DOI QR코드

DOI QR Code

Compliance and Influencing Factors to Respiratory Infection Prevention among College Students Who Have Experienced the COVID-19 Pandemic

코로나19 대유행을 경험한 대학생들의 호흡기감염 예방 이행 수준과 영향요인

  • Jin Hwan Oh (Department of Nursing, Suwon Science College) ;
  • Og Son Kim (Department of Nursing, Gangseo University)
  • 오진환 (수원과학대학교, 간호학과) ;
  • 김옥선 (강서대학교, 간호학과)
  • Received : 2024.03.13
  • Accepted : 2024.04.11
  • Published : 2024.04.30

Abstract

This study was conducted to understand the level of compliance and influencing factors to respiratory infection prevention among the college students who experienced the COVID-19 pandemic. An online survey was conducted on 200 college students from December 15, 2023 to January 5, 2024, and the data of 199 people who responded faithfully were analyzed using descriptive statistics, t-test, ANOVA, and multiple regression through SPSS 18.0. According to the result, the compliance level of respiratory infection prevention was 32.95±6.05 points on average out of 48 points. The general characteristics, which showed differences in the compliance level of respiratory infection prevention, and the characteristics related to respiratory infections were identified to be major (t=-2.59, p=.010), education on respiratory infection prevention (t=1.99, p=.048), influenza vaccination of the year (t=-2.10, p=.037), COVID-19 vaccination of the year (t=3.56, p<.001), and mask wearing in crowded places (t=4.96, p<.001). As for the factors influencing the compliance to respiratory infection prevention, major (β=0.31, p<.001), influenza vaccination of the year (β=-0.15, p=.046), and mask wearing in a crowded places (β=-0.31, p<.001) were identified as a significant variable in the multiple regression analysis. In conclusion, since respiratory infections continue to occur even after the termination of COVID-19 epidemic, it is necessary to make efforts to promote compliance to respiratory infection prevention practice, and it is expected that the factors identified in this study can be used as the basic data when developing a respiratory infection prevention program targeting college students.

본 연구는 코로나19 대유행을 경험한 대학생의 호흡기감염 예방 이행 수준과 영향요인을 파악하고자 시행하였다. 2023년 12월 15일부터 2024년 1월 5일까지 대학생 200명을 대상으로 온라인 설문조사를 시행하였으며, 이 중 성실히 응답한 199명의 자료를 SPSS 18.0 program을 이용하여 기술통계량, t-test, ANOVA, multiple regression으로 분석하였다. 연구결과 호흡기감염 예방 이행 수준은 48점 만점 중 평균 32.95±6.05점이었다. 호흡기감염 예방 이행 수준에 차이를 보인 일반적 특성과 호흡기감염 관련 특성은 학과(t=-2.59, p=.010), 호흡기감염 예방 교육(t=1.99, p=.048), 금년 독감예방접종(t=-2.10, p=.037), 금년 코로나19 예방접종(t=3.56, p<.001), 외출 시 사람이 모여 있는 곳에서 마스크 착용(t=4.96, p<.001)이었다. 호흡기감염 예방 이행에 영향을 미치는 요인으로 학과(β=0.31, p<.001), 금년 독감예방접종(β=-0.15, p=.046), 외출 시 사람이 모여 있는 곳에서 마스크 착용(β=-0.31, p<.001)이 다중회귀분석에서 유의한 변수로 확인되었다. 결론적으로 코로나19 유행이 종식된 이후에도 호흡기감염이 지속적으로 발생하므로 호흡기감염 예방행위 이행 증진을 위한 노력이 필요하며, 대학생을 대상으로 한 호흡기감염 예방 프로그램 개발 시 본 연구에서 확인된 요인들을 기초자료로 활용할 수 있을 것으로 기대한다.

