임상간호사들이 주로 근무하는 병원현장에는 의료기구의 소독, 환경소독, 피부소독 등 다양한 목적으로 소독방법을 적용하고 있으며 여러 종류의 소독제들이 사용되고 있다. 올바른 소독제의 사용은 미생물을 제거하거나 숫자를 줄임으로서 적절한 소독수준을 유지시켜 감염관리를 효과적으로 하도록 도와주는 반면 부적절한 사용은 감염이나 건강상의 위해 등 여러 가지 문제를 유발할 수 있다(Jeong, You, Jeong, Kim, & Oh, 2002; Rutala, Weber, & the Healthcare Infection Control Practices Advisory Committee, 2008). 이 중 피부소독제는 살아있는 생체조직에 직접 적용하는 것으로 상처관리를 위해 손상된 피부에 사용하는 경우 조직손상을 야기하지 않고 모든 미생물에 정확한 효과를 나타내어야 한다(Christine & John, 1993; Doughty, 2005).
Purpose: This study was performed to identify the affecting factors on hospital nurses’ practice of disinfection focused on alcohol, chlorhexidine gluconate (CHG), and povidone iodine (PVI). Methods: The participants in this study were 196 nurses of 3 general hospitals and 2 upgrade general hospitals in 5 cities in Korea. Data were collected through self-reported questionnaires in January, 2011. The collected data were analysed by ANOVA, Pearson correlation and stepwise multiple regression using SPSS/WIN 18.0. Results: The subjects used alcohol and PVI daily for intravenous site care and surgical wound dressing respectively. The mean percentage of awareness in practicing main disinfectants were 80.0% and 72.5% respectively. The awareness and practice were highest in alcohol, but lowest in CHG. The mean percentage of practice of disinfectants was 72.5%. There was positive correlation among awareness and practice of main disinfectants. The awareness and nurses’ salary explained 34.6% of variance in practice of disinfectants. Conclusion: An educational program focusing on strategy to enhance hospital nurses’ awareness would be effective in improving their practice of disinfectants.
서 론 연구 방법 연구 결과 논 의 결론 및 제언
