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'은 함유 이외' 드레

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'은 함유 이외' 드레싱류의 급여기준
[고시 제2021-48호(치료재료)]
1.‘은 함유 이외’ 드레싱류는 창상 부위의 삼출액 흡수 및 습윤 환경을 조성하여 상처 치유 시간을 줄이는 등의 장점이 있어
다음의 경우에 요양급여함.

- 다   음 -
가. 삼출액이 많은 심부2도 이상 화상의 경우
1) 체표면적 20% 미만의 경우 4개/주, 4주간
2) 체표면적 20% 이상의 경우 실사용량, 4주간
나. 만성궤양 등 장기적 드레싱을 요하는 경우
: 4개/주, 4주간
다. 수포성 표피박리증(Epidermolysis Bullosa)의 경우
: 실사용량

2. 상기 1.의 급여대상 및 개수를 초과하여 사용한 치료재료 비용은 「선별급여 지정 및 실시 등에 관한 기준」에 따라 본인부담률을 80%로 적용함.

3.「치료재료 급여·비급여 목록 및 급여상한금액표」상  ‘은 함유’ 이외의 드레싱류에 해당하는 중분류명은 아래와 같음.
(단, 규격별 세부분류 이하 명시는 생략함)

- 아   래 -

가. 첨가제가 없는 경우
1) 폼 드레싱류(SHEET TYPE)
2) 폼 드레싱류(CAVITY TYPE/원통형)
3) 폼 드레싱류(CAVITY TYPE/직사각형)
4) 폼 드레싱류(입체형/hand)
5) 하이드로콜로이드 드레싱류(SHEET TYPE)
6) 하이드로겔 드레싱류(SHEET TYPE)
7) 하이드로겔 드레싱류(GEL,PASTE TYPE)
8) 하이드로겔 드레싱류(SPRAY TYPE)
9) 알지네이트/하이드로파이버 드레싱류(SHEET TYPE)
10) 알지네이트/하이드로파이버 드레싱류(CAVITY TYPE/무정형)
11) 알지네이트/하이드로파이버 드레싱류(CAVITY TYPE/직사각형)
12) 복합 드레싱류(SHEET TYPE)

나. 첨가제가 있는 경우
1) 폼 드레싱류, 은 이외 함유(SHEET TYPE)
2) 하이드로겔 드레싱류, 은 이외 함유(GEL,PASTE TYPE)
3) 하이드로겔 드레싱류, 은 이외 함유(SPRAY TYPE)
4) 하이드로겔 드레싱류, 은 이외 함유(SHEET TYPE)
5) 알지네이트/하이드로파이버 드레싱류, 은 이외 함유(SHEET TYPE)
6) 복합 드레싱류, 은 이외 함유(SHEET TYPE)
7) 합성거즈 드레싱류, 은 이외 함유(SHEET TYPE)
8) 합성거즈 드레싱류, 은 이외 함유(CAVITY TYPE)
(고시 제2021-48호, '21.7.1.시행)

■ 고시 개정 사유 : 비급여의 급여화 진행에 따른 중분류명 추가
■ 변경 전 고시번호 : 고시 제2019-221호, '19.11.1.시행

------------------------------------------
‘은 함유’ 드레싱류의 급여기준
[고시 제 2018-59호(치료재료)]
1.‘은 함유’ 드레싱류는 은이온 성분의 살균작용에 의하여 창상 치유를 유도하는 장점이 있어 화상에 한하여 다음의 경우에 요양급여를 인정함.

- 다    음 -
가. 사체피부 또는 인공피부 이식 병변의 경우 부위별 1회 인정
나. 피부이식 2주 후 또는 화상이 치료 3주후에도 치유되지 않는 불완전 창상의 경우 부위별 1회 인정
다. 공여피부 부족으로 2회 이상 같은 부위를 채피한 경우 1회 인정
라. 감염된 채피창(donor site) 병변의 경우 부위별 1회 인정
마. 피부가 얇아 연골이나 인대가 쉽게 노출되는 귀, 코 등 부위의 경우 치료기간 중 2장/2주 인정.

