Journal of Korean Clinical Nursing Research (임상간호연구)

Hospital Nurses Association (병원간호사회)
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Development of Evidence-Based Guideline for Fever Management of Critical Adult Patients with Brain Injury

성인 뇌 손상 발열 중환자를 위한 체온 중재 지침 개발

  • Lee, Jung Min (Department of Nursing, Samsung Medical Center.College of Nursing, The Catholic University of Korea) ;
  • Cho, Yong Ae (Red Cross College of Nursing, Chung-Ang University) ;
  • Yoon, Ji Hyun (Department of Nursing, Samsung Medical Center) ;
  • Choi, Hye Ok (Department of Nursing, Samsung Medical Center) ;
  • Kim, Nam Cho (College of Nursing, The Catholic University of Korea)
  • Received : 2016.09.29
  • Accepted : 2016.10.24
  • Published : 2016.12.30
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Abstract

Purpose: The purpose of this study was to develop an evidence-based guideline for fever management for critically ill adult patients after a brain injury. Methods: Development of the guideline process was done according to the De Novo development Korean Medical Guideline Information Center (KoMGI) and consists of 12 steps. Results: This developed guideline included 3 domains and 19 recommendations. The number of recommendations for each domain was 7 on measuring temperature, 9 on managing fever, and 3 on managing shivering. The level of evidence was as follows: 58% were at level I, and 42% at level II. Of the recommendations, 58% were graded as A, 37% as B, and 5% as C. Conclusion: These findings indicate that this guideline can be used as a guide for nursing in critically ill adult patients with brain injury. This guideline can also contribute to improvements in the quality of nursing care for critically ill adult patients with brain injury.

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References

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