DOI QR코드

DOI QR Code

유치원 교사의 심폐소생술 실시 의향에 영향을 주는 요인

Factors that influence kindergarten teachers' willingness to perform cardiopulmonary resuscitation

  • 정형근 (을지대학교 응급구조학과) ;
  • 엄태환 (을지대학교 응급구조학과)
  • Jung, Hyung-Keon (Department of Emergency Medical Services, Eulji University) ;
  • Uhm, Tai-Hwan (Department of Emergency Medical Services, Eulji University)
  • 투고 : 2015.06.12
  • 심사 : 2015.08.19
  • 발행 : 2015.08.31

초록

Purpose: To determine factors of kindergarten teachers' willingness to perform cardiopulmonary resuscitation (CPR) and to suggest education methods toward CPR. Methods: We interviewed 92 kindergarten teachers trained to administer CPR. Among them, 74 answered the questions regarding CPR experience, barriers, and willingness. Logistic regression was used to calculate odds ratios (OR) and 95% confidence intervals (CIs) for the association of willingness factors to cognition, performance, and attitude toward CPR. Results: Of the participants, 73 (98.7%) were female, 32 (43.0%) were in their twenties (mean age: 33.9 years), 31 (41.9%) graduated college, 47 (63.5%) had < 10 years of tenure, and 65 (87.8%) and 62 (83.8%) indicated willingness to perform CPR to family members and kindergarteners, respectively. Barrier factors included fear of performing CPR incorrectly (46.8%) and injuring the victim (25.6%). Willingness factors included understanding brain death (37.7%) and performing CPR correctly (26.1%). Willingness predictors included attitude toward family members (OR: 4.54, 95% CI: 1.19 -17.39, p = .027) and kindergarteners (OR: 3.07, 95% CI: 1.15-8.22, p = .025), and cognition to kindergarteners (OR: 0.36, 95% CI: 0.13-0.99, p = .050). Conclusion: The kindergarten teachers were more willing to perform CPR to family members and kindergarteners than to others in an attitude-dependent manner.

