근거기반 임상실무지침: 장루간호 = Evidence-Based Nursing Practice Guideline: Ostomy Care

다국어 초록 (Multilingual Abstract)

Purpose: The aim of this study was to develop an evidence-based guideline for stoma management providing institutional policy, assessment, complications and follow-up care. Methods: The guideline adaptation manual consisting of 23 steps developed by the National Evidence-Based Healthcare Collaborating Agency was used for this study. It presents an overview of the process used to develop the guideline and lists specific recommendations from the guideline. Results: It provides 55 recommendations that include the following 8 topics: 1) Organization and policy recommendations, 2) Preoperative nursing; Ostomy education, stoma site marking, 3) Ostomy formation, 4) Postpoperative nursing; education, assessment, high output stoma management, 5) Selection of ostomy products, 6) Colostomy irrigation, 7) Stomal and peristomal complications, 8) Follow-up care after discharge. Conclusion: The guideline can be used to address stoma management in hospital settings. The intent of the guideline is to provide information that will assist healthcare providers to manage adult patients with ostomies, prevent or decrease complications, and improve patients’ outcomes.

참고문헌 (Reference)

1 김현경, "직장암 환자의 건강관련 삶의 질과 관련요인" 연세대학교 대학원 2004

2 박상언, "정위성방광대치술을 시행받은 방광암 환자의기능적 결과 및 삶의 질" 대한비뇨기종양학회 13 (13): 11-16, 2015

3 구미옥, "정맥주입요법 간호실무지침 수용개작" 병원간호사회 19 (19): 128-142, 2013

4 이윤진, "장루보유자의 대처양상과 삶의 질 : 직장암 환자 대상으로" 연세대학교 간호대학원 2006

5 Cho SE, "Wellfare Needs and Policy Direction in Ostomymates" Korean Disabled people's Developement Institute 2018

6 World Council of Enterostomal Therapists, "WCET international ostomy guidelines"

7 Ewing G, "The nursing preparation of stoma patients for selfcare" 14 (14): 411-420, 1989

8 Salvadalena GD, "The incidence of stoma and peristomal complications during the first 3 months after ostomy creation" 40 (40): 400-406, 2013

9 Sprangers MA, "The construction and testing of the EORTC colorectal cancer-specific quality of life questionnaire module(QLQ-CR38)" 35 (35): 238-247, 1999

10 Mueller MH, "Risk of fecal diversion in complicated perianal Crohn's disease" 11 (11): 529-537, 2007

11 Choi BR, "RAM(RAND/UCLA appropriateness method) applied to decision making method" 4 (4): 58-62, 2010

12 Krouse R, "Quality of life outcomes in 599 cancer and non-cancer patients with colostomies" 138 (138): 79-87, 2007

13 Engel J, "Quality of life in rectal cancer patients: A four-year prospective study" 238 (238): 203-213, 2003

14 Chaudhri S, "Preoperative intensive, community-based vs. traditional stoma education: A randomized, controlled trial" 48 (48): 504-509, 2005

15 Registered Nurses' Association of Ontario, "Ostomy care and management" Registered Nurses' Association of Ontario 2009

16 Kim SY, "Manual for guideline adaptation(Version 2.0)"

17 Karadag A, "Impact of stoma therapy on quality of life in patients with permanent colostomies or ileostomies" 18 (18): 234-238, 2003

18 Colton B, "Global stoma care challenges: A united approach" 25 (25): 15-21, 2005

19 Sung YH, "Factors affecting ostomy-related complications in Korea" 37 (37): 166-172, 2010

20 Bass EM, "Does preoperative stoma marking and education by the enterostomal therapist affect outcome?" 40 (40): 440-442, 1997

21 Klink CD, "Diversion stoma after colorectal surgery: Loop colostomy or ileostomy?" 26 (26): 431-436, 2011

22 Health Insurance Review & Assessment Service, "Details and examination guidelines on the application cirteria and methods of medical care benefits"

23 Stott C, "Complications, coping and subjective feedback among patients following stoma surgery: A predictive study" 22 (22): 16-22, 2002

24 Mermel LA, "Clinical practice guidelines for the diagnosis and management of intravascular catheter-related infection: 2009Update by the Infectious Diseases Society of America" 49 (49): 1-45, 2009

25 Wound, Ostomy, and Continence Nurses Society, "Clinical guideline: Management of the adult patient with a fecal or urinary ostomy"

26 Ministry of Health and Welfare, "Changes in the incidence of disabled people" Ministry of Health and Welfare

27 National Cancer Center, "Annual report of cancer statistics in Korea in 2015" Ministry of Health and Welfare 2017

28 St-Cyr D, "An evaluation of the Canadian ostomy assessment guide" 48 (48): 26-32, 2002

29 Kim SM, "A study on the hope, health promoting behavior and quality of life in cancer patients" 8 (8): 169-179, 1996