J Korean Acad Community Health Nurs.  2018 Sep;29(3):322-334. 10.12799/jkachn.2018.29.3.322.

Compliance with Respiratory Infection Preventive Behaviors and Its related Factors in Older Adults using a Senior Center

• Park YH
• Lee SH
• Yi YM
• Lee CY
• Lee MH

• KMID: 2429987
• DOI: http://doi.org/10.12799/jkachn.2018.29.3.322

Abstract

PURPOSE
The purpose of this study is to identify factors related to compliance with respiratory infection preventive behaviors including hand washing, cough etiquette, and oral hygiene of older adults.
METHODS
A cross-sectional study was conducted with a convenience sample of 100 older adults (mean age: 76.11±6.35 years, female: 86.0%). Data were collected from a community senior center through face to face interviews by using instruments including measuring knowledge, perceived threat, self-efficacy, compliance with respiratory infection preventive behaviors.
RESULTS
The mean score of knowledge was 7.52 out of 13 in total. The compliance with hand washing with soap was 6.0% for 8 or more times per day. Among the participants, 12.0% adhered to the cough etiquette. Sixty-two older adults (62.0%) didn't use interdental brushes or floss at all. The stepwise linear regression indicated that age and self-efficacy for respiratory infection preventive behaviors were significant factors and explained 24.0% of the compliance with hand washing and the cough etiquette. Education level, cancer diagnosis, and self-efficacy for respiratory infection preventive behaviors were significant predictors of oral hygiene. The factor with the greatest effect was self-efficacy in the two models.
CONCLUSION
The findings suggest that it is necessary to improve compliance with respiratory infection preventive behaviors among older adults using senior centers. In order to enhance the compliance, it is necessary to develop nursing programs based on the self-efficacy for respiratory infection preventive behaviors in the senior centers.

Keyword

Respiratory tract infections; Aged; Hand hygiene; Oral hygiene; Senior centers

MeSH Terms

Adult*
Compliance*
Cough
Cross-Sectional Studies
Diagnosis
Education
Female
Hand Disinfection
Hand Hygiene
Humans
Linear Models
Nursing
Oral Hygiene
Respiratory Tract Infections
Senior Centers*
Soaps
Soaps

Reference

1. Korean Statistical Information Service. Cause of death, 2016 [Internet]. Seoul: Korean Statistical Information Service;2017. cited 2018 March 13. Available from: http://www.kostat.go.kr/portal/korea/kor_nw/2/6/2/index.board?bmode=read&aSeq=363268&pageNo=&rowNum=10&amSeq=&sTarget=&sTxt.

2. Song MS, Yang NY. Impact of knowledge, attitude, and internal health locus of control on performance of hand washing among elders. J Korean Gerontol Nurs. 2015; 17(3):175–183. DOI: 10.17079/jkgn.2015.17.3.175.

3. Thompson WW, Shay DK, Weintraub E, Brammer L, Cox N, Anderson LJ, et al. Mortality associated with influenza and respiratory syncytial virus in the united states. JAMA. 2003; 289(2):179–186. DOI: 10.1001/jama.289.2.179.

4. World Health Organization. Limiting the spread of pandemic, zoonotic and seasonal epidemic influenza [Internet]. Geneva: World Health Organization;2010. cited 2017 March 12. Available from: http://www.who.int/influenza/resources/research/research_agenda_influenza_stream_2_limiting_spread.pdf.

5. Aiello AE, Coulborn RM, Perez V, Larson EL. Effect of hand hygiene on infectious disease risk in the community setting: A meta-analysis. Am J Public Health. 2008; 98(8):1372–1381. DOI: 10.2105/AJPH.2007.124610.

6. Stebbins S, Cummings DA, Stark JH, Vukotich C, Mitruka K, Thompson W, et al. Reduction in the incidence of influenza A but not influenza B associated with use of hand sanitizer and cough hygiene in schools: A randomized controlled trial. Pediatr Infect Dis J. 2011; 30(11):921–926. DOI: 10.1097/INF.0b013e3182218656.

7. Coleman P. Improving oral health care for the frail elderly: A review of widespread problems and best practices. Geriatr Nurs. 2002; 23(4):189–198. DOI: 10.1067/mgn.2002.126964.

8. Pace CC, McCullough GH. The association between oral microorganisms and aspiration pneumonia in the institutionalized elderly: Review and recommendations. Dysphagia. 2010; 25(4):307–322. DOI: 10.1007/s00455-010-9298-9.

9. Lee HY, Yu JH, Hong JI. Elderly immunization program against influenza in Korea, 2015 [Internet]. Cheongju: Korea Centers for Disease Control & Prevention;2016. cited 2017 May 20. Available from: http://cdc.go.kr/CDC/cms/cmsFileDownload.jsp?fid=31&cid=67630&fieldName=attach1&index=1.

10. Lee SY, Suh SR. Coverage rate and factors associated with vaccination in adult recommended pneumococcal vaccine. J Health Inform Stat. 2016; 41(2):231–238. DOI: 10.21032/jhis.2016.41.2.231.

11. Freeman MC, Stocks ME, Cumming O, Jeandron A, Higgins J, Wolf J, et al. Hygiene and health: Systematic review of hand washing practices worldwide and update of health effects. Trop Med Int Health. 2014; 19(8):906–916. DOI: 10.1111/tmi.12339.

