기본간호학회지 (Journal of Korean Academy of Fundamentals of Nursing)

  • 제19권2호
  • /
  • Pages.212-222
  • /
  • 2012
  • /
  • 1225-9012(pISSN)
  • /
  • 2287-1802(eISSN)
기본간호학회 (Korean Academy of Fundamentals of Nursing)
권호 표지
DOI QR코드

DOI QR Code

VRE 환자의 보호자를 위한 감염관리 교육의 효과

Effects of Infection Control Education for Families of VRE Patients

  • 서정 (동아대학교 의료원) ;
  • 강지연 (동아대학교 간호학과)
  • 투고 : 2011.11.02
  • 심사 : 2012.02.26
  • 발행 : 2012.05.31
PDF 다운로드
⟨ 이전 논문 다음 논문 ⟩

초록

Purpose: The purpose of this study was to examine the effects of infection control education for families of patients infected with vancomycin resistant enterococcus (VRE). Method: Forty family members of VRE patients were chosen from a university hospital and assigned to the experimental or control group. The experimental group was provided infection control education that consisted of one-on-one instruction using an information booklet, hand-washing video, and demonstration of hand washing practice. Dependent variables were self-reported knowledge and performance of VRE infection control measures, and the number of hand washings when entering and leaving patients' rooms. Results: Knowledge and performance scores were significantly higher for the experimental group compared to the control group. The experimental group washed their hands significantly more often when entering and leaving patients' rooms than the control group. Conclusion: Infection control education for family members of VRE patients was effective in improving knowledge and performance of infection control measures as well as improving the practice of hand washing. Further investigation is needed on the effects of infection control education for families on the actual VRE colonization and/or infection rate.

