여성건강간호학회지 (Women's Health Nursing)
- 제12권4호
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- Pages.316-325
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- 2006
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- 3022-7666(pISSN)
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- 3022-8247(eISSN)
자궁동맥색전술 환자를 위한 표준진료지침 개발
Development of a Critical Pathway for Patients with Uterine Artery Embolization
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Chung, Kyung-Hee
(Department of Nursing, Science, Nambu University) ;
- Ko, Young-Sook (Department of Nursing, Kwangyang Health College) ;
- Lim, Jeong-Ah (Muan Public Silver Hospital)
- 발행 : 2006.12.20
초록
Purpose: The purpose of this study was to develop a Critical Pathway for Uterine Artery Embolization patients. Method: There were 6 steps that were taken. Step 1 was selecting a diagnosis, and Step 2 was organizing a development team consisting of 7 experts. Step 3 analyzed the medical records, and Step 4 drew up a preliminary Critical Pathway. Step 5 tested the clinical validity of the preliminary Critical Pathway, and Step 6 developed the final Critical Pathway. Result: The contents of the medical practices observed in the medical records were investigated in seven areas: monitoring/assessment, treatment, medication, diet, activity, consults, and education/discharge plan; and a total of 73 items was identified. The validity of the 73 items was examined by a group of specialists. 68 items were adopted, 4 items revised, 1 item removed, and 1 item was added. Using the results, a preliminary Critical Pathway was drawn up. According to the results from examining the clinical validity of the preliminary Critical Pathway with five patients for five weeks, 3 items which showed discrepancy were revised and another 3 items were added. Then, the final Critical Pathway was completed. Conclusion: This Critical Pathway needs to be clinically applied and continuously to measure its effects in terms of the length of stay, cost.effectiveness, and the patients' and staffs' satisfaction.