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손위생 및 개인보호구 착탈 교육이 일개대학 간호대학생의 손위생의 지식 및 개인보호구의 지식, 태도, 자기효능감에 미치는 효과

The Effect of Hand Hygiene and on Personal Protective Equipment Removal Education on the Hand hygiene Knowledge and Knowledge of PPE, Attitude, Self-Efficacy in Nursing Students

  • 강보라 (경북보건대학교 간호학과) ;
  • 이지아 (경북보건대학교 간호학과)
  • 투고 : 2022.09.26
  • 심사 : 2022.11.01
  • 발행 : 2022.11.30

초록

본 연구는 간호대학생에게 손위생 및 개인보호구 교육 시행에 따른 지식, 태도, 자기효능감의 효과를 알아보기 위하여 시행되었으며, 단일 그룹의 사전 사후 유사 실험으로 진행하였다. 연구 기간은 2021년 10월 28일부터 11월 30일까지이며, 일개대학의 간호학과 3학년 재학생 18명을 대상으로 구조화된 설문지를 이용하여 손위생과 개인보호구 교육 및 실습 전후 시행하였다. 자료 분석은 기술 통계 및 paired t-test 방법으로 분석하였다. 연구 결과 손위생 및 개인보호구 교육을 통해 손위생 지식(t=3.33, p=.004) 개인보호구 지식(t= -11.02, p<.001)이 유의하게 증가하였으며, 개인보호구에 대한 태도(t=-2.76, p=.013), 자기효능감(t=-3.69, p=.002) 모두 유의하게 증가되었다. 따라서 본 연구의 결과를 바탕으로 체계적이고 반복적인 손위생 및 개인보호구 교육 프로그램 개발이 필요할 것으로 생각되며, 프로그램 개발의 기초자료로 활용될 수 있을 것이다.

This study was to provide education on hand hygiene and personal protective equipment(PPE) to nursing students and to investigate the effects of knowledge, attitude, and self-efficacy. This was a single group, pre-post quasi-experimental design. This study was conducted from October 28 to November 30, 2021 using a structured questionnaire targeting 18 students in the 3rd year of college nursing. Data analyzed by descriptive statistics and paired t-test. As a result of the study, hand hygiene knowledge (t=3.33, p=.004) and PPE knowledge (t= -11.02, p<.001) significantly increased through hand hygiene and PPE education, and attitude toward personal protective equipment (t =-2.76, p=.013) and self-efficacy (t=-3.69, p=.002) all significantly increased. Therefore, based on the results of this study, it is considered necessary to develop a systematic and repetitive hand hygiene and personal protective equipment education program, and it will be used as basic data for program development.

