[논문]근거기반 정맥혈전색전증 예방 간호실무지침 개정

조용애; 은영; 이선희; 전미양; 정진희; 한민영; 김나리; 허진형

doi:10.22650/jkcnr.2023.29.1.24

근거기반 정맥혈전색전증 예방 간호실무지침 개정
Updates of Evidence-Based Nursing Practice Guideline for Prevention of Venous Thromboembolism 원문보기

임상간호연구 = Journal of Korean Clinical Nursing Research, v.29 no.1, 2023년, pp.24 - 41

조용애 ((전) 중앙대학교 적십자간호대학) , 은영 (경상국립대학교 간호대학.건강과학연구원 노인건강연구센터) , 이선희 (가천대학교 간호대학) , 전미양 (경상국립대학교 간호대학.건강과학연구원 노인건강연구센터) , 정진희 (분당서울대학교병원) , 한민영 (세브란스병원) , 김나리 (삼성서울병원) , 허진형 (서울아산병원)

Abstract ▼ AI-Helper

Purpose: This study aimed to update the previously published nursing practice guideline for prevention of venous thromboembolism (VTE). Methods: The guideline was 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 10. Results: The updated nursing practice guideline for prevention of VTE was consisted of 16 domains, 46 subdomains, and 216 recommendations. The recommendations in each domain were: 4 general issues, 8 assessment of risk and bleeding factors, 5 interventions for prevention of VTE, 18 mechanical interventions, 36 pharmacological interventions, 36 VTE prevention starategies for medical patients, 25 for cancer patients, 13 for pregnancy, 8 for surgical patients, 7 for thoractic and cardiac surgery, 16 for orthopedic surgery, 10 for cranial and spinal surgery, 5 for vascular surgery, 13 for other surgery, 3 educations and information, and 2 documentation and report. For these recommendations, the level of evidence was 32.1% for level I, 51.8% for level II, and 16.1% for level III according to the infectious diseases society of America (IDSA) rating system. A total of 112 new recommendations were developed and 49 previous recommendations were deleted. Conclusion: The updated nursing practice guideline for prevention of VTE is expected to serve as an evidence-based practice guideline for prevention of VTE in South Korea. It is recommended that this guideline will disseminate to clinical nursing settings nationwide to improve the effectiveness of prevention of VTE practice.

주제어

표/그림 (5)

그림 Figure 1. Search and screening process for venous thromboembolism preventive nursing practice guidelines.
표 Table 1. Selected Guidelines for Update of Nursing Practice Guidelines for Prevention of Venous Thromboembolism
표 Table 2. Distribution of Recommendations of for Update of Nursing Practice Guidelines for Prevention of Venous Thrombo-embolism (N=216)
표 Table 3. Distribution of Levels of Evidence and Strengths of Recommendation in the Updated Nursing Practice Guidelines for Prevention of Venous Thromboembolism (N=216)
표 Table 4. Changes of Recommendation in Updated Nursing Practice Guidelines for Prevention of Venous Thromboembolism (N=216)

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