임상간호연구 (Journal of Korean Clinical Nursing Research)

  • 제26권2호
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  • Pages.154-163
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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 임상실무지침: 장루간호

Evidence-Based Nursing Practice Guideline: Ostomy Care

  • Lee, Yun Jin (Division of Nursing, Severance Hospital) ;
  • Park, Hyun Suk (Division of Nursing, Severance Hospital) ;
  • Kim, Min Kyung (Department of Nursing, Samsung Medical Center) ;
  • Seo, Hui Won (Department of Nursing, Korea University Anam Hospital) ;
  • Lee, Mi Ju (Department of Nursing, Asan Medical Center) ;
  • Won, Eun Ae (Department of Nursing, Gangnam Severance Hospital) ;
  • Jo, Gha Na (Department of Nursing, Hanyang University Medical Center)
  • 투고 : 2020.05.27
  • 심사 : 2020.06.23
  • 발행 : 2020.08.31
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초록

Purpose: The aim of this study was to develop an evidence-based guideline for stoma management providing institutional policy, assessment, complications and follow-up care. Methods: The guideline adaptation manual consisting of 23 steps developed by the National Evidence-Based Healthcare Collaborating Agency was used for this study. It presents an overview of the process used to develop the guideline and lists specific recommendations from the guideline. Results: It provides 55 recommendations that include the following 8 topics: 1) Organization and policy recommendations, 2) Preoperative nursing; Ostomy education, stoma site marking, 3) Ostomy formation, 4) Postpoperative nursing; education, assessment, high output stoma management, 5) Selection of ostomy products, 6) Colostomy irrigation, 7) Stomal and peristomal complications, 8) Follow-up care after discharge. Conclusion: The guideline can be used to address stoma management in hospital settings. The intent of the guideline is to provide information that will assist healthcare providers to manage adult patients with ostomies, prevent or decrease complications, and improve patients' outcomes.

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참고문헌

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