한국식품위생안전성학회지 (Journal of Food Hygiene and Safety)

  • 제34권1호
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  • Pages.73-86
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  • 2019
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  • 1229-1153(pISSN)
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  • 2465-9223(eISSN)
한국식품위생안전성학회 (The Korean Society of Food Hygiene and Safety)
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선원들의 손위생 수행에 영향을 미치는 요인 분석

Analysis of Factors Affecting Hand Hygiene Practices in Seafarers

  • 황정희 (한국해양수산연수원) ;
  • 박은기 (고신대학교 의과대학 인문사회의학교실) ;
  • 유병철 (고신대학교 의과대학 예방의학교실) ;
  • 이후장 (경상대학교 수의과대학.동물의학연구소)
  • Hwang, Jeong-Hee (Korea Institute of Maritime and Fisheries Technology) ;
  • Park, Eun-Kee (Department of Medical Humanities and Social Medicine, College of Medicine, Kosin University) ;
  • Yu, Byeng-Chul (Department of Preventive Medicine, College of Medicine, Kosin University) ;
  • Lee, Hu-Jang (Institute of Animal Medicine, College of Veterinary Medicine, Gyeongsang National University)
  • 투고 : 2018.10.18
  • 심사 : 2018.11.11
  • 발행 : 2019.02.28
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초록

본 연구는 선박이라는 특수한 환경에서 생활하는 선원을 대상으로 손위생 수행도에 영향을 미치는 요인들을 파악하여 선원 승선 생활에서의 기본적인 감염관리 활동을 독려하여 건강한 승선생활에 도움이 되고자 하였다. 본 조사는 선원교육기관에 교육을 받고 있는 선원 222명을 대상으로 2017년 7월부터 8월까지 설문조사를 실시하였다. 연구대상자의 승선 중 손위생 수행도는 75점 만점에 전체 평균 $47.97{\pm}11.62$으로 나타났으며, 항목별로는, 5점 만점기준으로 '업무나 작업을 마친 후'가 $4.04{\pm}1.03$으로 가장 높은 점수를 보였고 연구대상자의 손위생 수행도에 선박의 총 톤수, 승선 중 운동여부, 선내 비누비치여부가 다중회귀분석으로 영향을 미치는 요인으로 확인되었다. 본 연구의 결과에 기초하여 향후 선원들의 손위생 수행도와 이에 영향을 미치는 요인을 파악하는 후속연구가 필요하며, 일반적 특성, 직무특성, 건강관련 특성, 손위생 환경뿐만 아니라 다양한 변수들을 고려하여 선원의 손위생 수행에 영향을 미치는 요인들에 대한 세밀한 연구가 필요할 것으로 사료된다. 또한, 승선 중에 있는 선원들에 대한 손위생 수행에 대한 지속적인 관심이 필요하고 손위생 수행을 향상 시킬 수 있는 체계적인 방안이 구체적으로 마련되어야 할 것으로 판단된다.

Seafaring is an important occupation that requires stringent hand hygiene practices as a basic method for preventing food-borne illness and infectious diseases when the diseases occur on board. The purpose of this study is to provide fundamental data for the prevention of food-borne illness and infectious disease on the ship by investigating the level of hand hygiene practices and influencing factors. A total of 222 seafarers were surveyed at a seafarers' educational institution between July and August 2017. Their hand hygiene practice were examined by a modified method using the guidelines which are recommended by the World Health Organization, the Centers for Disease Control and Prevention, and Hand Hygiene Australia. The mean of hand hygiene practice was 47.97 out of 75 points. By category, the most frequent hand hygiene practice was measured as 4.04 on a 5-point scale as 'after working'. Factors affecting hand hygiene practices were ship tonnage relating to in job characteristics, exercise in health-related characteristics, and soap in relation to the characteristics of the hand hygiene environment on board. To improve hand hygiene among seafarers, it is necessary to raise awareness of hand hygiene among seafarers who work on small ships in particular, and to improve the systems of hand hygiene on ships with continuous education, hygiene practice evaluation and feedback.

