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Uncertainty and Performance of Infection Control in Caregivers of Vancomycin-Resistant Enterococci Patients

반코마이신 내성 장구균 환자 보호자의 질병 불확실성과 감염관리 수행

  • Received : 2015.04.20
  • Accepted : 2015.06.05
  • Published : 2015.06.28

Abstract

Purpose: This descriptive study was to examine uncertainty and performance of infection control in the VRE patients' caregivers. Methods: The participants were 82 caregivers who involved with the VRE patients care in D tertiary hospital in D metropolitan city. Data were analyzed with number, percentage, t-test, and ANOVA using SPSS/Win 21.0. Results: The participants' uncertainty was 56.99 and performance of infection control was 35.09. Performance of infection control was significantly different by age (F=121.38, p<.001), education (F=102.77, p<.001), relationship with the patient (F=17.80, p<.001), hours of caring per day (t=3.14, p=.002), and type of family (t=-8.65, p<.001). There was a significant negative correlation between participants' uncertainty and performance of infection control (r=-.96, p<.001). Conclusion: The results of the study will be used to develop nursing intervention program and standard protocol for infection control for the VRE patients' caregivers.

Keywords

Uncertainty in Illness;Performance of Infection Control;Vancomycin-Resistant Enterococci;Healthcare Related Infection

