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Factors Influencing Performance about Practice of Infection Management by Child Care Center Teachers about Respiratory Tract Infections

호흡기감염에 대한 어린이집교사의 감염관리수행에 영향을 미치는 요인

  • Received : 2017.08.21
  • Accepted : 2017.10.20
  • Published : 2017.10.28

Abstract

This purpose of this study was to identify factors influencing performance about practice of infections management by child care center teachers about respiratory tract infection. The participant were 432 teachers working in child care center. Data were collected from July 2 to August 20, 2015 through a self-report questionnaire survey. The data was analyzed using the SPSS/WIN 18.0 program with descriptive analysis, t-test, one-way ANOVA, Pearson's correlation coefficient and Stepwise multiple regression analysis. Knowledge about causes and symptom of respiratory tract infections(${\beta}=.096$, p<.001),parenting experience(${\beta}=-1.993$, p<.001), and nursing knowledge(${\beta}=-.371$, p<.001) had significant positive effects on the practice of infection management. Explained variance for the practice of infection management was 43.4% and nursing knowledge was the most significant factor in the practice of infection management of child care center teachers.

본 연구는 호흡기감염에 대한 어린이집교사의 감염관리수행에 영향을 미치는 요인을 알아보기 위한 서술적 조사연구이다. 연구대상은 어린이집교사 432명으로, 자료수집은 2016년 7월 2일부터 8월 20일까지 진행되었다. 수집된 자료의 분석은 SPSS/WIN 18.0 프로그램을 이용하여, 기술통계, t-검정, 일원분산분석, 피어슨 상관관계분석, 다중회귀분석을 하였다. 연구결과, 호흡기감염의 원인과 증상에 관한 지식, 간호지식, 감염관리수행과 유의한 상관관계를 보였으며, 어린이집교사의 감염관리수행에 유의하게 영향을 미치는 요인은 간호지식(${\beta}=-.371$, p<.001), 양육경험(${\beta}=-1.993$, p<.001), 호흡기감염의 원인 및 증상에 관한 지식(${\beta}=.096$, p<.001)이었으며, 이들 변수가 감염관리수행 변인의 43.4%를 설명하였다. 이들 변수 중 감염관리수행에 가장 영향을 많이 미치는 변수는 간호지식이었다.

