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영아 심폐소생술시 지지대를 사용한 두 손가락 가슴 압박의 효과

The Effect of Two Fingers-Chest Compression Using the Supporting Instrument During Infant Cardiopulmonary Resuscitation

  • 정국영 (동강대학교 응급구조과) ;
  • 노상균 (선문대학교 응급구조학과) ;
  • 신소연 (강원대학교 산업과학대학원) ;
  • 윤종근 (선문대학교 응급구조학과)
  • Jung, Gook-Young (Dept. of Emergency Medical Technology, Dongkang College) ;
  • Roh, Sang-Gyun (Dept. of Emergency Medical Service, Sunmoon Univ.) ;
  • Shin, So-Yeon (Graduate School of Industry & Science, Kangwon National Univ.) ;
  • Yun, Jong-Geun (Dept. of Emergency Medical Service, Sunmoon Univ.)
  • 투고 : 2014.11.17
  • 심사 : 2015.01.19
  • 발행 : 2015.02.28

초록

영아 심폐소생술 1인 수행시 효과적인 가슴 압박 방법을 모색하기 위해 시뮬레이션을 활용하여 두 손가락에 지지대를 사용하기 전 후의 가슴 압박 효과를 측정하였다. 여자 대학생 50명을 대상으로 실험을 실시하고 paired t-test, 카이제곱 검정 및 Fisher's exact test를 이용하여 결과를 분석하였다. 가슴 압박의 깊이는 두 손가락에 지지대를 사용하기 전 $2.50{\pm}0.59cm$에 비해 사용 후 $3.73{\pm}0.33cm$로 유의하게 개선되었다(p < 0.001). 두 손가락 지지대 사용은 대상자의 가슴 압박에 대한 자신감과 효과를 유의하게 증가시켰다(p < 0.001). 결론적으로 영아 심폐소생술 1인 수행시 두 손가락 지지대 사용은 가슴 압박의 깊이와 자신감 그리고 효과를 유의하게 증가시켰다. 따라서 지지대를 이용한 두 손가락 압박법은 영아 심폐소생술 1인 수행시 유용할 것으로 판단된다.

This paper aims to compare the effectiveness of the chest compression when a person pushes on the infant's chest by using two fingers with the support during infant cardiopulmonary resuscitation, with the effectiveness of it without the support, and to find which one is better. For the study, 50 college woman students were tested during the simulation and the result of the test has been analyzed by chi-square test, Fisher's exact test. In case of the chest compression by using the support, the depth of the chest compression comes to $3.73{\pm}0.33cm$. On the other hand, in case of the chest compression without the support, $2.50{\pm}0.59cm$. It is founded that the method of pushing on the chest by using the support is more effective than that without the support (p < 0.001). It is concluded that the way that a person pushes on the infant's chest by using two fingers with the support during infant cardiopulmonary resuscitation has turned out to be more effective and useful. It is thought that in the future, the further study for it should be conducted.

키워드

참고문헌

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