Purpose: This study aims to identify the degree of intention to hand hygiene and hand hygiene behavior in new nurses based on education experience on infection control. Method: The participants comprised 108 new nurses working in a general hospital in S city, Korea. Data were collected from September to December, 2020. Data were analyzed using descriptive statistics, independent t-test, analysis of variance (ANOVA), and Pearson correlation with SPSS 26.0 program. Results: There were statistically significant differences in intention to hand hygiene (F=3.39, p=.021) and hand hygiene behavior (F=3.33, p=.022) depending on education experience related to infection control during undergraduate courses. Hand hygiene intention (F=4.41, p=.008) and hand hygiene behavior (F=4.13, p=.008) showed statistically significant differences depending on educational satisfaction with infection control during undergraduate courses. There were significant positive correlations between intention to hand hygiene and hand hygiene behavior (r=.21, p=.026). Conclusion: This suggests that education in infection control can reinforce intention to hand hygiene and hand hygiene behavior in new nurses.

본 연구의 목적은 치과종사자의 손씻기에 대한 건강신념과 손씻기 수행도 간의 관련성을 파악하여 평가하는 것이다. 본 연구는 치과의원, 치과대학병원에서 근무하는 140명의 치과종사자를 대상으로 구조화된 설문지를 사용하여 자가보고식으로 작성하도록 하였다. 모든 자료는 통계분석은 t검정, 일원분산 분석, Pearson 상관계수분석으로 통계처리 하였다. 손씻기 수행도는 손씻기에 대한 건강신념과 r=0.285로 양의 상관관계를 보였다(p<0.01). 치과의원, 치과대학병원에서 근무하는 치과종사자의 병원감염 예방을 실천하기 위해서는 감염관리 교육 시 지각된 민감성, 지각된 심각성, 지각된 유익성, 지각된 장애성, 수행을 위한 동기로 구성된 손씻기에 대한 건강신념을 고려하고, 지속적인 손씻기 교육을 시행한다면 치과종사자의 손씻기 수행도도 증가할 것으로 사료된다.

본 연구는 건강신념모형을 적용하여 임상에서 근무하는 간호사의 손씻기 수행도를 분석하기 위한 서술적 조사연구이다. 본 연구의 대상은 G 광역시에 위치한 일개 병원에 근무하는 임상 간호사 162명이다. 자료수집은 2017년 9월 1일부터 2017년 10월 31일까지였다. 수집된 자료는 SPSS (SPSS Version 20.0, IBM, US)를 이용하여 빈도분석, 백분율, 일원분산분석, t-검정, pearson 상관계수분석 및 다중회귀 분석으로 통계처리 하였다. 일반적 특성에 따른 손씻기에 대한 수행도는 모든 영역에서 평균은 3.1점으로 높았으나 통계적으로 유의한 차이는 보이지 않았다. 일반적 특성에 따른 손씻기에 대한 건강신념은 연령에서는 지각된 유익성 영역에서 유의한 차이를 보였으며(p<0.05), 근무연수에서는 지각된 유익성, 지각된 장애성 영역에서 유의한 차이를 보였다(p<0.05). 다섯 개의 하위영역간의 상관관계를 분석한 결과는 지각된 유익성과 지각된 장애성은 부의 상관관계를 나타냈으며, 수행을 위한 동기는 정의 상관관계를 보였다. 본 연구의 결과를 통해 손씻기에 대한 건강신념을 고려한 지속적인 병원에서의 감염관리교육과 올바른 손씻기 교육을 진행한다면 손씻기 수행도가 높아질 것으로 판단된다.

기존의 선행연구들에서 사람들의 다양성 추구행동에 미치는 요인들에 많은 관심을 가져왔음에도 불구하고, 행운과 불운 그리고 체화된 인지의 상호작용이 다양성 추구행동에 미치는 효과에 관한 연구는 없었다. 행운과 불운의 경험은 소비자의 정보처리에 영향을 미치며, 손 씻기에 의한 체화된 인지는 행운 · 불운의 경험을 역전시키는 요인으로 두 요인이 다양성 추구행동에 미치는 효과를 이해하는 것은 소비자의 선택과 제품구매를 포함한 전반적인 소비자 행동연구에 중요한 역할을 할 것이다. 이에 본 연구는 운 경험 (행운 vs. 불운)과 손 씻기 여부 (있음 vs. 없음)의 상호작용이 다양성 추구행동에 미치는 영향을 검증하였다. 참가자들은 행운과 불운을 경험한 후, 손을 씻거나, 씻지 않았고, 떠먹는 요구르트의 맛을 얼마나 다양하게 선택하는지에 대한 과제를 수행하였다. 분석 결과, 운 점화와 손 씻기의 상호작용 효과가 발견되었다. 구체적으로, 행운 조건의 경우, 손을 씻은 참가자와 손을 씻지 않은 참가자의 다양성 추구 행동에는 차이가 없었다. 반면에 불운 조건에서는 손을 씻은 참가자가 손을 씻지 않은 참가자보다 다양성 추구 행동이 더 높게 나타났다. 본 연구의 결과는 소비자심리와 마케팅 분야에 폭넓은 이론적, 실무적 시사점을 줄 것으로 기대한다.

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.

This study was conducted to evaluate the microbiological hazard on nursery school children's hands and to investigate the reduction effect of hand washing education. A total of 59 nursery school children's hands were tested. The average number of total aerobic bacteria was 3.72 ± 0.38 log CFU/hand. Five children's hands(2 male and 3 female) were positive(14.3%) for the coliform bacteria. These results showed that hand washing education are required repetitively. Among the pathogenic bacteria tested in this study, Staphylococcus aureus and Bacillus cereus were detected in 9(25.7%) and 16(45.7%) out of 35 their hands, respectively. Twelve out of sixteen B. cereus isolates(70.0%) produced enterotoxin. The results indicate that the hand hygiene of nursery school children needs to be improved. Comparing before and after hand washing in educated and non-educated group, the reduction effect of total aerobic bacteria on their hands was 0.42 and 0.60 log CFU/hand, respectively. The educated group showed 0.18 log CFU/hand higher reduction effect than non-educated group but microorganism did not eliminate perfectly. From the results, using a hand sanitizer after washing with soap and the continuous hand washing education are required to control the contaminated bacteria on nursery school children's hands.

Hand-washing is one of the most important factors in infection control and in preventing crosscontamination. The objective of this study was to investigate female university students’ awareness of hand-washing, their hand washing practices, and the difference between their awareness and practices. A self-administered questionnaire survey and direct observation in restrooms were separately carried out in a university campus and over four weeks’ period. A total of 97.4% of the survey respondents claimed to wash their hands after using toilet, and 98.2% of the observed students actually did so according to the unnoticed observational study. However, only 6.3% of the students who washed their hands in the direct observation washed for more than 10 seconds, although 46.4% of respondents in the survey reported that they usually wash their hands for more than 10 seconds. Among the observed students who washed their hands, only 0.9% used soap, and 0.9% washed four parts of their hands. Paper towel was the most common hand-drying method in the direct observation and also in the survey. Significant differences were found in duration, use of soap, part of washing, and hand-drying method between the questionnaire survey and the direct observation (p<0.05). This study indicates that there is a noticeable difference between the awareness of handwashing and hand-washing practices among female university students. Further research should examine hand-washing practices of female university students in restrooms outside the university campus.