12. Lee MS. A study on the development of hand washing promotion strategy and hand washing survey for preventing infectious diseases [Internet]. Cheongju: Korea Centers for Disease Control & Prevention;2013. cited 2017 January 15. Available from: http://www.cdc.go.kr/CDC/info/CdcKrInfo0201.jsp?menuIds=HOME001-MNU1154-MNU0004-MNU1889&fid=28&q_type=title&q_value=%EC%86%90%EC%94%BB%EA%B8%B0&cid=25531&pageNum=.

13. Hong JY. Conducting survey on behaviors of cough etiquette and developing promotion campaign for preventing respiratory infectious disease [Internet]. Cheongju: Korea Centers for Disease Control & Prevention;2014. cited 2017 January 10. Available from: http://www.cdc.go.kr/CDC/mobile/info/CdcKrInfo0201.jsp?menuIds=HOME001-MNU1154-MNU0004-MNU1889&fid=28&q_type=&q_value=&cid=61793&pageNum=1.

14. Lee HO, Park JY. Relationship between oral health behavior and happiness index in elderly people. J Dent Hyg Sci. 2016; 16(6):415–423. DOI: 10.17135/jdhs.2016.16.6.415.

15. Rosenstock IM, Strecher VJ, Becker MH. Social learning theory and the health belief model. Health Educ Q. 1988; 15(2):175–183. DOI: 10.1177/109019818801500203.

16. Champion VL, Skinner CS. The health belief model. In : Glanz K, Rimer BK, Viswanath K, editors. Health behavior and health education: Theory, research, and practice. San Francisco, CA: Jossey-Bass;2008. p. 45–65.

17. Tang CS, Wong CY. Factors influencing the wearing of face masks to prevent the severe acute respiratory syndrome among adult Chinese in Hong Kong. Prev Med. 2004; 39(6):1187–1193. DOI: 10.1016/j.ypmed.2004.04.032.

18. Kuo PC, Huang JH, Liu MD. Avian influenza risk perception and preventive behavior among traditional market workers and shoppers in Taiwan: Practical implications for prevention. PloS One. 2011; 6(9):e24157. DOI: 10.1371/journal.pone.0024157.

19. Choi JS, Kim CG, Park S. The knowledge, awareness and preventive behaviors of pneumococcal vaccination for the elderly. J Korean Acad Community Health Nurs. 2012; 23(3):266–275. DOI: 10.12799/jkachn.2012.23.3.266.

20. Erkin O, Ozsoy S. Validity and reliability of health belief model applied to influenza. Acad Res Int. 2012; 2(3):31–40.

21. Park SY. A study on factors affecting children's preventive behaviors for Novel Influenza A (H1N1) [master's thesis]. Seoul: Ewha Womans University;2010. 98.

22. Buunk-Werkhoven YA, Dijkstra A, van der Schans CP. Determinants of oral hygiene behavior: A study based on the theory of planned behavior. Community Dent Oral Epidemiol. 2011; 39(3):250–259. DOI: 10.1111/j.1600-0528.2010.00589.x.

23. Kaewchana S, Simmerman M, Somrongthong R, Suntarattiwong P, Lertmaharit S, Chotipitayasunondh T. Effect of intensive hand washing education on hand washing behaviors in Thai households with an influenza-positive child in urban Thailand. Asia Pac J Public Health. 2012; 24(4):577–585. DOI: 10.1177/1010539510393728.

24. Nasreen S, Azziz Baumgartner E, Gurley E, Winch P, Unicomb L, Sharker M, et al. Prevalent high risk respiratory hygiene practices in urban and rural Bangladesh. Trop Med Int Health. 2010; 15(6):762–771. DOI: 10.1111/j.1365-3156.2010.02531.x.

25. Rabia M, Knäuper B, Miquelon P. The eternal quest for optimal balance between maximizing pleasure and minimizing harm: The compensatory health beliefs model. Br J Health Psychol. 2006; 11(1):139–153. DOI: 10.1348/135910705X52237.

26. Statistics Korea. 2017 Statistics on the Aged [Internet]. Seoul: Statistics Korea;2017. cited 2018 March 15. Available from: http://kostat.go.kr/portal/korea/kor_nw/2/6/5/index.board?bmode=read&aSeq=363362.

27. Carpenter CJ. A meta-analysis of the effectiveness of health belief model variables in predicting behavior. Health Commun. 2010; 25(8):661–669. DOI: 10.1080/10410236.2010.521906.

28. Luszczynska A, Schwarzer R, Lippke S, Mazurkiewicz M. Self-efficacy as a moderator of the planning-behaviour relationship in interventions designed to promote physical activity. Psychol Health. 2011; 26(2):151–166. DOI: 10.1080/08870446.2011.531571.

29. Rubin GJ, Amlôt R, Page L, Wessely S. Public perceptions, anxiety, and behaviour change in relation to the swine flu outbreak: Cross sectional telephone survey. BMJ. 2009; 339:b2651. DOI: 10.1136/bmj.b2651.

30. Lee JC, Park JS, Kim GH. Factors associated with the health promotion activities of the Korean elderly. Korean J Health Educ Promot. 2010; 27(2):121–139.