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Educational Effects of Traditional Classroom Instruction and Video Self-instruction (VSI) for Cardiopulmonary Resuscitation(CPR) in Boy's High School Students

고등학교 남학생에서 심폐소생술에 대한 전통적교실학습과 영상자가학습의 교육효과

  • Park, Sang-Sub (Department of Emergency Medical Technology, ChungCheong University) ;
  • Baek, Hong-Seok (Department of Emergency Medical Technology, Daejeon University) ;
  • An, Ju-Yeong (Department of Emergency Medical Technology, Sungduk C. University)
  • Received : 2010.12.29
  • Accepted : 2011.03.11
  • Published : 2011.03.31

Abstract

Objectives: The purpose of this study is to compare educational effects between traditional classroom instruction and video self-instruction (VSI) for cardiopulmonary resuscitation (CPR) in boy's high school students. Methods: This study was carried out targeting totally 96 boy students(47 people for experimental group, 49 people for control group) in the second grade of high school where is located in G city of G province from July 9-10, 2009. The experimental group and control group were arbitrarily selected two classes in the second grade. One class was assigned to the experimental group. another class was assigned to the control group. The experimental group was educated with VSI for CPR. The control group was educated with traditional classroom instructions for CPR. The analysis was performed with SPSS WIN (version 12.0) program using frequency chi-square($x^2$) test, independent samples t-test, and paired t-test. Results: After instructions, the knowledge, attitude, self-confidence, and skill performance accuracy scores on CPR increased statistically in both group. The increases of self-confidence ($2.40{\pm}0.73$) and skill performance accuracy score ($2.67{\pm}0.29$) in the experiment group were significantly higher than those ($2.01{\pm}0.96$ and $2.54{\pm}0.31$) in the control group, respectively. Conclusion: This study suggested that VSI was more effective than traditional classroom education for self-confidence and skill-performance accuracy in CPR. To confirm it, more studies are warranted.

본 연구는 고등학교 남학생에서 심폐소생술에 대한 전통적교실학습과 영상자가학습의 교육효과를 통하여 심폐소생술 교육에 효과적인 교육방법 선택에 도움을 주며, 심폐소생술 교육 프로그램 마련에 기초 자료를 제공하고자 하였다. 연구대상자는 G도 소재 G고등학교 2학년 남학생 두 반의 학생으로 1개 반은 실험군, 1개 반은 대조군으로 임의 배정 하였다. 연구 결과는 다음과 같다. 첫째, 심폐소생술 교육 전 후 지식 차이는 대조군(2.38)이 실험군(2.32)에 비해 높게 증가하였지만, 태도 차이는 실험군(2.18)이 대조군(2.06)에 비해 높게 증가하였다. 지식과 태도에서는 통계적으로 유의한 차이는 나타나지 않았다. 둘째, 심폐소생술 교육 전 후 자신감 차이는 실험군(2.40)이 대조군(2.01)에 비해 유의하게 증가하였고(p<0.05), 술기수행 정확도 차이도 실험군(2.67)이 대조군(2.54)에 비해 유의하게 증가 하였다(p<0.05). 본 연구 결과 심폐소생술의 자신감, 술기수행 정확도에서 영상자가학습이 전통적교실학습보다 유의하게 증가하였다. 따라서 영상자가학습 교육 방법을 심폐소생술 교육에 활용할 필요가 있다.