2. 상기 1.의 급여대상 이외 중증(major burn)이상의 심부2도 화상처치(Burn dressing)에 사용한 치료재료 비용은 「선별급여 지정 및 실시 등에 관한 기준」에 따라 본인부담률을 80%로 적용함.
(고시 제2018-59호, '18.04.01.시행)

■ 개정 사유: 치료재료 재평가 결과에 따른 중분류명을 반영한 문구 수정

■ 참고사항 :치료재료 급여 비급여 목록 및 급여상한금액표('18.4.1.시행)
*중분류명: 폼 드레싱류, 은 함유(SHEET TYPE)
알지네이트/하이드로파이버 드레싱류, 은 함유(CAVITY TYPE/직사각형)
알지네이트/하이드로파이버 드레싱류, 은 함유(SHEET TYPE)
합성거즈 드레싱류, 은 함유(SHEET TYPE)
■ 변경 전 고시번호: 고시 제2017-152호('17.09.01. 시행)
------------------------

진공음압창상처치
Vacuum-Assisted Closure Therapy(Negative Pressure Wound Therapy
(산정방법안내입니다.)
[고시 제 2009-214호(기결정)]

Dressing 재료 교환당일에는 자-2-1 가(2) 염증성 처치, 교환당일이 아닌 경우에는 자-2-1가(1) 단순처치의 소정점수를 산정하며, 사용된 치료재료는 별도 산정한다. (2009.12.1 시행)

※ 관련 치료재료고시 (고시 제2009-210호. 2009.11.27)
진공음압창상처치용 창상피복재 : 산정불가 -->급여(M4010002, M4010102, M4010202, M4010302)
--> 변경전 (고시 제2003-40호, 2003.8.1 시행)
-------------------------------------------
진공음압창상 처치 시 사용되는 치료재료의 급여기준
[고시 제 2018-59호(치료재료)]
1. 진공음압창상처치(창상부위를 진공상태로 만든 후 음압장비와 연결하여 불순물을 흡인하는 치료방법)에 사용하는 치료재료는 진공음압창상처치 전의 진료 기록(창상의 크기와 깊이 등 명시)과 해당 환부의 사진이 있는 경우에 다음과 같이 요양급여를 인정함.

- 다   음 -
가. 진공음압창상처치용 드레싱류
1) 육아조직 형성이 필요한 급성 개방성 창상 중에서 다른 국소처치로는 육아조직 형성 촉진이 가능하지 않은 경우
: 3개 이내/주, 3주 이내로 인정
2) 만성 개방성 창상 중에서 당뇨병성 궤양, 압박성 궤양 : 3개 이내/주, 3주 이내로 인정,
3) 그물망형 이식(Meshed graft), 피판(Flap) : 3개 이내/주, 2주 이내로 인정

나. 일회용 삼출물 흡인통 : 상기 가.1)~3)에 사용 시 치료기간 중 1개 인정

2. 상기 1. 급여대상의 적응증별 인정개수를 초과하여 사용한 치료재료비용은「선별급여 지정 및 실시 등에 관한 기준」에 따라 본인부담률을 80%로 적용함.

3. 금기증
가. 딱지가 있는 괴저성 조직
나. 아직 치료를 받고 있지 않은 골수염
다. 장(腸)이 아닌 진료하지 않은 루(瘻) (Non-enteric and unexplored fistulas)
라. 악성 상처(Malignancy in the wound)
마. 노출된 맥관(脈管)
바. 노출된 신경(Nerves)
사. 노출된 문합부위(Anastomotic site)
아. 노출된 장기(Organs)
자. 상처부위에 암(cancer)이 있는 경우
(고시 제2018-59호, '18.4.1. 시행)

■ 고시 개정 사유 : 치료재료 재평가 결과에 따른 중분류명을 반영한 문구 수정
■ 변경 전 고시번호: 고시 제2017-152호('17.09.01. 시행)

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욕창고위험군에 당뇨환자가 속하는 이유

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욕창고위험군에 당뇨환자가 속하는 이유

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1. 당뇨병성 피부병증 : 고혈당은 고삼투 상태, 다뇨, 탈수의 원인이 되어 피부를 건조하게하여 상처가 쉽게 발생하고 감염에 대한 원인이 된다.

2. 당뇨병성 신경병증 : 고혈당으로 인한 신경본종의 변환으로(자율성 신경병증) 발, 다리에서 땀이 거의 나지 않아 피부가 건조해지고 균열이 생긴다.

