감염관리교육이 서울지역 치과위생사의 B형 간염에 대한 인식 및 감염방지행위 실천에 미치는 영향에 관한 연구
A study on the impacts of infection control education on dental hygienists' perceptions for hepatitis type B and their practices to prevent infection
0
조회
0
다운로드
16
인용
0
참고문헌
키워드
초록
본 연구는 감염관리교육 유무에 따른 치과위생사의 B형 간염에 대한 인식 및 감염방지행위 실천에 미치는 영향을 조사하여, 그 결과를 토대 로 감염관리교육 및 감염방지행위 실천을 강화하고자 한다. 재료 및 방법: 연구대상자는 서울지역의 치과대학병원, 종합병원 치과진료부, 치과병원 및 치과의원에 근무하고 있는 치과위생사들 중에서 단순 무작위 확률표본추출방법으로 선정하였다. 설문지는 B형간염에 대한 기본지식 8문항, 감염방지행위 실천 12문항, 감염관리교육 3문항, 교육 이수횟수에 관한 1문항, 일반적 특성 6문항 등 총 30문항으로 이루어 졌으며, 2013년 4월부터 5월까지 설문지140부를 분석에 사용하였다. 자료 분석은 IBM SPSS 19.0을 이용하여 Chi-square test, t-test, 사후검정을 시행하였다. 결과: 1년 동안 평균 1.53회의 감염관리교육을 받았으나 B형 간염 인식도는 교육의 유무에 관계없이 낮게 나타났고, 간염 환자 기구 처리 또한 교육의 유무에 따른 통계적으로 유의한 차이는 없었다. 그러나, 감염방지행위의 실천에 있어서는 항목에 따른 차이를 보여서, 마스크나 글러브 착용, 폐기물 처리 등 간단한 항목에서는 차이가 없는 방면, 버나 핸드피스 멸균, 수관소독 및 유니트체어 소독 등 멸균, 소독 항목에서는 통계적으로 유의한 차이를 보였다. 교육을 받지 못하거나, 교육을 받고도 실천을 못하는 가장 큰 이유는 환자가 많아서 바쁘고 기회가 없는 것으로 나타났다. 결론: 1. 병원의 규모가 크고, 1일 평균 환자 수가 많은 의료기관일수록, 최종학력이 높은 위생사 일수록 감염관리교육이 잘 이루어지고 있었다. 2. B형 간염이 우리나라 만성 간질환 중 가장 흔한 질환이다’라는 항목을 제외하고는, B형 간염에 대한 인식은 감염관리 교육의 유무와 통계적으로 유의한 상관관계가 없는 것으로 나타났다. 3. 감염관리교육을 받은 치과위생사가 그렇지 않은 치과위생사보다 감염방지행위를 잘 실천하고 있는 것으로 나타났다.
Abstract
The purpose of this study is to examine the impacts of infection control education on dental hygienists’perceptions for hepatitis B and their behaviors. Materials and methods: Study participants were chosen by random selection among dental hygienists working in Seoul, Korea. A total of 150 questionnaires were sent out for the survey from April 2013 to May 2013, of which 140-excluding incomplete responses-were used for the study. Chi-square tests and t-tests were used (SPSS 19.0), and post-hoc analysis was performed as well. The maximum significance level was 0.05. Results: Average 1.53 times infection control education was taken, but dental hygienists' perceptions for hepatitis B and their behaviors did not show statistical differences whether the education was done or not. Practices to prevent infection showed differences depending on categories, especially disinfection and sterilization were well performed by educated group. The most common reasons for not taking the education and noncompliance with infection prevention guidelines are lack of time and opportunity due to busy schedule. Conclusion: 1. The more highly educated, the greater number of patients per day, and the greater size of hospitals, the better infection control education was conducted. 2. Although hepatitis B is one of the most common chronic liver diseases in Korea, no significant correlation between perceptions of hepatitis B and infection control education was found. 3. Dental hygienists who received infection control education performed more efficient practices for protection against infections than those who did not.
