• 제목/요약/키워드: cardiopulmonary

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점증 부하 운동 시 정상인과 뇌졸중 환자의 심폐기능 및 에너지 대사 비교 (Compare of Graded Load Exercise on Cardiopulmonary Function and Energy Metabolism of Normal Persons and Stroke Patients)

  • 김지혜;염주노;유인태;임재길;황병용
    • 한국콘텐츠학회논문지
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    • 제12권2호
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    • pp.331-338
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    • 2012
  • 본 연구의 목적은 정상군과 뇌졸중 환자군의 하지 에르고미터를 이용한 점증적 부하 운동 시 나타나는 심폐기능 및 에너지 대사에 대해 알아보기 위해서이다. 정상군 11(남자:6, 여자:5)명, 뇌졸중 환자군 9(남자:4, 여자:5)명을 대상으로 18분 동안 하지 에르고미터를 이용하여 6분에 25watt 씩 점차적으로 증가하며 실시하였고, 이때 심폐기능 및 에너지 대사는 Quark $b_2$를 이용하였다. 정상군에서 점진적 부하 운동 단계는 유의하게 증가하였다. 심폐기능은 최대산소 섭취량 시간, 운동시간에서 유의하게 증가하였지만, 에너지 대사에서는 유의한 차이가 나타나지 않았다. 또한 심폐기능과 에너지대사는 높은 상관관계를 가졌다. 결과적으로 하지 에르고미터를 이용한 점증 부하 운동 시 18분 이내에서는 정상군과 뇌졸중 환자군의 심폐기능과 에너지 대사는 통계학적 차이를 보이지 않았지만, 최대 산소 섭취량과 운동 시간에서는 유의한 차이를 보였으며, 최대산소 섭취량과 관련이 있음을 확인할 수 있었다.

심폐소생술 시행 위치변화에 따른 흉부압박의 질 비교 (Comparison of Qualities of Chest Compression according to Changes of Position in Cardiopulmonary Resuscitation Performance)

  • 권혜란;박대성
    • 한국응급구조학회지
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    • 제15권1호
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    • pp.37-46
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    • 2011
  • Purpose : This study is equivalence experiment performed to test practice effects between experimental group from both left and right direction of mannequin and control group having practice from only right direction in cardiopulmonary resuscitation education. Methods : Subject of the research were total 71 elementary and middle school teachers in J province who had not experience to have cardiopulmonary resuscitation. They were divided into experimental group of 35 participants who practiced cardiopulmonary resuscitation from both right and left direction of mannequin on Dec. 27, 2009 and control group of 36 participants who performed cardiopulmonary resuscitation from only right direction of mannequin on Dec. 28, 2009. Collected data were analyzed by SPSS/PC+(version 14.0). Results : 1. There was no statistically significant difference by sex among general characteristics of the subjects. 2. According to the quality of chest compression performed from the right direction of mannequin, experimental group showed better results in proper depth (time), insufficient depth (time), too lowered compression position (time) and inexact position (time) than control group(p<.05). In the quality of chest compression from the left side of mannequin, experimental group performed better results in proper depth (time), insufficient depth (time), inexact compression position (time) and mean chest compression depth(mm) than control group(p<.05) and also in more left-centered compression position (time) than control group(p<.001). 3. The quality of chest compression by experimental group, the right side of mannequin was superior in proper depth (time) to the left side of mannequin (p<.001) and showed better results in insufficient depth (time) and chest compression/recoil rate (p<.05). According to the quality of chest compression by control group, the right side of mannequin showed superior results in proper depth (time), insufficient depth (time), too left-centered compression position (time) and mean chest compression depth (mm) (p<.05) to the left side of mannequin. Conclusion : The group having practice from both right and left sides of mannequin was superior in the quality of chest compression to the group having practice from only right side of mannequin. How to practice cardiopulmonary resuscitation from both right and left sides of mannequin can be recommended and practice from left side of mannequin is also useful.