키워드

참고문헌

  1. Bobolia, J. (2006). Infection control for the family of the home hospice patient. Home Healthcare Nurse, 24, 624-626. https://doi.org/10.1097/00004045-200611000-00004
  2. Canadian Nosocomial Infection Surveillance Program. (2008). Surveillance for vancomycin resistant enterococci (VRE) in patients hospitalized in Canadian acute-care hospitals participating in CNISP 2006 results. Retrieved June 20, 2011, from http://www.phac-aspc.gc.ca/nois-sinp/pdf/vre-erv06-result-eng.pdf
  3. Carmeli, Y., Eliopoulos, G., Mozaffari, E., & Samore, M. (2002). Health and economic outcomes of vancomycin -resistant enterococci. Archives of Internal Medicine, 162, 2223-2228. https://doi.org/10.1001/archinte.162.19.2223
  4. Centers for Disease Control and Prevention. (2009). Antibiotic/ antimicrobial resistance education campaigns. Retrieved April 16, 2012, from http://www.cdc.gov/drugresistance/campaigns.html
  5. Clancy, M., Graepler, A., Wilson, M., Douglas, I., Johnson, J., & Price, C. S. (2006). Active screening in high-risk units is an effective and cost-avoidant method to reduce the rate of methicillin-resistant staphylococcus aureus infection in the hospital. Infection Control and Hospital Epidemiology, 27, 1009-1017. https://doi.org/10.1086/507915
  6. Farr, B. (2006). Doing the right thing (and figuring out what that is). Infection Control and Hospital Epidemiology, 27, 999-1003. https://doi.org/10.1086/508672
  7. Given B., Sherwood P. R., & Given C. W. (2008). What knowledge and skills do caregivers need? American Journal of Nursing, 108, 28-34.
  8. Hayden, M. K., Blom, D. W., Lyle, E. A., Moore, C. G., & Weinstein, R. A. (2008). Risk of hand or glove contamination after contact with patients colonized with vancomycin-resistant enterococcus or the colonized patients' environment. Infection Control and Hospital Epidemiology, 29, 149-154. https://doi.org/10.1086/524331
  9. Jang, Y. S. (2008). Annual trends of vancomycin-resistant rate of enterococci and incidence rate of vancomycin-resistant enterococci (VRE) in a tertiary-care teaching hospital. Unpublished master's thesis, Hanyang University, Seoul.
  10. Jeong, J. S., Choi, J. H., Lee, S. H., & Kim, Y. S. (2003). Hand hygiene effects measured by hand culture in intensive care unit. Journal of Korean Biological Nursing Science, 5, 21-30.
  11. Kang, J., Cho, J., Kim, Y., Kim, D., Lee, J., Park, H., et al. (2009). Hospital nurses' knowledge and compliance with multidrug-resistant organism infection control guidelines. Journal of Korean Academy of Nursing, 39, 186-197. https://doi.org/10.4040/jkan.2009.39.2.186
  12. Kim, N. & Choi, K. (2002). Effects on nurses' hand washing behavior and reduction of respiratory isolation rate of MRSA of the hand washing education. Korean Journal of Adult Nursing, 14, 26-33.
  13. Kweon, O. M. (2008). The isolation experience of VRE (Vancomycin-resistant enterococci) patient. Unpublished master's thesis, Yonsei University, Seoul.
  14. Lee, J. S. (2003). A study on the knowledge and performance of the clinical nurses about the VRE isolation. Unpublished master's thesis, Ewha Womans University, Seoul.
  15. Lee, J. S., Kim, S., Kim, H., Na, J., Yang, K., Woo, J., et al. (2005, November). Performance improvement for effective management of VRE isolation rooms. Poster session presented at the annual fall conference of the Korean society of quality assurance in health care, Daegu.
  16. Lim, S., Jeong, H., Yang, J., & Cho, Y. (2009, November). Infection control activities for managing VRE isolation rooms according to the guideline and its effects. Poster session presented at the annual fall conference of the Korean society of quality assurance in health care, Busan.
  17. Ministry for Health and Welfare. (2005). Guideline for prevention and management of hospital infection. Seoul: Ministry for Health and Welfare of Korea.
  18. Muto, C. A., Jernigan, J. A., Ostrowsky, B. E., Richet, H. M., Jarvis, W. R., Boyce, J. M., et al. (2003). SHEA guideline for preventing nosocomial transmission of multidrug -resistant strains of staphylococcus aureus and enterococcus. Infection Control and Hospital Epidemiology, 24, 362-386. https://doi.org/10.1086/502213
  19. Park, E., Jung, S., Jeong, J., Yoon, S., Yoo, S., Jin, H., et al. (2007). A study on the costs of hospital infection control and prevention. Korean Journal of Nosocomial Infection Control, 12, 50-57.
  20. Park, Y. M., Park, H., & Park, K. (2008). Factors influencing level of awareness and compliance with vancomycin -resistant enterococcus infection control among nurses in intensive care units. Journal of Korean Academy of Fundamentals of Nursing. 15, 531-538.
  21. Perugini, M. R., Nomi, S. M., Lopes, G. K., Belei, R. A., van der Heijden, I. M., Mostachio, A. K., et al. (2011). Impact of the reduction of environmental and equipment contamination on vancomycin-resistant enterococcus rates. Infection, 39, 587-593. https://doi.org/10.1007/s15010-011-0140-6
  22. Picheansathian, W., Pearson, A., & Suchaxaya, P. (2008). The effectiveness of a promotion programme on hand hygiene compliance and nosocomial infections in a neonatal intensive care unit. International Journal of Nursing Practice, 14, 315-321. https://doi.org/10.1111/j.1440-172X.2008.00699.x
  23. Pittet, D. (2000). Improving compliance with hand hygiene in hospitals. Infection Control and Hospital Epidemiology, 21, 381-386. https://doi.org/10.1086/501777
  24. Pyeon, S. J. (2004). A study on recognition and practices level by nurses in critical care unit about nosocomial infection control & prevention: on general infection, MRSA & VRE infection control. Unpublished master's thesis, Ajou University, Suwon.
  25. Sax, H., Perneger, T., Hugonnet, S., Herrault, P., Chraiti, M., & Pittet, D. (2005). Knowledge of standard and isolation precautions in a large teaching hospital. Infection Control and Hospital Epidemiology, 26, 298-304. https://doi.org/10.1086/502543
  26. Siegal, J., Rhinehart, E., Jackson, M., Chiarello, L., & HICPAC. (2006). Management of multidurg-resistant organisms in healthcare settings, 2006. Retrieved April 2, 2010, from http://www.cdc.gov/hicpac/pdf/guidelines/MDROGuideline2006.pdf
  27. The Steering Committee of the Korean Nosocomial Infections Surveillance System (2010). Korean nosocomial infections surveillance system (KONIS) report: Data summary from July 2009 through June 2010. Retrieved September 20, 2011, from http://152.99.75.135:8080/sub/reports_icu.htm/
  28. Won, S., Chou, H., Hsieh, W., Chen, C., Huang, S., Tsou, K., et al., (2004). Handwashing program for the prevention of nosocomial infections in a neonatal intensive care unit. Infection Control and Hospital Epidemiology, 25, 742-746. https://doi.org/10.1086/502470

피인용 문헌

  1. Monitoring of Antimicrobial Resistance and Genetic Analysis of Enterococcus spp. Isolated from Beef, Pork, Chicken and Fish in Korea vol.29, pp.3, 2014, https://doi.org/10.13103/JFHS.2014.29.3.228
  2. 반코마이신 내성 장구균 환자 보호자의 질병 불확실성과 감염관리 수행 vol.15, pp.6, 2012, https://doi.org/10.5392/jkca.2015.15.06.346