혈액투석실 투석용수관리를 위한 간호실무가이드라인 개발 및 평가

Development and Evaluation of Nursing Practice Guidelines for Water Treatment System in Hemodialysis

  • 투고 : 2011.08.22
  • 심사 : 2011.10.26
  • 발행 : 2011.11.30

초록

Purpose: The purpose of this study was to develop nursing practice guidelines for water treatment system used in hemodialysis and to evaluate the guidelines by applying them in practice. Method: The first draft for the guidelines was developed based on advice and recommendations obtained from procedure review of critical literature. The draft was modified through evaluation by an expert group and pilot application to practice. The final draft was evaluated by the expert group using the AGREE instrument (Appraisal of Guidelines for Research and Evaluation). Results: For the pilot test using the draft guidelines, 144 samples were collected from the water treatment system and hemodialysis machines. Results showed no bacteria. Endotoxin tests and chemical tests passed the criteria. After revision of the draft guidelines and additions to the draft guidelines, the final draft was confirmed. The quality of the final draft was evaluated by 4 experts using the AGREE instrument. The mean standard score was 76.9% for the 19 items. Conclusion: The clinical guidelines developed in this research can be utilized as systematic and scientific guidelines for water treatment systems used in hemodialysis. In addition, the results of the research can contribute to improving care services.

키워드

참고문헌

  1. AAMI standards and recommended practices-Dialysis (Vol. 3). (1998). Arlington, Virginia: AAMI Publications.
  2. Ahn, J. H., & Chan, L. (2004). Life of hemodialysis. Seoul: Ilchokak.
  3. Fortin, M., Contant, E., Savard, C., Hudon, C., Poitras, M. E., & Almirall, J. (2011, July). Canadian guidelines for clinical practice: an analysis of their quality and relevance to the care of adults with comorbidity. Retrieved October 13, 2011, from http://www. creativecommons.org/licenses/by/2.0
  4. Health Insurance Review & Assessment Service. (2010, July). 2009 Dialysis adequacy assessment, Retrieved August 13, 2010, from http://www.hira.or.kr
  5. Jeong, C. H., Kim, M. K., Park, J. H., Kim, D. H., & Lee, J. S. (2002). The analysis of hemodialysis water in Korea. Journal of Environmental Science and Technology Research Center, 12, 101-106.
  6. Jang, K. S., Kim, N. Y., Kim, Y. M., Rhyu, S. A., Park, S. J., Bak, M., et al. (2005). Evidence-Based Nursing. Gwangju: Chonnam University Press.
  7. Kim, D. S., Jung, J. H., Jin, D. C., Kim, M. K., Lee, K. D., Kim, S. M., et al. (2009). Developing quality indicators for in-Center hemodialysis patients. The Korean Journal of Nephrology, 28, 456-468.
  8. Kim, N. Y. (2005). An investigation of the current state of the clinical practice guidelines in Korea and a quality evaluation of them using AGREE. Unpublished master's thesis, Korea University, Seoul.
  9. Kim, S. M. (2009). Development and evaluation of the nursing practice guideline for hemodialysis in the patients with risk of bleeding. Unpublished doctoral dissertation, Chonnam University, Gwangju.
  10. Kim, M. S., Kim, S. J., Kim, A. K., Park, B. H., Shin, M. J., Yang, S. J., et al. (7th ed.). (2006). Review of hemodialysis for nurses and dialysis personnel. Seoul: Koonja.
  11. Park, M. H. (2005). Development and evaluation of evidence-based nursing practice guideline bank system via web. Gwacheon: Ministry of Health and Welfare.
  12. Park, M. H. (2006). Understanding and application of evidence based nursing. Seoul: Koonja.
  13. Roh, I. H., Jeong, C. H., Kim, D. H., & Lee, J. S. (2002). Identification of organic contamination of water distribution system and its disinfection. Journal of Environmental Science and Technology Research Center, Kyungsung University, 12, 107-113.
  14. Sachs, G. S., Printz, D. j., Kahn, D. A., Carpenter, D., & Docherty. J. P. (2000, September). The expert consensus guideline series: Medication treatment of bipolar disorder 2000, Retrieved December 30, 2008, from http://www.aafp.org/afp/20000915/1357ph.html
  15. Sin, S. G. (2007). Dialysis water quality management (draft) in Korea. The Korean Journal of Nephrology, 26, 438-443.
  16. Sin, S. G., Moon, K. B., Shin, K. H., & Kim, Y, L. (2008). Technical findings of water treatment system for hemodialysis in Korea. The Korean Journal of Nephrology, 28, 412.
  17. Sin, S. G. (2003). Water management in dialysis. The Korean Journal of Nephrology, 22, 319-323.
  18. Shong, K. Y., Lee, Y. S., Park, H. S., Yoon, E. J., Lee. K. R., Cho, B. H., et al. (2008). Fundamentals of Nursing. Seoul: Soomoonsa.
  19. The AGREE Next Steps Consortium. (2009, May). Appraisal of guidelines for research & evaluation II. Retrieved October 13, 2009, from http://www.agreetrust.org
  20. The Scottish Intercollegiate Guidelines Network SIGN . (2001, February). A guideline developer's handbook. Retrieved December 10, 2008, from http://www.sign.ac.uk/methodology/ index.html