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Development and Effects of a Hand-washing Program using Role-playing for Preschool Children

학령전기 아동의 역할 놀이를 이용한 손 씻기 프로그램 개발 및 효과

  • Received : 2018.09.27
  • Accepted : 2018.11.19
  • Published : 2019.04.30

Abstract

Purpose: A hand-washing program using role-playing was developed for preschool children and tested to verify its usefulness. Methods: The participants were 46 preschool children (experimental group, 23; control group, 23). Data were collected from August 7, 2017 to September 20, 2017. The first posttest was carried out on the day after the initial intervention was completed, and the second posttest was performed after a month. Data were analyzed using the $x^2$ test, Fisher exact test, Shapiro-Wilk test, Mann-Whitney test, and Friedman test. Results: In the experimental group, the frequency of practicing hand-washing was significantly higher than in the control group on the next day (z=-4.94, p<.001) and after a month (z=-3.15, p=.002). The accuracy of hand-washing was significantly higher in the experimental group than in the control group on the next day (z=-4.02, p<.001) and after a month (z=-3.86, p<.001). Conclusion: The hand-washing program developed in this study was found to be an effective intervention strategy for improving the frequency and accuracy of hand-washing among preschool children.

Keywords

References

  1. Statistics Korea. Cause of death statistics press release [Internet]. Daejeon: Statistics Korea; 2015 [cited 2017 February 6]. Available from: http://kostat.go.kr/portal/korea/kor_nw/2/6/1/index.board?bmode=read&aSeq=356345.
  2. Kim YH. Infection microorganisms and nursing. 1st ed. Seoul: Hyunmoon; 2017. p. 51-66.
  3. Zhang DF, Lee MS, Hong SJ, Yang NY, Hwang HJ, Kim BH, et al. Relationship between handwashing practices and infectious diseases in Korean students. Journal of Agricultural Medicine and Community Health. 2015;40(4):206-220. https://doi.org/10.5393/JAMCH.2015.40.4.206
  4. Park JS, Kim DB, Min HG. Comparison of desiccation methods after hand washing for removing bacteria. Journal of Korean Biological Nursing Science. 2011;13(1):8-15.
  5. UNICEF Korea. Global handwashing day, October 15 [Internet]. Seoul: UICEF Korea; 2009 [cited 2017 October 31]. Available from: https://www.unicef.or.kr/news/news_view.asp?idx=12272.
  6. Talaat M, Afifi S, Dueger E, El-Ashry N, Marfin A, Kandeel A, et al. Effects of hand hygiene campaigns on incidence of laboratory-confirmed influenza and absenteeism in schoolchildren, Cairo, Egypt. Emerging Infectious Diseases. 2011;17(4):619-625. https://doi.org/10.3201/eid1704.101353
  7. Luby SP, Agboatwalla M, Feikin DR, Painter J, Billhimer W, Altaf A, et al. Effect of handwashing on child health: A randomised controlled trial. The Lancet. 2005;366(9481):225-233. https://doi.org/10.1016/S0140-6736(05)66912-7
  8. Yang NY, Lee MS, Hwang HJ, Hong JY, Kim BH, Kim HS, et al. Related factors of handwashing with soap and its practices by students in South Korea. Journal of Korean Public Health Nursing. 2014;28(2):372-386. https://doi.org/10.5932/JKPHN.2014.28.2.372
  9. Larson E, McGeer A, Quraishi ZA, Krenzischek D, Parsons BJ, Holdford J, et al. Effect of an automated sink on handwashing practices and attitudes in high-risk units. Infection Control and Hospital Epidemiology. 1991;12(7):422-428. https://doi.org/10.2307/30148304
  10. Choi NY, Jeon MY, Seo HM, Seok JW, Kim MS, Jeong HC. Development and evaluation of a combined health promotion program for preschool children. Journal of Korean Academy of Child Health Nursing. 2010;16(4):314-323. https://doi.org/10.4094/jkachn.2010.16.4.314
  11. Choi MS, Jung AR, Kwang GS. A survey on status of general nursing knowledge and practice of infection management by early childhood teachers about respiratory disease. The Journal of Korea Open Association for Early Childhood Education. 2016;21(1):683-701. https://doi.org/10.20437/KOAECE21-1-29
  12. Ministry of Health and Welfare. Scale of infant education [Internet]. Daejeon: Ministry of Health and Welfare; 2016 [cited 2017 April 20]. Available from: http://www.index.go.kr/potal/main/EachDtlPageDetail.do?idx_cd=1535.
