임상간호연구 (Journal of Korean Clinical Nursing Research)

  • 제29권1호
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  • Pages.24-41
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  • 2023
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  • 1598-9186(pISSN)
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  • 2287-3694(eISSN)
병원간호사회 (Hospital Nurses Association)
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근거기반 정맥혈전색전증 예방 간호실무지침 개정

Updates of Evidence-Based Nursing Practice Guideline for Prevention of Venous Thromboembolism

  • 조용애 ((전) 중앙대학교 적십자간호대학) ;
  • 은영 (경상국립대학교 간호대학.건강과학연구원 노인건강연구센터) ;
  • 이선희 (가천대학교 간호대학) ;
  • 전미양 (경상국립대학교 간호대학.건강과학연구원 노인건강연구센터) ;
  • 정진희 (분당서울대학교병원) ;
  • 한민영 (세브란스병원) ;
  • 김나리 (삼성서울병원) ;
  • 허진형 (서울아산병원)
  • Cho, Yong Ae (Red Cross College of Nursing, Chung-Ang University) ;
  • Eun, Young (College of Nursing, Gerontological Health Research Center in Institute of Health Science, Gyeongsang National University) ;
  • Lee, Seon Heui (College of Nursing, Gachon University) ;
  • Jeon, Mi Yang (College of Nursing, Gerontological Health Research Center in Institute of Health Science, Gyeongsang National University) ;
  • Jung, Jin Hee (Department of Nursing, Bundang Seoul National University Hospital) ;
  • Han, Min Young (Department of Nursing, Severance Hospital) ;
  • Kim, Nari (Department of Nursing, Samsung Medical Center) ;
  • Huh, Jin Hyung (Department of Nursing, Asan Medical Center)
  • 투고 : 2023.01.31
  • 심사 : 2023.02.20
  • 발행 : 2023.04.30
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초록

Purpose: This study aimed to update the previously published nursing practice guideline for prevention of venous thromboembolism (VTE). Methods: The guideline was 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 10. Results: The updated nursing practice guideline for prevention of VTE was consisted of 16 domains, 46 subdomains, and 216 recommendations. The recommendations in each domain were: 4 general issues, 8 assessment of risk and bleeding factors, 5 interventions for prevention of VTE, 18 mechanical interventions, 36 pharmacological interventions, 36 VTE prevention starategies for medical patients, 25 for cancer patients, 13 for pregnancy, 8 for surgical patients, 7 for thoractic and cardiac surgery, 16 for orthopedic surgery, 10 for cranial and spinal surgery, 5 for vascular surgery, 13 for other surgery, 3 educations and information, and 2 documentation and report. For these recommendations, the level of evidence was 32.1% for level I, 51.8% for level II, and 16.1% for level III according to the infectious diseases society of America (IDSA) rating system. A total of 112 new recommendations were developed and 49 previous recommendations were deleted. Conclusion: The updated nursing practice guideline for prevention of VTE is expected to serve as an evidence-based practice guideline for prevention of VTE in South Korea. It is recommended that this guideline will disseminate to clinical nursing settings nationwide to improve the effectiveness of prevention of VTE practice.

키워드

과제정보

본 논문은 2021년 병원간호사회에서 연구비를 지원받아 진행한 연구임.

