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Development of a Practice Guideline for Catheter Dysfunction in Hemodialysis Patients

혈액투석 환자의 기능부전 도관관리 실무지침개발

  • Lee, Kyung Mi (Samsung Medical Center.Ewha Womans University) ;
  • Kim, Mi Yeun (Samsung Medical Center.Ewha Womans University) ;
  • Hong, Jin Young (Department of Nursing, Samsung Medical Center) ;
  • Cho, Yong Ae (Red Cross College of Nursing, Chung-Ang University) ;
  • Yang, Won Ji (Department of Nursing, Samsung Medical Center)
  • 이경미 (삼성서울병원.이화여자대학교 간호대학) ;
  • 김미연 (삼성서울병원.이화여자대학교 간호대학) ;
  • 홍진영 (삼성서울병원) ;
  • 조용애 (중앙대학교 적십자간호대학) ;
  • 양원지 (삼성서울병원)
  • Received : 2016.05.30
  • Accepted : 2016.06.24
  • Published : 2016.08.31

Abstract

Purpose: This study was done to develop an evidence-based practice guideline for catheter dysfunction in hemodialysis patients. Methods: Development of the guideline process was done according to the De Novo development version 1.0 by NECA which consists of 12 steps. Results: The developed guideline consisted of 5 domains and 14 recommendations. The number of recommendations for each domain were: 3 on catheter dysfunction assessment, 1 on conservative management of catheter dysfunction, 7 on drug management of catheter dysfunction, 1 on catheter function test and 2 on maintenance management. Of the recommendations, 7.15% were marked as A grade, 52.85% of B grade, and 50% of C grade. Conclusion: Findings in this study indicate that this guideline can be added to the evidence-based practice guidelines for fundamentals of practice and that this guideline can be disseminated to nurses nationwide in order to improve the care of hemodialysis patients with catheter dysfunction.

Keywords

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