• 한국융합학회논문지
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• 제8권10호
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• pp.105-114
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• 2017

본 연구는 구급대원으로 활동하는 응급구조사의 표준작전절차에 대한 융복합적인 인지도와 수행도를 알고자 하는데 그 목적이 있다. 이러한 목적을 달성하기 위하여 본 연구에서는 구급대원으로 활동하는 응급구조사 400명을 연구대상으로 표집하여 SPSS 20.0 Version을 사용하여 분석하였다. 연구 결과는 다음과 같다. 첫째, 연구대상자의 융복합적인 인지도는 호흡기 감염예방 부분이 가장 높았고, 손위생이 가장 낮았으며, 수행도는 치료장비 및 직원의 안전 부분이 가장 높았고, 손위생이 가장 낮았다. 인지도가 전체적으로 수행도 보다 높았다. 둘째, 일반적 특성에 따라 인지도는 연령, 성별, 상처 경험에 따라 통계적으로 유의한 차이가 있었으며, 수행도는 근무경력만이 유의한 차이를 보였다. 응급구조사의 융복합적인 인지도와 수행도 간에 정적 상관관계를 보이는 것으로 나타났다. 이 같은 결과로 구급대원으로 활동하는 응급구조사의 표준작전절차에 관한 인지도와 수행도를 복합적으로 높이기 위해 인지도를 선행으로 한 프로그램을 지속적으로 반복 교육 시 수행도를 증가시킬 수 있을 것으로 사료된다.

• 한국컴퓨터정보학회논문지
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• 제26권12호
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• pp.221-226
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• 2021

본 연구는 음악치료가 119구급대원(이하 구급대원)의 외상 후 스트레스(post-traumatic stress; PTS) 감소에 미치는 영향과 음악치료 효과의 지속성을 알아보고자 수행되었다. 연구대상은 C지역의 구급대원 42명으로 2019년 11월 25일부터 2020년 3월 1일까지 연구를 진행하였다. 실험군 21명은 매일 2회씩 5일간 총 10회의 음악치료 프로그램을 진행하였다. 프로그램은 음악치료 전문가 2인에 의해 진행되었으며, 각 단계는 즉흥적으로 연주하기, 리듬 창작 활동, 난타, 신체 활동 등 목표에 필요한 중재기법이 적용되었다. 대조군은 실험군의 프로그램 진행과 동일한 시간에 자유로운 휴식(TV시청, 휴대폰게임, 수면, 운동 등)을 취하도록 하였다. 연구 결과 대조군은 음악치료 적용 전과 후의 외상 후 스트레스의 차이가 없었으나, 실험군은 음악치료 적용 전에 비해 직후의 PTS가 크게 감소하였고, 4주 후와 12주 후에는 PTS가 점차적으로 증가하였다(p<.05). 따라서 정기적이고 반복적인 음악치료는 구급대원의 외상 후 스트레스 수준을 경감시킬 수 있는 효과적인 방법으로 판단된다.

• 한국응급구조학회지
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• 제17권1호
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• pp.41-50
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• 2013

Purpose : This study intended to improve the quality of prehospital emergency care for patients with dyspnea by figuring out the current situations and problems based on run-sheets of 119 emergency medical technicians (EMTs). Methods : A total of 336 dyspnea patients were transferred to G university hospital by 119 ambulances from January 1, 2011 to December 31, 2011. Results : The data were analyzed by SPSS 19.0. Patients over 60 years old accounted for 57.2% and 48.4% had the history of heart disease. Among the heart disease patients, 31.7% complained of dyspnea and chest pain. The vital sign measurement performance by 119 EMTs increased compared to previous study. The number of prehospital treatment by 119 EMTs significantly increased depending on the mental state of the patients. Conclusion : 119 EMTs should remind the heart disease and other past history of the patients when they perform the dyspnea patient care.

