Journal of dental hygiene science (치위생과학회지)

The Korean Society of Dental Hygiene Science (한국치위생과학회)
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A Study on Affect Factors in Dental Infection Control: Focus on Wash Hand and Put Gloves on of a Dental Step

치과감염관리 영향 요인에 대한 연구 -치과근무자의 손세척 및 장갑사용 실태를 중심으로-

  • Received : 2009.01.24
  • Accepted : 2009.03.07
  • Published : 2009.03.30
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Abstract

In previously study, many researchers have showed the infection control level and the knowledge of dental hygienists about dental infection control. But, they not tried to research the reason why hygienists don't keep to the infection control regulation closely. Therefore, this study was intended to highlight the affect factor that the infection control regulation keep in all dental hospitals well. The respondents in this research were the dental hygienists who worked in Incheon or Gyeonggi areas between June 16 and July 5, 2008 and who attended a complementary training program conducted by the Seoul Branch of Korean Dental Hygienists Association in April 2008. A total of 191 questionnaires were distributed to them, and the collected data was analyzed using SPSS WIN 12.0. Cross-tabulation analysis($X^2$), which significance level was 0.05, was applied to the data in order to verify the statistical significance of the survey method. According to replied, the reason why they don't used gloves were an unconvinced (38.9%), don't use by dentist (29.6%) and much expensive (9.3%). The gloves supplied a hygienist were proper in most case, 94.8%, but short in hospital, 12.0%. In order to take a good infection control they needed to change the conscious of dentist (66.5%), and the will of dentist is most important to do good infection control (37.2%). Subsequently, the will of dentist is the most important factor in infection control area and must be changed their mind on the infection control.

치과위생사의 감염관리 교육, 감염관리에 필요한 보호장비의 구비 및 착용 등이 모두 치과병원장과 관련된다. 따라서 본 연구는 치과 감염관리에서 치과병원장의 중요성에 대하여 살펴보고자 하였다. 1. 치과감염관리에 대한 추가교육이 치과위생사의 94.2%가 필요하다고 응답하였으며, 교육의 주체는 치과위생사협회가 되어야 한다고 47.1%가 응답하였다. 2. 치과의사의 관심도가 높을수록(높은편이다 이상 36.7%, 낮은편이다 이하 16.0%) 치과위생사가 교육경험이 높고, 치과의사의 관심도가 낮을수록(높은편이다 이상 18.8%, 낮은편이다 이하 31.3%) 치과위생사의 교육경험이 낮은 것으로 나타났다. 따라서 치과의사의 관심은 곧 치과위생사의 감염관리 교육과 관련있음을 알 수 있었다. 그러나 통계적으로 유의하지는 않았다. 3. 치과위생사의 의료용 장갑 사용은 매환자 사용이 42.4%, 필요시 51.8%로 통계적으로 유의한(<.001)것으로 조사되었다. 치과의사는 진료전 70.7%만이 항상 손세척을 하며 필요시 22.0%, 안하는 경우도 7.3%로 조사되었다. 이 결과는 통계처리 결과 유의한 것으로 조사되었다(<.001). 4. 감염관리에서 가장 의식개혁이 필요한 사람은 치과병원장이 66.5%, 치과위생사 31.9%로 조사되었다. 5. 감염관리가 잘 되기 위해서는 병원장의 의지가 37.2%로 가장 중요한 것으로 조사되었다. 다음으로 치과위생사의 26.2%, 법적규제와 의료보험 수가에 반영이 각각 20.4%, 15.2%로 조사되었다.

Keywords

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