3. 혈당의 증가, 혈액순환의 장애는 세균 감염과 진균성 감염에 대한 감수성이 높아져 감염에 취약해진다. 감염은 대개로 혈당을 높이므로 그로인해 추가적인 고혈당이 발생하거나 필요 인슐린 양이 늘어난다.

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IAD (실금관련 피부염)와 욕창 구별 

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IAD (실금관련 피부염)와 욕창 구별 

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욕창 분류체계교육프로그램이 병원간호사의 욕창 분류체계와 실금관련 피부염에 대한 지식과 시각적 감별 능력에 미치는 효과

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욕창 분류체계교육프로그램이 병원간호사의 욕창 분류체계와 실금관련 피부염에 대한 지식과 시각적 감별 능력에 미치는 효과

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욕창분류체계교육프로그램이병원간호사의욕창분류체계와실금관련피부염에대한지식과시각적감별능력에미치는효과

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욕창 예방을 위한 자세 및 대소변 모니터링 시스템 개발

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욕창 예방을 위한 자세 및 대소변 모니터링 시스템 개발

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욕창예방을위한자세및대소변모니터링시스템개발

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March 2023
Stakeholder Involvement for 2024 Guideline Development
17 March 2023

Work is commencing on the next edition of the International Pressure Ulcer/Injury Guideline. Your early stakeholder involvement is always welcomed. You can:

1. Sign up as a stakeholder to review and comment on the guideline before its final publication. Our stakeholders receive emails when new content is available to review, when we seek formal engagement in the guideline development process and when sponsorship opens. We let you know when opportunities for input into the guideline are open! Email you name, organisation and contact details to: admin@internationalguideline.com

2. Has your research been accepted for publication? If you recently submitted a manuscript that has been accepted for publication in a peer-reviewed journal, you can supply it directly to the guideline development team for consideration. You must include evidence that your paper has been through peer review and is accepted for publication. Email your publication to: admin@internationalguideline.com

23 April 2022

The EPUAP, NPIAP and PPPIA will be updating the International Pressure Ulcer/Injury Guideline for release in 2024. Please help us determine the priority clinical questions and outcomes that should be included in the 2024 Guideline. Stakeholders include patients and their families, health care providers, researchers, industry and anyone who shares our goal of bringing evidence-based recommendations to the bedside to improve pressure ulcer/injury prevention and treatment world-wide.

The survey is now closed.

13 April 2022

We are pleased to let you know that the International Clinical Practice Guideline for the Prevention and Treatment of Pressure Injuries/Ulcers is now available at 50% discount. You can access the discount at the guideline store.

10 March 2021

This easy to use mobile application puts the Quick Reference Guide into the palm of your and your hands.

Bookmark

Share

Search

Utilize all of the recommendations anywhere you're treating patients.

Review stages and see comparative images

Review positioning recommendations

Search keywords to quickly find critical information.

For questions or inquiries regarding the Mobile App please contact info@sensorydatacorp.com Look out for the full Pro-Version on its way in 2021.

27 February 2021

Congratulations to the International Guideline Governance Group who won the 2020 JWC WUWHS Gold award for Advances in Pressure Care, announced in February 2021. This project has made an immense contribution to advancing the guidance for care of people with and at risk of pressure injuries, and the GGG represents all those many volunteers who have made a contribution to the Guideline.

3 November 2020

The Guideline Governance Group is pleased to announce that the 2019 International Pressure Ulcer/Injury Guideline has been reviewed and accepted by the ECRI Guidelines Trust ®. The ECRI summaries of the International Guideline are available at these links after regsitering at the ECRI Guidelines Trust ® website (registration is free).

Acceptance on the ECRI Guidelines Trust ® website serves as validation of the high quality of the 2019 International Pressure Ulcer/Injury Guideline. The ECRI Guidelines Trust ® website allows clinicians to compare this guideline with other similar guidelines. Because the ECRI Guidelines Trust ® website only contains a summary of posted guidelines, we recommend that those interested in implementing pressure ulcer/injury prevention and treatment guidelines access the free QRG and consider purchasing the full CPG available at the guideline shop.

29 March 2020

The Cochrane Library has announced that commencing 26 March 2020, The Cochrane Library is now temporarily unrestricted for everyone in every country of the world, providing access to high-quality, independent evidence to inform health decision-making in response to the COVID-19 pandemic. This includes access to a special collection on Covid-19 Infection Control and Prevention Measures and a collection on the Covid-19 Issues Relevant to Critical Care. Read full details of Cochrane's response to COVID-19 here.

