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수술환자의 심부정맥혈전증 예방 지침 수용개작

Development of the Prevention Guideline of Deep Vein Thrombosis in Patients with Surgery according to the Guideline Adaptation Process

  • 윤지현 (삼성서울병원) ;
  • 이인선 (삼성서울병원) ;
  • 이경윤 (삼성서울병원 호흡치료) ;
  • 장미자 (삼성서울병원) ;
  • 이정민 (삼성서울병원) ;
  • 남민선 (삼성서울병원) ;
  • 박지현 (삼성서울병원) ;
  • 황지원 (삼성서울병원 간호팀) ;
  • 송현주 (삼성서울병원) ;
  • 조용애 (삼성서울병원 임상간호학연구소, 성균관대학교 임상간호대학원) ;
  • 권인각 (삼성서울병원 암병원 간호부, 성균관대학교 임상간호대학원) ;
  • 김미영 (삼성서울병원 간호팀)
  • Yoon, Ji Hyun (Department of Nursing, Samsung Medical Center) ;
  • Lee, Ihn Seon (Department of Nursing, Samsung Medical Center) ;
  • Lee, Kyeong Yoon (Department of Nursing, Samsung Medical Center) ;
  • Jang, Mi Ja (Department of Nursing, Samsung Medical Center) ;
  • Lee, Jung Min (Department of Nursing, Samsung Medical Center) ;
  • Nam, Min Sun (Department of Nursing, Samsung Medical Center) ;
  • Park, Ji Hyeon (Department of Nursing, Samsung Medical Center) ;
  • Hwang, Ji Won (Department of Nursing, Samsung Medical Center) ;
  • Song, Hyun Ju (Department of Nursing, Samsung Medical Center) ;
  • Cho, Yong Ae (Research Institute for Clinical Nursing Science, Samsung Medical Center, Graduate School of Clinical Nursing Science, Sungkyunkwan University) ;
  • Kwon, In Gak (Department of Nursing(Cancer Center), Samsung Medical Center, Graduate School of Clinical Nursing Science, Sungkyunkwan University) ;
  • Kim, Mi Young (Department of Nursing, Samsung Medical Center)
  • 투고 : 2014.09.30
  • 심사 : 2014.10.20
  • 발행 : 2014.12.31

초록

Purpose: Deep Vein Thrombosis (DVT) is the cause of fatal diseases such as pulmonary embolism, due to a prolonged immobility, surgery, paralysis, and injuries. This study aimed to develop an evidence-based practice guideline for DVT prevention and apply it to patients with surgery in diverse nursing sites in South Korea. Methods: A 24-staged processes of adaptation was carried out on the basis of "adaptation of nursing practical guidelines" developed by Gu et al., in 2012. Results: Developed nursing guidelines of DVT prevention are composed of 79 recommendations in 8 domains. The extent and ratings of each recommendation with its evidence were addressed along with the background information. Conclusion: The developed DVT prevention guideline is necessary to be added to the evidence-based practice guidelines for the fundamentals of nursing practice. The developed guideline is needed to be disseminated to diverse nursing clinical settings in order to prevent DVT and enhance the quality nursing care.

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