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손씻기 교육이 간호사의 손씻기 행위와 중환자의 호흡기로의 MRSA 분리율 감소에 미치는 영향

 Effects on Nurses´ Hand Washing Behavior and Reduction of Respiratory Isolation Rate of MRSA of the Hand Washing Education

성인간호학회지 2002년 14권 1호 p.26 ~ 33
KMID : 0367020020140010026
이성근 (  ) - 가톨릭대학교 간호대학

송현석 (  ) - 강남성모병원 신경외과 중환자실

Abstract

Purpose: This is a clinical experimental study aimed to provide basic data to ensure quality care. The purpose of this study is to increase nurses hand washing behavior and decrease respiratory isolation rate of MRSA.
Method: This study was conducted in Kangnam St: Marys hospital. The subjects included 5 nurses working at the NS ICU and 165 specimen for nasal swabs and 46 specimen for sputum cultures from 106 patients admitted to the NS ICU. The data were collected from June to September 2000.
Results: 1.The percentage of the nurseshand washing was 15.6percent but was improved to 46.5 percent after the educational intervention. In particular, hand washing behavior was increased in situations such as after suctioning, before parenteral nutrition, and after providing hygiene care.
2. Results of nasal swab showed that MRSA isolation rate was reduced from 42.8 percent before the education to 18.6percent after the education. The sputum culture results also showed that the MRSA rate was reduced from 40.7percent before the education to 34.6percent after the education.
Conclusion: The findings showed the nurses´ strict hand washing behavior and use of disposable gloves and paper towers as well as use of hand sterilization spray by visitors or families can decrease the MRSA isolation rate in the NS ICU patients. Since the NS ICU patients may have respiratory complications due to long-term hospitalization, the nurses regular hand washing is important enough to be emphasized. Future research should be focused on the impact of nurses´ hand washing behavior on the incidence of pneumonia, an iatrogenic infection.
KeyWords
손씻기, MRSA, Hand washing, MRSA
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학술진흥재단(KCI) KoreaMed