DOI QR코드

DOI QR Code

Influence of Education and Knowledge Levels of Stroke Patients on Level of Subjective Perception in 119 Emergency Medical Technicians

119구급대원들의 뇌졸중 환자에 대한 교육 및 지식수준이 주관적 인식수준에 미치는 영향

  • Choi, Mi-Young (Department of Emergency Medical Service, Sunmoon University)
  • 최미영 (선문대학교 응급구조학과)
  • Received : 2019.10.21
  • Accepted : 2020.03.06
  • Published : 2020.03.31

Abstract

This study examined the effect of 119 emergency medical technicians' education over one year on the stroke knowledge and subjective perception of stroke care. A survey was conducted from February 17 through July 31, 2018, on 196 men and women who worked as 119 emergency medical technicians in G-do, C-do, and the provinces. The collected data was analyzed by SPSS 20.0 version for Windows. The findings of the study were as follows. First, the general characteristics of the 119 emergency medical technicians were found to have affected their stroke education and their need for professional education, awareness levels of knowledge concerning stroke and their subjective awareness levels of stroke patient care. Second, one-year education for the 119 emergency medical technicians was found to have impacted on their stroke knowledge and subjective awareness levels concerning care for stroke patients. Third, the knowledge of the 119 emergency medical technicians on stroke was found to have influenced their subjective awareness levels of stroke patient care. Therefore, the results suggested that regular education and proper management to improve their knowledge on stroke and subjective awareness.

본 연구는 119구급대원들이 1년 동안 뇌졸중 환자에 대한 교육이 뇌졸중 지식 및 뇌졸중 환자처치에 대한 주관적 인식에 미치는 영향을 규명하기 위한 연구이다. 자료수집은 강원, 충청, 경북에 소재하는 소방공무원 중 119구급대원으로 활동하고 있는 남녀 196명을 대상으로 2018년 2월 17일부터 7월 31일까지 조사하였다. 수집된 데이터는 SPSS/PC+ 20.0을 사용하였으며, 빈도분석, t-test ANOVA 다중회귀분석을 하였다. 첫째, 119구급대원들의 일반적 특성이 뇌졸중 교육 및 전문교육 필요성이 뇌졸중에 대한 지식수준, 뇌졸중 환자처치에 대한 주관적 인식수준에 영향을 미치는 것으로 나타났다. 둘째, 119구급대원들의 1년 동안의 교육이 뇌졸중 지식수준과 뇌졸중 환자처치에 대한 주관적 인식수준에 영향을 미치는 것으로 나타났다. 셋째, 119구급대원들의 뇌졸중에 대한 지식수준이 뇌졸중 환자처치에 대한 주관적 인식수준에 영향을 미치는 것으로 나타났으며, 지식수준의 하위요인인 지식, 증상, 징후에 영향을 미치는 것으로 나타났다. 이 같은 결과로 볼 때 119구급대원들의 1년 동안 뇌졸중 환자처치 및 이송 교육은 뇌졸중 지식수준이 증가할수록 뇌졸중 환자처치에 대한 자신감, 처치 만족도, 수행 적절성에 대한 주관적 인식수준이 향상되는 것으로 나타났다. 따라서, 119구급대원들의 뇌졸중 환자에 대한 지식, 주관적 인식수준을 향상시키기 위해 주기적인 교육과 적절한 관리가 필요하다.