Keywords

References

  1. K. Das, "A detailed review of the outbreak of COVID-19", Frontiers in Bioscience (Landmark edition), Vol. 26, No. 6 pp. 149-170, (2021).  https://doi.org/10.52586/4931
  2. N. S. Kim, "Current status and challenges of coronavirus disease 2019", Health-Welfare Issue & Focus, No. 373 pp. 1-12, (2020). 
  3. K. Ko, B. Kim, "A critical review of the evaluation of the COVID-19 response in South Korea: issue changes and analysis of empirical evidence", Korean Journal of Public Administration, Vol. 58, No. 4 pp. 1-29, (2020). 
  4. Public Health Nurses Association. Global COVID-19 statistics (As of the 2 nd week of February 2022)-1[Internet]. Seoul: Public Health Nurses Association, c2022[cited 2022 February 24], Available From: https://www.kphn.org/bbs/board.php?bo_table=news_4&wr_id=115(accessed February, 20, 2024) 
  5. D. W. Ko, H. S. Seo, "A structural framework on psychological adaptation and sequential changes during the COVID-19 pandemic", Korean Journal of Culture and Social Issues, Vol. 27, No. 4 pp. 351-389, (2021).  https://doi.org/10.20406/kjcs.2021.11.27.4.351
  6. Central Disease Control Headquarters. World Health Organization (WHO) announces lifting of COVID-19 'international public health emergency' [Internet]. Osong: Korea Disease Control and Prevention Agency, c2023[cited 2023 May 6], Available From: https://ncov.kdca.go.kr/tcmBoardView.do?gubun=BDJ&brdId=3&brdGubun=31&dataGubun=&ncvContSeq=7234&board_id=312&contSeq=7234.(accessed February, 20, 2024) 
  7. Korea Disease Control and Prevention Agency. Notice on the issuance of influenza epidemic warning for the 23-24 season [Internet]. Osong: Korea Disease Control and Prevention Agency, c2023[cited 2023 September 25], Available From: https://www.kdca.go.kr/board/board.es?mid=a20501010000&bid=0015&act=view&list_no=723470. (accessed February, 20, 2024) 
  8. E. J. Chow, T. M. Uyeki, H. Y. Chu, "The effects of the COVID-19 pandemic on community respiratory virus activity", Nature Reviews, Microbiology, Vol. 21, No. 3 pp. 195-210, (2023).  https://doi.org/10.1038/s41579-022-00807-9
  9. The Seoul Institute. Seoul citizens' awareness of COVID-19 is highest in those in their 30s and 40s...76% trust in response from Seoul city and mayor [Internet]. Seoul: Seoul City Hall, c2020[cited 2020 May 13], Available From: http://www.si.re.kr/node/63292(accessed February, 20, 2024) 
  10. S. J. Lee, X. Jin, S. Lee, "Factors influencing COVID-19 preventive behaviors in nursing students: knowledge, risk perception, anxiety, and depression", Journal of Korean Biological Nursing Science, Vol. 23, No. 2 pp. 110-118, (2021).  https://doi.org/10.7586/jkbns.2021.23.2.110
  11. A. R. Jung and E. J. Hong, "A study on anxiety, knowledge, infection possibility, preventive possibility and preventive behavior level of COVID-19 in general public", Journal of Convergence for Information Technology, Vol. 10, No. 8 pp. 87-98, (2020).  https://doi.org/10.22156/CS4SMB.2020.10.08.087
  12. S. W. Yoon, O. S. Kim, "Pregnant women's knowledge and compliance about prevention of respiratory infection", Korean Journal of Healthcare-associated Infection Control and Prevention, Vol. 18, No. 1 pp. 7-14, (2013).  https://doi.org/10.14192/kjnic.2013.18.1.7
  13. O. Kim, J. Hwang, J. Oh, "A study on the knowledge and practice of respiratory infection prevention in the elderly". Journal of Wellness, Vol. 14, pp. 135-144, (2019).  https://doi.org/10.21097/ksw.2019.08.14.3.135
