 2019년까지 국내·외의 재활 치료 지침을 살펴보았으며, 검색어는 'stroke', 'guideline', 'practice guideline', 'recommendation', 'protocol compliance', 'practice guideline', '뇌졸중 가이드라인', '뇌졸중 지침' 등으로 하였다. 결과 : 검색을 통해 총 708편의 논문이 검색되었고, 자료 선정 기준에 부합한 지침 8편을 최종적으로 선정하였다. 선정된 논문은 캐나다, 미국, 영국, 한국, 호주 등에서 개발한 지침이었으며. 8개의 지침 중 1개는 작업치료 지침이었고, 나머지 7개는 재활치료 지침이었다. 지침에서 다룬 내용을 총 36개의 주제로 분류하였으며, 이 중 호주 뇌졸중 재활치료 지침은 28개, 영국과 미국심장협회(AHA)의 지침은 24개, 한국에서 개발한 뇌졸중 재활치료 지침은 23개 등의 내용을 포함하고 있었다. 결론 : 본 연구에서는 기존의 뇌졸중 환자를 위한 작업치료 지침을 확인하고, 지침들의 질과 특성을 비교해 보았다. 이는 추후 뇌졸중 작업치료 지침 개발을 위한 중요한 기초자료가 될 수 있을 것으로 사료된다.

Abstract ▼ AI-Helper

Objective : The purpose of this study was to identify occupational therapy guidelines for patients with stroke according to the clinical guidelines, and to investigate the quality and characteristics of the identified guidelines. Methods : This involved a review of domestic and foreign rehabilitation treatment guidelines from 2008 to 2019. These guidelines were searched using, the search terms: 'stroke', 'guideline', 'practice guideline', 'recommendation', 'protocol compliance', 'practice guideline', and 'stroke guidelines'. Results : A total of 708 papers were identified from the search. Eight guidelines met the selection criteria and were included in this review. The selected guidelines were developed in Canada, Australia, the United States, the United Kingdom, and Korea. One of the eight guidelines was occupational therapy guidelines, and the other seven were rehabilitation guidelines. The guidelines were categorized into a total of 36 topics, including 28 guidelines for stroke rehabilitation in Australia, 24 guidelines for the British and American Heart Association, and 23 guidelines for stroke rehabilitation developed in Korea. Conclusion : In this study, the guidelines for occupational therapy for existing stroke patients were identified, and the quality and characteristics of the guidelines were compared. The results of this study will provide important basic data for the development of occupational therapy guidelines for stroke in the future.

주제어

표/그림 (5)

그림 Figure 1. Flow Chart of Search Process
표 Table 1. Basic Characteristics of the Selected Guidelines
표 Table 2. Quality Appraisal by the AGREE Ⅱ Instrument of Stroke Guidelines (%)
표 Table 3. Categorization of Recommendation Theme
표 Table 3. Categorization of Recommendation Theme (continued)

참고문헌 (31)

AGREE Next Steps Consortium. (2009). The Agree II Instrument. AGREE. Retrieved from https://www.agreetrust.org
American Occupational Therapy Association (AOTA). (1994). Policy 5.3. 1: Definition of occupational therapy practice for state regulation. American Journal of Occupational Therapy, 48, 1072-1073.
American Occupational Therapy Association (AOTA). (2017). Occupational therapy practice framework: Domain & process (3rd ed.). American Journal of Occupational Therapy, 68(1), 1-48. doi:10.5014/ajot.2014.682006

상세보기
Baker, W. H., & Mullooly, J. P. (1997). Stroke in a defined elderly population, 1967-1985: A less lethal and disabling but no less common disease. Stroke, 28(2), 284-290. doi:10.1161/01.str.28.2.284

상세보기
Bero, L. A., Grilli, R., Grimshaw, J. M., Harvey, E., Oxman, A. D., & Thomson, M. A. (1998). Closing the gap between research and practice: An overview of systematic reviews of interventions to promote the implementation of research findings. The British Medical Journal, 317(7156), 465-468. doi:10.1136/bmj.317.7156.465

상세보기
Brouwers, M. C., Kho, M. E., Browman, G. P., Burgers, J. S., Cluzeau, F., Feder, G., ... Littlejohns, P. (2010). AGREE II: Advancing guideline development, reporting and evaluation in health care. Canadian Medical Association Journal, 182(18), 839-842. doi:10.1016/j.ypmed.2010.08.005

