임상간호연구 (Journal of Korean Clinical Nursing Research)

  • 제26권2호
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  • Pages.141-153
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  • 2020
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  • 1598-9186(pISSN)
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  • 2287-3694(eISSN)
병원간호사회 (Hospital Nurses Association)
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근거기반 구강간호 실무지침 개정

Updates of Nursing Practice Guideline for Oral Care

  • 조용애 (중앙대학교 적십자간호대학) ;
  • 이선희 (가천대학교 간호대학) ;
  • 김경숙 (삼성서울병원 간호교육) ;
  • 임효민 (서울대학교병원) ;
  • 김태희 (용인세브란스병원 행정교육) ;
  • 최미영 (한국보건의료연구원) ;
  • 서현주 (충남대학교 간호대학) ;
  • 박효선 (가천대학교 간호대학) ;
  • 왕금현 (가천대 길병원) ;
  • 김찬희 (가천대학교 일반대학원 간호학) ;
  • 최희경 (가천대학교 일반대학원 간호학)
  • 투고 : 2020.05.30
  • 심사 : 2020.06.23
  • 발행 : 2020.08.31
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초록

Purpose: This study aimed to update the previously published nursing practice guideline for oral care. Methods: The guideline were 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 1.0. Results: Updated nursing practice guideline for oral care was consisted of 10 domains and 79 recommendations. The number of recommendations in each domain were: 5 general issues, 2 oral care indications, 9 oral assessment, 16 general oral care, 12 oral care for critically ill patients, 16 oral care for cancer patients, 12 oral care for cancer patients with oral complications, 5 oral care education, 1 oral care referral, and 1 documentation and report. In terms of grades for recommendations, 11.4% was grade A, 17.0% was grade B, and 68.2% was grade C. Twelve new recommendations were developed and 7 previous recommendations were deleted. Conclusion: Updated nursing practice guideline for oral care is expected to serve as an evidence-based practice guideline for oral care in South Korea. It is recommended that this guideline be spread to clinical nursing settings nationwide to improve the effectiveness of oral care practice.