키워드

참고문헌

  1. J.H. Yoo, "Principle and perspective of healthcare-associated infection control", Jurnal of Korean Medical Association, Vol. 61, No. 1, pp. 05-12, 2018.DOI:10.5124/jkma.2018 .61.1.5
  2. K.S. Cha and H.R. Park, "Endotracheal colonization and ventilator-associated pneumonia in mechanically ventilated patients according to type of endotracheal suction system", Journal of Korean Academy of Nursing, Vol. 41, No. 2, pp. 175-181, 2011. DOI:10.4040/jkan.2 011.41.2.175
  3. Korean Society for Nosocomial Infection control, "Infection control and prevention in healthcare facilities", Hanmi book, Seoul, 2017.
  4. S. Salmon, D. Pittet D, H. Sax and M.L. McLaws, "The 'my five moments for hand hygiene' concept for the overcrowded setting in resource-limited healthcare systems", Journal of Hospital Infection, Vol. 91, No. 2, pp. 95-99, 2015.DOI:10.1016/j.jhin.2015.04.011
  5. H. Sax, B. Allegranzi, I. Uckay, E. Larson, J. Boyce and D. Pittet, "My five moments for hand hygiene: A user-centred design approach to understand, train, monitor and report hand hygiene", Journal of Hospital Infection, Vol. 67, No. 1, pp. 09-21, 2007. DOI:10. 1016/j.jhin.2007.06.004 https://doi.org/10.1016/j.jhin.2007.06.004
  6. E.J. Yoon and M.H. Kim, "Knowledge and compliance with hand hygiene by nursing students in clinical practice", Journal of Korean Academic Society of Nursing Education, Vol. 19, No. 3, pp. 455-464, 2013. DOI: 10.5977/jkasne.2013.19.3.455
  7. D. Pittet, S. Hugonnet, S. Harbarth P. Mourouga, V. Sauvan, S. Touveneau and T.V. Perneger, "Effectiveness of a hospital-wide programme to improve compliance with hand hygiene: Infection Control Programme", Lancet, Vol 356, pp. 1307-1312, 2000. DOI:10.1016/S0140-6736(00)02814-2
  8. J.Y. Chun and H.B. Kim, "Hand hygiene", Journal of the Korean Medical Association, Vol. 61, No. 1, pp. 13-20, 2018. DOI:10.5124/jkma.2018.61.1.13
  9. E.S. Hwang and J.H. Park, "The effect of a scenario based hand hygiene education programon hand hygiene knowledge, hand hygiene perception, hand hygiene compliance and hand hygiene method in nursing students", Journal of Fundamentals of Nursing, Vol. 23, No. 2, pp. 194-203, 2016. DOI:/10.7739/jkafn.2016.23.2.194
  10. E.H. Kim and I.S. Jeong, "Level of complete knowledge on five moments of hand hygiene among nurses working at intergrated nursing care service wards", Journal of Korean Academy of Nursing, Vol. 51, No. 4, pp. 454-464, 2021. DOI:10.4040/jkan.21030
  11. H.D. Lee, E.K. Lee, B.G. Lee, J.H. Park, S.Y. Sung and J.W. Han, "Effects of nursing simulation education program on the use of personal protective equipment for COVID-19", J ournal of Korea Society for Simulation in Nursing, Vol. 9, No. 2, pp. 87-100, 2021. DOI:10.17333/JKSSN.2021.9.2.87
  12. S.K. Kim, "Healthcare workers infected with middle east respiratory syndrome coronavirus and infection control", Jurnal of Korean Medical Association, Vol. 58, No. 7, pp. 647-654, 2015. DOI:10.5124/jkma.2015.58.7.647
  13. M.H. Jeong, "Survey of exposure to blood and body fluids, knowledge, awareness and performance on standard precautions of infection control in nursing students", Journal of the Korea Contents Association, Vol. 15, No. 4, pp. 316-329, 2015. DOI:10.5392/JKCA.2015.15.04.316
  14. J.H. Seo and E.Y. Jung, "Factors influencing nursing students performance on standard precautions of infection control", Journal of Korean Biological Nursing Science, Vol. 19, No. 2, pp. 69-75, 2017. DOI:10.7586/jkbns.2017.19.2.69
  15. E.Y. Yoo and Y.K. Jung, "Training effectiveness of the COVID-19 infection control simulation program on nursing students", J ournal of Humanities and Social Sciences 21, Vol. 11, No. 6, pp. 939-953, 2020. DOI:10.22143/ hss21.11.6.66
  16. B.H. Kim and H.Y. Kang, "Knowledge, perception, and attitude related to personal protective equipment of student nurses: acute respiratory infections", Journal of the Korea Academia-Industrial cooperation Society, Vol. 20, No. 12, pp. 139-147, 2019. DOI:/10.33527/nhi2021.26.1.39
  17. S.I. Yang, "The study on relationship between characteristics of cultural exchanges, self efficacy, and cultural competency of nursing students", Journal of the Korea Contents Association, Vol. 14, No. 7, pp. 334-345, 2014. DOI:10.5392/JKCA.2014.14.07.334
  18. M.O. Kim, "Study on self efficacy, communication competency, critical thinking disposition and Clinical performance ability of nursing students", J ournal of the Korea AcademiaIndustrial cooperation Society, Vol. 17, No. 6, pp. 609-617. 2016. DOI:10.5762/KAIS.2016.17.6.609
  19. World Health Organization, "A guide to the implementation of the WHO multimodal hand hygiene improvement strategy", Retrieved fromhttps://apps.who.int/iris/handle/10665/70030, 2009.
  20. World Health Organization, "Hand hygiene knowledge questionnaire for health-care workers", Retrieved from http://www.who.int/infe ctionprevention/tools/hand-hygiene/evaluation_feedback/en/, 2009.
  21. J.H. Park and H.S. Kim, "The effect of the hand hygiene education program on hand hygiene knowledge, hand hygiene perception, nasal staphylococcus aureus colonization and hand hygiene adherence in nursing students", Journal of Korean Biological Nursing Science, Vol. 14, No. 3, pp. 156-165. 2012. DOI: 10.7586/jkbns.2012.14.3.1 56
  22. J.Y. Choi, "Nurse's knowledge, attitude and use of personal protective equipment related to acute respiratory infections", Doctoral thesis at Yonsei University Graduate School, 2016.
  23. Y.J. Cho, "The konwledge, attitude, safety climate and level of performance related to personal protective equipment use of intensive care unit nurses", Master's Thesis, Seoul National University Graduate School, 2020.
  24. K.N. Kim and O.C. Lee, "Knowledge, attitudes and perceptions of nurses on personal protective equipment: response to the middle east respiratory syndrome coronavirus", Journal of Korean Academy of Fundamentals of Nursing, Vol. 23, No. 4, pp. 402-410, 2016. DOI:10.7739/jkafn.2016.23 .4.402
  25. D.H. Kim, "Effects of visual stimuli using fluorescent marker on nurses' performance of donning and doffing of personal protective equipment", Master's Thesis, Chung-Ang University Graduate School of Major in Global nursing, 2017.
  26. J.Y. Choi and H.J. Jung, "Factors Influencing on Hospital Nurses' Performance of COVID-19 Infection Prevention Activities", The Journal of the Convergence on Culture Technology (JCCT), Vol. 8, No. 2, pp. 131-138, 2022. DOI:10.17703/JCCT.20 22.8.2.131