PC Skill-Reporting System을 활용한 심폐소생술 교육이 간호학생의 지식, 자기효능감, 술기수행능력에 미치는 효과 (Effects of Cardiopulmonary Resuscitation Education Using a PC Skill-Reporting System on the Knowledge, Self-Efficacy and Skill Performance Ability of Nursing Students)

  • 김란;채민정
    • 보건의료산업학회지
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    • 제9권1호
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    • pp.133-144
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    • 2015
  • The Purpose of this study was to identify the educational effects of cardiopulmonary resuscitation using a PC skill-reporting system on the knowledge, Self-efficacy and skill performance ability of nursing students. The Participants were 57 nursing students from G metropolitan city, an experimental group of 29 subjects, and a control group of 28 students who were randomly sampled. Data were collected from 3 to 12 July of, 2013, and theory education and skill exposure programs for the experimental and control groups were conducted for 60 min. three times a week. The, PC skill-reporting system was used only with the experimental group. The collected data were analyzed with SPSS/WIN version 20.0 using ${\chi}^2$-tests, Fisher's exact probability tests, paired t-tests and t-tests. In the comparison of the two groups, the knowledge(t=-2.39, p=.022), self-efficacy (t=-3.45, p<.001) and skill performance ability(t=-2.52, p=.012) of the experiment group were significantly higher than those of the control group. Therefore, the adoption of instructional methods using a PC skill-reporting system is required to maximize the effects of cardiopulmonary resuscitation instruction.

유방암 수술 후 방사선치료중인 환자를 위한 운동프로그램이 심폐기능 및 어깨관절기능에 미치는 효과 (Effects of Exercise on Cardiopulmonary Functions and Shoulder Joint Functioning in Breast Cancer Patients undergoing Radiation Therapy after Breast Surgery)

  • 채영란;최명애
    • 대한간호학회지
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    • 제31권3호
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    • pp.454-466
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    • 2001
  • Purpose: The purpose of this study was to determine the effects of exercise program on cardiopulmonary functions and shoulder joint functioning in breast cancer patients who under- went radiation therapy after surgery. Method: Subjects in the experimental group(N=12) participated in an exercise program for eight weeks. The Exercise program consisted of shoulder stretching, arm weight training, and walking on treadmill. Maximal oxygen uptake (v2max), maximal running time, shoulder joint range of motion, and shoulder functional assessment were determined before and after the exercise program. Baseline sociodemographic and medical data were compared between experimental group and control group using the Fisher's exact test and Mann- Whitney U test. For effects of the exercise program, repeated measures ANOVA were used. Result: 1) Following the exercise program for eight weeks, both v$\alpha$ max and maximal running time tended to increase in experimental group comparing with the control group. 2) Shoulder abduction, extension and flexion of the operated upper extremity in the experimental group comparing with control significantly increased after the exercise program(p<0.05). 3) Shoulder flexion of the normal upper extremity in the experimental group comparing with control significantly increased after the exercise program(p<0.05). Conclusion: The results suggest that the exercise program for breast cancer patients undergoing radiation therapy after breast surgery can improve shoulder functions and increase cardiopulmonary functions, which are maximal oxygen uptake and maximal running time.

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Effect of Skater Exercise on Cardiopulmonary Fitness and Balance in Patients with Mild Chronic Stroke. - A Pilot Study -

  • Kim, Min-Su
    • The Journal of Korean Physical Therapy
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    • 제28권5호
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    • pp.334-340
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    • 2016
  • Purpose: This study was conducted to investigate the effects of skater exercise on cardiopulmonary fitness and balance function in patients with mild chronic stroke. Methods: A total of ten chronic stroke patients with mild neurologic deficits were recruited. The participants were divided into two groups, a skater exercise (n=5) and a control group (n=5). Skater exercise was performed by physical therapists in the experimental group, whereas patients in the control group conducted self-exercise. One session of the intervention was carried out for 30 minutes, three times per week for eight weeks. Cardiopulmonary function, falling index, and Euro-Quality of Life-5 Dimension (EQ-5D) were measured before and after the intervention. Results: No side effects were reported during and after skater exercise intervention. The peak aerobic capacity, falling index, and EQ-5D improved significantly in the experimental group compared with the control group after eight weeks of skater exercise (p=0.002, p=0.010, and p=0.006). Significant relationships were identified between the change in EQ-5D and peak aerobic capacity (R2=0.75, p=0.002)/falling index (R2=0.65, p=0.002). Conclusion: Skater exercise was an effective physical therapy to improve cardiopulmonary fitness and balance function in patients with mild chronic stroke.

