• Title/Summary/Keyword: cardiopulmonary resuscitation(CPR)

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Protocol Development of Cardiopulmonary Resuscitation Nursing Tasks targeting Patients with Ventricular Fibrillation Generation (심실세동 환자의 심폐소생술 간호업무 프로토콜 개발)

  • Oh, Suk-Hee;Jang, Keum-Seong;Choi, Ja-Yun
    • Journal of Korean Academy of Nursing Administration
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    • v.15 no.2
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    • pp.203-215
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    • 2009
  • Purpose: In order to improve resuscitation rate of CPR through providing qualitative nursing while performing CPR in hospital ward and to enhance quality of emergency nursing in the ward, the author embarked on the research as a way of developing ventricular fibrillation protocol about CPR. Method: Collected data were analyzed by using the SPSS/PC14.0 program while the routes of final protocol developed in this research are as follows. Result: Based on analysis results of literature study and CPR electronic hospital records, a total of 22 items and 53 specific contents were confirmed through the gathering of opinions from panels, and the allotment of roles and tasks with a standard of 2 nurses was designated. As the result of specialists' verification on validity, the final protocol composed of a total of 23 items and 45 specific contents was confirmed. At the result of the pertinency evaluation of confirmed protocol, it was evaluated as relatively pertinent with its average score 2.89-3.32. Conclusion: The protocol developed in this research is seen as to contribute to nurses participating in CPR to avoid the overlapping of tasks and to develop CPR through effective teamwork of medical teams by presenting clear roles and tasks.

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Analysis of cardiopulmonary resuscitation during main stretcher transport - A manikin study - (이동 중 주들것에서 심폐소생술 분석)

  • Roh, Sang-Gyun
    • The Korean Journal of Emergency Medical Services
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    • v.24 no.2
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    • pp.39-50
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    • 2020
  • Purpose: This study aimed to compare the effect of chest compression and the resulting ventilation volume in walking cardiopulmonary resuscitation (CPR), straddling CPR, and mechanical CPR while moving manikins to main stretchers. Methods: We compared the chest compressions in terms of compression depth, number of incomplete releases, complete release depth, compression rate, duration between peak time of previous compression and peak time of current compression, and respiration. We analyzed the compression comparatively with the ventilation volume in three different types of CPR. Results: The chest compression depth was significantly improved during straddling CPR as compared to walking CPR, during which women were unable to achieve sufficient chest compression depth. A constant chest compression depth was maintained during mechanical CPR. Conclusion: High-quality chest compressions were difficult to achieve in moving spaces. Further, walking CPR may be helpful in men, but straddling or applying automatic chest compressions in women would result in more effective CPR. Our findings demonstrate the limitations and trends in administering CPR in men and women, which may be useful in devising better education and training methods in the future.

Mallory-Weiss Tear After Cardiopulmonary Resuscitation in a Patient Suffering From Acute Myocardial Infarction

  • Yu, Jin Seok;Ko, Woo Suk;Kim, June Hyun;Bae, Kwang Uk
    • Kosin Medical Journal
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    • v.33 no.2
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    • pp.235-239
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    • 2018
  • A report of a 79 year old male patient suffering from acute myocardial infarction with Mallory-Weiss tear after successful cardiopulmonary resuscitation(CPR) by emergency medical technician in the swimming pool is presented. Successful percutaneous coronary intervention(PCI) was done after appropriate transfusion. The patient survived and discharged without major complications after admitting 11days in the hospital. Importance of CPR in AMI patient is reiterated as complication such as Mallory-Weiss tear may arise.

The Effect of Basic Life Support Education Using a Standardized Basic Life Support Video Program in Nurses' Cardiopulmonary Resuscitation Knowledge, Attitude and Performance (표준 기본심폐소생술 교육용 비디오를 이용한 실습교육이 간호사의 심폐소생술에 대한 지식, 태도 및 수행능력에 미치는 효과)

  • Park, Jeong-Sook;Jeon, Hyun-Rye
    • The Journal of Korean Academic Society of Nursing Education
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    • v.16 no.2
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    • pp.301-311
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    • 2010
  • Purpose: The study was done to identify variations in Nurses' CPR knowledge, attitude and performance before and after BLS Education. Method: This study was designed to evaluate the differences in Nurses' CPR knowledge, attitude and performance. For the study we selected 167 nurses working in Daegu K University hospital. The study group was given a test before (pre test) and after (post test) BLS education. The BLS education was given by two BLS instructors certified by the American Heart Association, using a DVD and manikin. Result: The results showed a statistically significant difference the nurse's knowledge, belief, emotion and performance but there was no significant difference in their behavior after BLS education. CPR knowledge and performance was higher among emergency room nurses compared to surgical ward nurses. Conclusion: CPR education has shown to have a positive effect on nurses' attitudes towards CPR. It also improved their related knowledge and performance. Therefore, cardiopulmonary education should be given continuously, and different steps of CPR education programs need to be developed in order to fill the knowledge deficiency gap.