참고문헌

  1. Field MJ, Lohr KN. Clinical practice guidelines: Directions for a new program. Washington(DC): National Academy Press; 1990. p. 1-3.
  2. Grimshaw J, Eccles M, Thomas R, MacLennan G, Ramsay C, Fraser C, et al. Toward evidence-based quality improvement: Evidence(and its limitations) of the effectiveness of guideline dissemination and implementation strategies 1966-1998. Journal of General Internal Medicine. 2006;21(S2):S14-S20. https://doi.org/10.1111/j.1525-1497.2006.00357.x
  3. Fransen J, Laan RF, van der Laar MA, Huizinga TW, van Riel PL. Influence of guideline adherence on outcome in a randomised controlled trial on the efficacy of methotrexate with folate supplementation in rheumatoid arthritis. Annals of the Rheumatic Disease. 2004;63(10):1222-1226. https://doi.org/10.1136/ard.2003.018861
  4. Bang SM, Jang MJ, Kim KH, Yhim HY, Kim YK, Nam SH, et al. Prevention of venous thromboembolism, 2nd edition: Korean society of thrombosis and hemostasis evidence-based clinical practice guidelines. Journal of Korean Medical Science. 2014; 29(2):164-171. https://doi.org/10.3346/jkms.2014.29.2.164
  5. Jang MJ, Bang SM, Oh D. Incidence of venous thromboembolism in Korea: From the health insurance review and assessment service database. Journal of Thrombosis and Haemostasis. 2011;9(1):85-91. https://doi.org/10.1111/j.1538-7836.2010.04108.x
  6. Ahn HJ. Prevention and treatment of venous thromboembolism. Journal of Kyung Hee University Medical Center. 2014;29(1):18-25.
  7. Scottish Intercollegiate Guidelines Network. Antithrombotics: Indications and management: A national clinical guideline [Internet]. Edinburgh(GB): Scottish Intercollegiate Guidelines Network; 2012 Aug 2(SIGN publication no. 129)[updated 2013 Jun; cited 2021 Apr 15]. Available from: https://www.sign.ac.uk/media/1067/sign129.pdf.
  8. Song KY. Prevention and treatment of venous thromboembolism (VTE) in cancer patients. Korean Journal of Clinical Oncology. 2009;5(2):32-40. https://doi.org/10.14216/kjco.09012
  9. Shin MK, Park HG, Lee BK. The Incidence of deep vein thrombosis after various types of knee surgery. Journal of the Korean Orthopaedic Association. 2022;57(1):53-58. https://doi.org/10.4055/jkoa.2022.57.1.53
  10. Park YS, Lim SJ, Lee T. Prevention of venous thromboembolism in hip surgery patients. Hip & Pelvis. 2014;26(1):1-6. https://doi.org/10.5371/hp.2014.26.1.1
  11. Elpern E, Killeen K, Patel G, Senecal PA. The application of intermittent pneumatic compression devices for thromboprophylaxis: An observational study found frequent errors in the application of these mechanical devices in ICUs. American Journal of Nursing. 2013;113(4):30-36. https://doi.org/10.1097/01.NAJ.0000428736.48428.10
  12. Kim YH, Min SK, Kang JM, Kim HK, Bae JI, Choi SY et al. Diagnosis and treatment of lower extremity deep vein thrombosis: Korean practice guidelines. Journal of the Korean Radiology. 2016;75(4):233-262. https://doi.org/10.3348/jksr.2016.75.4.233
  13. Cho YA, Gu MO, Eun Y, Kim KS, Lee SH, Yoon JH, et al. Nursing practice guideline for prevention of venous thromboembolism according to the guideline adaptation process. Journal of Korean Clinical Nursing Research. 2016;22(2):118-131. https://doi.org/10.22650/JKCNR.2016.22.2.118
  14. Gu MO, Cho MS, Cho YA, Jeong JS, Eun Y, Jeong IS, et al. A prioritizing for the evidence-based nursing practice guidelines development. Journal of Korean Clinical Nursing Research. 2012;18(1):39-51. https://doi.org/10.22650/JKCNR.2012.18.1.39
  15. Kim SY, Choi MY, Shin SS, Ji SM, Park JJ, Yoo JH, et al. Handbook for clinical practice guideline developer. Version 1.0 [Internet]. Seoul: National Evidence-based Healthcare Collaborating Agency; 2015 Sep 30 [cited 2021. Apr 15]. Available from: https://www.neca.re.kr/org_bbs_download.do?seq=2762&file_name=8709220160121085922.pdf.
  16. 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. p. 1-122.
