Actual state of dental hygienist's behavior for infection control during dental practice and radiologic examination

치과진료와 방사선촬영 중에 치과위생사의 감염관리행위에 대한 실태조사

  • Choi, Hwa-Young (Dept. of Oral and Maxillofacial Radiology, School of Dentistry, Kyung Hee University) ;
  • Choi, Yong-Suk (Dept. of Oral and Maxillofacial Radiology, School of Dentistry, Kyung Hee University)
  • 최화영 (경희대학교 대학원 치의학과 구강악안면방사선학교실) ;
  • 최용석 (경희대학교 대학원 치의학과 구강악안면방사선학교실)
  • Received : 2011.01.05
  • Accepted : 2011.04.15
  • Published : 2011.04.30

Abstract

Objectives : This study was conducted to investigate the actual state of dental hygienist's behavior for infection control during dental practice and radiologic examination and to evaluate the dental hygienist's awareness of the importance of infection control in dental office. Methods : A survey on 218 dental hygienists was carried out. The respondents to complete a questionnaire were the dental hygienists who were in dental office on Gwang-ju area or attended complementary training conducted by the Seoul Branch of Korean Dental Hygienists Association in April 2010. The data were collected and analyzed with $x^2$ test, t-test, ANOVA using SPSS program. Results : The ratios of educational experience for infection control in dental practice and radiologic examination room accounted for 87.6% and 30.3% respectively. Behavior degree of mask-wearing in the dental practice and radiologic examination room were $4.60{\pm}0.70$ and $3.77{\pm}1.09$ respectively. Behavior degree of glove-wearing in the dental practice and radiologic examination room were $4.40{\pm}0.91$ and $3.68{\pm}1.17$ respectively. In case of the relation between educational experience and behavior degree in mask-wearing or glove-wearing, there was no significant difference in the performance of mask or glove wearing during dental practice, and mask-wearing during radiologic examination. However, there was a significant difference (p<0.05) in the performance of glove-wearing during radiologic examination, which revealed that behavior degree between the respondents having educational experience and the others no having it were $3.92{\pm}1.19$ and $3.58{\pm}1.14$ respectively. The surface disinfection control for radiation and protective equipments used in radiologic examination room was done by occasional needs without premeditated schedules. Conclusions : The result of this study shows lower behavior degree during radiologic examination compared with one during dental practice. We suggest that there are needs to raise the awareness of infection control and to improve infection control behavior, and through this study, the importance of education was verified.

Keywords

References

  1. 최금숙, 신영림, 송근배. 대구지역 치과 종사자들의 기초 방호법 시행정도에 대한 조사. 대한구강보건학회지 1997;21(1):57-72.
  2. 김각균. 치과진료실에서 감염관리 선언. 대한치과의사협회지 1994;32(6):398-399.
  3. Hardie J. Concerns regarding infection control recommendations for dental practice. J Can Dent Assoc 1992;58(5):337-386.
  4. 주재동. 치과감염예방 및 대책. 대한군진의학 학술지 1995;26(1):134-140.
  5. Molinari JA. Infection control: it's evolution to the current standard precaution. J American Dental Association 2003;134:569-574.
  6. CDC. Recommendation for Prevention of HIV in Health Care Setting. MMWR 1987;36:1-18.
  7. 오세광. 치과진료실에서의 감염관리 실무. 대한치과의사협회지 1995;33(3):184-187.
  8. 정원균, 강은주, 윤미숙 외 9인. 치과감염관리학. 1판. 서울:나래출판사;2002:33-171.
  9. 보건복지부. 치과진료감염관리 기준. 2006.
  10. 박나연. 응급실 간호사와 병동 간호사의 감염노출에 대한 인식 및 감염예방관리 실천 행위 비교[석사학위논문]. 서울:가톨릭대학교 산업보건대학원;2003.
  11. 민정현. 병원감염에 대한 일반적 주의 지침 이행 실태 및 관련요인[석사학위논문]. 서울:가톨릭대학교 산업보건대학원;2002.
  12. 김희정. 대구지역 치과위생사의 치과진료감염관리 기준 이행실태[석사학위논문]. 대구:경북대학교 보건대학원;2007.
  13. 박향숙, 최정영, 심수현 외 3인. 치과위생사의 감염 관리 실천 행위에 관한 연구. 서울 및 인천 경기도를 중심으로. 치위생과학회지 2008;8(4):275-281.
  14. 최정영, 박향숙, 심수현 외 3인. 치과감염관리 영향 및 요인에 대한 연구. 치과근무자의 손 세척 및 장갑 사용 실태를 중심으로. 치위생과학회지 2009;9(1):35-41.
  15. 최영숙, 전보혜, 조영식. 치과위생사의 감염관리실천이 노출예방에 미치는 영향. 한국치위생교육학회지 2010;10(2):255-268.