간호사의 중동호흡기증후군 감염 실태와 감염관리 인식
Infection Control of Hospital Nurses: Cases of Middle East Respiratory Syndrome
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연구목적: 2015년 한국에서 메르스 유행으로 186명의 확진자가 발생하였고 약 8%(15명)은 간호사 감염자이었다. 이 연구는 간호사의 메르스 감염 실태를 파악하고, 임상 간호사의 감염 관리에 대한 인식을 파악하는 데 있다. 연구방법: 언론보도 자료를 활용하여 15명의 간호사 메르스 감염자의 감염 특성을 파악하였다. 2015년 7월에 편의추출한 3개 메르스 집중치료병원의 121명의 간호사를 대상으로 일반적 특성과 개인 및 조직 감염관리 수준을 조사하고 분석하였다. 연구결과: 간호사들은 8개 의료기관에서 의료기관 당 1-6명이 메르스에 감염되었다. 그들은 주로 임상경력이 짧고 메르스 감염 가능성을 알지 못한 채로 감염되었다. 간호가가 인식하는 감염관리 수준은 낮았고 개인 수준과 조직 수준의 감염관리는 유의하게 관련이 있었다. 결론 : 감염병으로부터 간호사를 보호하고 간호사의 감염병 간호 역량을 증진하기 위해 병원조직 차원의 감염병 대응체계를 갖추는 것이 필요하다.
Abstract
Purpose: The 2015 Korean Middle East Respiratory Syndrome Coronavirus (MERS-CoV) outbreaks resulted in186 cases, with 8% (15 persons) of these being nurses. This study aimed to examine MERS-CoV infection status of clinical nurses and to evaluate perception for infection control. Methods: We investigated the MERS-CoV infection status of nurses using MERS-CoV press release data. We examined and analysed perception for Infection control of 121 nurses of the three MERS intensive therapeutic hospitals in July 2015. Results: One to six nurses per hospital in total 8 health care facilities were infected with MERS-CoV. They mainly had short clinical careers and were unaware of infection possibility. The personal and organizational infection control levels that nurses perceive were low and the relationship between two levels was statistically significant. Conclusion: For promoting health protection and infectious disease management competency of nurses, it is necessary to prepare institutional system for controlling infectious disease.
참고문헌 (18)
- 안진선, "응급실 간호사의 감염노출 예방행위 수행정도와 영향요인", 근관절건강학회지, 22(1), pp.40~47 (2015), 대한근관절건강학회[DOI]
- Cheng-Sheng Chen, "Psychological Distress of Nurses in Taiwan Who Worked During the Outbreak of SARS", Psychiatric Services, 56(1), pp.76~79 (2005), American Psychiatric Publishing[DOI]
- "Communicable disease threats report" (2015)[URL]
- "guidelines on MERS-CoV for healthcare worker version 2.4" (2015)[URL]
- "Current state of MERS infection" (2015)[URL]
- Muhammad Umair Khan, "Knowledge and attitude of healthcare workers about middle east respiratory syndrome in multispecialty hospitals of Qassim, Saudi Arabia", BMC Public Health, 14(1), pp.1281~ (2014), Springer Nature[DOI]
- 김수근, "보건의료인의 중동호흡기증후군 감염과 대책", 대한의사협회지, 58(7), pp.647~654 (2015), 대한의사협회[DOI]
- Nai-Ying Ko, "Applying Theory of Planned Behavior to Predict Nurses' Intention and Volunteering to Care for Sars Patients in Southern Taiwan", The Kaohsiung Journal of Medical Sciences, 20(8), pp.389~398 (2004), Elsevier BV[DOI]
- Mark Loeb, "SARS among Critical Care Nurses, Toronto", Emerging Infectious Diseases, 10(2), pp.251~255 (2004), Centers for Disease Control and Prevention (CDC)[DOI]
- Ziad A. Memish, "Middle East Respiratory Syndrome Coronavirus Infections in Health Care Workers", New England Journal of Medicine, 369(9), pp.884~886 (2013), New England Journal of Medicine (NEJM[DOI]
- "Current outbreak situation in the Republic of Korea" (2015)[URL]
- "MERS Data" (2015)[URL]
- Moore, D. M, "Occupational health and infection control practices related to severe acute respiratory syndrome: Health care worker perceptions", AAOHN Journal: Official Journal of the American Association of Occupational Health Nurses, 53(6), pp.257~266 (2005)
- D MOORE, "Protecting health care workers from SARS and other respiratory pathogens: Organizational and individual factors that affect adherence to infection control guidelines", American Journal of Infection Control, 33(2), pp.88~96 (2005), Elsevier BV[DOI]
- Nour, M. O, "Knowledge, attitude and practices of healthcare providers towards MERS-CoV infection at Makkah hospitals, KSA", International Research Journal of Medicine and Medical Sciences, 3(4), pp.103~112 (2015)
- J Palamidessi Domínguez, "TRAINING ON THE CARE OF PATIENTS WITH RESPIRATORY SYNDROME OF MIDDLE EAST-CORONAVIRUS AND EBOLA VIRUS BASED ON CLINICAL SIMULATION", Intensive Care Medicine Experimental, 3(Suppl 1), pp.A732~ (2015), Springer Nature[DOI]
- 손희정, "이대목동병원에서의 메르스 대처경험과 교훈", 병원경영학회지, 20(3), pp.56~63 (2015), 한국병원경영학회
- 서영희, "병원간호사의 감염예방 표준주의지침 지식, 인식, 안전환경 및 수행도에 관한 연구", 임상간호연구, 16(1), pp.61~70 (2010), 병원간호사회