• Title/Summary/Keyword: 심폐 영향

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Ethical Attitudes according to Education and Clinical Experience of Do-Not-Resuscitate (DNR) (심폐소생술금지 교육 및 임상 경험에 따른 윤리적 태도)

  • Kae, Young Ae;Lee, Mi Yeon;Park, Jin Sook;Kim, Hyo Joo;Jung, Tae Youn;Jang, Bo Young;Kim, Yoon Jeong;Koo, Dong-Hoe
    • Journal of Hospice and Palliative Care
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    • v.18 no.3
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    • pp.208-218
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    • 2015
  • Purpose: Although a Do-Not-Resuscitate (DNR) order is widely in use, it is one of the challenging issues in end-of-life care. This study was conducted to investigate attitudes toward DNR according to education and clinical experience. Methods: Data were collected using a structured questionnaire comprising 30 items in a tertiary hospital in Seoul, Korea. Results: Participants were 238 nurses and 72 physicians. Most participants (99%) agreed to the necessity of DNR for reasons such as dignified death (52%), irreversible medical condition (23%) and patients' autonomy in decision making (19%). Among all, 33% participants had received education about DNR and 87% had DNR experience. According to participants' clinical DNR experience, their attitudes toward DNR significantly differed in terms of the necessity of DNR, timing of the DNR consent and post-DNR treatments including antibiotics. However, when participants were grouped by the level of DNR education, no significant difference was observed except in the timing of the DNR consent. Conclusion: This study suggests that the attitudes toward DNR were more affected by clinical experience of DNR rather than education. Therefore, DNR education programs should involve clinical settings.

Effects of 24 weeks of Training program on Aerobic Capacity, Body Composition, Physical Fitness, and Muscular strength in High School Sprinters (24주간 운동이 고등학교 단거리 선수의 심폐능력, 기초체력, 신체조성 및 근력에 미치는 영향)

  • Moon, Tae-Young;Kim, In-Dong;Han, Gun-Soo
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.11 no.11
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    • pp.4360-4366
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    • 2010
  • It is impossible for all athletes to be satisfied with a single training program due to the fact that they have different physiological characteristics and needs. However, paucity studies have been introduced a specific training program for high school sprinters. Therefore, this study was designed to help develop and introduce the training program with a physical examination to enhance sprinting performance for experienced high school sprinters. VO2max, muscular strength, basic physical ability, and body composition were measured before and after a 24 week training program. The following are the conclusions based on the results of this study: 1) body fat percentage was increased after 24 weeks of training. Fat free mass and the amount of water in the body increased by 1.5% and 1.1% respectively, 2) $VO_2$maxand anaerobic threshold level showed a significant increase after 24 weeks of training, 3) exercise duration and anaerobic threshold duration were also increased after 24 weeks of training, but not statistically significant, and 4) muscular strength significantly increased due to the execution of combined weight training and circuit training. Development and implementation of the training program in this study made sprinters' physical capacities better in VO2max, anaerobic threshold, and muscular strength and body composition. Also, sprinters were able to increase fat free mass through 24 weeks of training due to increased muscle mass. Therefore, a training program for high school sprinters should include a physical examination to enhance sprinting performance and prevent sports injuries.

The Effects of Planned Exercise Program on Metabolism, Cardiopulmonary Function and Exercise Compliance in Type 2 Diabetes Mellitus Patients (계획된 운동프로그램이 제 2형 당뇨병 환자의 대사, 심폐기능 및 운동이행에 미치는 영향)

