치과 진료실 감염예방 실천도의 관련요인 분석 (치과위생사를 중심으로)

Analysis on Relevant Factors in Practice of Prevention for Infections in Dental Clinics - (Focusing on Dental Hygienists)

치과위생사가 치과 진료실에서 감염예방 실천도의 관련 요인을 파악하여 치과위생사의 감염예방 실천도 제고를 위한 기초 자료로 제공하고자 본 연구를 수행하였다. 연구 대상은 2005년 10월과 11월에 인천경기도회와 서울시회 보수교육에 참여한 치과위생사 168명으로 하였으며, 감염예방에 관한 설문조사를 자기기입방식으로 시행하였다. 그 결과는 다음과 같다. 1. 일반적 특성과 실천도 분석 결과, 연령(F=3.237, p=0.024)과 근무 경력(F=3.333, p=0.021)에서 유의한 실천도 점수의 차이가 있었다. 2. 일반적 특성과 교육경험 여부는 근무처(X=19.823, p=0.001)에 따라, 지식도는 연령(F=4.895, p=0.003)에 따라 통계적으로 유의한 차이를 보였다. 3. 감염예방 교육경험이 있는 경우가 경험이 없는 경우에 비해 감염예방 실천도 점수가 높았다(t=3.315, p=0.001). 4. 지식도와 실천도의 상관관계 분석 결과는 통계적으로 유의하였다(p < 0.05). 5. 감염예방 교육경험에 따른 지식도 분석 결과, 교육경험이 있는 경우가 지식도 점수가 높게 나타났지만 통계적으로 유의한 차이는 없었다(t=1.336, p=0.183). 6. 조직관련요인과 실천도는 통계적으로 유의한 상관관계를 보였다(p < 0.01). 7. 감염예방 실천도의 관련요인 분석 결과에서는 조직관련요인이 높을수록 지식도가 높을수록 교육경험이 많을수록 근무경력이 많을수록 감염예방 실천도가 높게 나타났다.($R^2=0.32$). 위의 분석 결과 치과위생사의 감염예방 실천도 제고를 위해서는 학교의 교육과정에 감염 예방에 대한 내용을 다루어 치위생과 학생들의 감염예방 지식도를 높이고, 학교 졸업 후에도 근무병원 자체교육과 보수교육 등을 통한 지속적인 교육과 홍보를 할 수 있는 프로그램을 개발해야하며, 가장 중요한 것은 치과위생사들이 스스로에게 안전한 근무 환경을 조성하도록 조직의 적극적인 노력과 관심이 필요할 것으로 판단된다.

Objective: The study aimed to provide basic data for enhancing dental hygienists' practice of prevention for infections of dental hygienists by examining what factors there were in their preventing the infections in dental clinics. Method: The subjects of study were 168 dental hygienists who participated in continuing medical education of Incheon & Gyeonggi-do association and Seoul city association in October and November 2005. For the data analysis, an SPSS WIN 13.0 program was used and its significance level was 0.05. In terms of analysis methods, frequency analysis and technical statistics analysis were performed for general characteristics, ANOVA was performed for general traits, practice, medical environments for knowledge and practice analysis, correlation analysis was performed for the relation between knowledge & organization-related factors and practice, Chi-Square Tests were performed for the relation between general traits and educational experiences, T-test was performed for practice and knowledge according to the educational experiences for preventing infections and multiple regression analysis was performed for the factors that affect the practice for preventing infections. Result: knowledge showed statistically significant differences by age (F=4.895, p=0.003) and those with the education experiences in preventing infections had higher scores in practice of prevention for infections than those without them (t=3.315, p=0.001). The correlation between knowledge and practice was significant statistically (p<0.05), the factors related to organization showed significant correlation (p<0.01) and the higher the factors related to organizations, knowledge, education experiences, service career, the higher the practice for prevention of infections was ($R^2=0.32$). Conclusions: In order to enhance the dental hygienists' practice for the prevention of infections, it would be necessary to treat the contents of the infection prevention in educational curriculum at schools and enhance dental hygiene students' knowledge on the prevention of infection and to develop the programs, with which continuous education and PRS could be conducted through in-house education and continuing medical education of the hospital after school graduation and it has been believed that it would be the most important for dental hygienists to make efforts and interest in organizations actively so as to build up safe working environments.