The Oriental Medicine Hospital Staff's Educational Status, Knowledge, Attitudes, and Self-Confidence in Performing CPR (한방병원 종사자의 심폐소생술에 대한 교육실태, 지식, 태도 및 수행자신감)

  • Yu, Su-Jeong;Gang, In-Sun
    • The Korean Journal of Health Service Management
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    • v.8 no.4
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    • pp.109-119
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    • 2014
  • The purpose of this research is to determine oriental hospital staffs' education status, their knowledge, overall attitudes and self-confidence in conducting cardiopulmonary resuscitation (CPR) and how those factors influence their performance of CPR. This research was conducted from September 1st to 15th in 2014 and involved 104 participants who worked at P Oriental Hospital at Y city, and well-structured surveys were used throughout the research. The collected data underwent descriptive statics, t-test, ANOVA, Scheffe' test, Pearson correlation coefficients and stepwise multiple regression by the SPSS WIN 19.0 program. The results revealed the staffs' knowledge of CPR (r=.27, p=.007), attitude (r=.42, p=.001), and confidence in conducting cardiopulmonary resuscitation (r=.48, p=.001), which indicates all the factors are positively correlated. In conclusion, as the knowledge of CPR increased, CPR attitude and CPR performance confidence increased. We also found that a positive attitude toward CPR increases CPR performance confidence. Therefore, education in CPR should be included in workplaces. Through education, CPR performance and performance confidence can be reinforced at the time of emergency.

Factors Influencing Performance Ability of CPR of Hospital Staffs (병원직원의 심폐소생술 수행능력에 영향을 미치는 요인)

  • Lee, Jung Hwa;Sung, Mi Hae
    • Journal of East-West Nursing Research
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    • v.19 no.2
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    • pp.96-103
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    • 2013
  • Purpose: The purpose of this study was to identify the factors influencing hospital staffs' performance ability of Cardiopulmonary resuscitation (CPR). Methods: The study was conducted with 250 hospital staffs in B hospital located in Busan. The survey data were collected from August 1 to September 15, 2012 and were analyzed using frequencies, percentages, means, t-test, ANOVA, Pearson correlation coefficient and stepwise multiple regression with the SPSS WIN 19.0 program. Results: There were statistically significant differences in performance ability of CPR depending on occupations, CPR experience, CPR situations, identification of Automated external defibrillator (AED) location within the hospital, AED use experience, CPR training experience and AED training experience. A significant positive correlation was found between CPR knowledge and performance ability in addition to a significant positive correlation between CPR attitude and to performance ability. The significant factors influencing performance ability of CPR were CPR attitude, occupations, CPR training experience, knowledge and identification of AED location within the hospital. Those factors explained about 40.1% of the variance. Conclusion: It is necessary to develop a strategy for hospital staff to improve the levels of performance ability of CPR.

Convergence Study about Relationship between Nursing Students' Knowledge, Attitude, and Confidence to Infant Cardiopulmonary Resuscitation (간호대학생의 영아심폐소생술에 대한 지식, 태도, 수행자신감 관계에 대한 융합연구)

  • Kang, Ji-Soon;Oh, Jae-Woo;Lee, Mi-Yea
    • Journal of the Korea Convergence Society
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    • v.8 no.3
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    • pp.91-100
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    • 2017
  • This cross-sectional descriptive study about convergence study was conducted to identify nursing students' level of knowledge, attitude, and confidence and their relationship with infant cardiopulmonary resuscitation. To measure nursing students' level of knowledge, attitude, and confidence in infant CPR, a structured questionnaire survey was used. The number of participants was 151 nursing students from 3 universities in Korea. To analyse the data, t-test, ANOVA and Peason's correlation coefficients were applied on SPSS 21.0. This research results showed a positive correlation between Nursing Students' Knowledge, Attitude, and Confidence to Infant Cardiopulmonary Resuscitation. Therefore, it is suggested to develop a regular and repetitive education program for nursing students' infant CPR.