  • 황애란;유지수;김춘자
    • Journal of Korean Academy of Nursing
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    • v.31 no.1
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    • pp.20-30
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    • 2001
  • This study was conducted to identify the effects of a planned exercise program based on Bandura's self efficacy model on metabolism, and the exercise compliance in type 2 diabetes mellitus patients. The study design was a nonequivalent pre-test post-test control design. Thirty four type 2 diabetes mellitus patients, who received follow-up care regularly through the diabetic out-patient clinic, were randomly sampled for this study. Twenty patients were assigned to the experimental group and fourteen patients were assigned to the control group. In the experimental group, a planned exercise program is composed of an individualized exercise prescription for 12 weeks, an individual education, and even a telephone coach program. In the case of the control group, they were instructed to continue with their usual schedules. The data collection period was from March 1999 to February 2000 Data were analyzed using SPSS/WINDOW 10.0 program. The results were as follows. 1. In the experimental group, the level of fasting blood sugar has significantly decreased from 188.20 mg/㎗ to 155.55 mg/㎗ after planned exercise program (F= 16.86, p=.000). For lipid metabolism, body fat per cutaneous decreased from 27.16% to 26.57% after planned exercise program. The score of self efficacy has increased from 64.20 to 66.65 after planned exercise program and it was statistically significant (F=4.850, p=.040) The functional vital capacity has increased from 3.28$\ell$ to 3.37$\ell$and it was statistically significant(F=7.300, p=.020). 2. In an after effect of a planned exercise program, 35 percent of the subjects who participated in a planned exercise program continued to exercise for another six months. In conclusion, the planned exercise program can improve cardiopulmonary function, glucose, and lipid metabolism. This program was show a positive effect on the self efficacy and exercise compliance.

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Factors Influencing for Intention to Perform Cardiopulmonary Resuscitation in Elementary and Secondary School Teachers (초·중등학교 교사의 심폐소생술 수행의도에 영향을 미치는 요인)

  • Song, Kyoung Sun;Park, Kyung-Yeon
    • Research in Community and Public Health Nursing
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    • v.31 no.3
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    • pp.384-394
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    • 2020
  • Purpose: The study aimed to investigate elementary and secondary school teacher's knowledge, attitude, and self-efficacy regarding cardiopulmonary resuscitation (CPR), and explore which factors affect their intention to perform CPR. Methods: A descriptive correlational study design was utilized. Data were collected using self-reported questionnaire from 147 teachers. Statistical analysis was conducted using descriptive statistics, t-test, 𝑥2 test, F-test, Pearson correlation coefficients, and logistic regression with the SPSS/WIN 21.0 program. Results: The average of knowledge, attitude and self-efficacy on CPR was 11.11±1.88 out of 15, 42.81±5.22 out of 55, and 86.19±17.74 out of 120 in order. CPR performance intention had significantly positive correlations with knowledge, attitude, and self-efficacy on CPR. In logistic regression, factors significantly affecting intention to perform CPR were the total number of training sessions on CPR (OR=12.15, 95% CI: 2.83~52.20), attitude on CPR (OR=9.26, 95% CI: 1.61~53.34), and self-efficacy on CPR (OR=1.72, 95% CI: 1.04~2.84), which accounted for 42.7% of the variance. Conclusion: In order to increase the intention to perform CPR among teachers in elementary and secondary schools, it is necessary for an educational program to be developed to improve positive attitudes and self-efficacy on CPR.

Analysis of factors affecting the implementation of CPR by dental hygienists in certain regions (일부지역 치과위생사의 심폐소생술에 관한 영향요인 분석)

  • Cheon, Hye-Won
    • Journal of Korean society of Dental Hygiene
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    • v.17 no.6
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    • pp.1037-1051
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    • 2017
  • Objectives: The purpose of this study was to examine the knowledge of dental hygienists on CPR, their CPR attitude and performance ability in an effort to offer data that can contribute to the development of a more effective CPR education program. Methods: A self-reported questionnaire was filled out by 234 dental hygienists in Jeollanam and Jeollabukdo from February 24 to May 20, 2017. The questionnaire asked dental hygienists of the knowledge, attitude, performance ability in regards to CPR. The data were analyzed using SPSS Window ver. 19.0 program through independent t-test, one-way ANOVA, chi-square test and multiple regression analysis. The Cronbach alpha of their CPR knowledge was 0.78, and that of attitude to CPR was 0.79. The Cronbach alpha of CPR performance ability was 0.96. Results: The dental hygienists surveyed in this study who were aware of CPR accounted for 88.9% of total subjects. Dental hygienists who were certified in CPR accounted for 20.5% of total subjects. They received a score of 7.66 on CPR knowledge, 3.33 on attitude and 2.61 on performance ability. There was a positive correlation between the knowledge and attitude, between the knowledge and performance ability and between the attitude and performance ability (r=0.332, r=0.461, r=0.426). A regression analysis showed that the dental hygienists who were younger, who graduated from a four-year university or a higher educational institution, who were CPR certificate holders, who received more CPR education, who were cognizant of automated external defibrillator, who were more knowledgeable on CPR and who took a more positive attitude were more likely to be affected in terms of CPR performance. Conclusions: The dental hygienists surveyed were aware of CPR on the whole, but their CPR knowledge, attitude and performance were not sufficient to perform CPR in emergency situations. More intensive education should be provided for dental hygienists to have an accurate knowledge of CPR to carry it out with a positive attitude.