상세보기
Carl, H. S., & James, E. G. (2012). Guidelines for the management of cognitive and behavioral problems in dementia. Journal of the American Board of Family Medicine, 25(3), 350-366. doi:10.3122/jabfm.2012.03.100183

상세보기
Centers for Disease Control and Prevention (CDC). (2014). Stroke facts. Retrieved from http://www.cdc.gov/stroke/facts.htm
Clinical Care Guidance Committee. (2009). A guide to utilization of K-AGREE II. Retrieved from https://www.guideline.or.kr
Field, M. J., & Lohr, K. N. (1990). Clinical practice guidelines: Directions for a new program. Washington: National Academy Press.
Grimshaw, J. M., Eccles, M. P., Lavis, J. N., Hill, S. J., & Squires, J. E. (2012). Knowledge translation of research findings. Implementation Science, 7(1), 1-17. doi:10.1186/1748-5908-7-50

상세보기
Han, D. S., Jung, M. Y., Kim, J. B., Park, J. H., Lee, H. S., & Jung, W. M. (2018). Development of Korean occupational therapy practice guideline for dementia. Korean Journal of Occupational Therapy, 26(1), 75-89. doi:10.14519/jksot.2018.26.1.06

상세보기
Hebert, D., Lindsay, M. P., McIntyre, A., Kirton, A., Rumney, P. G., Bagg, S., ... Teasell, R. (2016). Canadian stroke best practice recommendations: Stroke rehabilitation practice guidelines, update 2015. International Journal of Stroke, 11(4), 459-484. doi:10.1111/ijs.12557

상세보기
Henry, H., Howard, C., Andres, G., Alan, S., Georgios, C., Georgios, E. C., ... Emmanouil, S. B. (2015). Evolution of the American college of cardiology/American heart association clinical guidelines. Journal of American College of Cardiology, 65(25), 2726-2734. doi:10.1016/j.jacc.2015.04.050

상세보기
Hoffmann-Esser, W., Siering, U., Neugebauer, E. A., Brockhaus, A. C., Lampert, U., & Eikermann, M. (2017). Guideline appraisal with AGREE II: Systematic review of the current evidence on how users handle the 2 overall assessments. PloS One, 12(3), 1-15. doi:10.1371/journal.pone.0174831

상세보기
Kim, D. Y., Kim, Y. H., Lee, J. M., Jang, W. H., Kim, M. O., Pyoun, S. B. ... Song, Y. J. (2017). Clinical practice guideline for stroke rehabilitation in Korea 2016. Brain & Neurorehabilitation, 10(1), 1-139. doi:10.12786/bn.2017.10.e11

상세보기
Kim, N. S., Park, J. I., Bae, H. J., Ahn, H. S., Lee, S. M., Lee, S. H., ... Jung, M. J. (2009). Guide to the development of care guidelines. Seoul, Korea: Ministry of Health, Welfare and Family Affairs Korean Medical Association.
Knight, S., Takagi, M., Fisher, E., Anderson, V., Lannin, N. A., Tavender, E., & Scheinberg, A. (2019). A systematic critical appraisal of evidence-based clinical practice guidelines for the rehabilitation of children with moderate or severe acquired brain injury. Archives of Physical Medicine and Rehabilitation, 100(4), 711-723. doi:10.1016/j.apmr.2018.05.031

상세보기
Latham, N. K., Jette, D. U., Coster, W., Richards, L., Smout, R. J., James, R. A., ... Horn, S. D. (2006). Occupational therapy activities and intervention techniques for clients with stroke in six rehabilitation hospitals. American Journal of Occupational Therapy, 60(4), 369-378. doi:10.5014/ajot.60.4.369

상세보기
Legg, L., Drummond, A., & Langhorne, P. (2006). Occupational therapy for patients with problems in activities of daily living after stroke. Cochrane Database of Systematic Reviews, 2006(4), 1-48. doi:10.1002/14651858.cd003585
Miller, E. L., Murray, L., Richards, L., Zorowitz, R. D., Bakas, T., Clark, P., & Billinger, S. A. (2010). Comprehensive overview of nursing and interdisciplinary rehabilitation care of the stroke patient: A scientific statement from the American Heart Association. Stroke, 41(10), 2402-2448. doi:10.1161/str.0b013e3181e7512b

