The Journal of Korean Academy of Prosthodontics (대한치과보철학회지)

The Korean Academy of Prosthodonitics (대한치과보철학회)
권호 표지
DOI QR코드

DOI QR Code

A study on the impacts of infection control education on dental hygienists' perceptions for hepatitis type B and their practices to prevent infection

감염관리교육이 서울지역 치과위생사의 B형 간염에 대한 인식 및 감염방지행위 실천에 미치는 영향에 관한 연구

  • Kim, Bo-Young (Graduate School of Clinical Dentistry, School of Medicine, Ewha Womans University) ;
  • Park, Ji-Man (Department of Dentistry, School of Medicine, Ewha Womans University) ;
  • Park, Eun-Jin (Department of Dentistry, School of Medicine, Ewha Womans University)
  • 김보영 (이화여자대학교 임상치의학대학원) ;
  • 박지만 (이화여자대학교 의학전문대학원 치과학교실) ;
  • 박은진 (이화여자대학교 의학전문대학원 치과학교실)
  • Received : 2014.06.20
  • Accepted : 2014.07.22
  • Published : 2014.10.31
Download PDF
⟨ Previous Next ⟩

Abstract

Purpose: The purpose of this study is to examine the impacts of infection control education on dental hygienists' perceptions for hepatitis B and their behaviors. Materials and methods: Study participants were chosen by random selection among dental hygienists working in Seoul, Korea. A total of 150 questionnaires were sent out for the survey from April 2013 to May 2013, of which 140-excluding incomplete responses-were used for the study. Chi-square tests and t-tests were used (SPSS 19.0), and post-hoc analysis was performed as well. The maximum significance level was 0.05. Results: Average 1.53 times infection control education was taken, but dental hygienists' perceptions for hepatitis B and their behaviors did not show statistical differences whether the education was done or not. Practices to prevent infection showed differences depending on categories, especially disinfection and sterilization were well performed by educated group. The most common reasons for not taking the education and noncompliance with infection prevention guidelines are lack of time and opportunity due to busy schedule. Conclusion: 1. The more highly educated, the greater number of patients per day, and the greater size of hospitals, the better infection control education was conducted. 2. Although hepatitis B is one of the most common chronic liver diseases in Korea, no significant correlation between perceptions of hepatitis B and infection control education was found. 3. Dental hygienists who received infection control education performed more efficient practices for protection against infections than those who did not.

목적: 본 연구는 감염관리교육 유무에 따른 치과위생사의 B형 간염에 대한 인식 및 감염방지행위 실천에 미치는 영향을 조사하여, 그 결과를 토대로 감염관리교육 및 감염방지행위 실천을 강화하고자 한다. 재료 및 방법: 연구대상자는 서울지역의 치과대학병원, 종합병원 치과진료부, 치과병원 및 치과의원에 근무하고 있는 치과위생사들 중에서 단순 무작위 확률표본추출방법으로 선정하였다. 설문지는 B형간염에 대한 기본지식 8문항, 감염방지행위 실천 12문항, 감염관리교육 3문항, 교육 이수횟수에 관한 1문항, 일반적 특성 6문항 등 총 30문항으로 이루어 졌으며, 2013년 4월부터 5월까지 설문지140부를 분석에 사용하였다. 자료 분석은 IBM SPSS 19.0을 이용하여 Chi-square test, t-test, 사후검정을 시행하였다. 결과: 1년 동안 평균 1.53회의 감염관리교육을 받았으나 B형 간염 인식도는 교육의 유무에 관계없이 낮게 나타났고, 간염 환자 기구 처리 또한 교육의 유무에 따른 통계적으로 유의한 차이는 없었다. 그러나, 감염방지행위의 실천에 있어서는 항목에 따른 차이를 보여서, 마스크나 글러브 착용, 폐기물 처리 등 간단한 항목에서는 차이가 없는 방면, 버나 핸드피스 멸균, 수관소독 및 유니트체어 소독 등 멸균, 소독 항목에서는 통계적으로 유의한 차이를 보였다. 교육을 받지 못하거나, 교육을 받고도 실천을 못하는 가장 큰 이유는 환자가 많아서 바쁘고 기회가 없는 것으로 나타났다. 결론: 1. 병원의 규모가 크고, 1일 평균 환자 수가 많은 의료기관일수록, 최종학력이 높은 위생사 일수록 감염관리교육이 잘 이루어지고 있었다. 2'. B형 간염이 우리나라 만성간질환 중 가장 흔한 질환이다'라는 항목을 제외하고는, B형 간염에 대한 인식은 감염 관리 교육의 유무와 통계적으로 유의한 상관관계가 없는 것으로 나타났다. 3. 감염관리교육을 받은 치과위생사가 그렇지 않은 치과위생사보다 감염방지행위를 잘 실천하고 있는 것으로 나타났다.

