Browse > Article
http://dx.doi.org/10.5932/JKPHN.2021.36.1.20

Perception of COVID-19, and Knowledge, Attitude and Practice of Hand washing in Elementary School Students  

Lee, Young-Hee (College of Nursing, Ajou University)
You, Mi-Ae (College of Nursing, Institute of Nursing Research, Ajou University)
Publication Information
Journal of Korean Public Health Nursing / v.36, no.1, 2022 , pp. 20-32 More about this Journal
Abstract
Purpose: This study aimed to investigate factors affecting handwashing practice among elementary school students by assessing the perception of coronavirus disease-19 (COVID-19) and characteristics related to knowledge, attitude, and practice of handwashing. Methods: The cross-sectional study design and an online self-reported survey were used in this study. The subjects were 211 elementary students at a school located in G province, Korea. Data were collected from January 4 to 8, 2021. The data were analyzed using SPSS version 25.0. Results: Mean scores for knowledge, attitude, and practice of handwashing were 17.09 (out of 20), 21.15 (out of 24), and 27.51 (out of 33), respectively. There were significant positive correlations between the perception of COVID-19 and knowledge of handwashing (r=.23, p=.001), between knowledge and attitude toward handwashing (r=.45, p<.001), between knowledge and practice of handwashing (r=.18, p=.010), and between attitude and practice of handwashing (r=.28, p<.001). The factors influencing handwashing practice were handwashing frequency at home (β=.39, p<.001), handwashing frequency at school (β=.18, p=.006), and attitude toward handwashing (β=.15, p=.026), which explained 34.2% of the variance. Conclusion: These results suggest a need to raise awareness of the importance of handwashing and develop an education program for infectious disease prevention.
Keywords
Children; Hand disinfection; Knowledge; COVID-19; Attitude;
Citations & Related Records
Times Cited By KSCI : 6  (Citation Analysis)
연도 인용수 순위
1 Kim, E. H. (2019). Individual personal prevention maneuver among high school students in Korea, Crisisonomy, 15(2), 71-83. https://doi.org/10.14251/crisisonomy.2019.15.2.71   DOI
2 Kim, K. H., Cho, E. Y., Kim, D. H., Kim, H. W., Park, J. Y., Eun, B. W., Jo, D. S., Choi, S. H., Choi, J. H., Han, M. S., Choi, E. H., Kim, J. H., & The Korean Society of Pediatric Infectious Diseases. (2020). Guidelines for coronavirus disease 2019 response in children and adolescents. Pediatric Infection and Vaccine, 27(1), 24-34.   DOI
3 Korea Disease Control and Prevention Agency, Cheongju, (2021b, April). Safe schoollife with guidelines for prevention COVID-19. Retrieved April 28, 2022, from http://ncov.mohw.go.kr/infoBoardView.do?brdId=3&brdGubun=32&dataGubun=&ncvContSeq=5090&contSeq=5090&board_id=&gubun
4 Mbakaya, B. C., Lee, P. H., & Lee, R. L. (2017). Hand hygiene intervention strategies to reduce diarrhoea and respiratory infections among schoolchildren in developing countries: a systematic review. International Journal of Environmental Research Public Health, 14(4), 371. https://doi.org/10.3390/ijerph14040371   DOI
5 Park, D. K., Lee, M. S., Na, B. J., Bae, S. H., Kim, K. Y., Kim, C. W., & Kim, E. Y. (2008). Knowledge, attitude and practice of handwashing in high school students. Journal of The Korean Society of Maternal and Child Health, 12(1), 74-91.   DOI
6 Park, S. H. (2019). Knowledge, attitude and preventive behaviors related to middle east respiratory syndrome (MERS) in adults. Journal of Korean Public Health Nursing, 33(1), 33-46. https://doi.org/10.5932/JKPHN.2019.33.1.33   DOI
7 Ryu, S. H., Kwon, H. J., & Baek, K. A. (2013). Knowledge, attitude and practice of hand washing in elementary school students. Journal of the Korean Data Analysis Society, 15(5), 2701-2715.
8 Seo, Y. M., & Choi, W. H. (2020). COVID-19 prevention behavior and its affecting factors in high school students. The Korean Journal of Health Service Management, 14(4), 215-225. https://doi.org/10.12811/kshsm.2020.14.4.215   DOI
9 Korea Disease Control and Prevention Agency, Cheongju, (2021a, March). What's COVID-19? Retrieved April 28, 2022, from http://ncov.mohw.go.kr/baroView.do?brdId=&brdGubun=&dataGubun=&ncvContSeq=&contSeq=&board_id=&gubun=
10 World Health Organization Guidelines Approved by the Guidelines Review Committee. (2009). WHO guidelines on hand hygiene in health hare: first global patient safety challenge clean care is safer care(PMID:23805438, Bookshelf ID: NBK144013). Geneva.
