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치위생과 학생의 감염관리에 대한 인지도와 실천도 조사

A study on recognition and practice of dental hygiene students for Infection control dental hygiene major courses

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주제분류치의학

초록

The purpose of the study was to provide the basic for the prevention of infection control by analyzing the level of recognition and practice of dental hygiene students. It is important for dental clinic staffs to know and practice infection control measures in favor of effective infection control. Thus, this study conducted an one-month questionnaire survey (during October 2008) for dental hygiene students who ever experienced in 16-week clinical practice, and analyzed total 206 questionnaire forms as collected from them, so that it could determine potential associations between their recognition and practice of infection control and thereby suggest an efficient solution for infection control in dental hygiene. 1. It was found that our students' recognition about infection control averaged 4.49±.58 points on the whole, and they were best aware of instrumental disinfection and sterilization among other measures, which was followed by hand washing, extirpation control, post-sterilization management, personal protective outfit and instrumental surface maintenance respectively. 2. It was found that our students' practice of infection control averaged 3.85±.57 points on the whole, and they practiced hand washing most actively among other measures, which was followed by extirpation control, post-sterilization management, instrumental disinfection and sterilization, personal protective outfit and instrumental surface maintenance respectively. 3. It was found that our students scored higher mean points in recognition about every measure of infection control than those in practice (t= 15.676, p=0.000). Particularly, it was notable that there were significant differences between their mean points in recognition and practice of some infection control measures, such as instrumental surface maintenance (t= 15.361, p=0.000), personal protective outfit (t=15.245, p=0.000) and instrumental disinfection and sterilization (t=11.169, p=0.000). But there was least significant difference between mean points in recognition and practice of hand washing (t=5.460, p=0.000). 4. For potential associations between recognition and practice of infection control, it was found that higher recognition was in significantly positive associations with higher practice in every measure of infection control (r=.478, p=.000), such as extirpation control (r=.630, p=.000), instrumental disinfection and sterilization (r=.477, p=.000) and post-sterilization management (r=.433, p=.000). 5. It was found that there were differences in our students' recognition depending upon availability of infection control guideline (t=4.587, p=.011), and there were significant differences in practice depending on necessity of infection control education on a statistical basis (t=2.229, p=.027). Overall, it is found that our dental hygiene students are very likely to practice hand washing and extirpation control, because both of these measures are relatively easy to practice or are considered legally binding.

Abstract

The purpose of the study was to provide the basic for the prevention of infection control by analyzing the level of recognition and practice of dental hygiene students. It is important for dental clinic staffs to know and practice infection control measures in favor of effective infection control. Thus, this study conducted an one-month questionnaire survey (during October 2008) for dental hygiene students who ever experienced in 16-week clinical practice, and analyzed total 206 questionnaire forms as collected from them, so that it could determine potential associations between their recognition and practice of infection control and thereby suggest an efficient solution for infection control in dental hygiene. 1. It was found that our students' recognition about infection control averaged 4.49±.58 points on the whole, and they were best aware of instrumental disinfection and sterilization among other measures, which was followed by hand washing, extirpation control, post-sterilization management, personal protective outfit and instrumental surface maintenance respectively. 2. It was found that our students' practice of infection control averaged 3.85±.57 points on the whole, and they practiced hand washing most actively among other measures, which was followed by extirpation control, post-sterilization management, instrumental disinfection and sterilization, personal protective outfit and instrumental surface maintenance respectively. 3. It was found that our students scored higher mean points in recognition about every measure of infection control than those in practice (t= 15.676, p=0.000). Particularly, it was notable that there were significant differences between their mean points in recognition and practice of some infection control measures, such as instrumental surface maintenance (t= 15.361, p=0.000), personal protective outfit (t=15.245, p=0.000) and instrumental disinfection and sterilization (t=11.169, p=0.000). But there was least significant difference between mean points in recognition and practice of hand washing (t=5.460, p=0.000). 4. For potential associations between recognition and practice of infection control, it was found that higher recognition was in significantly positive associations with higher practice in every measure of infection control (r=.478, p=.000), such as extirpation control (r=.630, p=.000), instrumental disinfection and sterilization (r=.477, p=.000) and post-sterilization management (r=.433, p=.000). 5. It was found that there were differences in our students' recognition depending upon availability of infection control guideline (t=4.587, p=.011), and there were significant differences in practice depending on necessity of infection control education on a statistical basis (t=2.229, p=.027). Overall, it is found that our dental hygiene students are very likely to practice hand washing and extirpation control, because both of these measures are relatively easy to practice or are considered legally binding.

참고문헌 (16)

  1. 천재식, "감염방지를 위한 치과진료기자재 적정 관리방안", 치과대학, pp.2007
  2. 김수경, "치과의료종사자의 감염방지 실태에 관한 연구", 석사, pp.2000
  3. 오세광, "치과진료실에서의 감염방지. 한길치학연구회 실무지침서", pp.18~ (1995)
  4. 송경희, "전국 치위생과 학생들의 B형간염과 AIDS에 관한 지식도 조사", 한국치위생교육학회지, 1(2), pp.181~192 (2001)
  5. 김정순, "치과 병의원을 통한 전파위험 전염병", 대한치과의사협회지, 32(6), pp.422~426 (1994)
  6. 오세광, "치과계를 위하여 추천하는 감염방지 실무", 대한치과의사협회지, 32(6), pp.409~416 (1994)
  7. 정원균, "치과감염관리학", pp.109~123 (2000), 나래출판사
  8. A Component of the Texas A&M University System, "Infection control. Baylor College of Dentistry", Health Science Center, 6~ (2006)
  9. 김은경, "치과의료종사자들의 감염방지에 대한 인식 및 실천 연구", 석사, pp.2000
  10. J. Hardie, "Concerns regarding Infection Control Recommendations for Dental Practice", J. Can. Dent. Assoc, 58(5), pp.377~386 (1992)
  11. 주재동, "치과감염 예방 및 대책", 대한군진의학학술지, 26(1), pp.134~140 (1995)
  12. 김형규, "치과에서의 감염방지를 위한 멸균소독 시행여부 및 방법에 관한 실태조사", 대한치과의사협회지, 36(12), pp.837~844 (1998)
  13. 최금숙, "대구지역 치과종사자들의 기초방호법 시행정도와 B형 간염 감염률에 대한 조사", 석사, pp.1994
  14. 박현숙, "치과의료종사자들의감염방지에대한인식", 치위생과학회지, 7(4), pp.257~262 (2007), 한국치위생과학회
  15. 엘렌디츠, 롤라 배더비낙, "치위생사를 위한 감염방지 및 안전기준", pp.152~ (2007), 고문사
  16. 오세광, "치과진료실에서의 감염방지", 대한치과의사협회지, 36(12), pp.837~843 (1998)

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