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입원 환자의 욕창예방과 중재를 위한 알고리즘 개발

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Author(s)
김진미박정숙
Keimyung Author(s)
Park, Jeong Sook
Department
Dept. of Nursing (간호학)
Journal Title
성인간호학회지
Issued Date
2010
Volume
22
Issue
4
Keyword
PressureulcerAlgorithmHospitalization
Abstract
Purpose: The purpose of this study was to develop an algorithm for preventing and managing of pressure ulcer
and to verify the its appropriateness. Methods: The first step was development of a pre-algorithm through a
literature review and expert opinion. The second step was to establish content validity by submitting the algorithm
questionnaires about the content to 12 experts. The third step was the revision of the algorithm. The fourth and
last step was to establish the clinical validity of the algorithm with 25 experienced nurses. Results: For the ease
of the practitioner the algorithm for prevention and the management of pressure ulcers was confined to one page
depicting the main algorithm pathway and seven stepwise guidelines. The guidelines included skin care of
pressure ulcer prevention, mechanical loading care, support surface care , reposition care of pressure ulcer, and
Stages II, III and IV explanations along with debridement/wound irrigation and infection control. Most of all
algorithm courses chosen more than 80% of agreement by expert index of content validity. The usefulness,
appropriateness, and convenience of the algorithm were demonstrated through clinical validity with intensive care
unit and ward nurses. Conclusion: The algorithm will improve the quality of pressure ulcer nursing care as it
provides a model for decision making for clinical nurses as well as providing consistent and integrated nursing
care for patients with pressure ulcer throughout an institution.
Key Words: Pressure ulcer, Algorithm, Hospitalization
Alternative Title
Development of an Algorithm for the Prevention and Management of Pressure Ulcers
Keimyung Author(s)(Kor)
박정숙
Publisher
College of Nursing
Citation
김진미 and 박정숙. (2010). 입원 환자의 욕창예방과 중재를 위한 알고리즘 개발. 성인간호학회지, 22(4), 353–364.
Type
Article
ISSN
1225-4886
URI
https://kumel.medlib.dsmc.or.kr/handle/2015.oak/36642
Appears in Collections:
2. College of Nursing (간호대학) > Dept. of Nursing (간호학)
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