• 한국응급구조학회지
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• 제14권1호
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• pp.31-46
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• 2010

This study was intended to analyze the clinical characteristic of the patient with hypoglycemia and the status of prehospital treatments by 119 emergency medical technicians well as the cause of inappropriate emergency treatment by 119 emergency medical technicians in a bid to seek the measures for improvement, thereby enhancing the emergency medical services before medical treatment at hospital. Examination of the daily work log on 430 patients suffering with hypoglycemia who were sent to the university hospital in Gyunggi-Province by 119 emergency medical technicians, beginning on Jan 1, 2004 till Dec 31. 2008 was carried out and the survey of 206 119 emergency medical technicians working at the region of Gyunggid-Province was conducted from Sep 19 through Oct 6, 2009. Evaluation of the frequency and percentage and ANOVA analysis using SPSS WIN 14.0 program was carried out. In view of the examination of daily emergency work log and questionnaire, prehospital treatment for the patients with hypoglycemia needs to be further improved in general, and to provide the emergency treatment in accurate and timely manner, improvement of the system such as assignment of licensed rescue members and development of protocol that will replace the medical consultant system, mandatory emergency treatment, constant and efficient training and maintenance of emergency rescue records shall be implemented, and furthermore, social recognition to 119 emergency medical technicians shall be improved to encourage them to perform more positive way and manner.

• 한국응급구조학회지
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• 제23권3호
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• pp.135-143
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• 2019

Purpose: The purpose of this study was to determine the effect of a violent experience and job stress on burnout and to investigate the factors that affect burnout in female 119 emergency medical technicians. Methods: Data from 189 female EMTs were collected using a structured questionnaire. The data were analyzed using SPSS 23.0. The analyses included descriptive statistics, independent t-tests, analysis of variance, Scheffe test, Pearson's correlation coefficient, and multiple linear regression. Results: Burnout was positively correlated with a violent experience in female 119 EMTs. Violent experience (β=.39, p<.001) were a significant predictor of burnout in 15.2% of female 119 EMTs. Conclusion: A violent experience is identified as a significant factor affecting burnout in female 119 EMTs. Therefore, it is necessary to impart education to female 119 EMTs on effectively coping with violence.

• 한국응급구조학회지
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• 제18권3호
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• pp.19-35
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• 2014

Purpose: This study aimed to improve the quality of prehospital emergency care for elderly patients by determining current prehospital care status based on run sheets and level of knowledge, and prehospital care confidence toward the elderly through questionnaires answered by 119 emergency medical technicians (EMTs). Methods: This study was conducted with 4,946 elderly patients who were transferred to the hospital by 119 ambulances in D city from March 1, 2013 to February 28, 2014. This study was a descriptive study of 119 run sheets. The questionnaire was completed by 160 EMTs working in D city. All data were analyzed by using SPSS 21.0. Results: 74.2% was due to disease among the 4,946 elderly patients who were transferred by 119 ambulances, and a rest was due to injury. The mean knowledge score of the 119 EMTs regarding elderly patients was low. Their confidence on prehospital care of the elderly patients statistically significantly differed according to career at hospital and education. Conclusion: Theoretical knowledge, education on prehospital care of the elderly, and repeated technical prehospital care education and training accompanied by feedback assessment by 119 EMTs are needed.

• 한국응급구조학회지
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• 제18권1호
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• pp.43-54
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• 2014

Purpose : The purpose of this study was to provide appropriate direction for triage education by investigating the knowledge level of triage in 119 EMTs before and after the triage education. Methods : The questionnaire was filled out by newly assigned 33 EMTs in the fire service academy in I metropolitan city from November 1, 2013. The data were analyzed using SPSS WIN 21.0 program. Results : The lowest knowledge level by 119 triage was the potential emergency related question, but that by case-based triage was the semi-emergency related questions. The knowledge score by case-based triage before education was 51.14 points. This was lower than knowledge score by 119 triage, that is, 75.70 points. After education, the knowledge level by 119 triage was significantly improved(p =.000). However, there was no significant difference in the knowledge level by case-based triage(p =.236). Conclusion : It is necessary to provide systematic and periodic education and training for 119 EMTs toward triage to improve triage accuracy and efficient circulation of the emergency medical service system. Especially, it is very important to provide case-based triage education for field application.