Keywords

References

  1. Guideline on infection control in dental treatments. Korean Ministry of Health and Welfare. Division of Health Care Policy. Oral Health Team, 2006.
  2. Lim HS. A study on the development of the occupational health manual for hospital employee, 2002.
  3. Lee YA, Jo MJ, Bae JY, Park HS. A study on practice of infection control among dental staffs in dental office. J Dent Hyge Sci 2007;7:263-9.
  4. Park KE. Bacterial aerosol in dental clinic: associated with influence to subjective symptom of dental staff. Master's Thesis, Graduate School of Public Health Environmental Health, Yonsei University, 2010.
  5. Oh SY, Oh YK. Epidemiologic and virologic study of acquired immune deficiency syndrome. Korean National Institute of Health Report 1988;331-42.
  6. Kim HK, Lee SJ. The control of transmissible disease in dental practice in Seoul, Korea. J Korean Dent Assoc 1995;33:291-6.
  7. Schiff ER, de Medina MD, Kline SN, Johnson GR, Chan YK, Shorey J, Calhoun N, Irish EF. Veterans Administration cooperative study on hepatitis and dentistry. J Am Dent Assoc 1986;113:390-6. https://doi.org/10.14219/jada.archive.1986.0210
  8. Recommended infection-control practices for dentistry, 1993. Centers for Disease Control and Prevention. MMWR Recomm Rep 1993;42:1-12.
  9. Korean National Health and Nutrition Examination Survey. 2008. Ministry of Health, Welfare, and Family.
  10. Lim HJ. Influence of the infection control's recognition level of a dental hygienist on a practice degree. Master's Thesis, Graduate School of Social Development, Chung-Ang University, 2009.
  11. Choi GS. A study on using barrier techniques for infection control, and incidence rate of Hepatitis B infection of dental staff in Taegu. Master's Thesis, Gaduate School Department of Dentistry Oral Biology, Kyungpook National University, 1994.
  12. Siew C, Gruninger SE, Mitchell EW, Burrell KH. Survey of hepatitis B exposure and vaccination in volunteer dentists. J Am Dent Assoc 1987;114:457-9. https://doi.org/10.14219/jada.archive.1987.0109
  13. Choi SJ. A Study on the Status of Performance of Infection Control Standards in Dental Staff. Master's Thesis, Graduate School of Health Environment, Wonkwang University, 2010.
  14. Miller CH. Palenik CJ. Infection control: immunization. 2nd ed. Mosby; 1998. p. 111.
  15. Occupational health and safety administration. Occupational exposure to bloodborne pathogens; final rule. 29 CFR 1910.1030. Federal Register 1991;56:64175-82.
  16. Eun JH, Bae JY. Investigation about the actual prevention of infection and vaccination against B-type hepatitis among dental workers in Daegu. J Korean Acad Dent Hyg Edu 2005;5:219-33.
  17. Haley RW. Preliminary cost-benefit analysis of hospital infection control programs (the SENIC Project). In Dascher F, ed. Proven and unproven methods in hospital infection control. New York; Gustav Fischer Verlag; 1978. p. 93-6.
  18. Haley RW, Quade D, Freeman HE, Bennett JV. The SENIC Project. Study on the efficacy of nosocomial infection control (SENIC Project). Summary of study design. Am J Epidemiol 1980;111:472-85. https://doi.org/10.1093/oxfordjournals.aje.a112928
  19. Haley RW, Hooton TM, Schoenfelder JR, Crossley KB, Quade D, Stanley RC, Culver DH. Effect of an infection surveillance and control program on the accuracy of retrospective chart review. Am J Epidemiol 1980;111:543-55. https://doi.org/10.1093/oxfordjournals.aje.a112933
  20. Haley RW. The "hospital epidemiologist" in U.S. hospitals, 1976-1977: a description of the head of the infection surveillance and control program. Report from the SENIC project. Infect Control 1980;1:21-32. https://doi.org/10.1017/S019594170005236X
  21. Haley RW, Morgan WM, Culver DH, White JW, Emori TG, Mosser J, Hughes JM. Update from the SENIC project. Hospital infection control: recent progress and opportunities under prospective payment. Am J Infect Control 1985;13:97-108. https://doi.org/10.1016/S0196-6553(85)80010-9
  22. Haley RW, Culver DH, White JW, Morgan WM, Emori TG, Munn VP, Hooton TM. The efficacy of infection surveillance and control programs in preventing nosocomial infections in US hospitals. Am J Epidemiol 1985;121:182-205. https://doi.org/10.1093/oxfordjournals.aje.a113990
  23. Hughes JM. Nosocomial infection surveillance in the United States: historical perspective. Infect Control 1987;8:450-3. https://doi.org/10.1017/S0195941700069769
  24. Lim J, Kim S, Ke S, Cho B. The Association Chronic Liver Diseases with Health Related Behaviors in South Korea. Korean J Fam Med 2010;31:302-7. https://doi.org/10.4082/kjfm.2010.31.4.302
  25. Namgyal P. Impact of hepatitis B immunization, Europe and worldwide. J Hepatol 2003;39:S77-82.
  26. Mahoney FJ, Kane M. Hepatitis B vaccine. In: Plotkin SA, Orenstein WA, Vaccines. 3rd ed. Philadelphia; WB Saunders Co.; 1999. p. 158-82.
  27. Chang BS, Lee JY, Han SB. Microbial Contamination of Ultrasonic Scalers, High-Speed Handpieces and Water Syringe Lines. J Periodontal Implant Sci 1997;27:941-6.
  28. Abel LC, Miller RL, Micik RE, Ryge G. Studies on dental aerobiology. IV. Bacterial contamination of water delivered by dental units. J Dent Res 1971;50:1567-9. https://doi.org/10.1177/00220345710500063601
  29. Gross A, Devine MJ, Cutright DE. Microbial contamination of dental units and ultrasonic scalers. J Periodontol 1976;47:670-3. https://doi.org/10.1902/jop.1976.47.11.670
  30. Atack L, Luke R. Impact of an online course on infection control and prevention competencies. J Adv Nurs 2008;63:175-80. https://doi.org/10.1111/j.1365-2648.2008.04660.x
  31. Kim SK. A Study on the Status of Infection Control of Dental Health Care Worker. Master's Thesis, Graduate School of Public Administration, Dankook University, 2000.
  32. Ahn KS. Compliance with standard precaution among dental health care workers. Master's Thesis, Graduate School of Public Health, Chungnam National University, 2004.
  33. Cho HS. A Study on the Level of Recognition and Performance of the Clinical Nurses about the prevention of Nosocomial Infection. Master's Thesis, Soonchunhyang University Graduate School, 2000.
  34. Choi MA. A study on the level of recognition and performance of the clinical nurses about the management of nosocomial infection. Master's Thesis, Chungang University Graduate School, 2002.
  35. Choi JY. A Study on the Prevention of Nosocomial Respiratory Infection in Critical Care Nurses. Master's Thesis, Chungang University Graduate School, 1998.