29 March 2020

The Cochrane Library has announced that commencing 26 March 2020, The Cochrane Library is now temporarily unrestricted for everyone in every country of the world, providing access to high-quality, independent evidence to inform health decision-making in response to the COVID-19 pandemic. This includes access to a special collection on Covid-19 Infection Control and Prevention Measures and a collection on the Covid-19 Issues Relevant to Critical Care. Read full details of Cochrane's response to COVID-19 here.

12 November 2019

The European Pressure Ulcer Advisory Panel (EPUAP), the National Pressure Injury Advisory Panel (NPIAP), and the Pan Pacific Pressure Injury Alliance (PPIAP) are pleased to announce the release of the new Clinical Practice Guideline for Prevention and Treatment of Pressure Ulcers/Injuries. The goal of this international collaboration was to develop evidence-based recommendations for the prevention and treatment of pressure injuries that could be used by health professionals throughout the world. An explicit scientific methodology has been used to identify and critically appraise all available research.

"EPUAP is pleased to part of this truly international collaboration. The Guideline Governance Group (GGG) and all small working groups worked intensely at global level to summarize the evidence and to develop practical recommendations to support clinical practice for our patients. We are looking forward to seeing how these new guidelines will be implemented and how they will further support better patient care." stated Professor. Dr. Dimitri Beeckman, EPUAP President.

Janet Cuddigan, PhD, RN, FAAN, President of NPIAP says "The NPIAP is pleased to join our international partners, the EPUAP and PPPIA, in releasing this international guideline. The guideline critically analyzes and summarizes a large body of international research to develop evidence-based clinical recommendations. The guideline bridges a critical gap by accelerating the translation of research into practice to improve patient outcomes."

"The Pan Pacific Pressure Injury Alliance (PPPIA) is proud to have partnered with the NPIAP, EPUAP and the 14 international Associate Partner Organisations in the development of the 2019 Prevention and Treatment of Pressure Ulcers/Injuries Clinical Practice Guideline and Quick Reference Guide. The International Guideline contains 114 evidence-based recommendations and 62 good practice statements and 20 quality indicators, which will facilitate translation of guideline evidence into clinical practice and ultimately improve care outcomes for individuals across all health settings" says Keryln Carville, PPPIA Chair.

The NPIAP has the privilege of introducing the latest Guideline at an educational and celebratory launch event at the University of Southern California in Los Angeles, CA, November 15-16, 2019.

Hard copy and electronic versions of the Clinical Practice Guideline and the Quick Reference Guideline may be ordered at https://guidelinesales.com/ after 5 PM Pacific Time on Saturday, November 16th.

September 2019

Interested in sponsoring the Guideline? Sponsorship opportunities are available from 1 October 2019 and close 31 October 2019 Please visit the NPUAP website for more details.

August 2019

The GGG are proud to announce the upcoming publication of the third edition of the Prevention and Treatment of Pressure Ulcers/Injuries: Clinical Practice Guideline. We are please to invite you to a special launch event with a two-day program focused on pressure injuries:

USC Hotel and University of Southern California (USC) Campus

15-16 November 2019

For registrations please visit Guideline Launch event

For more information or assistance please contact: Megan Brouwer, NPUAP

Register quickly for this limited seating event.

June 2019

(Stakeholder feedback is now closed.)

April 2019

The second edition (2014) of Prevention and Treatment of Pressure Ulcers: Clinical Practice Guideline is now available for free download - including individual chapters, the Quick Reference Guide or the full clinical practice guideline.

November 2017

The NPUAP, EPUAP and PPPIA, together with Associate Organisations, are excited to open applications for small working groups (SWG) . Full details about requirements for SWGs, together with the application form, conflict of interest form and application process are included in this downloadable PDF attachment. Applications are open to and encouraged from all individuals with a background in any healthcare discipline.

UPDATE: Applications are now closed.

October 2017

Work has commenced on the 3rd edition of the Guideline.

All individuals and organization representatives interested in reviewing the Guideline and providing feedback on the final version of the 3rd edition are invited to register to receive notification when the draft becomes available for stakeholder feedback. A draft is anticipated to be available in mid-2019.