  17. National Institute for Health and Care Excellence. The guidelines manual: Process and methods [PMG6] [Internet]. Manchester (GB): National Institute for Health and Care Excellence; 2012 Nov 30 [cited 2021. Apr 15]. Available from: http://nice.org.uk/process/pmg6.
  18. National Institute for Health and Care Excellence. Developing NICE guidelines: The manual: Process and methods [PMG20] [Internet]. Manchester (GB): National Institute for Health and Care Excellence; 2014 Oct 31 updated 2022 Jan 18;[cited 2022 Aug 29]. Available from: http://nice.org.uk/process/pmg20.
  19. Scottish Intercollegiate Guidelines Network. SIGN 50: A guideline developer's handbook [Internet]. Edinburgh,(GB): Scottish Intercollegiate Guidelines Network; 2008 Jan revised 2011 Nov; [cited 2021. Apr 15]. Available from: http://www.sign.ac.uk/assets/sign50_2011.pdf.
  20. Gu MO, Cho YA, Eun Y, Jeong IS, Jang HK, Kim HL 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
  21. AGREE Next Steps Consortium. Appraisal of guidelines for research and evaluation II: AGREE II [Internet]. Ottawa(ON): AGREE Research Trust; 2009 May [uptated 2013 Sep; cited 2021 Apr 15]. Available from: http://www.agreetrust.org/wp-content/uploads/2013/10/AGREE-II-Users-Manual-and-23-item-Instrument_2009_UPDATE_2013.pdf.
  22. Kim KH, Park CS, Chang JH, Kim NS, Lee JS, Choi BR, et al. Association between prophylactic antibiotic use and surgical site infection based on quality assessment data in Korea. Journal of Preventive Medicine and Public Health. 2010;43(3):235-244. https://doi.org/10.3961/jpmph.2010.43.3.235
  23. Fitch K, Bernstein SJ, Aguilar MD, Burnand B, LaCalle JR, Lazaro P, et al. The RAND/UCLA appropriateness method user's manual [Internet]. Santa Monica,(CA): RAND; 2001 [cited 2021. Apr 15]. Available from: https://www.rand.org/content/dam/rand/pubs/monograph_reports/ 2011/MR1269.pdf.
  24. Scottish Intercollegiate Guidelines Network. Prevention and management of venous thromboembolism: A national clinical guideline. [Internet]. Edinburgh (GB): Scottish Intercollegiate Guidelines Network; 2010 Dec 10 updated 2014 Oct; [cited 2021. Apr 15]. Available from: https://www.sign.ac.uk/media/1060/sign122.pdf.
  25. Eun Y, Jeon MY, Gu MO, Cho YA, Kim JY, Kwon JS, et al. Utilization of evidence-based clinical nursing practice guidelines in tertiary hospitals and general hospitals. Journal of Korean Clinical Nursing Research. 2021;27(3):233-244. https://doi.org/10.22650/JKCNR.2021.27.3.233
  26. Cho YA, Eun Y, Lee SH, Jeon MY, Han MY, Huh JH, et al. Nursing practice guideline for prevention of venousthromboembolism. Rev ed. Seoul: Hospital Nurses Association; 2022 Dec [cited 2022 Dec 31]. Available from: https://khna.or.kr/home/data/230223/2_gu_2023.pdf.
  27. Shekelle PG, Ortiz E, Rhodes S, Morton SC, Eccles MP, Grimshaw JM, et al. Validity of the agency for healthcare research and quality clinical practice guidelines: How quickly do guidelines become outdated? Journal of the American Medical Association. 2011;286(12):1461-1467. https://doi.org/10.1001/jama.286.12.1461
  28. Cho YA, Gu MO, Eun Y, Yu M, Kim JY, Lee HH, et al. Updates of nursing practice guideline for enteral nutrition. Journal of Korean Clinical Nursing Research. 2020;26(1):10-25. https://doi.org/10.22650/JKCNR.2020.26.1.10
  29. National Institute for Health and Care Excellence. Venous thromboembolism in over 16s: Reducing the risk of hospital-acquired deep vein thrombosis or pulmonary embolism: NICE guideline [NG89] [Internet]. Manchester (GB): National Institute for Health and Care Excellence; 2018 Mar 21 [cited 2021. Apr 15]. https://www.nice.org.uk/guidance/ng89.
  30. CLOTS Trials Collaboration, Dennis M, Sandercock P, Reid J, Graham C, Murray G, et al. The effect of graduated compression stockings on long-term outcomes after stroke: The CLOTS trials 1 and 2. Stroke. 2013;44(4):1075-1079. https://doi.org/10.1161/STROKEAHA.111.680298