11 Suen, L. K. P., Lung, V. Y. T., Boost, M. V., Au-Yeung, C. H., & Siu, G. K. H. (2019). Microbiological evaluation of different hand drying methods for removing bacteria from washed hands. Scientific Reports, 9, 13754. https://doi.org/10.1038/s41598-019-50239-4   DOI
12 Azor-Martinez, E., Cobos-Carrascosa, E., Seijas-Vazquez, M. L., Fernandez-Sanchez, C., Strizzi, J. M., Torres-Alegre, P., Santisteban-Martinez, J., & Gimenez-Sanchez, F. (2016). Hand hygiene program decreases school absenteeism due to upper respiratory infections. Journal of School Health, 86(12), 873-881. https://doi.org/10.1111/josh.12454   DOI
13 Chen, X., Ran, L., Liu, Q., Hu, Q., Du, X., & Tan, X. (2020). Hand hygiene, mask-wearing behaviors and its associated factors during the COVID-19 epidemic: a cross-sectional study among primary school students in Wuhan, China. International Journal of Environmental Research Public Health, 17(8). 2893. https://doi.org/10.3390/ijerph17082893   DOI
14 Mohammadi, M., Dalvandi, A., & Chakeri, A. (2020). A study of handwashing training effects on awareness, attitude, and handwashing skills of third grade elementary school students. Journal of Family Medicine and Primary Care, 9(2), 1149-1153. https://doi.org/10.4103/jfmpc.jfmpc_948_19   DOI
15 Hong, M. S. & Yeo, H. N. (2020). Study on the correlation between personal hygiene education experience and hand washing performance in school in accordance with the characteristics of adolescent. The Journal of Humanities and Social Sciences 21, 11(1), 553-564. http://dx.doi.org/10.22143/HSS21.11.1.41   DOI
16 Hong, S. H. (2016). Relationship between handwashing practices and morbidity of communicable diseases among Korean adults. Unpublished master's thesis. Konyang University. Daejeon. Korea.
17 Kang, S. H. (2014). Handwashing awareness among elementary students in Gyeonggi-Do and antibiotic resistance of staphylococcus aureus isolated on their hands(71-6410578-000044-0). Suwon: Gyeonggi-do Health and Environment Research Institute.
18 Yang, N. Y., Lee, M. S., Hwang, H. J., Hong, J. Y., Kim, B. H., Kim, H. S., Hong, S. J. Kim, E. Y., Kim, Y. T., & Park, Y. J. (2014). Related factors of handwashing with soap and its practices by students in South Korea. Journal of Korean Public Health Nursing. 28(2), 372-386. https://doi.org/10.5932/JKPHN.2014.28.2.372   DOI
19 Zhang, D. F., Lee, M. S., Hong, S. J., Yang, N. Y., Hwang, H. J., Kim, B. H., Kim, H. S., Kim, E. Y., Park, Y. J., Lim, G. U., & Kim, Y. T. (2015). Relationship between handwashing practices and infectious diseases in Korean students. Journal of Agricultural Medicine and Community Health, 40(4), 206-220. http://dx.doi.org/10.5393/JAMCH.2015.40.4.206   DOI
20 Lee, Y. K. & Shin, H. H. (2017). A feasibility study of hand hygiene status in Korea hospitals. Journal of The Korea Institute of Healthcare Architecture, 23(3), 9-17. https://doi.org/10.15682/jkiha.2017.23.3.9   DOI
21 Park, S. Y. & Kim, M. (2010). The factors affecting children's preventive behaviors for novel influenza A(H1N1). Korean journal of health education and promotion, 27(1), 9-19.
22 Shin, Y. H., Kim. E. J., Shin. H. E., Lee. J. H. & Jeong., S. R. (2018). A program to build early school-aged child's personal hygiene habits based on health belief model. Korean Journal of Health Promotion, 18(1), 51-59. https://doi.org/10.15384/kjhp.2018.18.1.51   DOI
23 Yi, H. N., Jeong, H. N. & Kim, J. S. (2021). Correlations among knowledge, attitude and compliance with preventive behaviors of COVID-19 among college students: a three-group(nursing, other health sciences, and non-health sciences) comparative study. Nursing & Health Issues, 26(1), 39-52. https://doi.org/10.33527/nhi2021.26.1.39   DOI
24 Kim, Y. I. & Choi, M. J. (2010). The effect of handwashing education program on knowledge, attitude and practice of handwashing in late school-aged children. Journal of The Korean Society of School Health, 23(2), 162-171.
25 Ministry of Education, Sejong, (2021, September). Guidelines for prevention COVID-19 in school(5th). Retrieved April 28, 2022, from https://moe.go.kr/boardCnts/listRenew.do?boardID=72756&renew=72756&m=031304&s=moe
26 Kim, G. R. (2009). Effects of hand washing education of primary school children. Unpublished master's thesis, Hanyang University, Seoul. Korea.
27 Hwang, H. J., Lee, M. S., Hong, J. Y., & Kim, K. H. (2014). Related factors with handwashing and cough etiquette among school adolescent in one metropolitan city. Proceedings of the Korean Society of Industrial Academia and Technology Conference, 2, 648-651.
28 Jung, D. G. (2021). Knowledge, attitudes, and practice of secondary school students toward COVID-19 epidemic in Korea. The Journal of Educational Development, 40(4), 845-860. https://doi.org/10.34245/jed.40.4.845   DOI
29 Kim, G. H, & Kwon, Y. S. (2018). A study on the hand washing practice of a clinical nurse in a hospital based on health belief model. Journal of the Korean Applied Science and Technology, 35(2), 532-539. http://dx.doi.org/10.12925/jkocs.2018.35.2.532   DOI