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수용개작방법을 활용한 당뇨인의 발관리 실무지침 개발

Development of Clinical Practice Guideline by Adaptation: Diabetic Foot Care

  • 정인숙 (부산대학교 간호대학) ;
  • 박경희 (삼성서울병원 상처.장루.실금전문) ;
  • 송복례 (서울성모병원 당뇨교육) ;
  • 심강희 (삼성서울병원 당뇨교육전문) ;
  • 한은진 (세브란스병원 상처.장루.실금전문) ;
  • 홍은영 (서울성모병원 간호부) ;
  • 정영선 (서울아산병원 간호부) ;
  • 이선희 (가천대학교 간호대학) ;
  • 박동아 (한국보건의료연구원) ;
  • 정재심 (울산대학교 의과대학 간호학과)
  • 투고 : 2015.05.19
  • 심사 : 2015.06.26
  • 발행 : 2015.08.31

초록

Purpose: This study was done to use a guideline adaptation process to develop a Korean evidence-based diabetic foot care clinical practice guideline for diabetic foot prevention and management. Methods: The guideline adaptation process was conducted according to the guideline adaptation manual developed by the National Evidence-Based Healthcare Collaborating Agency. The process consists of three main phases, with 9 modules including a total of 23 steps. Results: The newly developed diabetic foot care clinical practice guideline consisted of an introduction, description of diabetic foot, summary of recommendations, recommendations, references, appendices, and glossary. There were 165 recommendations in 4 sections (risk assessment for diabetic foot ulcers, prevention of diabetic foot ulcers, wound assessment of diabetic foot ulcers, and management of the diabetic foot). In grading by recommendations, for A there were 30 (18.2%), B, 8 (4.8%), C, 30 (18.2%) D, 97 (58.8%). Conclusion: This guideline can be used as educational material for healthcare workers and diabetic patients. It can also be utilized as a practice guideline for healthcare workers in the hospital and community setting.

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