키워드

참고문헌

  1. World Health Organization (WHO): Pandemic influenza risk management WHO interim guidance. Available from: http://www.who.int/influenza/preparedness/pandemic/GIP_PandemicInfluenzaRiskManagementInterimGuidance_Jun2013.pdf (2013).
  2. Chun, B.C.: Definition and management of the close contacts with Middle East respiratory syndrome cases: reflection and lessons in 2015 Korean outbreak. J. Korean Med. Assoc., 58, 692-699 (2015). https://doi.org/10.5124/jkma.2015.58.8.692
  3. Park, Y.A.: A study on collection and usage of panel data on on-board job taking and separation of Korean seafarers. J. Korea Port Econ. Assoc., 32, 149-163 (2016).
  4. Kim, J.H. and Jeon, Y.W.: A research on the perception level of seafarer related organizations in seafarer's actual health care conditions. J. Navig. Port Res., 39, 193-198 (2015). https://doi.org/10.5394/KINPR.2015.39.3.193
  5. National Law Information Center: Seafarers Act. No. 1529, National Law Information Center, Seojong (2017).
  6. National Law Information Center: Quarantine Act. No. 15266, National Law Information Center, Seojong (2017).
  7. Kim, J.H., Chang, S.R., Moon, S.B., Ha, H.D., Yang, W.J. and Lee, S.W.: Investigation into occupational disease of merchant crew. J. Navig. Port Res., 30, 551-559 (2006). https://doi.org/10.5394/KINPR.2006.30.6.551
  8. Kim, J.H., Jeong, E.S., Moon, S.B., Kim, J.G. and Lee, S.W.: Investigation into occupational disease of fishing crew. J. Navig. Port Res., 30, 405-414 (2006). https://doi.org/10.5394/KINPR.2006.30.5.405
  9. Lim, H.S.: Work-related injuries and diseases of fisheries in Korea. J. Agri. Med. & Community Health, 35, 21-35 (2010). https://doi.org/10.5393/JAMCH.2010.35.1.021
  10. Korea Center for Disease Control and Prevention (KCDC): Guideline for hand hygiene in healthcare facilities. KCDC, Cheongju, pp. 3-4 (2014).
  11. Grayson, M.L., Russo, P.L., Cruickshank, M., Bear, J.L., Gee, C.A., Hughes, C.F., Johnson, P.D., McCann, R., McMillan, A.J., Mitchell, B.G., Selvey, C.E., Smith, R.E. and Wilkinson, I.: Outcomes from the first 2 years of the Australian National Hand Hygiene Initiative. Med. J., 195, 615-619 (2011).
  12. Stone, S.P., Fuller, C., Savage, J., Cookson, B., Hayward, A., Cooper, B., Duc-kworth, G., Michie, S., Murray, M., Jeanes, A., Roberts, J., Teare, L. and Charlett, A.: Evaluation of the national clean your hands campaign to reduce Staphylococcus aureus bacteremia and Clostridium difficile infection in hospitals in England and Wales by improved hand hygiene: four year, prospective, ecological, interrupted time series study. BMJ, 344, e3005 (2012). https://doi.org/10.1136/bmj.e3005
  13. Kirkland, K.B., Homa, K.A., Lasky, R.A., Ptak, J.A., Taylor, E.A. and Splaine, M.E.: Impact of a hospital-wide hand hygiene initiative on healthcare-associated infections: results of an interrupted time series. BMJ Qual. Saf., 21, 1019-1026 (2012). https://doi.org/10.1136/bmjqs-2012-000800
  14. Chun, J.Y., Seo, H.K., Kim, M.K., Shin, M.J., Kim, S.Y., Kim, C.J., Song, K.H., Lee, H. and Kim, H.B.: Impact of a hand hygiene campaign in a tertiary hospital in South Korea on the rate of hospital-onset methicillin-resistant Staphylococcus aureus bacteremia and economic evaluation of the campaign. Am. J. Infect. Control., 44, 1486-1491 (2016). https://doi.org/10.1016/j.ajic.2016.07.009
  15. World Health Organization (WHO): Evidence of hand hygiene to reduce transmission and infections by multidrug resistant organisms in health-care settings. Available from: http://www.who.int/gpsc/5may/MDRO_literature-review.pdf?ua=1 (2014).