Cited by

  1. Awareness and practice of dental unit waterline management in dental hygienist vol.16, pp.4, 2016, https://doi.org/10.13065/jksdh.2016.16.04.507
  2. 치과위생사의 감염관리 인지도와 실천도에 영향을 미치는 요인 vol.16, pp.2, 2014, https://doi.org/10.17135/jdhs.2016.16.2.183
  3. 치과위생사의 감염관리 인식과 수행 vol.17, pp.4, 2014, https://doi.org/10.13065/jksdh.2017.17.04.621
  4. 일부 임상치과위생사의 치과보철물 제작 과정에서의 감염관리에 대한 교육경험, 인식 및 실천도 vol.17, pp.4, 2014, https://doi.org/10.13065/jksdh.2017.17.04.681
  5. 치과의료기관의 특성에 따른 감염관리실태 -대구, 경북지역을 중심으로- vol.16, pp.5, 2014, https://doi.org/10.14400/jdc.2018.16.5.299
  6. 치위생과와 치기공과 대학생들의 B형간염 예방접종에 대한 지식, 태도, 건강신념과 예방접종률 융합연구 vol.9, pp.11, 2018, https://doi.org/10.15207/jkcs.2018.9.11.107
  7. 치과 종사자의 코로나-19의 지식도와 주관적 감염성 질환에 대한 노출위험도, 감염 관리 실천도의 관련성 연구 vol.3, pp.2, 2014, https://doi.org/10.22753/jkdhs/2020.3.2.27