Keywords

References

  1. 황성오, 임경수. 심폐소생술과 전문심장 소생술. 2006, pp.3-341
  2. 대한심폐소생협회(KACPR). 2006 공용 심폐소생술 가이드라인 개발 및 배포. 2006. Available from:URL:http://www.kacpr.org.
  3. Kim KM. Knowledge and educational experience about basic life support in high school students. Graduate school of Yonsei University, A thesis for the degree of master, 2007 (Korean)
  4. Cummins R. O, Ornato J. P, & Thies W. H. Improving survival from sudden cardiac arrest: the "chain of survival" concept. Circulation 1991;83;1832-1847 https://doi.org/10.1161/01.CIR.83.5.1832
  5. Platz E, Scheatzle MD, Pepe PE, Dearwater SR. Attitudes towards CPR training and performance in family members of patients with heart disease. Journal of Resuscitation. 2000;47(3):273-280 https://doi.org/10.1016/S0300-9572(00)00245-8
  6. Toews, S. MDs: review CPR knowledge, encourage patients to take course. CMAJ 1997;157(9):1192-1193
  7. Holmberg M, Holmberg S, Herlitz J. Effect of bystander cardiopulmonary resuscitation in out-of-hospital cardiac arrest patients in Sweden. Journal of Resuscitation. 2000;47:59-70 https://doi.org/10.1016/S0300-9572(00)00199-4
  8. American Heart Association(AHA). Family and Friends Course. 2006. Available from:URL:http://www. americanheart.org.
  9. American Heart Association(AHA). 2005 American Heart Association Guidelines for Cardiopulmonary Resuscitation and Emergency Cardiovascular Care. 2005. Available from: URL:http://www. americanheart.org.
  10. Kwon YS. The Comparison of Effectiveness in Basic Life Support Education between Elementary School Students and High School Students. Graduate school of Ulsan University, A thesis for the degree of master, 2005 (Korean)
  11. De Lorenzo R. A, & Abbott C. A. Effectiveness of an Adult-learning, Self-directed Model Compared with Traditional Lecture-based Teaching Methods in Out-of-hospital Training. Acad Emerg Med. 2004;11(1):33-37 https://doi.org/10.1197/j.aem.2003.08.012
  12. Batcheller AM, Brennan RT, Braslow A, Urrutia A, Kaye W. Cardiopulmonaryresuscitation performance of subjects over forty is better following half-hour video self-instruction compared to traditional fourhour classroom training. Journal of Resuscitation 2000;43:101-110 https://doi.org/10.1016/S0300-9572(99)00132-X
  13. Lynch B, Einspruch EL, Nichol G, Becker LB, Aufderheide TP, Idris A. Effectiveness of a 30-min CPR self-instruction program for lay responders: a controlled randomized study. Journal of Resuscitation 2005;67:31-43 https://doi.org/10.1016/j.resuscitation.2005.04.017
  14. Eisenberg MS, Damon S, Mandel L, Tewodros A, Meischke H, Beaupied E,Bennett J, Guildner C, Ewell C, Gordon M. CPR instruction by videotape: results of a community project. Ann Emerg Med 1995;25(2):198-202 https://doi.org/10.1016/S0196-0644(95)70324-1
  15. Todd KH, Braslow A, Brennan RT, Lowery DW, Cox RJ, Lipscomb LE. Randomized, controlled trial of video self-instruction versus traditional CPR training. Ann Emerg Med 1998;31:364-369 https://doi.org/10.1016/S0196-0644(98)70348-8
  16. Einspruch EL, Lynch B, Aufderheide TP, Nichol G, Becker L. Retention of CPR skills learned in a traditional AHA Heartsaver course 30-min video self-training : a controlled randomized study. Reauscitation 2007;74(3):476-486 https://doi.org/10.1016/j.resuscitation.2007.01.030
  17. Kim HJ. Efficiency and continuancy of basic CPR (Cardiopulmonary Resuscitation) education for the higher grade students of elementary schools. Graduate school of KongJu National University, A thesis for the degree of master, 2007 (Korean)
  18. An JY. Comparison Study on the Effects of VSI(Video self-instruction) and basic CPR(Cardiopulmonary Resuscitation) education. Graduate school of KongJu National University, A thesis for the degree of master, 2008 (Korean)
