소구경 주사바늘을 사용한 적혈구 수혈 시 근거중심 알고리즘의 개발 및 적용

• 영문명: Development and Application of Evidence-based Algorithms on the Transfusion of Packed RBC through Small-gauged Needle
• 발행기관: 한국근거기반간호학회
• 저자명: 한민영(Minyoung Han) 황정화(Jeonghwa Hwang) 이현정(Hyunjung Lee) 이진경(Jinkeong Lee) 김지수(Jisu Kim) 이미영(Miyoung
• 간행물 정보: 『근거와 간호』제3권 제1호, 18~25쪽, 전체 8쪽
• 주제분류: 의약학 > 간호학
• 파일형태: PDF
• 발행일자: 2015.12.31

영문 초록

Purpose: To develop and apply evidence-based algorithms associated with the needle size used when the blood transfusion is to improve nursing practice. Methods: A transfusion algorithm developed by the Clinical Guideline of Adaption Manual (version 2.0), after voluntarily underwent training to nurses and patient groups in the study, confirmed the hemolytic reaction and Nursing satisfaction. Data were analyzed by statistical methods such as t-test, χ2 square using SPSS 20.0 program. Results: The hemolysis reaction between test and control groups applying evidence-based algorithm with no statistically significant difference (p=.921), but the average number of times per 1Unit flushing frequency was increased in the experimental group (p=.029), speed is also significantly reduced (p=.037). Nurse satisfaction is also higher in the experimental group indicated an algorithm was a significant difference between the two groups (p=.004). Conclusion: Without hemolytic transfusion reactions are possible with 22G catheter, and evidence-based algorithms developed through a review of the literature will help to improve efficiency and increase satisfaction of Nursing nurse.

목차

배경 및 목적

임상 질문

근거 검색

근거의 비평적 평가

근거수준과 권고등급

권고안

지침의 수정 및 개발

임상실무 적용 및 평가

논의

결론

키워드

Blood transfusion Hemolysis Catheter Evidence based clinical practice guideline Needle