근거기반 암 환자 섬망간호 실무지침 개발과 효과 검증

• 영문명: The Development and Effects of Evidence-based Nursing Practice Guideline for Cancer Patients with Delirium
• 발행기관: 한국근거기반간호학회
• 저자명: 박용숙(Yong Suk Park) 구미옥(Mee Ock Gu)
• 간행물 정보: 『근거와 간호』제1권 제1호, 4~15쪽, 전체 12쪽
• 주제분류: 의약학 > 간호학
• 파일형태: PDF
• 발행일자: 2013.12.31

영문 초록

Purpose: This study was conducted to develop nursing practice guideline for delirium of cancer patients and to evaluate the effects of the guideline. Methods: Guideline development was done by guideline adaptation and de novo development of recommendations. Participants consists of 13 nurses and 90 cancer patients (intervention group: 36, control group: 44) in oncology unit. One group pre-post test design for nurses and nonequivalent control group non-synchronized design for patients were used. Data were analyzed by χ2-test, t-test, paired t-test and ANCOVA. Results: Guideline consisted of 3 domains and 106 recommendations. The number of recommendations in each domain were: nursing assessment, 23; nursing intervention, 80; nursing evaluation, 3. There were 5.6% of A, 17.0% of B, 20.8% of C, 56.6% of D in grade of recommendations. There were significant differences in nurse’s knowledge about delirium, nursing performance and care stress of cancer patients with delirium between before and after guideline implementation. There were no significant differences in the incidence of delirium, episodes of delirium, delirium severity, and duration of hospital stay in cancer patients between experimental and control group. Conclusion: Study findings indicate the implementation of evidence-based nursing practice guideline for cancer patients with delirium can be recommended in nursing practice.

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키워드

Delirium Neoplasms Evidence based nursing Practice guideline