노인요양시설 종사자들의 감염관리에 대한 수행도 조사
A survey on performance of infection Control by Workers in Nursing Homes for the Elderly
1
조회
0
다운로드
31
인용
0
참고문헌
키워드
초록
Purpose: This study was done to investigate worker's performance of infection control measures in nursing homes for elderly people. Methods: Between October 2009 to April 2010, data were collected using self-report questionnaires. Study participants were 203 workers in these nursing homes and 71.4% were direct caregivers. Data were analyzed using t-test, ANOVA, Duncan test with SPSS/WIN 12.0. Results: The overall mean for performance score for infection control was 3.65 (range 1~4) and the score for environmental management was 3.75, for urinary infection control, 3.70, for personal hygiene, 3.66, for respiratory infection control, 3.64, for drug and injection management, 3.63, for hand washing, 3.59, and for disinfection and supply management, 3.57. Gender, age,education level, occupation, need for infection control in the facility and education about infection control, and probability of being an infection carrier were significantly related to performance level. A high number (69%) of workers answered "not in the habit" as a reason for non-performance of hand washing. Conclusion: These results indicate a need to develop standard infection control guidelines and education programs for workers in nursing homes for elders. These guideline and program should lead to improvements in infection control activities of these workers.
Abstract
Purpose: This study was done to investigate worker's performance of infection control measures in nursing homes for elderly people. Methods: Between October 2009 to April 2010, data were collected using self-report questionnaires. Study participants were 203 workers in these nursing homes and 71.4% were direct caregivers. Data were analyzed using t-test, ANOVA, Duncan test with SPSS/WIN 12.0. Results: The overall mean for performance score for infection control was 3.65 (range 1~4) and the score for environmental management was 3.75, for urinary infection control, 3.70, for personal hygiene, 3.66, for respiratory infection control, 3.64, for drug and injection management, 3.63, for hand washing, 3.59, and for disinfection and supply management, 3.57. Gender, age,education level, occupation, need for infection control in the facility and education about infection control, and probability of being an infection carrier were significantly related to performance level. A high number (69%) of workers answered "not in the habit" as a reason for non-performance of hand washing. Conclusion: These results indicate a need to develop standard infection control guidelines and education programs for workers in nursing homes for elders. These guideline and program should lead to improvements in infection control activities of these workers.
참고문헌 (30)
- Caffrey, C., "Potentially preventable emergency department visits by nursing home residents; United States, 2004", National Center for Health Statistics Data Brief, 33, pp.1~7 (2010)
- Centers for Disease Control and Prevention, "Epidemiologic notes and reports nursing home outbreaks of invasive group a streptococcal infections - Illinois, Kansas, North Carolina, and Texas", Morbidity and Mortality Weekly Report, 39(34), pp.577~579 (1990)
- Cho, H. S., "A study on the level of recognition and performance of the clinical nurses about the prevention of nosocomial infection", Korean Journal of Occupational Health Nursing, 10(1), pp.5~23 (2001)
- Cho, W. S., "Perceived importance and activated performance of nurses for the prevention of nosocomial infection", Inje Medical Journal, 20(1), pp.357~367 (1999)
- Choi, S. Y., "Characteristics and risk factors of healthcareassociated infection in Korean nursing homes", 석사, pp.2009
- Eldridge, N. E., "Using the Six Sigma process to implement the centers for disease control and prevention guideline for hand hygiene in 4 intensive care units", Journal General Internal Medicine, 21(2), pp.35~42 (2006)
- Hughes, J. M., "Study on the efficacy of nosocomial infection control (SENIC Project): Results and implications for the future", Chemotherapy, 34(6), pp.553~561 (1988)
- 강지연, "일 대학병원 간호사의 다약제 내성균 감염관리지침에 대한 지식과 수행정도", Journal of Korean Academy of Nursing, 39(2), pp.186~197 (2009), 한국간호과학회
- 최의순, "병원감염관리에 대한 간호학생의 인지도와 수행도", 여성건강간호학회지, 11(3), pp.232~240 (2005), 여성건강간호학회
- Kim, J. K., "Relationship between recognition and performance of a caregiver on management of nosocomial infection", 석사, pp.2009
- Kim, H. J., "Evaluation on recognition & performance levels for the prevention of nosocomial infection among nurses", 석사, pp.1990
- Kim, S. H., "The effect of an educational hand hygiene program on the hand hygiene compliance and method of ICU nurses's hand hygiene", 석사, pp.2009
- Kim, Y. S., "A study on the awareness level and the performance level of the guidelines for the prevention of nosocomial infection", Infection and Chemotherapy, 22(3), pp.131~146 (1990)
- "2010 Elderly statistics" (2010)[URL]
- Lee, E. K., "Effect of hand washing educational program on the hand washing practice of ICU nurses", 석사, pp.2005
- Lim, O. B., "Effect of education and feedback on the frequency and quality of hand hygiene", 석사, pp.2004
- Lim, Y. S., "The characteristics and continuing educational needs of care workers in long-term care facilities for the elderly in a city", 석사, pp.2010
- Makris, A. T., "Effect of a comprehensive infection control program on the incidence of infection in long-term care facilities", American Journal of Infection control, 28(1), pp.3~7 (2000)
- "Prevention control guideline for hospital acquired infection" (2005)[URL]
- "2008 Survey on the living status and welfare needs of elders: Descriptive report" (2009)[URL]
- "2010 The first half of the main long-term care statistics" (2010)[URL]
- Park, M. J., "Recognition and practice level of hospital infection control among medium and small hospital nurses", 석사, pp.2008
- 박영미, "중환자실 간호사의 VRE에 대한 지식과 감염관리 인지도가 감염관리 수행에 미치는 영향", 기초간호자연과학회지, 11(1), pp.42~50 (2009), 기초간호자연과학회
- 박상연, "응급실 간호사의 감염관리 수행도 및 관련 요인", 기본간호학회지, 15(2), pp.153~160 (2008), 기본간호학회
- 성미혜, "간호사의 병원감염 관리에 대한 수행도에 영향을 미치는 요인", 한국직업건강간호학회지, 16(1), pp.5~14 (2007), 한국직업건강간호학회
- 엄동춘, "노인요양시설에서 노인수발 담당자의 응급처치에 대한 교육수요도 조사 - 일개 도시를 중심으로 -", 한국간호교육학회지, 15(1), pp.53~61 (2009), 한국간호교육학회
- van den Broek, P. J., "How much time should long-term care and geriatric rehabilitation facilities(nursing home) spend on infection control", American Journal of Infection Control, 38(9), pp.723~725 (2010)
- Wendt, C., "Infection control in German nursing homes", American Journal of Infection Control, 34(7), pp.426~429 (2006)
- 유성미, "중환자실내 병원성 요로감염 실태와 전파경로: Imipenem Resistant P. aeruginosa(IRPA)의 분자역학적 특성을 중심으로", Journal of Korean Academy of Nursing, 36(8), pp.1204~1214 (2006), 한국간호과학회
- "Practical guidelines for infection control in health care facilities" (2004)[URL]