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Development of evidence-based nursing practice guidelines for cold application in adult care

Title
Development of evidence-based nursing practice guidelines for cold application in adult care
Other Titles
성인 환자를 위한 근거기반 냉 요법 간호실무지침 개발
Author
신용순
Keywords
냉 요법; 근거기반간호; 실무가이드라인; Cryotherapy; Evidence-based nursing; Practice guideline
Issue Date
2018-06
Publisher
한국성인간호학회
Citation
성인간호학회지, v. 30, no. 3, page. 325-345
Abstract
Purpose: The aim of this study was to develop evidence-based nursing practice guidelines for cold application inadult care. Methods: The study procedure was based on the Scottish Intercollegiate Guidelines Network andKorean Hospital Nurses Association's guideline development methods. The evidence review procedures includedtargeted searches from databases including the Cochrane Library, PubMed, CINAHL, Embase, KoreaMed, KERISand NDSL. The initial search yielded 6,426 articles published from 2006 to 2016. Based on the screening process,147 articles were selected and systematically reviewed. From evidence summaries of 20 clinical questions, recommendationswere formulated and graded. Draft recommendation were evaluated through external review. Results:The guidelines consisted of 10 domains and 27 recommendations. The content validity index of the recommendationswas above .80. Major recommendations include 1) applying external cooling to reduce acute pain, edema,and hemorrhage, 2) selecting cooling instruments based on the purpose, patient’s condition, and preference, 3)preparing and maintaining cooling instruments at an adequate temperature, and 4) intermittent cold applicationfor appropriate durations with sufficient recovery time. Conclusion: These guidelines can be utilized in both clinicaland community settings to help narrow the gaps between nursing practices.
URI
https://kjan.or.kr/DOIx.php?id=10.7475/kjan.2018.30.3.325http://repository.hanyang.ac.kr/handle/20.500.11754/118932
ISSN
1225-4886; 2288-338X
DOI
10.7475/kjan.2018.30.3.325
Appears in Collections:
COLLEGE OF NURSING[S](간호학부) > NURSING(간호학부) > Articles
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