일부지역 대학생들의 VSI(Video Self-Instruction) 심폐소생술과 기본심폐소생술 교육 효과 비교 (A Comparison in Educational Effects Between Video Self-Instruction (VSI) and Basic CPR (Cardiopulmonary Resuscitation) among College Students in Some Areas)

  • 안주영;박상섭
    • 한국학교ㆍ지역보건교육학회지
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    • 제10권1호
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    • pp.1-16
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    • 2009
  • Objectives: This study aims to perform comparative analysis of educational effects between video self-instruction (VSI) and basic cardiopulmonary resuscitation among college students in some areas. Methods: This study was conducted with 57 college students (28 for control group and 29 for experimental group) in U Metropolitan City from September 27 to October 5, 2007, and SPSS 14.0 Version was used for analysis. Results: As for differences in attitudes before and after cardiopulmonary resuscitation training, the experimental group (1.48) was higher than the control group (.91), which was significant (p<.001). The experimental group (9.56) also showed higher knowledge score than the control group (7.79) with significant differences (p<.05). The former (3.93) also showed higher concrete self-efficacy than the latter (2.17). with significant differences (p<.05). The experimental group (43.24) showed higher practical performance ability than the control group (34.48), with no significant difference. The former (30.93) also showed higher accuracy in chest compression skill than the control group (20.25). with no significant difference.

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체외순환시 산화기 충전액에 첨가된 알부민의 임상적 효과 (Clinical Effect of Albumin Addition to the Prime solution in Cardiopulmonary Bypass)

  • 이형교;유세영
    • Journal of Chest Surgery
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    • 제23권6호
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    • pp.1152-1157
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    • 1990
  • Colloid solution is commonly used to increase the oncotic pressures of priming solutions used in the cardiopulmonary bypass circuit. To study the effectiveness of this practice, we retrospectively evaluated 24 patients undergoing cardiac operations to receive isoelectric solution plus 50 gm of albumin[group A], isoelectric solution plus 25 gm of albumin[group B] and isoelectric solution without albumin[group C] as the prime solution for the bypass circuit. Various clinical parameters related to the perioperative fluid balance, cardiopulmonary function, and renal function were studied. There were no differences between the three groups with regard to postoperative clinical parameter of cardiopulmonary, liver function and renal function. But at the previous report by Cho et al. [38], there was a significant difference between groups with regard to hematologic property, especially in crenated red blood cells. These hematologic events did not affect the clinical outcome but thorough evaluations are needed in order to prove the clinical effect of crenated red blood cell. We conclude that there is no clinically detectable advantage for the routinely supplementing of albumin to the priming solution of bypass circuit in cardiac operations. Whether this practice can be of value in selected cases needs to be further studied.

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웹기반 사례중심 심폐응급간호 학습 프로그램 개발 (Development of Web-based Learning Program on Cardiopulmonary Emergency Care Focused on Clinical Scenarios)

  • 김은정;황선영
    • 성인간호학회지
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    • 제22권1호
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    • pp.70-79
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    • 2010
  • Purpose: This study was conducted to develop a Web-based learning program on cardiopulmonary emergency care for clinical nurses and to evaluate learners' responses. Methods: Based on the assessment of learning needs of clinical nurses, a total of three self-directed learning modules were developed according to the procedure of the ADDIE (assessment, design, development, implementation, & evaluation) model. Results: Each learning module included the emergency treatments and drugs used in the real patients' situations with cardiopulmonary crisis, which had been adopted from the emergency department of a C University hospital located in G-city. Real video clips for endotracheal intubation and ACLS (advanced cardiac life support) were developed with the help of the staff of the department of emergency medicine using a human simulator, $SimMan^{(R)}$. The program published on the Web was evaluated by 20 clinical nurses who are working in the emergency department and wards of a C-University hospital. About 80% of the respondents were satisfied with the program contents, design, and learning strategy. Conclusions: Web-based learning programs on cardiopulmonary emergency care are needed for clinical nurses as educational material for staff education to increase their knowledge for making immediate clinical decisions and in giving skilled care in emergency situations.