키워드

참고문헌

  1. Cho YA, Eun Y, Gu MO, Kim KS, Kwak MK, Kim JH, et al. Development of oral nursing practice guideline using the guideline adaptation process. Journal of Korean Clinical Nursing Research. 2015;21(2):154-168. https://doi.org/10.22650/JKCNR.2015.21.2.154
  2. Registered Nurses' Association of Ontario. Oral health: Nursing assessment and interventions best practice guideline [Internet]. Toronto: Registered Nurses' Association of Ontario; 2008 [cited 2020 May 19]. Available from: https://rnao.ca/sites/rnao-ca/files/Oral_Health_-_Nursing_Assessment_and_Interventions.pdf.
  3. American Academy of Pediatric Dentistry. Guideline on dental management of pediatric patients receiving chemotherapy, hematopoietic cell transplantation and/or radiation therapy. Pediatric Dentistry. 2016;38(6)334-342.
  4. Glenny AM, Gibson F, Auld E, Coulson S, Clarkson JE, Craig JV, et al. The development of evidence-based guidelines on mouth care for children, teenagers and young adults treated for cancer. European Journal of Cancer. 2010;46(8):1399-1412. https://doi.org/10.1016/j.ejca.2010.01.023
  5. Institute for Clinical Systems Improvement. Health care protocol. 5th ed. Bloomington(MN): Institute for Clinical Systems Improvement; 2011;29.
  6. Lalla RV, Bowen J, Barasch A, Elting L, Epstein J, Keefe DM, et al. MASCC/ISOO clinical practice guidelines for the management of mucositis secondary to cancer therapy. Cancer. 2014; 120(10):1453-1461. https://doi.org/10.1002/cncr.28592
  7. Ministry of Health (SG). Nursing management of oral hygiene: MOH nursing clinical practice guidelines 1/2004 [Internet]. Singapore: Ministry of Health; 2004 [cited 2020 May 19]. Available from: https://www.moh.gov.sg/docs/librariesprovider4/guideli nes/nursing_management_of_oral_hygiene.pdf.
  8. Muscedere J, Dodek P, Keenan S, Fowler R, Cook D, Heyland D, et al. Comprehensive evidence-based clinical practice guidelines for ventilator-associated pneumonia: Prevention. Journal of Critical Care. 2008;23(1):126-137. https://doi.org/10.1016/j.jcrc.2007.11.014
  9. Scottish Intercollegiate Guidelines Network. SIGN 50: A guideline developer's handbook [Internet]. Edinburgh(UK): Scottish Intercollegiate Guidelines Network; 2015 [cited 2020 May 19]. Available from: https://www.sign.ac.uk/assets/sign50_2015.pdf.
  10. Kim SY, Kim NS, Shin SS, Gi SM, Lee SJ, Kim SH, et al. Manual for guideline adaptation. Version 2.0. Seoul: National Evidence-based Healthcare Collaborating Agency; 2011.
  11. Kim SY, Choi MY, Shin SS, Ji SM, Park JJ, Yoo JH, et al. Handbook for clinical practice guideline developer [Internet]. Version 1.0. Seoul: National Evidence-based Healthcare Collaborating Agency; 2015 [cited 2020 May 19]. Available from: https://www.neca.re.kr/lay1/bbs/S1T11C102/F/39/view.do?article_seq=5347&cpage=1&rows=10&condition=&keyword=&show=&cat=0.
  12. Gu MO, Cho YA, Eun Y, Jung IS, Kim HL, Yoon HS, et al. Updates of nursing practice guideline for intravenous infusion. Journal of Korean Clinical Nursing Research. 2017;23(3): 361-375. https://doi.org/10.22650/JKCNR.2017.23.3.361
  13. National Institute for Health and Care Excellence. The guidelines manual: Process and methods(PMG6) [Internet]. London: National Institute for Health and Care Excellence; 2012 [cited 2020 May 19]. Available from: http://nice.org.uk/process/pmg6.
  14. National Institute for Health and Care Excellence. Developing NICE guidelines: The manual-process and methods(PMG20) [Internet]. London: National Institute for Health and Care Excellence; c2014-2018 [cited 2020 May 19]. Available from: http://nice.org.uk/process/pmg20.
  15. AGREE Next Steps Consortium. AGREE II: Appraisal of guidelines for research and evaluation II [Internet]. Ontario (CA): AGREE Research Trust; c2009-2013 [cited 2020 May 19]. Available from: https://www.agreetrust.org/wp-content/uploads/2013/10/AGREE-II-Users-Manual-and-23-item-Instrument_2009_UPDATE_2013.pdf.
  16. Choi BR. RAM(RAND/UCLA Appropriateness Method) applied to decision making method. HIRA Policy Trends. 2010;4(1):58-62.
  17. Fitch K, Bernstein SJ, Aguilar MD, Bernard B, LaCalle JR, Lazaro P, et al. The RAND/UCLA appropriateness method user's manual. Santa Monica(CA): Rand Corp; 2001. Report No.: MR-1269-DG-XII/RE.
  18. Sung L, Robinson P, Treister N, Baggott T, Gibson P, Tissing W, et al. Guideline for the prevention of oral and oropharyngeal mucositis in children receiving treatment for cancer or undergoing haematopoietic stem cell transplantation. BMJ Supportive & Palliative Care. 2017;7(1):7-16. https://doi.org/10.1136/bmjspcare-2014-000804
  19. Grap MJ, Munro C. Oral care for acutely and critically ill patients. Critical Care Nurse. 2017;37(3):e19-e21. https://doi.org/10.4037/ccn2017179
  20. Peterson DE, Boers-Doets CB, Bensadoun RJ, Herrstedt J. Management of oral and gastrointestinal mucosal injury: ESMO clinical practice guidelines for diagnosis, treatment, and follow-up. Annals of Oncology. 2015;26(suppl 5):139-151. https://doi.org/10.1093/annonc/mdv202
  21. Alberta Health Services. Oral and dDental care management in head and neck cancer [Internet]. Edmonton(CA): Alberta Health Services; c2017 [cited 2020 May 19]. Available from: https://www.albertahealthservices.ca/assets/info/hp/canc er/if-hp-cancer-guide-hn001-dental-oral.pdf.
  22. National Institute for Health and Care Excellence. Oral health for adults in care homes: NICE guideline(NG48) [Internet]. London: National Institute for Health and Care Excellence; c2016 [cited 2020 May 19]. Available from: https://www.nice.org.uk/guidance/ng48.
  23. Kumar N, Burke M, Brooke A, Chan F, Ali S, Doughty J, et al. The oral management of oncology patients requiring radiotherapy, chemotherapy and/or bone marrow transplantation: Clinical guidelines [Internet]. London: The Royal College of Surgeons of England; c2018 [cited 2020 May 19]. Available from: https://www.rcseng.ac.uk/-/media/files/rcs/fds/publications/rcs-oncology-guideline-update--v36.pdf.
  24. National Health Service (UK). Mouth care matters: A guide for hospital healthcare professionals [Internet]. Version 12. London: NHS; 2016 [cited 2020 May 19]. Available from: http://www.mouthcarematters.hee.nhs.uk/wp-content/uploads/2016/10/MCM-GUIDE-2016_100pp_OCT-16_v121.pdf.
  25. UK Oral Management in Cancer Care Group. Oral care guidance and support in cancer and palliative care [Internet]. 3rd ed. Manchester(UK): UK Oral Management in Cancer Care Group; c2019 [cited 2020 May 19]. Available from: http://www.ukomic.co.uk/documents/UKOMiC-Guidance-3rd-Edition.pdf.
  26. Mermel LA, Allon M, Bouza E, Craven DE, Flynn P, O'Grady NP, et al. Clinical practice guidelines for the diagnosis and management of intravascular catheter-related infection: 2009 update by the Infectious Diseases Society of America. Clinical Infectious Diseases. 2009;49(1):1-45. https://doi.org/10.1086/599376
  27. Yaacob M, Worthington HV, Deacon SA, Deery C, Walmsley AD, Robinson PG, et al. Powered versus manual toothbrushing for oral health. Cochrane Database of Systematic Reviews. 2014;6:1-116. https://doi.org/10.1002/14651858.CD002281.pub3
  28. Lopes NN, Plapler H, Lalla RV, Chavantes MC, Yoshimura EM, da Silva MA, et al. Effects of low-level laser therapy on collagen expression and neutrophil infiltrate in 5-fluorouracil- induced oral mucositis in hamsters. Lasers in Surgery and Medicine. 2010;42(6):546-552. https://doi.org/10.1002/lsm.20920
  29. Panchabhai TS, Dangayach NS, Krishnan A, Kothari VM, Karnad DR. Oropharyngeal cleansing with 0.2% chlorhexidine for prevention of nosocomial pneumonia in critically ill patients: An open-label randomized trial with 0.01% potassium permanganate as control. Chest. 2009;135(5):1150-1156. https://doi.org/10.1378/chest.08-1321
  30. Hua F, Xie H, Worthington HV, Furness S, Zhang Q, Li C. Oral hygiene care for critically ill patients to prevent ventilatorassociated pneumonia. Cochrane Database of Systematic Reviews. 2016;10:1-119. https://doi.org/10.1002/14651858.CD008367.pub3