참고문헌 (35)
- Guideline on infection control in dental treatments, "Korean Ministry of Health and Welfare", Division of Health Care Policy. Oral Health Team, ~ (2006)
- Lim HS, "A study on the development of the occupational health manual for hospital employee", pp.2002
- Lee YA, "A study on practice of infection control among dental staffs in dental office", J Dent Hyge Sci, 7, pp.263~269 (2007)
- Park KE, "Bacterial aerosol in dental clinic: associated with influence to subjective symptom of dental staff", 석사, Graduate School of Public Health Environmental Health, pp.2010
- Epidemiologic and virologic study of acquired immune deficiency syndrome, "Oh SY", Korean National Institute of Health, 331~342 (1988)
- Kim HK, "The control of transmissible disease in dental practice in Seoul, Korea", J Korean Dent Assoc, 33, pp.291~296 (1995)
- Schiff ER, "Veterans Administration cooperative study on hepatitis and dentistry", J Am Dent Assoc, 113, pp.390~396 (1986)
- Recommended infection-control practices for dentistry, "Centers for Disease Control and Prevention", MMWR Recomm Rep, 42, pp.1~12 (1993)
- Korean National Health and Nutrition Examination Survey, , Ministry of Health, Welfare, and Family, ~ (2008)
- Lim HJ, "Influence of the infection control's recognition level of a dental hygienist on a practice degree", 석사, Graduate School of Social Development, pp.2009
- Choi GS, "A study on using barrier techniques for infection control, and incidence rate of Hepatitis B infection of dental staff in Taegu", 석사, Gaduate School Department of Dentistry Oral Biology, pp.1994
- Siew C, "Survey of hepatitis B exposure and vaccination in volunteer dentists", J Am Dent Assoc, 114, pp.457~459 (1987)
- Choi SJ, "A Study on the Status of Performance of Infection Control Standards in Dental Staff", 석사, Graduate School of Health Environment, pp.2010
- Miller CH, "Infection control: immunization", pp.111~ (1998), Mosby
- Occupational health and safety administration, "Occupational exposure to bloodborne pathogens; final rule. 29 CFR 1910.1030", Federal Register, 56, pp.64175~64182 (1991)
- Eun JH, "Investigation about the actual prevention of infection and vaccination against B-type hepatitis among dental workers in Daegu", J Korean Acad Dent Hyg Edu, 5, pp.219~233 (2005)
- Haley RW, "Proven and unproven methods in hospital infection control", pp.93~96 (1978), Gustav Fischer Verlag
- Haley RW, "The SENIC Project. Study on the efficacy of nosocomial infection control (SENIC Project). Summary of study design", Am J Epidemiol, 111, pp.472~485 (1980)
- Haley RW, "Effect of an infection surveillance and control program on the accuracy of retrospective chart review", Am J Epidemiol, 111, pp.543~555 (1980)
- Haley RW, "The "hospital epidemiologist" in U.S. hospitals, 1976-1977: a description of the head of the infection surveillance and control program. Report from the SENIC project", Infect Control, 1, pp.21~32 (1980)
- Haley RW, "Update from the SENIC project. Hospital infection control: recent progress and opportunities under prospective payment", Am J Infect Control, 13, pp.97~108 (1985)
- Haley RW, "The efficacy of infection surveillance and control programs in preventing nosocomial infections in US hospitals", Am J Epidemiol, 121, pp.182~205 (1985)
- Hughes JM, "Nosocomial infection surveillance in the United States:historical perspective", Infect Control, 8, pp.450~453 (1987)
- 임주원, "국내 만성간질환의 이환여부와 건강관련행동과의 관련성", Korean Journal of Family Medicine, 31(4), pp.302~307 (2010), 대한가정의학회
- Namgyal P, "Impact of hepatitis B immunization, Europe and worldwide", J Hepatol, 39, pp.S77~S82 (2003)
- Mahoney FJ, "Orenstein WA, Vaccines", pp.158~182 (1999), WB Saunders Co.
- Chang BS, "Microbial Contamination of Ultrasonic Scalers, High-Speed Handpieces and Water Syringe Lines", J Periodontal Implant Sci, 27, pp.941~946 (1997)
- Abel LC, "Studies on dental aerobiology. IV. Bacterial contamination of water delivered by dental units", J Dent Res, 50, pp.1567~1569 (1971)
- Gross A, "Microbial contamination of dental units and ultrasonic scalers", J Periodontol, 47, pp.670~673 (1976)
- Atack L, "Impact of an online course on infection control and prevention competencies", J Adv Nurs, 63, pp.175~180 (2008)
- Kim SK, "A Study on the Status of Infection Control of Dental Health Care Worker", 석사, Graduate School of Public Administration, pp.2000
- Ahn KS, "Compliance with standard precaution among dental health care workers", 석사, Graduate School of Public Health, pp.2004
- Cho HS, "A Study on the Level of Recognition and Performance of the Clinical Nurses about the prevention of Nosocomial Infection", 석사, pp.2000
- Choi MA, "A study on the level of recognition and performance of the clinical nurses about the management of nosocomial infection", 석사, pp.2002
- Choi JY, "A Study on the Prevention of Nosocomial Respiratory Infection in Critical Care Nurses", 석사, pp.1998