Journal of agricultural medicine and community health (농촌의학ㆍ지역보건)

Korean Society for Rural Medicine and Community Health (한국농촌의학지역보건학회)
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Impact of Awareness and Educational Experiences on Cardiopulmonary Resuscitation in the Ability to Execute of Cardiopulmonary Resuscitation among Korean Adults

한국 성인에서 심폐소생술에 대한 인지, 교육경험이 그 시행능력에 미치는 영향

  • Lee, Jae-Kwang (Department of Emergency Medicine, College of Medicine, Konyang University) ;
  • Kim, Jeongwoo (Department of Medicine, College of Medicine, Konyang University) ;
  • Kim, Kunil (Department of Medicine, College of Medicine, Konyang University) ;
  • Kim, Keunhyung (Department of Medicine, College of Medicine, Konyang University) ;
  • Kim, Dongphil (Department of Medicine, College of Medicine, Konyang University) ;
  • Kim, Yuri (Department of Medicine, College of Medicine, Konyang University) ;
  • Moon, Seonggeun (Department of Medicine, College of Medicine, Konyang University) ;
  • Min, Byungju (Department of Medicine, College of Medicine, Konyang University) ;
  • Yu, Hwayoung (Department of Medicine, College of Medicine, Konyang University) ;
  • Lee, Chealim (Department of Medicine, College of Medicine, Konyang University) ;
  • Jeong, Wonyoung (Department of Medicine, College of Medicine, Konyang University) ;
  • Han, Changhun (Department of Medicine, College of Medicine, Konyang University) ;
  • Huh, Inho (Department of Medicine, College of Medicine, Konyang University) ;
  • Park, Jung Hee (Department of Emergency Medical Service, College of Medicine, Konyang University) ;
  • Lee, Moo-Sik (College of Medical Science, Department of Preventive Medicine, College of Medicine, Konyang University)
  • 이재광 (건양대학교 의과대학 응급의학교실) ;
  • 김정우 (건양대학교 의과대학) ;
  • 김건일 (건양대학교 의과대학) ;
  • 김근형 (건양대학교 의과대학) ;
  • 김동필 (건양대학교 의과대학) ;
  • 김유리 (건양대학교 의과대학) ;
  • 문성균 (건양대학교 의과대학) ;
  • 민병주 (건양대학교 의과대학) ;
  • 유화영 (건양대학교 의과대학) ;
  • 이채림 (건양대학교 의과대학) ;
  • 정원영 (건양대학교 의과대학) ;
  • 한창훈 (건양대학교 의과대학) ;
  • 허인호 (건양대학교 의과대학) ;
  • 박정희 (건양대학교 응급구조학과) ;
  • 이무식 (건양대학교 의과대학 예방의학교실)
  • Received : 2018.11.12
  • Accepted : 2018.12.31
  • Published : 2018.12.31
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Abstract

This study was performed to identify the impact of awareness and educational experiences on cardiopulmonary resuscitation in the ability to execute of cardiopulmonary resuscitation among Korean adults. This study used original data of 2014 Community Health Data Survey. 228,712 participants in this survey were resident in South Korea who is aged 19 or older on July 2014. Participants in this survey were sampled an average of 900 residents(target error ${\pm}3percent$) per community health center of Korea. Data were analyzed by using R 3.1.3 employing chi-squared test, fisher's exact analysis, and logistic regression analysis. Ability to execute CPR was significantly higher in males(3.34 time), higher the education level (1.61 times), the white color occupation (1.14 times), the higher the income level (1.07 times), the higher the education level (0.91 times), non-hypertensive patients (1.12 times), non-diabetic patients (1.16 times), non-dyslipidemic patients (0.86 times), non-stroke patients (0.30 times), CPR education experience group (3.25 times), CPR experience group with manikin-based training (4.30 times), higher subjective health status (1.08 times, 1.16 times) respectively. This study identified that awareness, educational experience, and mannequin-based learning experience of CPR impacted on the ability to execute CPR. Responding to education-related factors could contribute to reducing the rate of out-of-hospital acute cardiac arrest by improving the ability to execute CPR of the general public.

이 연구는 심폐소생술의 인지, 교육경험, 시행능력 간의 관계를 확인함으로써 인구학적요인, 지역적 요인, 의료 현황, 교육적 경험 등이 심폐소생술 시행능력에 미치는 영향을 파악하고자 하였다. 이러한 연구목적을 달성하기 위해 2014년도 지역사회 건강조사 자료를 활용했다. 이 자료는 대한민국 전체 인구를 대상으로 2014년 7월 기준 시, 군, 구에 거주하는 만 19세 이상의 성인 중, 조사에 참여한 228,712명에서 보건소별로 평균 900명(목표오차 ${\pm}3%$)으로 고려하여 표본을 추출해 실시하였다. 자료분석은 R 통계프로그램 3.1.3.을 사용하여 카이제곱검정, 상관분석, 다중로지스틱회귀분석 등으로 이루어졌다. 심폐소생술의 시행능력은 남성에서(3.34배), 젊은 층에서(1.06배), 교육수준이 높을수록(1.61배), 화이트 칼라 직업일수록(1.14배), 소득수준이 높을수록(1.07배), 급만성질환 및 사고중독의 비경험자일수록(0.91배), 고혈압 비진단자 일수록(1.12배), 당뇨병 비진단자 일수록(1.16배, 이상지질혈증 비진단자 일수록(0.86배), 뇌졸중 비진단자 일수록(1.54배), 주관적 건강이 높을수록(1.08배, 1.16배), 비고령사회일수록(0.90배), 심폐소생술 교육경험이 높을수록(3.25배), 심폐소생술 마네킹 실습경험이 있을수록(4.30배) 유의하게 더 높았다. 분석결과, 개인 및 지역사회 요인과 심폐소생술 인지, 교육경험 등은 심폐소생술 시행능력에 영향을 미치는 것으로 확인되었다. 이러한 결과를 바탕으로 국내 환경에 적합한 심폐소생술 교육정책 마련에 적극 고려되어야 할 것이며, 이를 통해 병원 전단계 심폐소생술 능력 향상에 기여할 수 있을 것이다.

Keywords

Table 1. Awareness, educational experiences on CPR, and ability to execute CPR by general characteristics among Korean adults

NCOHBS_2018_v43n4_234_t0001.png 이미지

Table 2. Logistic regression analysis on awareness, educational experiences on CPR, and ability to execute CPR among Korean adults

NCOHBS_2018_v43n4_234_t0002.png 이미지

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