• 기본간호학회지
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• 제9권2호
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• pp.165-179
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• 2002

Purpose: This descriptive study was done to evaluate the attitude and practice of hand-washing by student nurses. Method: The subjects of the study were 463 senior and junior undergraduate student nurses and RN-BSN students. The questionnaire was developed by the researchers Data were collected from Oct. 16 to Dec. 20. 2001. and analysed by SPSS/WIN. General characteristics. attitude and practice were analyzed by frequency and percentage and differences in attitude and practice according to grade and practice setting were analyzed with $x^2$ test, t-test or ANOVA. Result: 1) The mean frequency of hand-washing was 6.63. Senior students washed more frequently than junior students. 2) The reasons for non-compliance were 'not being accustomed', 'forgetting', and 'not accessible'. 3) The mean time for hand-washing was 23.79 sec., less than the stated appropriate time of 42 18 sec. 4) 90% of the students washed their hands 'after contacting excretions and contaminated items' and few washed 'before giving care to the client'. 5) Most students washed hands rotationally rubbing with soap and water. 6) While washing, they removed their rings more often than their watches. 7) Soap bar (52.8%) and paper towel (69.6%) were most frequently used as decontaminating agent and drying method, but detergent solution (74.2%) and paper towels (60%) were considered as the most appropriate agent and method. 8) Hand-washing was perceived important generally 'to protect from cross-infection'. 'to protect one-self' and 'the most cost effective'. 9) All students responded nurses should practice 'hand-washing.'

• 문화기술의 융합
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• 제4권3호
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• pp.269-274
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• 2018

본 연구는 2015년 메르스 사태 후 성인의 손씻기 실태 및 손씻기 포스터의 효과를 파악하기 위하여 공공 화장실을 이용하는 성인 370명( 포스터 미부착 185명, 포스터 부착 185명)을 대상으로 직접 관찰 및 설문조사를 실시하였다. 남성의 46%, 여성의 21.5%가 손씻기를 하지 않았으며, 포스터를 부착한 집단에서 손을 씻은 대상자는 83.2%로 포스터를 부착하지 않은 집단에서 손을 씻은 대상자 47%에 비해 많았다. 남성은 평균 7.6초 동안, 여성은 13.5초 동안 손을 씻어 여성이 더 오랫동안 손을 씻었으며, 포스터 부착군과 미부착군 간에 유의한 차이는 없었다. 손씻기의 6가지 절차를 다 실천한 대상자는 3.3%에 불과하였다. 손씻기 6가지 절차 중 4가지 이상을 수행한 대상자는 포스터 부착군 17%, 미부착군 10.3%이었다. 이상의 결과에서 손씻기 포스터는 손씻기 행위 자체에는 유의한 효과가 있었으나 올바른 방법으로 손씻기를 하는데, 즉 손씻는 시간 증진과 손씻기 절차 이행율 향상에는 효과적이지 못하였다. 그러므로 공공장소 화장실에 손씻기 안내방송과 시각적인 효과를 높일 수 있는 포스터의 보급이 필요하다.

• 간호행정학회지
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• 제2권2호
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• pp.5-16
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• 1996

The purpose of this study is to identify the handwashing knowledge and attitudes of resistered nurses on general wards. Subjects for this study include 182 nurses working in general wards of a hospital in Seoul area. Data were collected by a questionnaire from July 30 to August 10,1996. Statistical analyses were done by the SPSS/PC program. The techniques used in this sudy included frequencies, chi-square test. The results of this study are summarized as follows. 1. 34.6% of the respondents reported that they washed their hand an average of 5 to 7 times during the work day. 2. 38.5% of the respondents reported always washing after each patient contact. Only 9.9% always washed before contact with a patient. 3. 56.6% of the respondents reported a washing time of 10 to 20 seconds, whereas 29.1% washed 21 to 30 seconds. Chi-square tests were employed to determine any differences in handwashing frequency and duration by age, working years, work position. There were no satistically significant differences among the variables. 4. 95.6% of the subjects used water and plain soap during the washing process. The respondents washed the palms of the hands, the backs of their hands and between their fingers(33%). Only 17.6% removed rings before handwashing. Similarly, 11% removed their wristwatch. The majority(96.2%) reported that they used communal textile towel to dry their hands. When asked what method they used to turn off the water faucet after washing, 98.4% reported using direct hand-to-faucet contact. 5. Nursing activities that showed the highest handwashing rates was after wound dressing(22.9%), followed by suctioning(21.4%), injection(21.2%), inserting catheter(18%). 6. Reasons cited for reduced handwashing frequency included being too busy to wash more often(74.7%), no need to wash more often(11.0%) and dry skin caused by frequent handwashing(3.3%). 7. When asked where they obtained their current knowledge of handwashing techniques, they reported professors(73.6%), resisted nurses(14.8%) and supervisor(6.6%). 8. Nursing staff thought that proper handwashing was important factor in decreasing nosocomical infections(72.4%).