Individuals interested in contributing to the Guideline development can anticipate Expressions of Interest to be distributed by the organizations responsible for the Guideline development. Expressions of Interest for Small Working Group members will be made on EPUAP, NPUAP and PPPIA organization websites and (when applicable) in newsletters in late 2017. Expressions of Interest for involvement in the Guideline development are not accepted from industry representatives.

August 2017

The 2014 International Pressure Ulcer Prevention and Treatment Guidelines are now available for purchase as e-chapter downloads at the International Guideline Online Store.

Sixteen different chapter extracts are available for purchase as PDF downloads. The chapters cover pressure injury/ulcer prevention and treatment guidelines on topics such as nutrition, support surfaces, repositioning and mobilization, medical device related pressure injuries/ulcers, individuals in the OR, bariatric individuals, spinal cord injury, and other related topics.

Need multiple different chapters? The full guideline is now available for electronic download too!

UPDATE: With the release of the 2019 Guideline, the 2014 Guideline is no longer available for free download.

July 2017

The European Pressure Ulcer Advisory Panel (EPUAP), National Pressure Ulcer Advisory Panel (NPUAP) and Pan Pacific Pressure Injury Alliance (PPPIA) are starting development of a third update of the International Pressure Ulcer Guideline to be published in 2019. For this edition of the Guideline, the member organizations are seeking to expand international contribution and collaboration to organizations not currently represented by the PPPIA, EPUAP or NPUAP. Other international not-for-profit pressure injury/ulcer organizations that share the mission, values and purposes of the EPUAP, NPUAP and PPPIA are invited to apply to join the Guideline development process through designation as "Associate Organizations". Associate Organizations are expected to nominate 3 to 10 English-speaking experts in pressure injury/ulcer prevention and treatment for participation in Small Working Groups according to the guideline development methodology. The assigned experts will be also eligible to participate in the voting process for Strength of Recommendation ratings. To apply to become an Associate Organization, please complete the application form which can be downloaded here and submit before October 14, 2017.
UPDATE: Applications now closed.
November 2016

To celebrate World Stop Pressure Ulcer/Injury Day, a 25% discount will apply to all purchases of the Guideline from November 17th.

Visit to order your copy of the Guideline.

June 2016

The National Pressure Ulcer Advisory Panel (NPUAP) recently released the NPUAP Pressure Injury Staging System based on a review of the literature, stakeholder comments and the results of a consensus conference involving 400 participants. Additional information can be found at www.npuap.org. The International Guideline Development Group (including representatives from the EPUAP, PPPIA and NPUAP) have reviewed the work of the NPUAP and determined that the International Pressure Ulcer Classification System published in the 2014 International Guideline is still valid. Although the NPUAP altered some terms and clarified definitions, there have been no substantive conceptual changes to the 2014 International Pressure Ulcer Classification System. What clinicians have always classified as a "Category/Stage I" is still a "Category/Stage 1". A "Category/Stage II" is still a "Category/Stage 2". Et cetera.

The International Guideline Development Group congratulates their colleagues in the NPUAP and looks forward to further validation of the new NPUAP Pressure Injury Staging System and its impact on education, practice, research and public policy. Revisions to the International Pressure Ulcer Classification System will be considered for the next guideline update using our established guideline methodology. The international pressure ulcer guideline methodology is designed to ensure that all new research has been systematically reviewed and evaluated; small working groups with international representation have reviewed available evidence before making changes and the input of a broad range of international stakeholders has been considered.

January 2016

The International Guideline Development Group (GDG) has reviewed the evidence on small cell technology in alternating pressure mattresses. The recommendation to avoid using small cell alternating pressure mattresses and overlays has been retracted by the guideline development team.

In one older study (Bliss, McLaren et al., 1966) pressure ulcers occurred more frequently in individuals who received a small cell mattress (diameter 1.5 to 2 inches or 3.8 to 5.1 cm) compared with a large cell mattress (diameter 6 inches or 15.25 cm). However, both the mattresses trialled in this study used technology and materials that are outdated and the results cannot be extrapolated to contemporary technologies.

When selecting a mattress or overlay with alternating pressure features the choice should be individualized according to pressure ulcer risk, comfort of the individual and effectiveness determined through regular skin assessments. Clinical evaluation of an alternating pressure support surface should include assessment of the individual using the surface in supine, lateral and sitting positions, and the potential for the support surface to redistribute pressure without "bottoming out". The individual's body shape, size, weight distribution, and any asymmetrical bony prominences may influence the performance of an alternating pressure support surface.

