요양보호사의 감염관리 수행도

Abstract

The purpose of this study was to identify the knowledge of the infection prevention and the performance of infection control of care workers and to provide the basic data of the infection control education program for care workers. Participants in this study ​were care workers working at the long-term care facilities in J area. The number of all subjects ​was 190 and the data were collected by using self-report questionnaires from May 20, 2014 until June 28, 2014. The data were analyzed by using descriptive statistics, t-test, ANOVA, Duncan test, Pearson's correlation coefficient and Stepwise multiple regression with SAS 9.2 version.

The results of this study ​were summarized as follows.

1) The mean score of the subjects' knowledge of the infection prevention showed 0.83 (SD=0.08). In the subscales mean score of knowledge of the infection prevention, 'patient's excretion management' and 'wound infection management' were the highest as 0.99 (SD=0.07) and 'patient room cleaning' was the lowest as 0.57 (SD=0.15). The mean score of the subjects' performance of infection control was 3.60 (SD=0.47). In the subscales mean score of performance, 'personal hygiene' was the highest as 3.79 (SD=0.39). Respiratory infection control was the lowest as 3.28 (SD= 0.85).

2) The subjects' knowledge of infection prevention by general and job-related characteristics had a statistically significant difference by age (F=3.18, p=.025) and experiences of infection prevention management education (t=2.54, p=.015). The subjects' performance of infection control by general and job-related characteristics had a statistically significant difference by age (F=2.80, p=.041) and experiences of infection prevention management education (t=2.53, p=.015). The group of thirties to fifties had higher performance than the group of twenties and the group with experiences of infection prevention management education showed the higher performance of infection control.

3) It showed that the care worker's knowledge of infection prevention had a positive correlation (r=.308, p=<.001) with the performance of infection control. In other words, as the care worker's knowledge of infection prevention became higher, the performance of infection control became higher. 4) Performance of infection control was significantly predicted by knowledge of the infection prevention (β=0.393, t=5.87, p=<.001). Knowledge of the infection prevention explained 15.0% of the variance of performance of infection control.

The results showed that the knowledge of the infection prevention was the major factor that impacted on the performance of the infection control. Therefore, it is important to develop and apply the program to improve the care worker's the knowledge of infection prevention and the performance of infection control.