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KMID : 0381319980370020073
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Korean Journal of Occupational Health
1998 Volume.37 No. 2 p.73 ~ p.84
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Compliance Level of Universal Precautions to Hospital Infection and Related Factors of Health Care Workers in a University Hospital
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유미종/Yu, Mi Jong:Lim, Young
임영
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Abstract
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The purpose of this research is to suggest basic materials for the practical infection precaution program to protect health care workers from hospital infection by grasping their compliance level of Universal Precautions and examining the factors affecting them. The number of the health care workers we studied were 486, including the doctors, the nurses, and the lab technicians who were working in a university hospital. The period of this research was from Aug. 18th, 1997 to Aug. 30th, 1997. The method of the the study was to measure the compliance level of Universal Precautions with the item of "Universal Precautions established by CDC in 1987, and examine the questionnaire of 52 questions dividing related factors into socio-populational, individual, socio-psychological and organizational management ones. The data was analyzed by t-test, ANOVA, and chi-square test.
The results were as follows:
1. On the compliance level of Universal Precautions, hand washing had the highest score(85.4%), and doctors(18.9%), nurses(44.0%), and lab technicians(7.6%), had a low compliance level in the safe handling of an injection syringe, and item not to handle patients and their samples when the subject suffered from dermatitis or injury had the lowest socre of 17.1%. 23.3% of them said that they wear protection gown, goggles and mask.
2. Female´s compliance level of Universal Precautions was higher than male.
3. The health care workers who had high recognition on Universal Precautions got significantly higher compliance level of Universal Precautions than those have low recognition on Universal Precautions (P < 0.001).
4. The health care workers experienced a needle stick injury had a significantly higher compliance level of Universal Precautions than those who had not (P<0.001).
5. The health care workers who had infection protection education got a significantly higher compliance level of Universal Precautions than those who didn´t(P<0. 001).
6. The health care workers who had a firm belief in the effect of Universal Precautions got a higher compliance level of Universal Precautions than those who didn´t.
7. The health care workers who had less conflicts between treating patient and protecting themselves got a higher compliance level of Universal Precautions than others with many conflicts.
8. The health care workers who had a high score in organizational management factors got a significantly higher compliance level of Universal Precautions than those with a low score (P <0.001).
9. Only 16.9 percent of the all respondents(82 in number) answered that they knew Well or a little about the Universal Precautions, which is very low rate of recognition.
10. The variables which affected the score in organizational management factors were age, sex, education period, work experience, the kind of work, recognition on Universal Precautions, the experience of needle stick injury, revealing dangerous circumstance related to infection, and training on precaution against infection.
According to the result above, compliance level of Universal Precautions showed high correlation with sex, the recognition on Universal Precautions, the experience of needle stick injury, training on precaution against infection, the belief in the effect of Ui.versal Precautions, the recognition degree of conflicts and organizatinal management factors. These results could be used as the basic materials for the developing infection protection programs. Also, there shoud have a systematic training course to elevate a effective compliance level of Universal Precautions as well as the management of infection protection programs.
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