DOI QR코드

DOI QR Code

Factors Influencing the Compliance of Cough Etiquette in Nursing Students

간호대학생의 기침예절 이행에 영향을 미치는 요인

  • 박경혜 (조선대학교 간호학과) ;
  • 강숙 (조선간호대학교)
  • Received : 2019.03.19
  • Accepted : 2019.06.07
  • Published : 2019.06.30

Abstract

This study was conducted to examine the correlations between knowledge and compliance of cough etiquette, and to identify the influencing factors on compliance of cough etiquette in nursing students. This was a descriptive study. Data were collected from september 3 to 14, 2018 in 173 nursing students. Data were collected through personal interviews using a questionnaire. Data were analyzed using t-test, one-way ANOVA, Kruskal-wallis test, Pearson's correlation coefficients, and stepwise multiple regression. Knowledge of cough etiquette according to the droplet infection related characteristics showed significant differences in hand washing. Compliance of cough etiquette according to the droplet infection related characteristics showed significant differences in carrying a tissue, carrying a handkerchief, hand washing, need education for cough etiquette. Knowledge of cough etiquette showed significant positive correlations with compliance of cough etiquette. Knowledge of cough etiquette, carrying a handkerchief, need education for cough etiquette, which accounted for 22% of the variance, were significant predictors influencing compliance of cough etiquette in nursing students. To improve compliance of cough etiquette in nursing students, it is necessary to carry handkerchief and to develop a education program that can raise knowledge with cough etiquette.

본 연구는 간호대학생의 기침예절에 관한 지식과 이행 수준 간의 관계 및 기침예절에 관한 이행 수준에 영향을 미치는 요인을 파악하기 위한 서술적 조사연구이다. 자료수집은 간호대학생 173명을 대상으로 2018년 9월 3일부터 14일까지 이루어졌다. 자료수집은 구조화된 질문지를 이용하여 자가보고하도록 하였다. 자료분석방법은 t-test, one-way ANOVA, Kruskal-wallis test, Pearson 상관분석, 단계적 다중 회귀분석을 사용하였다. 분석결과, 기침예절에 대한 지식은 손씻기 횟수에 따라 통계적으로 유의한 차이를 나타냈다. 기침예절에 대한 이행수준은 평소 티슈를 가지고 다니는 경우, 평소 손수건을 가지고 다니는 경우, 손씻기 횟수, 기침예절에 대한 교육 필요성에 따라 유의한 차이를 나타냈다. 기침예절에 관한 지식은 이행수준과 유의한 정적 상관관계를 나타냈다. 기침예절에 관한 이행 수준의 영향요인은 기침예절에 관한 지식, 평소 손수건을 가지고 다니는 경우, 기침예절에 대한 교육 필요성으로 총 변화량의 22%를 설명하였다. 본 연구를 통해 간호대학생의 기침예절에 대한 이행수준을 높이기 위해 평소 손수건을 휴대해야 하고 기침예절에 대한 지식을 높이기 위한 교육프로그램 개발이 필요하다.

Keywords

Table 1. Knowledge of cough etiquette

SHGSCZ_2019_v20n6_322_t0001.png 이미지

Table 2. Compliance of cough etiquette

SHGSCZ_2019_v20n6_322_t0002.png 이미지

Table 3. Difference of knowledge and compliance of cough etiquette by general and droplet infection related characteristics