The Impact on the accuracy of the basic CPR according to position and foot-board height of the basic CPR provider (심폐소생술 제공자의 발판 높이와 자세가 기본심폐소생술의 정확도에 미치는 영향)

  • Choi, Eun-Sook;Cho, Keun-Ja
    • The Korean Journal of Emergency Medical Services
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    • v.12 no.3
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    • pp.27-41
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    • 2008
  • Purpose : The purpose of this study was to supply basic data for the impact on the accuracy of basic CPR according to position and foot-board height of basic CPR provider. Methods : Study design was within - group design. Subjects were 25 EMT-P Students in K city. Interventions was basic CPR performed on a resuscitation manikin placed on a hospital bed, kneeling on the bed adjacent to the manikin. Data was analyzed using descriptive statistics and Friedman test. Results : In case of the basic CPR performed on a resuscitation manikin placed on a hospital bed, ventilation accuracy was the highest in less than 160 cm height, foot-board height : $34.2{\pm}1.48cm$, 91.4% and in 161-165 cm height, foot-board height : $26.0{\pm}2.14cm$, 88.4% and in 171-175 cm height, foot-board height : $23.0{\pm}1.41cm$, 91.3% and in the above 176 cm, kneeling on the bed, 95%. Chest compression accuracy was the highest in less than 160 cm height, foot-board height : $30.2{\pm}1.48cm$, 95.6% and in 161-165 cm height, kneeling on the bed, 97.6% and in 171-175 cm height, kneeling on the bed, 98.5% and in the above 176 cm, kneeling on the bed, 98.7% and foot-board height : $20.5{\pm}1.91cm$, 98.7%. Chest compression error was due to too weak : 2.0-35.4 times. There were ststistically significant differences in 191-195 cm group according to chest compression mean depths($x^2=10.824$, p = .013) and chest compression error (p = .040). Conclusion : In contrast to current guidelines, the position and foot-board height of basic CPR provider are very important to the accuracy of the basic CPR. Furthermore, we recommend that a using real time audiovisual feedaback system significantly improve the quality of chest compression and ventilation during resuscitation.

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Effects of basketball training program for 12 weeks of after school on physical abilities and learning related factors in middle school students (중학생들의 12주간 방과 후 농구 훈련 프로그램 참여가 신체활동능력과 학습관련요인에 미치는 영향)

  • Kim, Donghee;Ban, Seonmi;Cho, Sungchae;Kuk, Doohong
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.19 no.9
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    • pp.186-194
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    • 2018
  • The aim of this study was to examine the effects of an after-school basketball training program of 12 weeks on physical abilities (grip strength, endurance, and flexibility) and learning-related factors (cognition strength, cognition speed, concentration, and mental workload) in middle school students. Middle school students (Males, N=20) were recruited for use in this study and were randomly divided into either a basketball training group (n = 10, BT) or a non-exercise control group (n = 10, CON). Two-way repeated measures ANOVA with post-hoc testing was used for data analysis. Results found endurance and flexibility in the BT group were significantly increased, but not in the CON group. In addition, cognition strength, speed, and concentration in the BT group increased and mental workload in the BT group slightly decreased. In contrast, the CON group showed a significant increase in mental workload. Our findings show that participation in after-school physical education activities (e.g., basketball training program) positively improves physical abilities and increases brain functions for learning.