상세보기
Na, E. W., Jeon, S. I., Kim, D. Y., Bae, H. S., Jung, J. S., & Oh, H. C. (1997). A survey on the state of physically disabled elderlies in Kangwha. Annals of Rehabilitation Medicine, 21(6), 1124-1133.
National Institute for Health and Care Excellence (NICE). (2013). Stroke rehabilitation in adults. Retrieved from https://www.nice.org.uk/guidance/cg162
Roger, V. L., Go, A. S., Lloyd-Jones, D. M., Benjamin, E. J., Berry, J. D., ... Turner, M. B. (2012). Heart disease and stroke statistics-2012 update: A report from the American Heart Association. Circulation, 125(1), 2-220. doi:10.1161/CIR.0b013e31823ac046

상세보기
Royal College of Physicians (RCP). (2016). National clinical guideline for stroke. Retrieved from https://www.research.manchester.ac.uk/portal/en/publications/national-clinical-guideline-for-stroke(e517ee08-d911-4707-8b6e-736ba14ee3bb).html
Scottish Intercollegiate Guidelines Network (SIGN). (2010). Management of patients with stroke: Rehabilitation, prevention and management of complications and discharge planning. Retrieved from https://www.sign.ac.uk/media/1056/sign118.pdf
Stroke Foundation. (2017). Clinical guidelines for stroke management. Retrieved from https://informme.org.au/en/Guidelines/Clinical-Guidelines-for-Stroke-Management
Stroke Unit Trialists' Collaboration. (2013). Organised inpatient (stroke unit) care for stoke. Cochrane Database of Systematic Reviews, 2013(9), 1-84. doi:10.1002/14651858.CD000197.pub3
Winstein, C. J., Stein, J., Arena, R., Bates, B., Cherney, L. R., Cramer, S. C., ... Zorowitz, R. D. (2016). Guidelines for adult stroke rehabilitation and recovery: A guideline for healthcare professionals from the American Heart Association (AHA)/American Stroke Association. Stroke (ASA), 47(6), 98-169. doi:10.1161/str.0000000000000098

상세보기
Wolf, T. J., & Nilsen, D. M. (2015). Occupational therapy practice guidelines for adults with stroke. AOTA Press, The American Occupational Therapy Association (AOTA). doi:10.7139/2017.978-1-56900-460-9
Woolf, S. H., Grol, R., Hutchinson, A., Eccles, M., & Grimshaw, J. (1999). Potential benefits, limitations, and harms of clinical guidelines. The British Medical Journal, 318(7182), 527-530. doi:10.1136/bmj.318.7182.527

상세보기

저자의 다른 논문 :

표제어: PCR

동의어: Packet Collision Rate

용어 설명 출처 목록 (6)

용어 설명: PCR은 세균 특이성이 있는 primer를 이용하여 적은 수의 세균이 있을지라도 쉽게 검출할 수 있는 유용한 방법이며, 이를 이용하여 구강 내 치면세균막이나 타액에서 직접 세균을 검출할 수 있게 되었다[8].

내보내기 구분	파일저장 인쇄 메일전송
구성항목	기본정보 상세정보 관리번호, 논문명, 저널/프로시딩명, 저자 , 발행년, 권, 호, 시작페이지, 끝페이지, 발행기관 관리번호, 논문명, 대등논문명, 저자 , 저널/프로시딩명, 발행기관, 발행년, 발행언어, 권, 호, 시작페이지, 끝페이지, ISBN, ISSN, 주제분야, 키워드, 초록(한글), 초록(영문), 저자(소속기관)
저장형식	Text(ASCII format) Excel format RefWorks Direct Export RIS format (for Reference Manager, ProCite, EndNote), Scholar's Aids, Mendeley
메일정보	받는사람 (필수) @ 보내는사람 (선택) @ 제목 내용 KISTI 검색결과 이메일 서비스
안내	총 건의 자료가 검색되었습니다. 다운받으실 자료의 인덱스를 입력하세요. (1-10,000) 검색결과의 순서대로 최대 10,000건 까지 다운로드가 가능합니다. 데이타가 많을 경우 속도가 느려질 수 있습니다.(최대 2~3분 소요) 다운로드 파일은 UTF-8 형태로 저장됩니다. 파일의 내용이 제대로 보이지 않을실 때는 웹브라우저 상단의 보기 -> 인코딩 -> 자동선택 여부를 확인하십시오. ~ Text(ASCII format) Excel format

연합인증