References

  1. Center for Disease Control and Prevention (CDC), Management of Multidrug-Resistant Organisms in Healthcare Settings, Atlanta: CDC, 2006.
  2. E. Jung, S. Byun, H. Lee, S. Y. Moon, and H. Lee, "Vancomycin-Resistant Enterococcus Colonization in the Intensive Care Unit: Clinical Outcomes and Attributable Costs of Hospitalization," American Journal of Infection Control, Vol.42, No.10, pp.1062-1066, 2014. https://doi.org/10.1016/j.ajic.2014.06.024
  3. Centers for Disease Control and Prevention (CDC), Guide to Infection Prevention for Outpatient Settings: Minimum Expectations for Safe Care, Atlanta: CDC, 2014.
  4. Centers for Disease Control and Prevention (CDC), Updating the Guideline Methodology of the Healthcare Infection Control Practices Advisory Committee (HICPAC), Atlanta: CDC, 2014.
  5. J. Lowden, R. Miller-Neilan and J. Yahdi, "Optimal Control of Vancomycin-Resistant Enterococci Using Preventive Care and Treatment of Infections," Mathematical Biosciences, Vol.249, pp.8-17, 2014. https://doi.org/10.1016/j.mbs.2014.01.004
  6. G. De Angelis, M. A. Cataldo, C. De Waure, S. Venturiello, G. La Torre, R. Cauda, Y. Carmeli and E. Tacconelli, "Infection Control and Prevention Measures to Reduce the Spread of Vancomycin-Resistant Enterococci in Hospitalized Patients: A Systematic Review and Meta-analysis," The Journal of Antimicrobial Chemotherapy, Vol.69, No.5, pp.1185-1192, 2014. https://doi.org/10.1093/jac/dkt525
  7. C. A. Muto, J. A. Jernigan, B. E. Ostrowsky, H. M. Richet, W. R. Jarvis, J. M. Boyce and B. M. Farr, "SHEA Guideline for Preventing Nosocomial Transmission of Multidrug-Resistant Strains of Staphylococcus Aureus and Enterococcus," Infection Control and Hospital Epidemiology, Vol.24, No.5, pp.362-386, 2003. https://doi.org/10.1086/502213
  8. E. Tacconelli and M. A. Cataldo, "Vancomycin- Resistant Enterococci (VRE): Transmission and Control," International Journal of Antimicrobial Agents, Vol.31, No.2, pp.99-106, 2008. https://doi.org/10.1016/j.ijantimicag.2007.08.026
  9. M. Ott and H. Wirick, "Vancomycin-Resistant Enterococci (VRE) and the Role of the Healthcare Worker," Canadian Operating Room Nursing Journal, Vol.26, No.1, pp.26-29, 2008.
  10. A. K. Venkatesh, M. G. Lankford, D. M. Rooney, T. Blachford, C. M. Watts and G. A. Noskin, "Use of Electronic Alerts to Enhance Hand Hygiene Compliance and Decrease Transmission of Vancomycin-Resistant Enterococcus in a Hematology Unit," American Journal of Infection Control, Vol.36, No.3, pp.199-205, 2008. https://doi.org/10.1016/j.ajic.2007.11.005
  11. 김혜숙, "감염관리 교육이 간호학생의 병원감염 관리에 대한 지식, 태도 및 자신감에 미치는 효과", 한국학교보건교육학회지, 제10권, 제1호, pp.47-60, 2009.
  12. 신혜연, 김경희, 김기숙, "아동병원 간호사의 병원감염 표준주의에 대한 인지도와 이행도", 아동간호학회지, 제17권, 제4호, pp.238-246, 2011.
  13. 김미정, 문일봉, 손석준, "방사선사의 병원감염관리에 대한 인지도, 수행도 및 임파워먼트와의 관련성", 한국콘텐츠학회논문지, 제13권, 제12호, pp.328-336, 2013.
  14. 김종순, "물리치료사의 병원감염에 대한 인식과 실천", 한국콘텐츠학회논문지, 제8권, 제11호, pp.189-202, 2008.
  15. M. Mishel, "The Measurement of Uncertainty in Illness," Nursing Research, Vol.30, No.5, pp.258-263, 1981.
  16. M. Mishel, "Perceived Uncertainty and Stress in Illness," Research in Nursing & Health, Vol.7, No.3, pp.163-171, 1984. https://doi.org/10.1002/nur.4770070304
  17. M. Mishel, "Uncertainty in Illness," Journal of Nursing Scholarship, Vol.20, No.4, pp.225-232, 1988. https://doi.org/10.1111/j.1547-5069.1988.tb00082.x
  18. M. Mishel and M. Clayton, Middle Range Theory for Nursing, Springer Publishing Co., 2008.
  19. C. Lien, H. Lin, I. Kuo and M. Chen, "Perceived Uncertainty, Social Support and Psychological Adjustment in Older Patients with Cancer Being Treated with Wurgery," Journal of Clinical Nursing, Vol.18, No.16, pp.2311-2319, 2009. https://doi.org/10.1111/j.1365-2702.2008.02549.x
  20. K. M. Chow, C. W. Chan, J. C. Chan, K. K. Choi and K. Y. Siu, "A Feasibility Study of a Psychoeducational Intervention Program for Gynecological Cancer Patients," European Journal of Oncology Nursing, Vol.18, No.4, pp.385-392, 2014. https://doi.org/10.1016/j.ejon.2014.03.011
  21. 보건복지부, 병원감염예방관리지침, 보건복지부, 2005.
  22. 서정, 강지연, "VRE 환자의 보호자를 위한 감염 관리 교육의 효과", 기본간호학회지, 제19권, 제2호, pp.212-222, 2012.
  23. 김민영, 항암화학요법을 받는 암환자의 영적안녕, 희망 및 불확실성과의 관계, 계명대학교, 석사학위논문, 2013.
  24. 유경희, "입원 환아 어머니의 불확실성과 우울의 관계", 한국간호교육학회지, 제19권, 제2호, pp.265-272, 2013.
  25. 오인옥, 오의금, 김선아, "정신질환자 가족의 불 확실성 관련요인", 정신간호학회지, 제21권, 제2호, pp.158-166, 2012.
  26. 한진이, 루푸스 환자의 질병에 대한 불확실성 우울 및 삶의 질, 아주대학교, 석사학위논문, 2008.
  27. 김해진, 이명선, "항암제 임상시험에 참여 중인 암 환자의 불안, 우울과 불확실성", 성인간호학회지, 제25권, 제1호, pp.53-61, 2013.
  28. 신선미, 이은남, 강지연, "암환자 가족이 지각하는 수술대기 중 불안과 불확실성 및 의료인의 지지", 종양간호학회지, 제6권, 제1호, pp.15-26, 2006.
  29. W. H. Hui-Choi, G. L. Lee, C. H. Chan, R. Y. Cheung, I. L. Lee and C. L. Chan, "The Relationships of Social Support, Uncertainty, Self-Efficacy, and Commitment to Prenatal Psychosocial Adaptation," Journal of Advanced Nursing, Vol.68, No.12, pp.2633-2645, 2012. https://doi.org/10.1111/j.1365-2648.2012.05962.x
  30. I. Ishiguro, "Two Ways to Overcome Social Uncertainty in Social Support Networks: A Test of the Emancipation Theory of Trust by Comparing Kin/Nonkin Relationships," Japanese Psychological Research, Vol.55, No.1, pp.1-11, 2013. https://doi.org/10.1111/j.1468-5884.2012.00536.x
  31. 유필숙, 고성희, "암환자의 질병 불확실성, 희망 및 영적 안녕의 관계", 성인간호학회지, 제18권, 제3호, pp.479-487, 2006.
  32. 권오미, VRE 분리 환자의 격리 경험, 연세대학교, 석사학위논문, 2008.