• Journal of Chest Surgery
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• v.31 no.12
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• pp.1147-1158
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• 1998

Background: Portable cardiopulmonary bypass(CPB) technique has been used increasingly as a potent and effective option for emergency cardiopulmonary resuscitation(CPR) because it can maintain more stable hemodynamics and provide better survival than conventional CPR techniques. This study was designed to develop a prototype of Korean portable CPB system and, by applying it to CPR, to discriminate whether it would be superior to standard open-chest CPR. Material and Method: By using adult mongrel dogs, open-chest CPR(OCPR group, n=4) and portable-CPB CPR(CPB group, n=4) were compared with respects to restoration of spontaneous circulation(ROSC), hemodynamics, effects on blood cells, blood gas patterns, biochemical markers, and survivals. Ventricular fibrillation-cardiac arrest(VF-CA) of arrest(VF-CA) of 4 minutes followed by basic life support(BLS) of 15 minutes was applied in either group, which was standardized by the protocol of American Heart Association. Then, advanced life support(ALS) was applied to either group under the support of internal cardiac massage or CPB. ALS was maintained until ROSC was achieved but not longer than 30 minutes regardless of the presence of ROSC. All of the measured values were expressed as means±SD percent change from baseline. Result: During the early ALS, higher mean arterial pressure was maintained in CPB group than in OCPR group(90±19 vs. 71±32 %; p<.05) and lower mean pulmonary arterial pressure was also maintained in CPB group than in OCPR group(105±24 vs. 146±6%; p<.05). ROSC was achieved in all dogs. Post-ROSC levels of hematocrit, RBC, and platelet were decreased and plasma free hemoglobin was increased significantly in CPB group compared to OCPR group(p<.05). Changes in blood gas patterns, lactate, and CK-MB levels were not different between groups. Early mortality was seen in 3 dogs in OCPR group(survival time 31±36 hours) and 2 in CPB group(228±153 hours, p=ns). The remainders in both groups showed prolonged survival. Conclusion: These findings indicate that portable CPB can be effective to maintain stable hemodynamics during cardiac arrest, to achieve ROSC and to prolong survival. Further study is needed to refine the portable CPB system and to meet clinical challenges.

• The Journal of Korean Academic Society of Nursing Education
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• v.11 no.2
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• pp.278-286
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• 2005

Purpose: The purpose of this study was to find out the effectiveness of the CPR training for non-healthcare providers by checking the performing ability of the subjects before and after the teaching class. Method: This study was a single primary experimental study designed with pre and post test. Study subjects were 37 office staffs who participated in all test from March, 10th, 2005 to April, 18th, 2005. The tools of this study were CPR performing evaluation sheet and CPR teaching computer program. Data analyzed by descriptive statistics, t-test, repeated ANOVA and Bonferroni with SPSS 12.0 program. Result: The CPR practice performing ability statistically significant increased by the step of test. The CPR practice performing ability of learning experience group had significantly high score than non experience group. The self-confidence about CPR practice when faced emergency situation was increased after practice training. Conclusion: One to one CPR practice teaching method using simulation by CPR teaching specialists was turned out to be very effective in improving the ability of CPR practice of non-healthcare providers in a tertiary hospital than self-study.

• Journal of agricultural medicine and community health
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• v.44 no.3
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• pp.124-137
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• 2019

Objectives: The purpose of this study was factors affecting self-efficacy of cardiopulmonary resuscitation (CPR) in adults. Therefore, the provide basic data for strategy development to improve the performance rate of bystander CPR. Methods: The data were collected from 164,165 adults of the 2016 Korean Community Health Survey. The survey method was 1:1 interview with households, and the survey period was from August 16, 2016 to October 31, 2016. The survey variables were as follows: self-efficacy of CPR, awareness of CPR, training experience of CPR, demographic characteristics, medical characteristics, health promoting behaviors, and safety practices. Results: The rate of self-efficacy of CPR in adults was 60.6%. Factors affecting self-efficacy of CPR were age, sex, residence, education level, occupation, marital status, any CPR training, CPR training within the last 2 years, CPR training with manikin within the last 2 years, emergency room visit within the last 1 year, physical activity status, drive a bicycle, seat belts on rear seat, seat belts when riding a bus were statistically significant. Conclusions: In conclusion, in order to improve the self-efficacy of CPR in adults, the recent experience rate of CPR education, the practice rate of health promotion behavior, and the practice rate of safety behavior should be improved. The government should expand the provision of education programs to improve the self-efficacy of CPR and actively prepare national-level public advertisements strategies.