Keywords

References

  1. Statistics Korea, 2017 Causes of Death Statistics, Korea, 2018.
  2. K. Hardie, G. J. Hankey, K. Jamrozik, R. Broadhurst, C. Anderson, "Ten year risk of first recurrent stroke and disability after first-ever stroke in the Perth Community Stroke Study", Stroke, Vol. 35, pp. 731-735, 2004. https://doi.org/10.1161/01.str.0000116183.50167.d9
  3. C, Gumbinger, B. Reuter, C. Stock, T. Sauer, H. Wiethölter, I. Bruder, S. Rode, R. Kern, P. Ringleb, M. G. Hennerici, W. Hacke, "Time to treatment with recombinant tissue plasminogen activator and outcome of strokein clinical practice: retrospective analysis of hospital quality assurance data with comparison with results from randomized clinical trials", British Medical Journal, pp. 348-360, 2014. DOI: https://doi.org/10.1136/bmj.g3429
  4. J. H. Brice, J. K. Griswell, T. R. Delbridge, C. B. Key, "Stroke: from recognition by the public to management by emergency medical services", Prehospital Emergency Care, Vo. 6, no. 1, pp.99-106, 2002. DOI : https://doi.org/10.1080/10903120290938904
  5. D. J. Gladstone, L. H. Rodan, D. J. Sahlas, L. Lee, B. J. Murray, J. E. Ween, J. R. Perry, J. Chenkin, L. J. Morrison, S. Beck, S. E. Black, "A Citywide prehospital protocol increases access to stroke thrombolysis in toronto", Stroke, Vol. 40, no. 12, pp. 3841-3844, 2009. DOI : http://doi.org/10.1161/STROKEAHA.108.540377
  6. K. Fassbender, C. Balucani, S. Walter, S. R. Levine, A. Haass, J. Grotta, "Streamlining of prehospital stroke management:the golden hour", The Lancet Neurology, Vol. 12, no. 6, pp. 585-586, 2013. DOI : http://doi.org/10.1016/S1474-4422(13)70100-5
  7. J. P. Sheppard, R. M, Mellor, S. Greenfield, J. Mant, T. Quinn, D. Sandler, D. Sims, S. Singh, M. Ward, R. J. McManus, ClAHRC BBC investigators, "The association between prehospital care and in-hospital treatment decisions in acute stroke: a cohort study", Emergency medicine journal, Vol. 32, no. 2, pp. 93-99, 2015. DOI : http://doi.org/10.1136/emermed-2013-203026
  8. J. E. Bray, C. Bladin, "Success with paramedic diagnosis of stroke", Storke, Vol. 40, e398, 2009. DOI : http://doi.org/10.1161/STROKEAHA.108.518423
  9. H. W. Cheon, M. J. Jun, "Convergence relationship between knowledge, attitude, and confidence to cardiopulmonary resuscitation in dental hygienists", Journal of the Korea Convergence Society, Vol. 8, no. 10, pp. 125-134, 2017. DOI : https://doi.org/10.15207/JKCS.2017.8.10.125
  10. H. S. Choi, G. H. Kim, "The Relationship between Status of Medical Knowledge of Medical Consumers and Satisfaction of Medical Service", Journal of the Korean Society of Radiology, Vol. 12, no. 3, pp. 367-373, 2018. DOI : https://doi.org/10.7742/jksr.2018.12.3.367
  11. J. H. Yoo, E. K. Eo, Y. J. Kim, H. S. Song, "Educational Effect on Prehospital Personnel for Prehospital Stroke Management", Journal of the Korean Society of Emergency Medicine, Vol. 13, no. 1, pp. 23-30, 2002.
  12. H. S. Park, "A study on Dispatchers' Recognition Level and Demand for Education of Early Syptoms of Stroke in 119 Command & Control Center ", Department of Emergency Medical Service, Graduate School of Korea National University of Transportation, Korea, 2016.
  13. R. U. Kothar, A. Pancioli, T. Liu, T. Brott, J. Broderick, "Cincinnati Prehospital Stroke Scale: reproducibility and validity", Annals of Emergency Medicine, Vol. 33, no. 4, pp. 373-378, 1999. DOI : http://doi.org/10.1016/s0196-0644(99)70299-4
  14. J. M. Lee, J. Y. Lee, S. B. Park, Y. H. Lee, G. J. Oh, "Necessity of Education for Emergency Medical Technicians to Improve Awareness of Early Symptoms of Stroke and Assessment of Stroke Patients", J Agric Med Community Health, Vol. 38, no. 2, pp. 130-141, 2013. DOI : http://dx.doi.org/10.5393/JAMCH.2013.38.2.130
  15. H. J. Kim, D. H. Kim, H. I. Park, I. Y. Lee, J. K. Cha, "Prehospital Delay Factors After Stroke and Paramedic Identification of Stroke Patients in a Metropolitan City Emergency Medical Service System", J Korean Neurol Assoc, Vol. 29, no. 2, pp. 89-94, 2011. UCI : G704-000496.2011.29.2.019
