다제내성균 감염관리 교육이 신생아 중환자실 간호사의 감염관리에 미치는 영향
Effect of Education on Infection Control for Multidrug Resistant Organism on Infection Control by NICU Nurses
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Purpose: This study was conducted to examine the effect of education on infection control for multidrug resistant organism (MDRO). Methods: One group pre-post time series design was used. Infection control education for MDRO infection was provided to nurses working in the Neonatal Intensive Care Unit (NICU). Knowledge and recognition were evaluated before and after education. Hand hygiene compliance, MDRO isolation rate and central line-associated bloodstream infection (CLABSI) rate were used as outcome variables. Data from 45 nurses was used for analysis. Results: General knowledge about MDRO increased (p=.011). Responses to questions about image of MDRO and MDRO management tended to change in a positive direction (p=.046). Hand hygiene compliance was 100% at pre-test, 79.5% during education period and 98.4% at post-education period. MDRO isolation rate was 6.83 per 1,000 patient days at pre-test, 10.24 during education period and 6.68 at post-education period. CLABSI rate was 3.76 per 1,000 central line days at pre-test, 6.84 during education period and 4.71 at post-education period. Conclusion: Findings indicate that the education program is effective in improving knowledge about MDRO in NICU nurses. However, more reliable indicators should be used to determine long-term effects.
Abstract
Purpose: This study was conducted to examine the effect of education on infection control for multidrug resistant organism (MDRO). Methods: One group pre-post time series design was used. Infection control education for MDRO infection was provided to nurses working in the Neonatal Intensive Care Unit (NICU). Knowledge and recognition were evaluated before and after education. Hand hygiene compliance, MDRO isolation rate and central line-associated bloodstream infection (CLABSI) rate were used as outcome variables. Data from 45 nurses was used for analysis. Results: General knowledge about MDRO increased (p=.011). Responses to questions about image of MDRO and MDRO management tended to change in a positive direction (p=.046). Hand hygiene compliance was 100% at pre-test, 79.5% during education period and 98.4% at post-education period. MDRO isolation rate was 6.83 per 1,000 patient days at pre-test, 10.24 during education period and 6.68 at post-education period. CLABSI rate was 3.76 per 1,000 central line days at pre-test, 6.84 during education period and 4.71 at post-education period. Conclusion: Findings indicate that the education program is effective in improving knowledge about MDRO in NICU nurses. However, more reliable indicators should be used to determine long-term effects.
참고문헌 (19)
- 김천수, "신생아 중환자실의 병원감염과 감염관리", Perinatology, 20(4), pp.291~298 (2009), 대한주산의학회
- 권혜정, "신생아 중환자실의 원내 감염 추이", Korean Journal of Pediatrics, 45(6), pp.5~726 (2002), 대한소아과학회
- 김지희, "중환자실 간호사의 다제내성균 감염관리 수행에 영향을 미치는 요인", 성인간호학회지, 27(3), pp.325~336 (2015), 성인간호학회[DOI]
- 송재훈, "항생제 내성의 위기: 현황과 대책", 대한의사협회지, 53(11), pp.999~1005 (2010), 대한의사협회
- 이영희, "중환자실 간호사의 병원감염 예방에 대한 인지도와 수행도에 관한 연구", 한국모자보건학회지, 6(2), pp.197~210 (2002), 한국모자보건학회
- 성미혜, "간호사의 병원감염 관리에 대한 수행도에 영향을 미치는 요인", 한국직업건강간호학회지, 16(1), pp.5~14 (2007), 한국직업건강간호학회
- 강지연, "일 대학병원 간호사의 다약제 내성균 감염관리지침에 대한 지식과 수행정도", Journal of Korean Academy of Nursing, 39(2), pp.186~197 (2009), 한국간호과학회
- Yoo MS, "A comparative study of nurses’ recognition and practice level of general nosocomial infection, MRSA and VRE infection control", The Journal of Fundamentals of Nursing, 11(1), pp.31~40 (2004)
- 박영미, "중환자실 간호사의 반코마이신 내성 장구균 감염관리에 대한 인지도, 이행도 및 관련요인", 기본간호학회지, 15(4), pp.531~538 (2008), 기본간호학회
- P.M. Easton, "Infection control and management of MRSA: assessing the knowledge of staff in an acute hospital setting", Journal of Hospital Infection, 66(1), pp.29~33 (2007), Elsevier BV[DOI]
- 김경미, "An Integrative Review of Infection Control Research in Korean Nursing Journals", Asian Nursing Research, 8(2), pp.128~134 (2014), 한국간호과학회
- Oh HS, "National survey on nurses’ knowledge of infection control in general hospitals and analysis of variables to impact on their knowledge", Korean Journal of Nosocomial Infection Control, 10(2), pp.78~86 (2005)
- 오향순, "국내 200병상이상 의료기관의 다약제 내성균 감염관리 실태조사", 보건의료산업학회지, 8(4), pp.163~173 (2014), 보건의료산업학회
- Song JO, "Perception of multidrug-resistant organisms control in ICU nurses", master, pp.2013
- "Management of multidrug-resistant organisms in healthcare settings" (2006)[URL]
- Dawn M. Sievert, "Antimicrobial-Resistant Pathogens Associated with Healthcare-Associated Infections Summary of Data Reported to the National Healthcare Safety Network at the Centers for Disease Control and Prevention, 2009–2010", Infection Control & Hospital Epidemiology, 34(01), pp.1~14 (2013), Cambridge University Press (CUP)[DOI]
- S.W. Aboelela, "Effectiveness of bundled behavioural interventions to control healthcare-associated infections: a systematic review of the literature", Journal of Hospital Infection, 66(2), pp.101~108 (2007), Elsevier BV[DOI]
- Timothy P Stevens, "Evidence-based approach to preventing central line-associated bloodstream infection in the NICU", Acta Paediatrica, 101, pp.11~16 (2012), Wiley-Blackwell[DOI]
- "WHO guideline on hand hygiene in healthcare" (2009)[URL]