SHGSCZ_2019_v20n6_322_t0003.png 이미지

Table 4. Correlation knowledge and compliance of cough etiquette

SHGSCZ_2019_v20n6_322_t0004.png 이미지

Table 5. Factors influencing compliance of cough etiquette

SHGSCZ_2019_v20n6_322_t0005.png 이미지

References

  1. B. Y. Jin, S. M. Kim, "University Students' Cough Etiquette Knowledge and Practice to Protect Droplet Infection", Journal of Korean Biological Nursing Science, Vol.17, No.4, pp. 348-355, Nov. 2015. DOI: https://doi.org/10.7586/jkbns.2015.17.4.348
  2. O. S. Kim, M. Y. Jeon, S. Y. Bang, "Survey of Knowledge and Preventive Measures against Novel Influenza during the National Novel Influenza Pandemic Outbreak", Korean Journal of Nosocomial Infection Control, Vol.15, No.2, pp.87-95, 2010.
  3. M. S. Lee, "Epidemiology and Challenges on the Middle East Respiratory Syndrome Coronavirus (MERS-CoV) Outbreak in Korea, 2015", Korean Journal of Health Education and Promotion, Vol.32, No.3, pp.1-9, Sep. 2015. DOI: https://doi.org/10.14367/kjhep.2015.32.3.1
  4. S. G. Kim, "Healthcare Workers Infected with Middle East Respiratory Syndrome Coronavirus and Infection Control", Journal of the Korean Medical Association, Vol.58, No.7, pp.647-654, Jul. 2015. DOI: https://doi.org/10.5124/jkma.2015.58.7.647
  5. Center for Disease Control and Prevention. Everyday Preventive Actions That Can Help Fight Germs, Like Flu [Internet]. Center for Disease Control and Prevention, 2016 [cited 2016 Oct. 24], Available From: https://www.cdc.gov/flu/pdf/freeresources/general/everyday-preventive-actions-8.5x11.pdf. (accessed Sep. 10, 2018)
  6. J. Y. Hong. Conducting Survey on Behaviors of Cough Etiquette and Developing Promotion Campaign for Preventing Respiratory Infectious Disease [Internet], Osong: Korea Centers for Disease Control and Prevention, 2015 [cited 2015 Feb. 20], Available From: https://www.cdc.go.kr/CDC/main.jsp. (accessed Sep. 21, 2018)
  7. Korea Center for Disease Control and Prevention. Cough Etiquette Poster [Internet]. Korea Center for Disease Control and Prevention, 2014-a [cited 2014 Apr. 10], Available from: https://www.tbzero.com/data/cold/.(accessed Sep. 20, 2018)
  8. Korea Center for Disease Control and Prevention. Actual Condition Survey of Cough Etiquette [Internet]. Korea Center for Disease Control and Prevention, 2014-b [cited 2014 June 20]. Available From: https://www.cdc.go.kr/CDC/intro/. (accessed Aug. 20, 2018)
  9. E. Larson, Y. H. Ferng, J. Wong, M. Alvarez-Cid, A. Barrett, M. J. Gonzalez, A. Barrett, M. J. Gonzalez, S. Wang, S. S. Morse, "Knowledge and Misconceptions regarding Upper Respiratory Infections and Influenza among Urban Hispanic Households: Need for Targeted Messaging", Journal of Immigrant and Minority Health, Vol.11, No.2, pp.71-82, April 2009. DOI: https://doi.org/10.1007/s10903-008-9154-2
  10. B. J. Cowling, K. H. Chan, V. J. Fang, C. K. Cheng, R. O. Fung, W. Wai, et al., "Facemasks and Hand Hygiene to Prevent Influenza Transmission in Households: a Cluster Randomized Trial", Annals of Internal Medicine, Vol.151, No.7, pp.437-446, 2009. https://doi.org/10.7326/0003-4819-151-7-200910060-00142
  11. A. E. Aiello, G. F. Murray, V. Perez, R. M. Coulborn, B. M. Davis, M. Uddin, D. K. Shay, S. H. Waterman, A. S. Monto, "Mask Use, Hand Hygiene, and Seasonal Influenza-like Illness among Young Adults: a Randomized Intervention Trial", The Journal of Infectious Diseases, Vol.201, No.4, pp.491-498, Feb. 2010. DOI: https://doi.org/10.1086/650396
  12. J. E. Aledort, N. Lurie, J. Wasserman, S. A. Bozzette, "Non-pharmaceutical Public Health Interventions for Pandemic Influenza: an Evaluation of the Evidence Base", BMC Public Health, Vol.7, No.208, pp.1-9, Aug. 2007. DOI: https://doi.org/10.1186/1471-2458-7-208
  13. O. S. Kim, J. H. Oh, K. M. Kim, "Knowledge and Compliance with Cough Etiquette among Nursing and Allied Health College Students", Korean Journal of Nosocomial Infection Control, Vol.17, No.2, pp.61-69, 2012.
  14. O. S. Kim, S. W. Yoon, "Knowledge, Compliance, and affecting factors of the Cough Etiquette to Prevent the Respiratory Infectious Disease Transmission on Convergence Study", Journal of Digital Convergence, Vol.16, No.10, pp.389-398, Oct. 2018. DOI: https://doi.org/10.14400/JDC.2018.16.10.389
  15. M. S. Song, N. Y. Yang, "Knowledge and Compliance with Cough Etiquette among Elderly in the Community", The Journal of Korean Academic Society of Home Care Nursing, Vol.24, No.1, pp.52-60, 2017.
  16. F. Faul, E. Erdfelder, A. G. Lang, A. Buchner, "G*Power 3: A Flexible Statistical Power Analysis Program of the Social, Behavioral, and Biomedical Sciences", Behavior Research Methods, Vol.39, No.2, pp.175-191, May 2007. DOI: https://doi.org/10.3758/BF03193146
  17. J. S. Choi, K. M. Kim, "Predictors of Respiratory Hygiene/Cough Etiquette in a Large Community in Korea: a Descriptive Study", American Journal of Infection Control, Vol.44, No.11, pp.e271-e273, Nov. 2016. DOI: https://doi.org/10.1016/j.ajic.2016.04.226
  18. F. Sultana, F. A. Nizame, D. L. Southern, L. Unicomb, P. J. Winch, S. P. Luby, "Pilot of an Elementary School Cough Etiquette Intervention: Acceptability, Feasibility, and Potential Sustainability", The American Journal of Tropical Medicine and Hygiene, Vol.97, No.6, pp.1876-1885, Dec. 2017. DOI: https://doi.org/10.4269/ajtmh.16-0914
  19. S. J. Schweon, S. L. Edmonds, J. Kirk, D. Y. Rowland, C. Acosta, "Effectiveness of a Comprehensive Hand Hygiene Program for Reduction of Infection Rates in a Long-term Care Facility", American Journal of Infection Control, Vol.41, No.1, pp.39-44, Jan. 2012. DOI: https://doi.org/10.1016/j.ajic.2012.02.010
  20. S. H. Lim, "Hand Washing and Preventive Measures for Middle East Respiratory Syndrome CoronaVirus", Korea Academy industrial cooperation society, Vol.17, No.2, pp.427-435, Feb. 2016. DOI: https://doi.org/10.5762/KAIS.2016.17.2.427
  21. J. S. Jeong, J. K. Choi, I. S. Jeong, K. R. Paek, H. K. In, K. D. Park, "A Nationwide Survey on the Hand Washing Behavior and Awareness", Journal of Preventive Medicine and Public Health, Vol.40, No.3, pp.197-204, May 2007. DOI: https://doi.org/10.3961/jpmph.2007.40.3.197
  22. S. M. Ryu, Y. J. Lim, "Knowledge, Attitude and Performance on the Hand Washing by Pre-practicum Nursing Students", Korea Academy Industrial cooperation Society, Vol.14, No.11, pp.5714-5722, Nov. 2013. DOI: https://doi.org/10.5762/KAIS.2013.14.11.5714