A range of factors and combinations of other features in the design of mattresses and overlays with alternating pressure features likely contribute to their effectiveness in reducing the incidence of pressure ulcers. The diameter, height, length and width of the air bladders may all be important in the effectiveness of mattress designs. The internal pressures of air bladders, the layout of the cells, the way in which the cells are connected to the system, and the alternating pressure cycle amplitude and frequency are also factors that are likely to contribute to effectiveness. Earlier mattresses with alternating pressure such as those used in the Bliss, McLaren et al. (1966) study had high internal bladder pressures (up to 100mmHg) and were constructed of stiff plastic materials. The cells were arranged in rows through which pressure alternated in a "ripple wave" (Bliss, McLaren et al., 1966) and it was noted that incidence of pressure ulcers were higher in individuals considered to be more bony. Following the study by Bliss (1966) the small cell design of alternating pressure mattress was abandoned in favour of the large cell design (Bliss, 1978). However, the pressure ulcer incidence rate noted for the large cell design ripple mattress used in Bliss' study was still high (33% in high-risk individuals who were pressure ulcer free at commencement) (Bliss, McLaren et al., 1966) and ongoing concerns regarding the functionality of this large cell ripple mattress design, for example its easily displaced or kinked tubing and high maintenance requirements, were documented by Bliss in 1978 (Bliss, 1978). Health professionals in geographic regions that still have access to the old small cell ripple mattress designs should be aware that smaller cell diameters have been associated with significantly higher risk of pressure ulcers compared to large cell mattress designs (Bliss 1966). Health professionals should also be aware that some large cell alternating pressure ripple mattresses are also associated with high pressure ulcer incidence (Bliss, McLaren et al., 1966); (Manzano, Pérez et al., 2013) and should work toward acquiring contemporary alternating pressure mattresses or overlays for individuals at high risk of pressure ulcers.

Contemporary alternating pressure mattresses are manufactured with layers of material (often with a second layer of air cells or foam bottom layer) and generally use a combination of cell sizes in their design. Many contemporary alternating pressure mattresses have internal sensors with feedback loops that adjust for high internal pressure. In a study by Nixon, Cranny et al. (2006) comparing two contemporary alternating pressure mattresses/overlays, there was no significant difference in incidence of new pressure ulcers between an alternating pressure overlay with a cell height of 8.5 cm to 12.25 cm and an alternating pressure mattress with a cell height of 19.6 cm to 29.4 cm (10% overlay vs 9.3% replacement mattress; p=0.58). In a study by Manzano, Pérez et al. (2013) significant differences were noted in development of Category/Stage 3 and 4 pressure ulcers between an alternating pressure overlay reported as having a maximum cell height of 6.5 cm and an alternating pressure mattress reported as having cells of 13.5cm height. However, the "small cell" overlay referred to in this study had a shorter alternating pressure cycle than most contemporary alternating pressure mattresses, used ripple wave technology and the reported cell heights for both mattresses was not consistent with manufacturer information.

Evaluation of the effectiveness of alternating pressure mattresses and overlays is made more difficult by the failure of researchers to adequately and accurately report the specifications of the products used in trials, as well as the many specifications that vary between products (i.e. cell height/width/diameter, bladder pressure, cell construction, inflation/deflation cycle amplitude and frequency and various safety features). These factors appear to influence the ability of the alternating pressure mattress to attain effective loading and unloading.

References

Bliss, M. (1978). "The use of Ripple beds." Age and Ageing 7(25):25-7.

Bliss, M.R., R. McLaren and A.N. Exton-Smith. (1966). "Mattresses for preventing pressure sores in geriatric patients." Medical Bulletin of the Ministry of Health 25:238-67.

Manzano, F., A.M. Pérez, M. Colmenero, et al. (2013). "Comparison of alternating pressure mattresses and overlays for prevention of pressure ulcers in ventilated intensive care patients: A quasi-experimental study." Journal of Advanced Nursing Epub 2013 Jan 24.

Nixon, J., G. Cranny, C. Iglesias, et al. (2006). "Randomised, controlled trial of alternating pressure mattresses compared with alternating pressure overlays for the prevention of pressure ulcers: PRESSURE (pressure relieving support surfaces) trial." British Medical Journal 332(7555):1413-.

