Journal of the Korea Academia-Industrial cooperation Society (한국산학기술학회논문지)

The Korea Academia-Industrial cooperation Society (한국산학기술학회)
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Evaluating of Validity on Peri-operative Hypothermia Management Evidence Based Guideline

저체온 관리 근거중심 가이드라인의 국내 타당성 검증

  • 홍성정 (세명대학교 간호학과) ;
  • 이은주 (경북대학교 간호대학 간호학과)
  • Received : 2013.09.17
  • Accepted : 2014.01.09
  • Published : 2014.01.31
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Abstract

The purpose of this study was to evaluate the appropriateness and applicability of a evidence-based peri-operative hypothermia management guideline developed by NCC-NSC in Korea using expert group. The expert group was composed of 180 registered nurses in surgical units and recovery room, and physicians (surgeons and anesthesiologists) who had enough experiences and knowledgeable on the management of surgical patients. Validity of guidelines were evaluated in terms of appropriateness and applicability using 9 point scale. Most of the recommendations in the guideline received high score of above 6-8 point both in appropriateness and appropriateness. However, most of the recommendations were received significantly lower score in applicability than appropriateness. This research can be used as a step to develop more acceptable hypothermia management guideline for the patients undergoing abdominal surgery in Korean. In addition, further studies which identify the barriers that inhibit applicability of recommendations should be investigated.

본 연구의 목적은 National Collaborating Centre for Nursing and Supportive Care (NCC-NSC)에서 개발한 수술 환자의 체온 관리 근거중심 가이드라인의 국내 타당성을 검증하기 위한 것이다. 수술 환자 관리 경험 및 지식이 풍부한 의사와 간호사 총 180명으로 구성된 전문가 집단을 대상으로 가이드라인 각각의 권고사항에 대한 적절성과 적용가능성을 평가하였다. 수집한 자료는 SPSS/WIN 18.0을 이용하여 평균, 표준편차, paired t-test 이용하여 분석하였다. 가이드라인의 적절성과 적용가능성은 9점 척도로 각각 평균 8.11점과 7.28점으로 높게 나타났으며, 대부분의 권고사항의 적절성과 적용가능성도 평균 6-8점 이상으로 비교적 높게 평가되었다. 그러나 대부분의 가이드라인 권고사항에서 적절성이 적용가능성 보다 유의하게 높게 나타나, 실제 임상환경에서 가이드라인의 권고사항을 직접 적용하는 데는 장애가 있는 것으로 나타났다. 따라서 가이드라인의 권고사항을 임상환경에 적용하는 데 장애가 되는 요인을 확인하고 이를 적절히 해결하는 방안이 모색되어야 할 것이다.

Keywords

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