• Journal of Korea Entertainment Industry Association
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• v.13 no.8
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• pp.391-400
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• 2019

In this study, we tried to find out the difference in confidence in performing Healthy Life on CPR before and after CPR education to middle school volunteers. Through the above statistical analysis process, the following findings were obtained: First, the general characteristics of the respondents who participated in this survey were higher than that of boys, followed by third, first and second graders. Second, junior high school volunteers were shown to have similar confidence (Chonbach's α=.80) and confidence (Chonbach's α=.76) before CPR education, and confidence in the degree of social contribution (Chonbach's α=7.77). Third, the Pearson Rates Correlation was performed to see the correlation between grade, gender, pre-education confidence, post-training confidence, confidence in the application of airway methods, confidence in the patient's breathing, confidence in chest compression, confidence in the use of defibrillators, and post-cardiopulmonary resuscitation education. As a result, it was confirmed that there was a significant correlation between all the spokesmen. In particular, post-training self-confidence was the highest correlation with coping confidence in case of cardiac arrest, followed by chest compressive confidence. Comparing and reviewing these findings and prior studies as shown above, we were able to establish that CPR education has an impact on the confidence performed by gender.

• The Korean Journal of Emergency Medical Services
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• v.26 no.3
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• pp.161-184
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• 2022

Purpose: This study aimed to develop a cardiopulmonary resuscitation training program for firefighters (FD-CPR) to help improve the survival rate after cardiac arrest on the fireground. Methods: The FD-CPR was developed following 3 steps of the FD-CPR instructional design based on the behaviorism theory. The content of the program was validated by a group of 7 experts using the contents validity index (CVI) and through a pilot-test. Results: A scenario consisting of 7 procedures, and a skill performance evaluation tool consisting of 16 questions were developed. The evaluation tool average score for the difficulty test was 41.16% (even) and that for the discrimination test was 0.32 (high). Subsequently, an 80 min training program was developed. As verified by the 7 experts through the CVI, it was as high as 1.0. Conclusion: The FD-CPR developed domestically for the first time in this study was effective in enhancing the CPR performance skills of the firefighters. If FD-CPR is added to the curriculum at the Fire Service Academy educational course for the new firefighters, the CPR performance skills could be maintained. Furthermore, the program can facilitate a better survival rate for colleagues having cardiac arrest on the field.

• Journal of Korean society of Dental Hygiene
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• v.16 no.6
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• pp.1067-1078
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• 2016

Objectives: The aim of this study was to investigate the effect of cardiopulmonary resuscitation (CPR) education in dental hygiene students. Methods: A self-reported questionnaire was completed by fifty dental hygiene students in May 2016 before and after CPR education. The questionnaire consisted of knowledge, attitude, confidence, and performance of CPR skill. Performance test by professionals was measured to evaluate capability of skill after CPR education. Results: Scores of the knowledge increased from 4.35 to 12.24 after education (p<0.001). Scores of attitude increased from 51.86 to 58.92 (p<0.001). Scores of confidence changed from 56.66 to 85.02 (p<0.001). Scores of self-capability of skill increased from 44.90 to 74.02 (p<0.001). 5. The average score of capability of skill by professional test was 24.47. Conclusions: CPR education improved the knowledge, attitude, confidence and capability of skill in dental hygiene students. The development and education of CPR program will make the students perform bystander CPR in the emergency situation actively.