• 한국융합학회논문지
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• 제8권11호
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• pp.177-182
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• 2017

본 연구의 목적은 구급차의 주행조건에 따른 구급대원의 정맥로 확보 시도 횟수를 분석하여 신속한 정맥로 확보를 위한 주행 기준을 제시하고, 실험 전 후 자신감 변화를 비교해 구급대원의 정맥로 확보 자신감을 높이는데 있다. 연구기간은 2017년 5월 18일부터 27일까지이고, 연구 대상은 119 구급대원 30명(1급 응급구조사 20명, 간호사 10명)으로 구급차 주행 조건을 6가지(정차 구간, 평지 구간, 비포장 구간, 과속 방지턱 구간, 곡선 구간, 경사로 구간)로 설정하여 정맥로 확보 시도 횟수를 측정하였다. 연구결과 정차 구간과 평지 구간 주행조건에서는 시도 횟수차이가 없었고(p=.161) 비포장(p=.003), 과속 방지턱(p=.005), 곡선(p=.022), 경사로(p=.003)구간 주행조건에서는 모두 유의한 차이가 발생했다. 실험 전 후 자신감은 실험 후 자신감이 유의하게 상승(p=.000)한 것으로 나타났다. 결론적으로 주행 중 구급차 내에서의 신속한 정맥로 확보를 위해서는 차량을 정차시키거나 평지를 주행할 때 시도하는 것을 권장하며, 지속적인 훈련을 통해 정맥로 확보 자신감을 유지시켜야 할 것이다.

• 한국화재소방학회논문지
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• 제33권1호
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• pp.179-187
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• 2019

본 연구는 119 구급대원 60명과 응급구조학과 교수 9명을 대상으로 조사한 자동차 사고 시뮬레이션 교육 프로그램에 대한 요구도 조사이다. 연구결과 응급처치 항목에서 경추보호대 착용에 대한 시뮬레이션 교육 요구도가 가장 높았고(76.8%), 시나리오 주제 항목에서 머리 손상에 대한 시뮬레이션 교육 요구도가 가장 높았다(75.4%). 구급대원의 근무경력 43개월을 기준으로 두 그룹별 요구도 차이를 확인한 결과 응급처치 항목은 항쇼크바지 사용법과 KED 사용 및 신속 구출에 대한 요구도가 두 그룹에서 유의한 차이를 보였고(p = 0.01, p = 0.05), 시나리오 주제는 얼굴, 복부, 기타 손상에 대한 요구도가 두 그룹에서 통계적으로 유의한 차이가 있는 것으로 나타났다(p = 0.05, p = 0.04, p = 0.03). 자동차 사고 시뮬레이션 교육 프로그램에 대한 119 구급대원과 응급구조학과 교수의 요구도도 높게 나타났으므로 이를 기반으로 추후 시뮬레이션 프로그램 개발이 필요하다고 평가되었다.

• 한국응급구조학회지
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• 제17권1호
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• pp.63-78
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• 2013

Purpose : This study aimed to improve quality of prehospital emergency care for the insect bite patients by figuring out its current situations and problems. Methods : This study was conducted to 219 insect bite patients who were transferred to the hospital by 119 ambulance in D-City from July 1, 2009 to June 30, 2011. This study was a descriptive study by 119 run sheets. A total of 171 emergency medical technicians(EMTs) working in D-city and C-province completed the questionnaire. All of data were analyzed by SPSS 18.0. Results : Among the 219 patients, bee sting accounted for 62.6% and wasp sting accounted for 20.1%. Some patients complained of dizziness, headache, dyspnea, and disturbance of consciousness. The 119 EMTs initially treated the patients with oxygen supply to 57 patients (31.1%). Knowledge toward insect bite was statistically significant (p=.000) between advanced EMTs and basic EMTs. The obstacle to the prehospital care, many EMTs answered that the obstacle was due to the lack of 119 EMTs. Conclusion : It is necessary to differentiate the patients' symptoms and provide the better prehospital emergency care to verify the exact symptoms and signs.