• International Journal of Oral Biology
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• 제40권3호
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• pp.143-146
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• 2015

The purpose of this study was to compare the effect of different methods of hand washing by counting the number of bacteria on the hand surface. Eighteen clinicians were chosen and divided into three groups, consisting of six clinicians each. Culturing of the right raw palms of all individuals was performed. Individuals in the control group washed hands for 5 seconds with antimicrobial soap. Group 1 washed their hands for 10 seconds with antimicrobial soap. Group 2 washed with an instant alcohol-based hand sanitizer. After the respective washes, re-culturing of the right raw palm was done for each member of all groups. The colony-forming units (CFU) were calculated at each time point, and the reduction rate of CFU among the three groups were statistically evaluated using student t-test. All groups showed a significant decrease in CFU, according to the time applied (P<0.01). In addition, the reduction rate of CFU between the groups were statistically evaluated with ANOVA (P<0.01). It showed statistically difference between the control group and group 1, control group and group 2. The present study confirmed that the hand washing method with antimicrobial soap for 10 seconds and hand sanitizer, including alcohol, were excellent for decreasing the number of bacteria on the hand surface.

• 여성건강간호학회지
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• 제20권3호
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• pp.215-224
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• 2014

Purpose: The study was to survey personal hygiene practice related to genito-urinary tract and menstrual hygiene management in female adolescents in order to obtain basic information for health education. Methods: With a descriptive survey design, 389 adolescents were recruited via convenience sampling in Korea. Survey instrument was the feminine and menstrual hygiene practice and perception of vaginal douching. Data were collected from a self-administered structured questionnaire. Results: Mean age of adolescents was 16.09 and menarche was at 13.21. While washing hands after urination/defecation was highly performed, wipe front to back and wash with soap and water were reported as being not well done. Twenty-eight percent reported douching habit. More positive beliefs about douching were reported by adolescents who practiced douching. Menstrual hygiene management was very appropriate with changing sanitary pads regularly with hand washing; but less performed for limiting bathing activity during menstrual periods and washing hands after activity of genito-urinary area. Conclusion: Some adolescents practiced inadequate hygiene practices especially for body cleansing during menstrual period and vaginal douching. It is important to develop and implement school health education programs on feminine and personal hygiene for adolescents to help them perform adequate health behaviors.

• 한국산학기술학회논문지
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• 제21권4호
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• pp.276-284
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• 2020

본 연구의 목적은 임상실습 경험에 따른 물리치료 대학생들의 손 씻기에 대한 인식도와 실천도를 조사하여 물리치료학과 학생의 손 씻기에 대한 기초 자료를 제공하고자 하였다. 본 연구는 광주광역시 소재의 물리치료학과 대학생을 대상으로 총 536부의 설문조사하여 자료를 수집하였다. 대상자의 일반적 특성을 빈도분석으로 산출하였고, 임상실습 유·무의 손 씻기에 대한 인식도와 실천도를 독립표본 t-test로 분석하였다. 임상실습 유·무에 따른 손 씻기 인식도를 분석한 결과, 손목까지 손 씻기에서 유의한 차이를 보였고(p<0.05) 올바른 손 씻기 6단계에서 유의한 차이를 보였다(p<0.01). 임상실습 유·무에 따른 손 씻기 실천도를 분석한 결과, 식전과 임상실습 전 손 씻기에서 유의한 차이를 보였고(p<0.05) 실습기구 접촉 후 손 씻기, 엄지손가락부터 손가락 돌리며 손 씻기에서 유의한 차이를 보였다(p<0.01). 인식도와 실천도 사이의 상관관계를 분석한 결과 대부분 양의 상관관계를 보였다. 이는 손 씻기에 대한 인식도를 높여서 실천도를 높아야 함을 의미한다. 따라서, 앞으로 학교 내와 임상실습 내에서 자체적으로 손 씻기 교육을 반복적으로 실시하여 인식도와 실천도를 높여야 할 것으로 사료된다.