키워드

참고문헌

  1. National Emergency Medical Center. 2013 Annual report of the emergency medical services. Seoul: 2014. 325.
  2. Uhm TH, Kim JH. Survival to admission after out-of-hospital cardiac arrest in Seoul, South Korea. OAEM 2014;6:63-8. http:// dx.doi.org/10.2147/OAEM.S68758
  3. Korea Centers for Disease Control and Prevention. Establishment of collection system of data and management system for the factors related with occurrence and survival of sudden cardiac arrest. Seoul: 2012. 52-7.
  4. National Emergency Management Agency. 2013 Annual report of the fire & disaster. Seoul: 2014. 171.
  5. National Emergency Medical Center. 2013 Annual report of the emergency medical services. Seoul: 2014. 31, 95.
  6. Ministry of Health & Welfare. Public hearing on the emergency medical services master plan. Seoul: 2013. 9.
  7. Swor R, Khan I, Domeier R, Honeycutt L, Chu K, Compton S. CPR training and CPR performance: Do CPR-trained bystanders perform CPR?. Acad Emerg Med 2006;13(6): 596-601. http://dx.doi.org/10.1197/j.aem.2005.12.021
  8. Ahn KO, Shin SD, Suh GJ, Cha CW, Song KJ, Kim JS et al. Epidemiology and outcomes from non-traumatic out-of-hospital cardiac arrest in Korea: A nationwide observational study. Resuscitation 2010;81(8): 974-81. http://dx.doi.org/10.1016/j.resusci tation.2010.02.029
  9. The Kyunghyang Shinmun. CPR education in Nowon. Available at: http://news.khan. co.kr, 2014.
  10. Hankyoreh Media Company. Improvement of survival rate in Nowon. Available at: http://www.hani.co.kr, 2014.
  11. Fairbanks RJ, Shah MN, Lerner EB, Ilangovan K, Pennington EC, Schneider SM. Epidemiology and outcomes of out-of-hospital cardiac arrest in Rochester, New York. Resuscitation 2007;72(3):415-24. http://dx.doi.org/10.1016/j.resuscitation.2006.06.135
  12. Journal of emergency medical service. Seattle's success. Available at: http://www.resuscitationacademy.org, 2010.
  13. Bhanji F, Mancini ME, Sinz E, Rodgers DL, McNeil MA, Hoadley TA et al. Education, implementation, and teams. In: Hazinski MF, Field JM. eds. 2010 American Heart Association guidelines for cardiopulmonary resuscitation and emergency cardiovascular care. Dallas, UAS: American Heart Association, 2010:S920-3.
  14. Park JS, Jeon HR. The effect of basic life support education using a standardized basic life support video program in nurses' cardiopulmonary resuscitation knowledge, attitude and performance. J Korean Acad Soc Nurs Edu 2010;16(2):301-11. https://doi.org/10.5977/JKASNE.2010.16.2.301
  15. Price CS, Bell SF, Janes SE, Ardagh M. Cardio-pulmonary resuscitation training, knowledge and attitudes of newly-qualified doctors in New Zealand in 2003. Resuscitation 2006;68(2):295-9. http://dx.doi. org/10.1016/j.resuscitation.2005.07.002
  16. Kliegel A, Scheinecker W, Sterz F, Eisenburger P, Holzer M, Laggner AN. The attitudes of cardiac arrest survivors and their family members towards CPR courses. Resuscitation 2000;47(2):147-54. http:// dx.doi.org/10.1016/S0300-9572(00)00214-8
  17. Park JM. The effects of cardiopulmonary resuscitation and automated external defibrillator education for school teachers. Korean J Emerg Med Ser 2013;17(2):29-41. https://doi.org/10.14408/KJEMS.2013.17.2.029
  18. Jeong JY. Plan for activation of CPR by laypersons. Korean J Emerg Med Ser 2007; 11(3):153-61.
  19. Kang KH. Which laypersons want cardiopulmonary resuscitation. Korean J Emerg Med Ser 2006;10(1):5-12.
  20. Park JS, Jeon HR. The effect of basic life support education using a standardized basic life support video program in nurses' cardiopulmonary resuscitation knowledge, attitude and performance. J Korean Acad Soc Nurs Edu 2010;16(2):301-11. http:// dx.doi.org/10.5977/JKASNE.2010.16.2.301
  21. Ministry of Health & Welfare. Public hearing on the emergency medical services master plan. Seoul: 2013. 9.
  22. Kang KH, Kim YM, Lee HJ. Cardiopulmonary resuscitation education & performance by bystanders in an emergency. The Korea Contents Society 2010;10(12):378-86. http://dx.doi.org/10.5392/JKCA.2010.10.12.378
  23. Shibata K, Taniguchi T, Yoshida M, Yamamoto K. Obstacles to bystander cardiopulmonary resuscitation in Japan. Resuscitation 2000;44:187-93. http://dx. doi.org/10.1016/S0300-9572(00)00143-X
  24. Jelinek GA, Gennat H, Celenza T, O'Brien D, Jacobs I, Lynch D. Community attitudes towards performing cardiopulmonary resuscitation in Western Australia. Resuscitation 2001;51(3):239-46. http://dx.doi.org/10.1016/S0300-9572(01)00411-7
  25. Axelsson A, Thoren A, Holmberg S, Herlitz J. Attitude of trained swedish lay rescuers toward CPR performance in an emergency. A survey of 1012 recently trained CPR rescuers. Resuscitation 2000;44(1):27-36. http://dx.doi.org/10.1016/S0300-9572(99) 00160-4

피인용 문헌

  1. The Effects of Knowledge, Attitude, and Self-efficacy of CPR on Willingness to Perform CPR in Family Members of Patients with Heart Disease vol.30, pp.1, 2018, https://doi.org/10.7475/kjan.2018.30.1.79
  2. The Effects of the 5-step Method for Infant Cardiopulmonary Resuscitation Training on Nursing Students' Knowledge, Attitude, and Performance Ability vol.25, pp.1, 2019, https://doi.org/10.4094/chnr.2019.25.1.17