근거기반 요양병원 감염관리 가이드라인 수용개작 및 효과검증

Abstract

Purpose: This study aimed to develop and verify evidence-based infection control nursing practice guidelines for long-term care hospitals.

Methods: The guidelines were developed according to the Clinical Practice Guideline Adaptation Manual Version 2.0. The final infection control guidelines for long-term care hospitals consisted of 234 recommendations and classified 6 categories including infection control system and program, general guidelines, infection control by site, infection control by pathogens, health care program and environment management. The study design was a nonequivalent control group pretest-posttest design. Two long-term care hospitals were included as the experimental group and control group in P city in Korea. Participants consisted of 28 (experimental group) nurses and 26 (control group) nurses, and patients were included all in each hospital. The nurses' knowledge, attitude, performance, and healthcare-associated infection verified the practical guidelines' effect. Data were collected from March to August 2018.

Results: Nurses in the experimental group had a higher degree of knowledge and performance toward infection control than those in the control group. Attitudes toward infection control did not show significant differences between the two groups. The incidence rate of healthcare-associated infection per 1,000 patient-days after 3 months did not show significant differences between the two groups, but the incident rate of healthcare-associated infection in the experimental group was lower than in the control group.

Conclusion: These evidence-based infection control guidelines could be used as a nursing intervention to reduce healthcare-associated infection of patients in long-term care hospitals.