치과감염관리 영향 요인에 대한 연구 -치과근무자의 손세척 및 장갑사용 실태를 중심으로-
A Study on Affect Factors in Dental Infection Control: Focus on Wash Hand and Put Gloves on of a Dental Step
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초록
치과위생사의 감염관리 교육, 감염관리에 필요한 보호 장비의 구비 및 착용 등이 모두 치과병원장과 관련된다. 따라서 본 연구는 치과 감염관리에서 치과병원장의 중요 성에 대하여 살펴보고자 하였다. 1. 치과감염관리에 대한 추가교육이 치과위생사의 94.2% 가 필요하다고 응답하였으며, 교육의 주체는 치과위 생사협회가 되어야 한다고 47.1%가 응답하였다. 2. 치과의사의 관심도가 높을수록(높은편이다 이상 36.7%, 낮은편이다 이하 16.0%) 치과위생사가 교육경험이 높 고, 치과의사의 관심도가 낮을수록(높은편이다 이상 18.8%, 낮은편이다 이하 31.3%) 치과위생사의 교육 경험이 낮은 것으로 나타났다. 따라서 치과의사의 관 심은 곧 치과위생사의 감염관리 교육과 관련있음을 알 수 있었다. 그러나 통계적으로 유의하지는 않았다. 3. 치과위생사의 의료용 장갑 사용은 매환자 사용이 42.4 %, 필요시 51.8%로 통계적으로 유의한(<.001)것으로 조사되었다. 치과의사는 진료전 70.7%만이 항상 손 세척을 하며 필요시 22.0%, 안하는 경우도 7.3%로 조사되었다. 이 결과는 통계처리 결과 유의한 것으로 조사되었다(<.001). 4. 감염관리에서 가장 의식개혁이 필요한 사람은 치과 병원장이 66.5%, 치과위생사 31.9%로 조사되었다. 5. 감염관리가 잘 되기 위해서는 병원장의 의지가 37.2% 로 가장 중요한 것으로 조사되었다. 다음으로 치과위 생사의 26.2%, 법적규제와 의료보험 수가에 반영이 각각 20.4%, 15.2%로 조사되었다.
Abstract
In previously study, many researchers have showed the infection control level and the knowledge of dental hygienists about dental infection control. But, they not tried to research the reason why hygienists don’t keep to the infection control regulation closely. Therefore, this study was intended to highlight the affect factor that the infection control regulation keep in all dental hospitals well. The respondents in this research were the dental hygienists who worked in Incheon or Gyeonggi areas between June 16 and July 5, 2008 and who attended a complementary training program conducted by the Seoul Branch of Korean Dental Hygienists Association in April 2008. A total of 191 questionnaires were distributed to them, and the collected data was analyzed using SPSS WIN 12.0. Cross-tabulation analysis(χ2), which significance level was 0.05, was applied to the data in order to verify the statistical significance of the survey method. According to replied, the reason why they don’t used gloves were an unconvinced (38.9%), don’t use by dentist (29.6%) and much expensive (9.3%). The gloves supplied a hygienist were proper in most case, 94.8%, but short in hospital, 12.0%. In order to take a good infection control they needed to change the conscious of dentist (66.5%), and the will of dentist is most important to do good infection control (37.2%). Subsequently, the will of dentist is the most important factor in infection control area and must be changed their mind on the infection control.
참고문헌 (14)
- 문상은, "치과진료실에서 황색 포도구균의 감염유형 분석", 대한악안면성형재건외과학회지, 25(1), pp.25~32 (2003), 대한악안면성형재건외과학회
- Molinari John A, "Infection control: it’s evolution to the current standard precautions", J American Dental Association, 134, pp.569~574 (2003)
- Centers for Disease Control and Prevention, "Exposure to blood: what healthcare personnel need to know" (2003), Department of Health & Human Services
- Allukian M, "The control of transmissible disease in dental practice: a position paper of the american association of public health dentistry", J Public Health Dent, 46(1), pp.13~22 (1986)
- Cho YJ, "Study on infection control practices among dental hygienists", 석사, pp.2003
- Centers for Disease Control and Prevention, "Recommendations for prevention of HIV in healthcare settings", Morbidity and Mortality Weekly Report, 36(2S) (1987)
- Centers for Disease Control and Prevention, "Update: universal precautions for prevention of transmission of human immunodeficiency virus, Hepatitis B virus, and other bloodbone pathogens in healthcare settings", Morbidity and Mortality Weekly Report, 37 (1988)
- Centers for Disease Control and Prevention, "Guideline for hand hygiene in health-care settings", Morbidity and Mortality Weekly Report, 51(RR-16) (2002)
- Yoon MS, "The investigation on infection control in dental clinics", 석사, pp.1999
- Yu MS, "A study on the knowledge, attitudes, and preventive actions of dental hygiene college students, on hospital infection", 석사, pp.2002
- 남영신, "치과위생사의감염예방실태조사", 치위생과학회지, 7(1), pp.1~7 (2007), 한국치위생과학회
- 이영애, "치과진료실에서의직종별감염방지실천정도에관한조사연구", 치위생과학회지, 7(4), pp.263~269 (2007), 한국치위생과학회
- Kim CH, "Investigation of infection prevention by dental hygienist’s personal protection", J Dent Hygiene Science, 5(2), pp.63~70 (2005)
- Kim SK, "A study on the status of infection control of dental health care worker", 석사, pp.2000