본문 바로가기
KERD
논문KCI 등재

일개 상급종합병원에 근무하는 간병인의 의료 관련감염 관리 수행도 및 손의 미생물 오염도에 영향을 미치는 요인

Influencing Factors on the Performance of Healthcare-associated Infection Control and Microbiological Hand Contamination among Caregivers at a Tertiary Hospital

0

조회

0

다운로드

3

인용

0

참고문헌

키워드

주제분류간호학

초록

Purpose: This study was conducted to identify influencing factors on the performance of healthcare-associated infection control and microbiological hand contamination among caregivers at a tertiary hospital. Methods: The participants of this study were 59 caregivers woring at a tertiary hospital. Data were collected from July 1 to 30, 2018. Data were analyzed using descriptive statistics, t-test, ANOVA, Scheffé test, Pearson's correlation coefficients and stepwise multiple regression by SPSS 23.0 Win program. Results: Multiple regression analysis revealed that factors influencing performance of healthcare-associated infection control were awareness (β=.63, p<.001) and the experience of infection-related education (β=-3.40, p=.042). Regression equations describing the performance of healthcare-related infection control were found to be appro-priate (F=27.29, p<.001) and accounted for 68% of variance. Factors affecting the degree of microbiological hand contamination were work experience (β=-0.28, p=.026) and healthcare-related infection performance (β=-0.28, p=.029). A regression equation describing the microbiological hand contamination was appropriate (F=6.10, p=.004) and accounted for 42% of variance. Conclusion: The findings of this study suggest that it is necessary to increase performance of healthcare-associated infection control by caregivers. Also, educations for preventing healthcare-associated infection and guidelines for increasing compliance with healthcare-associated infection control are recommended to improve performance of healthcare-associated infection control.

Abstract

Purpose: This study was conducted to identify influencing factors on the performance of healthcare-associated infection control and microbiological hand contamination among caregivers at a tertiary hospital. Methods: The participants of this study were 59 caregivers woring at a tertiary hospital. Data were collected from July 1 to 30, 2018. Data were analyzed using descriptive statistics, t-test, ANOVA, Scheffé test, Pearson's correlation coefficients and stepwise multiple regression by SPSS 23.0 Win program. Results: Multiple regression analysis revealed that factors influencing performance of healthcare-associated infection control were awareness (β=.63, p<.001) and the experience of infection-related education (β=-3.40, p=.042). Regression equations describing the performance of healthcare-related infection control were found to be appro-priate (F=27.29, p<.001) and accounted for 68% of variance. Factors affecting the degree of microbiological hand contamination were work experience (β=-0.28, p=.026) and healthcare-related infection performance (β=-0.28, p=.029). A regression equation describing the microbiological hand contamination was appropriate (F=6.10, p=.004) and accounted for 42% of variance. Conclusion: The findings of this study suggest that it is necessary to increase performance of healthcare-associated infection control by caregivers. Also, educations for preventing healthcare-associated infection and guidelines for increasing compliance with healthcare-associated infection control are recommended to improve performance of healthcare-associated infection control.

참고문헌 (29)