Keywords

References

  1. J. M. Kim, H. D. Jung, A. Lee, J. H. Choi, S. S. Kim, "Global prevalence of the human parainfluenza virus. division of respiratory viruses", Center for Infectious Diseases, NIH, CDC. 2017. http://cdc.go.kr/CDC/info/CdcKrInfo0301.jsp?menuIds=HOME001-MNU1154-MNU0005-MNU0037-MNU1380&q_type=&year=2017&cid=74576&pageNum=
  2. H. D. Jung, H. M. Cheong, S. S. Kim, "Prevalence of respiratory viruses in patients with acute respiratory infections", Divion of Respiratory Virus, Center for influenza virus, KNIH, KCDC. 2014. http://cdc.go.kr/CDC/info/CdcKrInfo0301.jsp?menuIds=HOME001-MNU1154-MNU0005-MNU0037&cid=66728
  3. K. H. Kim, "Role of Korean society of pediatric infectious disease during the middle east respiratory syndrome (MERS) outbreak in Korea", Pediatric Infection & Vaccine, Vol. 22, pp. 136-142, 2015. DOI: http://dx.doi.org/10.14776/piv.2015.22.3.136
  4. Organizacion Panamericana de la Salud, "Nuevo programa de enfermedades no transmisibles de la OPS: el predominio mundialy regional de las enferme -dades no transmisibles/New non-communicable diseases program at PAHO: the global and regional predominance of non-communicable diseases", Boletin Epidemiol, Vol. 16, pp.6-8, 1995.
  5. J. Garbino, M. W. Gerbase , W. Wunderli, C. Deffernez, Y. Thomas, T. Rochat, et al., "Lower respiratory viral illnesses: improved diagnosis by molecular methods and clinical impact", American Journal of Respiratory and Critical Care Medicine, Vol. 170, pp.1197-203, 2004. https://doi.org/10.1164/rccm.200406-781OC
  6. S. H. Kim, J. H. Huh, S. Bae, J. Kim, S. Yoon, C. S. Lim, Y. Cho, Y. K. Kim, K. N. Lee, C. K. Lee, "Epidemiology of respiratory viral infection in 2004-2006", Korean Journal of Laboratory Medicine", Vol. 26, pp.351-357, 2006. https://doi.org/10.3343/kjlm.2006.26.5.351
  7. World Health Organization (WHO), "The global burden of disease", 2004 update, WHO, 2008.
  8. Ministry of Health & Welfare (2017). Report for work of child care and education, http://www.mohw.go.kr/front_new/jb/sjb030301 vw.jsp?PAR_MENU_ID=03&MENU_ID=0320&CO NT_SEQ=340512&page=1
  9. E. S. Park, Y. J. Lim, E. J. Cho, "Development of an ecological model to improve health care management for children in child care centers", Child Health Nursing Research, Vol 19, No 1, pp. 59-68, 2013. DOI: http://dx.doi.org/10.4094/chnr.2013.19.1.59
  10. E. S. Kim, J. H. Lee, E. Y. Park. J. S. Kim, "Strategies for improving the environment of ECEC: exploring the most appropriate ratio of teachers vs. children", Korea Institute of Child Care and Education, 2016. http://www.kicce.re.kr
  11. I. O. Kim, H. J. Park, "A survey on knowledge, experience and educational need child care teacher on infant health management", The Journal of Korea Open Association for Early Childhood Education, Vol. 17, No. 5, pp.99-120, 2012.
  12. J. H. Lee, "Research on the child care center teachers' perception on respiratory disease of young children", Masters Thesis, Kyung Sung University, 2012.
  13. S. B. Moon, "Successful dissertations and theses: a practical and comprehensive guide to content and process", Hakgisa, 2011.
  14. M. K. Park, Y. S. Ko, K. I. Park, "Knowledge and practice level of infection management for child guardians with respiratory infections after H1N1 diffusion", Journal of Korean Academy of Child Health Nursing, Vol. 17, No.1, pp.1-9, 2009. DOI: http://dx. DOI: 10.4094/jkachn.2011.17.1.1
  15. A. R. Chung, M. S. Choi, "A study on kindergarten teacher's prevention and first aid knowledge, and control ability of respiratory infectious disease", Journal of Future Early Childhood Education, Vol. 24, No. 1, pp.413-438, 2017. DOI:http://dx.doi.org/10.22155/JFECE.24.1.413.438
  16. J. G. Ahn, D. Lee1, K. H. Kim, "Vitamin D and risk of respiratory tract infections in children: a systematic review and meta-analysis of randomized controlled trials", Pediatric Infection & Vaccine, Vol. 23, pp.109-116, 2016. DOI: http://dx.doi.org/10.14776/piv.2016.23.2.109
  17. A. R. Chung, M. S. Choi, G. S. Kang, "A survey on status of general nursing knowledge and practice of infection management by early childhood teachers about respiratory disease", The Journal of Korea Open Association for Early Childhood Education, Vol. 21, No. 1, pp.683-701, 2016. DOI: http://dx.doi.org/10.20437/KOAECE21-1-29
  18. D. W. Lee, I. S. Kwon, "Knowledge and practice of infection prevention by mothers of young children", Child Health Nursing Research, Vol. 15, No. 3, pp.306-313, 2009. http://www.dbpia.co.kr/Article/NODE01226185
  19. J. S. Kim, "Effects of a training program on infection prevention for staff of child daycare centers", Korean Journal of Child Health Nursing, Vol. 13, No. 4, pp.467-477, 2007.
  20. H. Y. Han, S. J. Park, M. N. Lee, K. A. Kang, "Disease prevalence, parent's educational needs, and disease management according to severity of respiratory infections in early childhood", Child Health Nursing Research, Vol. 21, No. 3, pp.227-235, 2015. DOI: http://dx.doi.org/10.4094/chnr.2015.21.3.227
  21. I. S. Kwon, Y. M. Seo, "Knowledge and practice on infection prevention of caregivers of hospitalized children", Korean Parent Child Health Journal, Vol. 13, No. 2, pp.102-109, 2010.
  22. M. K. Park, Y. S. Ko, K. I. Park, "Knowledge and practice level of infection management for child guardians with respiratory infections after H1N1 Diffusion (2009)", Child Health Nursing Research, Vol. 17, No. 1, pp.1-9, 2011. DOI:http://dx.doi.org/10.4094/jkachn.2011.17.1.1
  23. S. J. Kim, S. O. Yang, S. H. Lee, J. E. Lee, S. H. Kim, K. A. Kang, "Development and evaluation of a child health care protocol for child day care center teachers", Child Health Nursing Research, Vol. 17, No. 2, pp.74-83, 2011. DOI: http://dx.doi.org/10.4094/jkachn.2011.17.2.74
  24. I. O. Kim, H. J. Park, "A survey on knowledge, experience and educational need child care teacher on infant health management", The Journal of Korea Open Association for Early Childhood Education, Vol. 17, No. 5, pp.99-120, 2012.