November 2015

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March 2023 Stakeholder Involvement for 2024 Guideline Development 17 March 2023 Work is commencing on the next edition of the International Pressure Ulcer/Injury Guideline. Your early stakeholder involvement is always welcomed. You can: Sign up as a stakeholder to review and comment on the guideline before its final publication.

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(논문) 욕창 예방 및 치유를 위한 의료용 로봇 침대 제어 시스템 

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(논문) 욕창 예방 및 치유를 위한 의료용 로봇 침대 제어 시스템 

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(지침3) 욕창_The Control System of a Medical Robot Bed for Prevention and Healing of Pressure Ulcer

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(지침 3) [환자안전 정보제공지] 욕창 단계별 드레싱 선택 안내

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95% of pressure ulcers are preventable. The Stop The Pressure Game is designed to help your organisation eliminate avoidable pressure ulcers. It helps improve patient safety training for all health and social care staff around pressure ulcer prevention. It gives staff the opportunity to discuss the risk factors for pressure ulcers, how to manage and prevent them.

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Moore, Zena, Cowman, Seamus, & Conroy, Ronán M. (2011). A randomised controlled clinical trial of repositioning, using the 30° tilt, for the prevention of pressure ulcers. Journal of Clinical Nursing, 20(17‐18), 2633-2644.

# data[].attributes.subject
Moore, Zena, Cowman, Seamus, & Conroy, Ronán M. (2011). A randomised controlled clinical trial of repositioning, using the 30° tilt, for the prevention of pressure ulcers. Journal of Clinical Nursing, 20(17‐18), 2633-2644.

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참고_지침3_A randomised controlled clinical trial of repositioning, using the 30° tilt, for the prevention of pressure ulcers

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욕창 예방을 위한 케어시트 PUP의 적용 효과 분석 –중환자실 중심으로- 

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욕창 예방을 위한 케어시트 PUP의 적용 효과 분석 –중환자실 중심으로- 

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Shin), &. (2018). 중환자실 입원 환자의 욕창 예방을 위한 예방적 Dressing 적용 효과에 대한 체계적 문헌 고찰. 여성건강, 19(1), 45-54.

# data[].attributes.subject
Shin), &. (2018). 중환자실 입원 환자의 욕창 예방을 위한 예방적 Dressing 적용 효과에 대한 체계적 문헌 고찰. 여성건강, 19(1), 45-54.

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참고_지침3_중환자실 입원 환자의 욕창 예방을 위한 예방적 Dressing 적용 효과에 대한 체계적 문헌 고찰

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1. 의료기관별 실무지침 보유 현황 

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1. 의료기관별 실무지침 보유 현황 및 수행도에 차이가 나는 이유는 무엇이며, 의료기관별 실무 현황의 차이를 줄이기 위한 좋은 방법은 무엇일까요 ?  (임상에서 실제로 욕창 실무 지침을 보유하고 있는지 이야기를 나눠보고 수행도에 차이가 나는 이유와 실무에서 욕창 간호 수행을 높이기 위한 방법에 대해 논의해봅시다)
2. 임상에서 영양상태 평가를 어떻게 하나요 ?
3. 병동에 와상 환자가 있을 경우 자세변경 방법은 ? (코로나 19  상황에서 업무 로딩 등)
4. 욕창과 IAD 감별 문제 및 관련 경험을 나누어 주세요
5. 근무 부서에 압력재분산 매트리스와 같은 지지면이 있는가 ?
6. 욕창으로 인해 통증을 호소하면서도 소독과 진통제가 상처회복을 지연시킨다는 이유로 거부하는 대상자에게 어떻게 대응해야 할까요 ?
7. 임상에서 욕창관련 교육을 받아본 경험이 있나요 ? 가장 효과적인 욕창교육방법은 어떤 것이었나요 ?

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기타 ...
* 임상에서 braden scale 이외에 다른 평가도구 사용 여부,  예방적 드레싱 교환 주기 및 욕창발생 환자에서 재사정 주기 등
* 욕창예방 교육프로그램 개발 및 적용 아이디어 / 중환자실이나 ABR 환자 대상 욕창관리 / 돌봄로봇 등의 스마트 기술 활용 현황  등등 각 조별 관심사에 따라 자유 토의~~