  1. Mehrdad Askarian, "Knowledge, Practice, and Attitude Among Iranian Nurses, Midwives, and Students Regarding Standard Isolation Precautions", Infection Control & Hospital Epidemiology, 28(2), pp.241~244 (2007), Cambridge University Press (CUP)[DOI]
  2. Brennan, T. A., "Incidence of adverse events and negligence in hospitalized patients : Results of the harvard medical practice study I", New England Journal of Medicine, 324(6), pp.370~376 (1991)
  3. Choi, J. H., "The legal aspets of hospital infection", Korean Journal of Medicine, 76(2), pp.286~289 (2009)
  4. Ione Corrêa, "Interventions to improve adherence to guidelines on 'Standard Precautions' for the control of healthcare-associated infections", Cochrane Database of Systematic Reviews (2013), Wiley[DOI]
  5. "Infections with methicillin-resistant staphylococcus aureus(MRSA) in u.s. hospitals, 1993-2005" (2007)[URL]
  6. 허수영, "일 병원 의료 인력의 손씻기 인지도 및 수행도 분석", Journal of The Korean Data Analysis Society, 12(4), pp.1979~1991 (2010), 한국자료분석학회
  7. Hwang, N. M., "An analysis of the debates on introduction of public caregivers' services in acute medical centers", Health and Social Welfare Forum, 170, pp.60~71 (2010)
  8. Jeong, E. H., "Awareness and performance for standard precautions among outpatient clinics nursing staffs in a universityaffiliated hospital", master's, pp.2011
  9. 정미라, "의료종사자의 임파워먼트와 의료관련감염 관리 표준주의지침 인지도가 수행도에 미치는 요인", 디지털융복합연구, 16(2), pp.243~250 (2018), 한국디지털정책학회[DOI]
  10. Kang, S. M., "The relationship between anxiety of tuberculosis infection and self care behaviors for tuberculosis infection prevention among workers of a specialty hospital for tuberculosis", master's, pp.2018
  11. Kim, J. G., "Relationship between recognition and performance of a caregiver on management of nosocomial infection", master's, pp.2008
  12. Kim, J. T., "A study based on the standardization of the STAI for Korea", Newest Medical Journal, 21(11), pp.69~75 (1978)
  13. Kim, J. Y., "Awareness and performance for standard precautions among health care workers in a general hospital", Journal of Korean Critical Care Nursing, 5(2), pp.49~60 (2012)
  14. "A study for nosocomial infection control in the emergency rooms" (2012)[URL]
  15. 고영심, "중소병원 간병인의 표준주의에 대한 인지도와 수행도", 의료관련감염관리, 21(2), pp.74~84 (2016), 대한의료관련감염관리학회
  16. Korean Society for Nosocomical Infection Control, "Infection control and prevention in healthcare facilities" (2011), Hanmi book
  17. 권진, "급성기병원 간병인의 직무분석", 디지털융복합연구, 11(10), pp.639~651 (2013), 한국디지털정책학회
  18. 곽이경, "전국병원감염감시체계 중환자실 부문 결과 보고: 2009년 7월부터 2010년 6월", 의료관련감염관리, 16(1), pp.1~12 (2011), 대한의료관련감염관리학회
  19. 이지현, "간호사 확보에 따른 노인요양병원 간호인력의 병원감염관리 인지도 및 실천도", 한국직업건강간호학회지, 21(3), pp.308~316 (2012), 한국직업건강간호학회
  20. 이승은, "3차 대학병원 의료종사자에서 메티실린내성 포도알균 보균자와 비보균자의 감염관리 인지도 및 손씻기 실천율 비교", 의료관련감염관리, 16(1), pp.18~28 (2011), 대한의료관련감염관리학회
  21. "Comprehensive countermeasures for healthcare-associated infection prevention ('18~'22)" (2018)[URL]
  22. 오지은, "종합병원 의료종사자의 감염관리 표준주의 수행도 영향요인", 디지털융복합연구, 16(4), pp.231~249 (2018), 한국디지털정책학회[DOI]
  23. Ryu, B. M., "The effects of infection prevention education program on infection prevention knowledge and attitude to nursing caregiver students", Journal of the Korea Industrial Information Systems Research, 15(5), pp.167~177 (2010)
  24. Seibert, D. J., "Knowledge, perceptions, and practices of methicillin-resistant staphylococcus aureus transmission prevention among health care workers in acute-care settings", American Journal of Infection Control, 42, pp.254~259 (2014)
  25. 서지혜, "간호대학생의 병원감염예방 표준주의지침에 대한 수행도에 영향을 미치는 요인", Journal of Korean Biological Nursing Science, 19(2), pp.69~75 (2017), 한국기초간호학회[DOI]
  26. Seol, S. Y., "Molecular epidemiologic analysis of nosocomial escherichia coli isolates", The Journal of the Korean Society for Microbiology, 32(1), pp.1~14 (1997)
  27. Jane D. Siegel, "2007 Guideline for Isolation Precautions: Preventing Transmission of Infectious Agents in Health Care Settings", American Journal of Infection Control, 35(10), pp.S65~S164 (2007), Elsevier BV[DOI]
  28. Spielberger, C. D., "STAI manual for the state-trait anxiety inventory ("self-evaluation questionnaire")" (1970), Consulting Psychologists Press
  29. Yoo, M. Y., "The effect of the hand hygiene education on hand hygiene knowledge, hand hygiene perception and number of bacterial cononies on the hands in care helpers", master's, pp.2007

관련 논문AI추천

이 간행물의 다른 논문 (15건)