  19. Shin JH. “Performance Ability afte rCPR Education oft he ground workers in an airport. Graduate school of KongJu National University, A thesis for the degree of master, 2009 (Korean)
  20. Park SS, Park DS. Comparison of the Cardiopulmonary Resuscitation(CPR) Education Effects Between the Song․Video Self- Instruction and CPR VSI(Video Self-Instruction) among College Students. The Jounal of Korean Society Health Education 2009;10(2):1-13 (Korean)
  21. Yun YY. Clinical Analysis of CPR in Infants with Prehospital Cardiac Arrest. Graduate school of Chonnam National University, A thesis for the degree of master, 2004 (Korean)
  22. Lee JS. The Research For The Application Status of Basic CPR and AED by TheHospital Nurse. Graduate school of Yonsei University, A thesis for the degree ofmaster, 2006 (Korean)
  23. Kang BW. Factors affecting the survivals of Out-of-hospital cardiac arrests. Graduate school of Seoul National University, A thesis for the degree of doctor, 2005 (Korean)
  24. Kim JK, Choe Michael, Seo KS, Seol DH, Park JB, Jung JM. Clinical Analysis ofResuscitation in Victims of Out-of-Hospital Cardiac Arrest. J Korean Soc Emerg Med 2002;13(1):5-11 (Korean)
  25. Park DS. Comparison of Educational Effects between Song․Video Self Study ofCardiopulmonary Resuscitation(CPR) and Video Self Instruction(VSI) of CPR by Middle School Students. The Jounal of Korea contents association 2010;10(4):225-235 (Korean) https://doi.org/10.5392/JKCA.2010.10.4.225
  26. American Heart Association(AHA). BLS-Health care for Provider Manual. 2005b.
  27. Park JM. The effectiveness of competency and retention in cardiopulmonary resuscitation through self-directed learning. Graduate school of Kyungpook National University, A thesis for the degree of doctor, 2006 (Korean)
  28. Kang KH. The Effectiveness of Cardiopulmonary Resuscitation Program for First Responder in Korea. Graduate school of Ewha Womans University, A thesis for the degree of master, 1998 (Korean)
  29. Schlessel J. S, Rappa H. A, Lesser M, Rogge D, Ennis R, & Mandel L. CPR Knowledge, Self-Efficacy, and Anticipated Anxiety as Functions of Infant/Child CPR Training. Annals of Emerg Med 1995;25(5):618-623. https://doi.org/10.1016/S0196-0644(95)70174-5
  30. Kang KH. The Development and evaluation of a self-efficacy-based life support program for high-risk patients' family caregivers. Graduate school of Seoul National University, A thesis for the degree of doctor, 2004
  31. Axelsson, A. Bystandar Cardiopulmonary Resuscitation ; would you they It Again?. The Journal of Cardiovascular Nursing 2001;16(1):15-20 https://doi.org/10.1097/00005082-200110000-00003
  32. Jeong SG, Kim KS, Cho SH, Kang MG, Han MA. The Contents of EmergencyTreatment Practice Conducted by Emergency Medical Technician and Related Factors. J Agri Med & Community Health 2009;34(3):346-358 (Korean) https://doi.org/10.5393/JAMCH.2009.34.3.346
  33. Winchell, S. W, and Safar, P. Teaching and testing lay and paramedical in cardiopulmonary resuscitation. Anesth Anag 1966;45(4):441-449
  34. Weaver W. D, Hill D, Fahrenbruch C. E. Use of the automated external defibrilltorinthe management of out-of-hospital cardiac arrest. Journal of the American college of the cardiology 1986;7:752-757 https://doi.org/10.1016/S0735-1097(86)80332-1
  35. Eisenburger P, Safar P. Life supporting first aid training of the public-review andrecommendations. Journal of Resuscitation. 1999;41(1):3-18 https://doi.org/10.1016/S0300-9572(99)00034-9
  36. Bernardo LM., Doyle C, & Bryn S. Basic Emergency Lifesaving Skills(BELS) : A framework for teaching skills to children and adolescents. International Journal of Trauma Nursing 2002;8(2):48-50 https://doi.org/10.1067/mtn.2002.123027
  37. Mahony P. H, Griffiths R. F, Larsoen P, Powell D. Retention of knowledge and skills in first aid and resuscitation by airline cabin crew. Journal of Resuscitation 2007;30:1016-1026.