  16. H. Y. Yu, Y. A. Yang, "A Study on the Knowledge and Education of the Caregivers of Stroke Patients" The Journal of Korea Aging Friendly Industry Association, Vol. 4, no. 2, pp. 31-42, 2012.
  17. K. I. Jang, Y. S. Roh, "Effects of a Simulation-based Stroke Care Education on Nursing Performance Ability and Satisfaction in Nursing Students", Journal of the Korea Academia-Industrial cooperation Society, Vol. 16, no. 1, pp. 408-417, 2015. DOI : http://dx.doi.org/10.5762/KAIS.2015.16.1.408
  18. S. S. Choi, "Impact of Hospital Admission Times on Acute Ischemic Stroke Patients Protector Stroke-related knowledge Scores", Asia-pacific Journal of Multimedia Services Convergent with Art, Humanities, and Sociology, Vol. 6, no. 9, pp. 495-504, 2016. DOI : http://doi.org/10.14257/AJMAHS.2016.09.05
  19. J. H. Yoo, "The educational effect on prehospital personnel for prehospital stroke management", Department of Emergency Medicine Graduate School of Medicing Dankook University, Korea. 2001.
  20. J. Y. Lee, "The Needs of Education for Improving the Recognition of the Early Symptoms of Stroke and Assessment of Stroke Patient's Condition in EMTs", Department of Medicine Wonkwang University Graduate School, 2012.
  21. D. H. Park, H. J. Kim, Effects of a Simulation-based Training on Nursing Students' Knowledge, Confidence, Clinical Competence and Clinical Competence to Advanced Cardiovascular Life Support", Journal of Convergence for Information Technology, Vol. p, no. 1, pp. 61-67, 2019. DOI : https://doi.org/10.22156/CS4SMB.2019.9.1.061
  22. T. Y. Moon, "The Effects of Trauma-patient Training Education Using Simulation on Knowledge, Satisfaction and Problem-solving in Emergency medical Students", Journal of the Korea Academia-Industrial cooperation Society, Vol. 17, no. 4, pp. 710-717, 2016. DOI : http://dx.doi.org/10.5762/KAIS.2016.17.4.710
  23. S. H. Park, H. E. King, D. A. Kim, S. Y. Park, J. G. Lee, E. G. Jung, H. J. Kim, M. K. Lee, H. S. Yoon, J. H. Lee, "Oral health behavior and knowledge according to the oral health education experience and interests of university students", Journal of Korean Society of Oral Health Science, Vol. 6, no. 1, pp. 59-67, 2018.
  24. Y. J. Ji, H. S. Yoon, "Relationship between Health Knowledge and Needs for Oral Health Education According to Oral Health-related Experience of Some Maritime Police Officers", The Journal of the Korea Contents Association, Vol. 15, no. 7, pp. 322-329, 2015. DOI : http://dx.doi.org/10.5392/JKCA.2015.15.07.322
  25. S. S. Yoon, H. J. Seo, "Influence of Educational Experience and Attitude toward Performance Confidence of Cardiopulmonary Resuscitation in Care Helpers", Journal of the Korea Academia-Industrial cooperation Society, Vol. 18, no. 9, pp. 281-289, 2017. DOI : https://doi.org/10.5762/KAIS.2017.18.9.281
  26. J. Y. Kim, S. W. Ha, Y. H. So, "The Influence of Coaching Knowledge on Sports Performance Strategies and Characteristic Sport-Confidence of Youth Golf Players", Journal of Golf Studies, Vol. 12, no. 4, pp. 1-16, 2018. https://doi.org/10.34283/ksgs.2018.12.4.1
  27. M. H. Lee, J. H. Park, S. H. Bae, "The knowledge and Confidence in performance on patient Safety among Health-Related Majors : Convergent Approach, Journal of Digital Convergence, Vol. 17, no. 1, pp. 219-227, 2019. DOI : http://doi.org/10.14400/JDC.2019.17.1.219
  28. R. Weinberg, D. Gould, A. Jackson, "Expectancies and - 91 performance: An empiricla test of Bandura's self-efficacy theory", Journal of Sport Psychology, Vol. 1, pp. 320-331, 1997.
  29. K. E. Kim, B. U. Lee, "The Relationship between Satisfaction with Clinical Practice and Clinical Performance Ability for Nursing Students", The Journal of the Korea Contents Association, 14(10), p. 885-896, 2014. DOI : http://dx.doi.org/10.5392/JKCA.2014.14.10.885
  30. J. T. Park, J. H. Kim, M. Y. Kim, J. H. Lee, "Effects of Educational Content for Dental Extraction Using Virtual Reality Technology on Dental Extraction Knowledge, Skill and Class Satisfaction", The Journal of the Korea Contents Association, Vol. 19, no. 2, pp. 650-660, 2019. DOI : https://doi.org/10.5392/JKCA.2019.19.02.650