간병인을 위한 모바일 앱 기반 감염관리 교육의 효과 = The effects of mobile app-based infection control education for caregivers

다국어 초록 (Multilingual Abstract)

Background: The global pandemic of COVID-19 has highlighted the importance of infection control and the necessity of remote education. Caregivers, in particular, have frequent direct and indirect contact with patients, play a crucial role in infection management. Therefore, it is essential to provide continuous knowledge and enhance infection control practices through a mobile app-based infection control education program for caregivers.
Methods: A nonequivalent quasi-experimental study with a pretest-posttest design was conducted to examine the effects of mobile app-based infection control education on caregivers' infection control knowledge, performance, and educational satisfaction. The research tools were as follows: For infection control knowledge, a 29-item tool adapted for Korean caregivers from Cho Hyeon-ju et al. (2020), based on the Standard Precautions Guidelines by the CDC (Siegal etal., 2007), which was translated into Korean by Jung Sun-young (2008) and modified by Hong Sun-young (2011). For infection control performance, a 32-item tool also adapted for Korean caregivers from Cho Hyeon-ju et al. (2020), based on the same CDC guidelines, translated by Jung Sun-young (2008) and modified by Hong Sun-young (2011). Satisfaction with app-based education was measured using a tool originally developed by Lee Seong-soo (2011) to evaluate satisfaction with smartphone-based education, which was later modified by Pyo Mi-yeon et al. (2012) and further adapted for this study. As for the intervention method, the experimental group was surveyed for baseline infection control knowledge and performance, and then provided with mobile app-based infection control education. On the third day of app usage, a text message was sent to encourage the continued use of the app. On the seventh day of app usage, post-test was conducted to assess infection control knowledge, performance, and satisfaction. For the control group, baseline infection control knowledge and performance were surveyed, and a two-page leaflet on infection control was provided. Seven days after providing the leaflet, a post-test was conducted to assess infection control knowledge and performance.
Results: There were no statistically significant differences in the homogeneity test between the experimental group and the control group. The average pre-intervention infection control knowledge score of the experimental group significantly increased from 25.62(±2.23) points to 27.27(±1.46) points compared to post-test score after the intervention(Z=-3.02, p=.003). However, The average pre-test score for infection control performance in the experimental group was 3.50(±0.27) points, which showed no statistically significant difference with post-test score of 3.56(±0.27) points after the intervention. (Z=-1.12, p=.264). Regarding educational satisfaction, the highest average score was for satisfaction with the app’s content, at 8.23(±2.07) points, while the lowest average score was for the app's interest level, at 6.73(±2.41) points. Among the components of the app, personal protective equipment in the infection prevention guidelines had the highest average score of 4.85(±0.46) points, and in case studies, scabies patient management had the highest average score of 4.69(±0.93) points.

목차 (Table of Contents)

• Ⅰ. 서론
• 1. 연구의 필요성 1
• 2. 연구의 목적 4
• 3. 연구 가설 4
• 4. 용어 정의 5
• Ⅱ. 문헌고찰
• 1. 감염관리 수행도 7
• 2. 감염관리 지식 9
• 3. 모바일 앱 11
• Ⅲ. 연구 방법
• 1. 연구 설계 13
• 2. 연구 대상 14
• 3. 연구 도구 16
• 4. 연구 절차 19
• 5. 자료 분석 22
• 6. 연구의 윤리적 고려 23
• Ⅳ. 연구 결과
• 1. 실험군과 대조군의 동질성 검증 24
• 2. 연구 가설 검증 28
• 3. 앱 교육 만족도 및 이용 실태 30
• Ⅴ. 논의 32
• Ⅵ. 결론 및 제언 36
• Ⅶ 참고 문헌 39
• Abstract 43
• 부록 46