  14. O. S. Kim, J. H. Oh., "Incidence rate of acute respiratory infections and compliance with preventive behaviors against infection: focus on common cold and influenza in some university students", Journal of Wellness, Vol. 13, No. 3 pp. 639-648, (2018). 
  15. H. Lee, J. Park, J. Kim, P. Kang, "Factors influencing university students' infection prevention behaviors compliance in the early stage of COVID-19", Journal of the Korean Society of School Health, Vol. 34, No. 3 pp. 190-199, (2021).  https://doi.org/10.15434/KSSH.2021.34.3.190
  16. Korea Disease Control and Prevention agency. Please follow the COVID-19 quarantine rules![Internet]. Osong: Korea Disease Control and Prevention Agency, c2021[cited 2021 June 17], Available From: https://www.kdca.go.kr/gallery.es?mid=a20503020000&bid=0003&b_list=9&act=view&list_no=145167&nPage=5&vlist_no_npage=8&keyField=&keyWord=&orderby= (accessed February, 20, 2024) 
  17. J. S. Ahn, Y. H. Kim, M. Kim, "Performance of preventive actions to be exposed to infection in emergency nurses and its influencing factors", Journal of Muscle and Joint Health, Vol. 22, pp. 40-47, (2015).  https://doi.org/10.5953/JMJH.2015.22.1.40
  18. O. S. Kim, "Knowledge and compliance with prevention of respiratory tract infection among workers in geriatric facilities", Korean Journal of Healthcare-associated Infection Control and Prevention, Vol. 20, No. 2 pp. 61-69, (2015).  https://doi.org/10.14192/kjnic.2015.20.2.61
  19. Y. Park, J. Kim, "Predictors of respiratory infection prevention behaviors of nursing college students", Journal of the Korea Academia-Industrial cooperation Society, Vol. 23, No. 2 pp. 134-145, (2022).  https://doi.org/10.5762/KAIS.2022.23.2.134
  20. M. Lee, "Fragmentary thoughts about code of conduct and risk communication to prevent and control COVID-19 in Korea, 2020", Korean Journal of Health Education and Promotion, Vol. 37, pp. 103-107, (2020).  https://doi.org/10.14367/kjhep.2020.37.1.103
  21. M. Kim, H. Nam, K. Oh., "The convergence study on knowledge of COVID-19 infection and psychosocial stress, infection possibility, preventive behavior in university students: focusing on the military recruitment target", Journal of the KNST, Vol. 6, No. 4 pp. 367-375, (2023).  https://doi.org/10.31818/JKNST.2023.12.6.4.367
  22. S. Lee, H. Yoo, "Factors influencing the respiratory infection preventive behavior among college students", Journal of Practical Engineering Education, Vol. 15, No. 2 pp. 449-457, (2023).  https://doi.org/10.14702/JPEE.2023.449
  23. D. H. Kang, "Coronavirus disease 2019 pandemic-related change in children's visits to the emergency department", Pediatric Emergency Medicine Journal, Vol. 9, No. 1 pp. 29-34, (2022).  https://doi.org/10.22470/pemj.2022.00451
  24. J. Joo, "Exploring influencing factors for continuing to wear the quarantine mask after the removal of outdoor mandatory mask wearing: focusing on selfish/altruistic value orientation, attitude toward recommendations to wear the mask, and intention to continue wearing the mask", The Journal of the Korea Contents Association, Vol. 23, pp. 563-573, (2023).  https://doi.org/10.5392/JKCA.2023.23.04.563
  25. M. Baier, M. J. Knobloch, F. Osman, N. Safdar, "Effectiveness of mask-wearing on respiratory illness transmission in community settings: a rapid review", Disaster Medicine and Public Health Preparedness, Vol. 17, pp. e96, (2022). 
  26. S. Alhumaid, A. A. Mutair, Z. A. Alawi, M. Alsuliman, G. Y. Ahmed, A. A. Rabaan, et. al., "Knowledge of infection prevention and control among healthcare workers and factors influencing compliance: a systematic Review", Antimicrobial Resistance & Infection Control, Vol. 10, pp. 86, (2021).