• Journal of the Korean Society of School Health
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• v.24 no.1
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• pp.1-11
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• 2011

Purpose: This study is a non-equivalent control group pre-post design, which attempted to observe the effects of Basic Life Support Education on undergraduate students' CPR Knowledge and Attitude. Methods: The subjects were 96 undergraduates in Jeonbuk. They were divided into two groups: an experimental group of 46 students and a control group of 50 students. The BLS education was given by three BLS instructors certified by the American Heart Association using a DVD. Data were collected from October 20 to November 15, 2010 and analyzed, using the ${\chi}^2$ test, t-test, and ANCOVA. Results: There were significant differences between the experimental group and the control group in the levels of CPR Knowledge and Attitude. The 1st hypothesis, that the CPR knowledge scores for the experimental group would be higher than those of the control group, was supported (F=157.58, p=.000). The 2nd hypothesis, that the CPR attitude scores for the experimental group would be higher than those of the control group, was supported (F=23.78, p=.000). Conclusion: This study showed that BLS education had a positive influence on undergraduate students' knowledge and attitudes toward CPR. We expect that BLS education will contribute to spreading knowledge of CPR and reducing mortality among heart attack victims, and we can see from this study how CPR training in combination with theory and clinical practice develops knowledge and practical ability.

• International Journal of Internet, Broadcasting and Communication
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• v.13 no.1
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• pp.229-237
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• 2021

This study aimed to help build a quality control program to improve cardiac arrest treatment via analysis of medical records in a local tertiary general hospital to evaluate factors that influence clinical outcomes of in-hospital cardiac arrest. At first, the medical records of in-hospital cardiac arrest were analyzed, and targeted surveys about functional and structural factors associated with cardiopulmonary resuscitation (CPR) were conducted amongst the workforce in charge of cardiac arrest treatment. From January 2012 through June 2013, a total of 486 adult cases of in-hospital cardiac arrests, except for those occurring in the emergency room, were enrolled in this study. Among the patients, those of recovery of spontaneous circulation were 57.8%; 13.8% of patients were discharged alive; 8.9% of patients were discharged without significant neurologic sequela. Despite CPR is usually successful when administered as quickly as possible, in this analysis showed that prompt reaction after initial recognition was significantly lower in nurses compared with doctors. Analysis of survey results showed that confidence in performing CPR was significantly associated with the experience of CPR in doctors, while in nurses educational experience showed a correlation. In order to improve quality of in-hospital CPR system maintaining and increasing confidence of CPR performance is the most important factor. Therefore it can be helpful to develop and apply a phased, customized education program using training simulators as well as personalizing them to increase the personnel's confidence in CPR performance.

• Journal of the Korea Convergence Society
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• v.9 no.8
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• pp.311-318
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• 2018

The purpose of this study was to investigate the correlation between basic self - confidence and CPR - related factors and to investigate factors affecting CPR intention in nursing college students. Data were collected between January to March, 2018. Using SPSS(ver, 24.0), independent t-test, Pearson's correlation and logistic regression were used for the statistical analysis. Among the variables related to cardiopulmonary resuscitation, there was a high correlation (r = .575~.738). In the case of AED use, there was a low correlation with self-confidence of core nursing skills, CPR confidence, proficiency, and self-efficacy (r = .163~.301). A moderate correlation (r = .415~453) was found between the variables related to core nursing skills and CPR related variabls. Logistic regression analysis showed that CPR Self-efficacy (OR=1.22, 95% CI: 1.07~1.38), and AED application Competency (OR=1.72, 95% CI: 1.09~2.75) are effect factors. Since there is a correlation with AED, which is the main tool in CPR, it is necessary to include not only the self - efficacy but also the use of AED which is closely related to CPR in the actual situation as an essential element of education.

• Journal of the Korea Society of Computer and Information
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• v.24 no.11
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• pp.179-185
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• 2019

In this paper, We purpose the basic data for the success of effective CPR using mirror in order to increase the quality of chest compression during CPR. The subject of this study was an experimental study based on a randomized crossover design of 28 people who completed the BLS Health Care Provider, and collected data were analyzed by SPSS Ver. 23.0 for Win statistics program. As the research methods, depth, speed, compression to relaxation ratio, arm angle and easiness during the chest compression were measured. Taken together, the results of this study showed that using a mirror-based chest compression method for chest compressions in adult CPR could make chest compressions easier, in addition, the quality of breast compression was improved by improving the posture of the rescuers, such as the average depth of compression, compression to relaxation ratio, and arm angle. However, it is necessary to confirm the feasibility of clinical application through additional studies on various environmental factors and job groups for mirror-based chest compression method.