The Effect of Aerobic Resistance Training Circuit on Health-Related Physical Fitness, Blood Lipids and Cortisol in Postmenopausal Obese Women (유산소성 저항트레이닝 써킷이 폐경 후 비만여성의 건강체력, 혈중지질 및 코티졸에 미치는 영향)

  • Jeong, Min-Jin;Kim, Do-Yoen;Kim, Ji-Hyeon
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.18 no.4
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    • pp.550-559
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    • 2017
  • The purpose of this study was to analyze the effect of a 12 week aerobic resistance training circuit program on the health-related fitness, blood lipids, and cortisol in obese postmenopausal women. The subjects for the study were twenty obese postmenopausal women composed of the exercise group (n=10) and "no exercise" control group (n=10). The aerobic resistance training circuit program was conducted for 70 minutes 3 times a week for 12 weeks, in which the aerobic exercise consisted of 5 items each composed of 5 sets of aerobic exercise at 50-70% HRmax intensity for 1 minute for a total of 25 minutes and the resistance exercise consisted of 8 items conducted for a total of 25 minutes at 40-60% intensity of 1RM). In the exercise group, the body weight and BMI significantly decreased and the 20m shuttle run, sit-ups and sitting trunk flexion significantly increased. In the exercise group, the TC, LDL-C, and TG significantly decreased. Also, it was noted that the HDL-C was slightly higher in the exercise group than in the control group, but the difference was not statistically significant. The cortisol levels of the exercise group and control group at baseline were similar. However, after the aerobic resistance training circuit program, the exercise group had a significantly higher cortisol level than the control group. Therefore, regular and continuous aerobic resistance training was effective in improving the body composition, blood lipids and health-related fitness.

Comparison of Ventilation Effects by Mask Type for Proper Health Care of Respiratory Emergency Patients (호흡응급환자의 적절한 헬스케어를 위한 마스크 유형별 환기효과 비교)

  • Kim, Tae-Hyun;Park, Si-Eun
    • Journal of Korea Entertainment Industry Association
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    • v.14 no.7
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    • pp.477-485
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    • 2020
  • This study is a random allocation similar experimental study to compare and analyze the difference in BVM (Bag-Valve-Mask) ventilation volume according to the characteristics of the rescuer's hand and the type of mask using a standardized mannequin. To this end, the Basic Life Resuscitation Education Center of D University in gwangju. Recruiting 39 students who have completed the basic resuscitation course for emergency medical personnel and the Korean-style specialized cardiac rescue course, In addition to measuring the physical characteristics of the hand, the average amount of ventilation per minute using a bag-mask was measured and analyzed. As a result, the type of mask that was not most affected by the characteristics of the hand and provided adequate Minute Ventilation was the soft type (tube, silicone) mask. On the other hard (tube, silicone) masks were found to be unsuitable for general use as they were greatly affected by the characteristics of workers' hands. COVID-19 is currently increasing the risk of transmission to paramedics and patients. Considering this situation, the universal use of a semi-permanent hard-type mask, which is disadvantageous not only for preventing infection but also for proper ventilation, should be avoided. In addition to the ease of use, it should be actively utilized in the field by supplying a soft type mask that can provide stable ventilation even with 'predominance recognition' and proper ventilation.

The Effect of Health Exercise Program on the Body Composition, Cardiopulmonary Function, Physical Fitness in Middle-Aged Women (건강운동 프로그램이 중년여성의 신체조성과 심폐기능 및 체력에 미치는 영향)

  • 김도희
    • Korean Journal of Health Education and Promotion
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    • v.18 no.3
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    • pp.177-186
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    • 2001
  • The purpose of this study was to investigate the of regular worksite health exercise program participation on related fitness. Subject for study were 34 middle-aged women in Kwangju-city. To achieve this, body composition, cardiopulmonary function, physical fitness of every subjects were measured before and post regular health exercise program participation during 12 week. The results of this study were as follows: 1. Regular health exercise program participation result from improving the body composition, but there is not significant different statistically(p〈.05). 2. Significant differences were observed in the cardiopulmonary function(vital capacity, VO$_2$ max) after regular exercise program during 12 week(p〈.05). 3. Significant differences were observed in the flexibility(sitting trunk flexion), abdominal endurance(sit-ups), power (standing high jump), agility(trunk reaction time) after regular exercise program during 12 week(p〈.05).

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