• Child Health Nursing Research
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• 제14권2호
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• pp.129-137
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• 2008

Purpose: To examine the effects on skin injury, pain, and anxiety when nurses and children simultaneous wash their hands before IV injections. Method: A nonequivalent control group, non-synchronized design study was used with 61 children. For a month and a half, children in the experimental group(30) following hand-washing guidelines, washed their hands with nurses before IV insertion. Anxiety and pain were observed and recorded during IV insertion using the Anxiety Reaction Scale and FACES pain scale. After 48-72 hours on IV therapy with an arm-board, skin condition was checked by a research assistant according to guidelines for assessing skin injury developed by the researcher. t-test, ${\chi}^2$-test, Pearson correlation, and Kendall's tau b were used to analyze data with the SPSS program. Results: Children who washed their hands with the nurse before IV insertion showed less pain (p =.021) and skin injury (p <.001) compared to the control group. Conclusion: This finding suggests that simultaneous hand washing by nurse and child before IV injection has a strong effect on skin injury caused by arm-boards used to maintain IV therapy as well as on pain during IV insertion. This program demonstrates an effective intervention to prevent skin injuries in children on IV therapy.

• 한국조리학회지
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• 제12권4호
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• pp.269-283
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• 2006

To show the recognition of hand-sanitizer, we studied the answers of research questions where we got from the northern part of Seoul and Kyunggi Province. We had categorized two groups both industry-related people who work in restaurants, hygiene service shops, whole sales, government organizations, PC shops, factory-department stores and non industry-related people who work in schools, general offices for this study. 1. Hand sanitation level: Over 60% people washed hands 6 times a day. The group using water and soap was much bigger than the group using water for washing hands. For drying, people preferred wipe tissue, towels, clothes, non drying in that order. 2. Recognition of hand sanitizer and its usage experience: Most people(66.5%) did not know what hand sanitizer is, but they have positive attitude if they use this machine. 3. Place of hand sanitizer: The proper places to install were such public places as hospitals, restrooms, and restaurants. The fifties-group was the most frequently hand washing generation with over 9 times a day. 4. Comparison of recognition for hand-sanitizer by male and female: There were different results in each evaluation item by either male or female. The frequency and method of hand washing showed high in males, while females observed hand sanitization, installation requirements, installation areas, home installation, etc more than anything else.

• 한국치위생학회지
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• 제13권2호
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• pp.193-200
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• 2013

Objectives : The purpose of this study was to examine influential factors related to hand washing practice in dental hygienists by health belief model, one of the major predictors of health behavior including perceived susceptibility, perceived seriousness, perceived benefits, perceived barriers and cues to action. Methods : The subjects were dental hygienists in dental hospitals, dental clinics, general hospitals and university hospitals in Seoul. A survey was conducted from May 1 to September 30, 2011. Results : Analysis of health belief of dental hygienists in hand washing, they revealed the highest marks of 4.39 to perceived benefits, followed by perceived susceptibility(4.29), perceived seriousness(3.94), cues to action(3.30) and perceived barriers(1.81). The mean was 4.13 in hand washing practice. The senior and well educated dental hygienists in general hospitals had a tendency to wash hands frequently. It is statistically significant(p<0.05). In regard to the correlation among the subfactors of health beliefs, susceptibility had a statistically significant positive correlation to seriousness, benefits and cues to action, and seriousness was positively correlated to benefits and cues to action. Conclusions : It is necessary to develop and implement hand washing education program for dental hygienists focusing on perceived benefits and barriers which are two of the health beliefs affecting the hand washing practice.

• Journal of Korean Biological Nursing Science
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• 제4권2호
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• pp.127-137
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• 2002

The purpose of this study was to compare the hand disinfection effect of waterless alcohol gel hand washing agent with that of soap and water, 4% chlorhexidine gluconate, and 10% povidone-iodine. Hands of fourty subjects were artificially contaminated with Acinetobacter baumannii $5m{\ell}$ and randomly distributed to each hand washing methods. Samples were collected from gloved hand by glove juice sampling procedure. Mean log reduction after hand washing were compared with baseline values. Number of microorganisms were converted to log and tested by ANOVA in SPSSWIN 10.0. Mean log reduction of soap and water, alcohol gel, 4% chlorhexidine gluconate, 10% povidone-iodine were $2.76{\pm}0.62$, $2.97{\pm}0.56$, $4.66{\pm}1.70$, $4.60{\pm}0.91$, respectively. The bactericidal effect of alcohol gel was similar to that of soap and water, but the effect was much less than chlorhexidine gluconate and povidone-iodine(p<0.001). In terms of microorganism reduction, the efficacy of waterless alcohol gel was almost the same as soap and water hand washing. Further evaluation of the bactericidal effect of waterless alcohol gel is needed because waterless alcohol gel is simple, convenient, and non-irritating hand washing agent and also very effective in busy hospital environment.