  16. Bloomfield, S.F., Aiello, A.E., Cookson, B., O'Boyle, C. and Larson, E.L.: The effectiveness of hand hygiene procedures in reducing the risks of infections in home and community settings including handwashing and alcohol-based hand sanitizers. Am. J. Infect. Control., 35, 27-64 (2007).
  17. Mathur, P.: Hand hygiene: Back to the basics of infection control. Indian J. Med. Res., 134, 611-620 (2011). https://doi.org/10.4103/0971-5916.90985
  18. Luby, S.P., Agboatwalla, M., Feikin, D.R., Painter, J., Billhimer, W., Altaf, A. and Hoekstra, R.M.: Effect of handwashing on child health: A randomized controlled trial. Lancet., 366, 225-233 (2005). https://doi.org/10.1016/S0140-6736(05)66912-7
  19. World Health Organization (WHO): Fact sheet $2^0$ - Hand washing and food safety. Available from: http://who.insomnation.com/sites/default/files/pdf/fan_hand%20wash2.pdf (2007).
  20. Centers for Disease Control and Prevention (CDC): Fact sheet - Stop germs! Stay healthy! Wash your hands. Available from: https://www.cdc.gov/handwashing/pdf/wash-your-hands-fact-sheet.pdf (2007).
  21. Hand Hygiene Australia (HHA): HHA maual. Available from: https://www.hha.org.au/component/jdownloads/send/5-implementation/191-hha-manual (2012).
  22. Sullivan, G.M. and Artino, A.R. Jr.: Analyzing and interpreting data from likert-type scales. J. Grad. Med. Educ., 5, 541-542 (2013). https://doi.org/10.4300/JGME-5-4-18
  23. Tavakol, M. and Dennick, R.: Making sense of Cronbach's alpha. Int. J. Med. Educ., 2, 53-55 (2011). https://doi.org/10.5116/ijme.4dfb.8dfd
  24. Kim, B.H., Kim, H.S., Kim, E.Y., Park, Y.J., Lim, G.U. and Kim, Y.T.: Related factors to handwashing with soap in Korean adults. JKSSCHE., 17, 89-99 (2016).
  25. Hugonnet, S., Perneger, T.V. and Pittet, D.: Alcohol-based handrub improves compliance with hand hygiene in intensive care unit. Arch. Intern. Med., 162, 1037-1043 (2002). https://doi.org/10.1001/archinte.162.9.1037
  26. Lee, M.H. and Kang, H.S.: A comparative study on profession-specific handwashing practices of ICU health care providers. J. Korean Acad. Fundam. Nurs., 14, 297-305 (2007).
  27. Pan, A., Mondello, P., Posfay-Barbe, K., Catenazzi, P., Grandi, A., Lorenzotti, S., Patroni, A., Poli, N., Soavi, L. and Carnevale, G.: Hand hygiene and glove use behavior in an Italian hospital. Infect. Control Hosp. Epidemiol., 28, 1099-1102 (2007). https://doi.org/10.1086/518457
  28. Zhang, D.F., Lee, M.F., Hong, S.J., Yang, N.Y., Hwang, H.J., Kim, B.H., Kim, H.S., Kim, E.Y., Park, Y.J., Lim, G.U. and Kim, Y.T.: Relationship between handwashing practices and infectious diseases in Korean students. J. Agric. Med. Community Health., 40, 206-220 (2015). https://doi.org/10.5393/JAMCH.2015.40.4.206
  29. Lamb, S.: The importance of teaching hygiene and hand washing skills. Br. J. School Nurs., 4, 452-453 (2009). https://doi.org/10.12968/bjsn.2009.4.9.45221
  30. World Health Organization (WHO): WHO guidelines on hand hygiene in health care. Available from: http://apps.who.int/iris/bitstream/handle/10665/44102/9789241597906_eng.pdf;jsessionid=D69E9BAE0A4688BD7F3A4DD40A93BEFC?sequence=1 (2009).
  31. World Health Organization (WHO): Hand hygiene self-assessment framework 2010. Available from: http://www.who.int/gpsc/country_work/hhsa_framework.pdf (2007).
  32. Kingston, L., O'Connell, N.H. and Dunne, C.P.: Hand hygiene-related clinical trials reported since 2010: a systematic review. J. Hosp. Infect., 92 309-320, (2015). https://doi.org/10.1016/j.jhin.2015.11.012
  33. Korea Center for Disease Control and Prevention (KCDC): The prevention of infectious disease with my hand. Press release. Available from: http://www.cdc.go.kr/CDC/cms/content/mobile/13/71413_view.html (2016).