  13. Kim DH, Park JH. Development of web-based infection prevention education program for children, parents and teachers. Journal of the Korea Academia-Industrial cooperation Society. 2018;19(3):430-438. https://doi.org/10.5762/KAIS.2018.19.3.430
  14. Yang HS, Kim KS. Effects of the daily life habit education using role-play on young children's daily life habit and self-regulation performances. Journal of Life-span Studies. 2014;4(1):33-48.
  15. Shin MS, Do R, Kim SJ, Park MY. Memory development: With children ranged from 4 to 12 years. The Journal of the Korean Association of Psychotherapy. 2010;2(1):13-23.
  16. Kim JE, Moon JH, Shin HA, Lee JS, Kwon SH, Lee JS, et al. Microbiological effect of hand safety after hand washing education for preschool children in a day care center. The Korean Journal of Culinary Research. 2011;17(3):141-150.
  17. Lee DW, Kwon IS, Jeong E. Development and effects of a child health management program based on cooperative learning for mothers of preschool children. Child Health Nursing Research. 2017;23(1):48-60. https://doi.org/10.4094/chnr.2017.23.1.48
  18. Centers for Disease Control and Prevention. When and how to wash your hands [Internet]. Washington D.C.: Centers for Disease Control and Prevention; 2016 [cited 2017 May 25]. Available from: https://www.cdc.gov/handwashing/when-how-handwashing.html.
  19. World Health Organization. Children: Reducing mortality [Internet]. Geneva: World Health Organization; 2018 [cited 2017 October 31]. Available from: http://www.who.int/mediacentre/factsheets/fs178/en/.
  20. Azor-Martinez E, Cobos-Carrascosa E, Seijas-Vasques ML, Fernandez- Sanchez C, Strizzi JM, Torres-Alegre P, et al. Hand hygiene program decreases school absenteeism due to upper respiratory infections. Journal of School Health. 2016;86(12):873-881. https://doi.org/10.1111/josh.12454
  21. akos L, Andras F, agnes L, Rita FA, Edina G, Sarolta MD, et al. Direct effect of contemporary health education programmes on the knowledge about hand hygiene and technique of hand washing in primary school age children. Orvosi Hetilap. 2018;159(12):485-490. https://doi.org/10.1556/650.2018.31031
  22. Kim YL, Choi MJ. The effect of handwashing education program on knowledge, attitude and practice of handwashing in late schoolaged children. The Journal of The Korean Society of School Health. 2010;23(2):162-171.
  23. Korea Centers for Disease Control and Prevention. The prevention of infectious disease of my own accord [Internet]. Cheongju: Korea Centers for Disease Control and Prevention; 2016 [cited 2017 September 11]. Available from: http://www.cdc.go.kr/CDC/notice/CdcKrIntro0201.jsp?menuIds=HOME006-MNU2804-MNU2937&cid=71413.
  24. Patrick DR, Findon G, Miller TE. Residual moisture determines the level of tough-contact-associated bacterial transfer following hand washing. Epidemiology and Infection. 1997;119(3):319-325. https://doi.org/10.1017/S0950268897008261
  25. National Food Safety Information Service. Video with Pororo and friends to prevent food poisoning [Internet]. Cheongju: Ministry of Food and Drug Safety; 2008 [cited 2017 May 25]. Available from: https://www.foodsafetykorea.go.kr/portal/board/board.do?menu_grp=MENU_NEW05&menu_no=2882.
  26. Lee HM. A study on children's attention and self-regulation based on children's characteristics [master's thesis]. Daegu: Kyungpook National University; 2014. p. 1-96.
  27. Jung JE, Chi S. Development and effects of sociodramatic play intervention continuums for young children. Korean Journal of Early Childhood Education. 2013;33(4):291-318. https://doi.org/10.18023/kjece.2013.33.4.013
  28. Ahn YM, Yun JM, Kim HH, Seo MY, Yeom MK. Effects of dental health education on dental health knowledge and dental hygiene status in preschoolers. Child Health Nursing Research. 2009;15(2):201-209. https://doi.org/10.4094/jkachn.2009.15.2.201
  29. Kim G. Effects of hand washing education of primary school children. The Korean Journal of Health Education. 2015;1(1):1-23.
  30. Bieri FA, Gray DJ, Williams GM, Raso G, Li YS, Yuan L, et al. Health-education package to prevent worm infections in Chinese schoolchildren. The New England Journal of Medicine. 2013;368(17):1603-1612. https://doi.org/10.1056/NEJMoa1204885