Comparison of Educational Effects on Hands-only Cardiopulmonary Resuscitation (CPR) with Basic Cardiopulmonary Resuscitation (CPR) by Elementary School Students (초등학생 가슴압박소생술과 기본심폐소생술의 교육효과 비교)

  • Ahn, Myung Ja;Kim, Young Im
    • Journal of the Korean Society of School Health
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    • v.27 no.3
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    • pp.130-139
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    • 2014
  • Purpose: The object of this study was to compare the educational effect about self-efficacy and the quality of chest compressions of Hands-only CPR and Basic CPR. Methods: It's a nonequivalent control group pre-post repeated quasi-experiment study conducted with entire fifth grade students belong to one school in H city. The study participants are 68 persons, and data were collected from December 2, 2013 to February 7, 2014. Self-efficacy was measured by 10 items, and the quality of chest compressions was measured by 5 variables which are average compression depth(mm), average rate (n/min), average count per minutes (n), abnormal placement (n), compression accuracy (%). Results: Self-efficacy of the experimental group and control group showed no significant difference but showed significant difference over time and was the highest at posttest 1 (immediately after education), the lowest at pretest (before education), middle at posttest 2 (8weeks after education) (p<.001). Experimental group was significantly higher than control group in average rate per minute. At posttest 1, experimental group was $130.0{\pm}9.38$ times, control group was $95.1{\pm}11.82$ times. At posttest2, experimental group was $124.0{\pm}14.89$ times, control group was $90.8{\pm}14.89$ times.(p<.001). Average rate (n/min) was significantly declined at control group in the quality of chest compressions over time (t=-2.400, p=.022). Average count per minute and compression accuracy were declined significantly so it were not maintained to posttest2. Conclusion: We need continuous CPR education because self-efficacy of CPR getting lower significantly over time. Hands-only CPR can't be seen as a way to increase the CPR ability of elementary school students having difficulty to perform artificial breathing. And, because the effect of education is not maintained 8wks after training, the technique centered repeated training is needed and a method which can increase compression accuracy is also needed.

Cardiopulmonary Resuscitation Learning Experience, Knowledge, and Performance in Newly Graduated Nurses (일개 병원 신입간호사의 기본심폐소생술 학습경험, 지식 및 수행능력에 관한 연구)

  • Chun, Sun-Hee;Oh, Yun-Hee;Kim, Sung-Soo
    • Journal of Korean Academy of Fundamentals of Nursing
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    • v.18 no.2
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    • pp.201-209
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    • 2011
  • Purpose: The purpose of this study was to evaluate the learning experience, knowledge, and performance of cardiopulmonary resuscitation (CPR) in newly graduated nurses, and to identify differences related to learning experience. Methods: The participants were 114 new nurses in the hospital. They were asked to complete a questionnaire, which included CPR learning experience. They were evaluated by a written test and a skill test using a manikin and check list. Results: All participants attended CPR lectures and underwent practice while in university. Only 12.28% of participants were taught by a certified Basic Life Support (BLS) instructor. The mean scores of the written and skill tests were $79.82{\pm}12.69$ and $64.41{\pm}11.71$, respectively. The nurses lacked CPR knowledge related to checking breathing, the frequency of 30 chest compressions, compression rate, and automated external defibrillator use. They also lacked skill in performing CPR related to checking breathing and pulse and giving 2 breaths. CPR performance differed according to learning time (p=.047) and BLS educator (p=.029). Conclusion: The findings of this study reveal that CPR performance by newly graduated nurses is poor and suggest that CPR education by trained instructors, practice-based education, and reeducation programs must be provided to newly graduated nurses in the hospital.

Comparison of Accuracy in Cardiopulmonary Resuscitation(CPR) between Group with Verbal Order and Group with Non-Verbal Order in Operation of CPR (심폐소생술 시행 시 구령집단과 비구령집단 간의 심폐소생술 정확도 비교)

  • Park, Sang-Sub;An, Ju-Yeong
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.12 no.6
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    • pp.2607-2615
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    • 2011
  • The purpose of this study is to increase efficiency and accuracy in operation of CPR(Cardiopulmonary Resuscitation) through comparing accuracy in CPR between group with verbal order and group with non-verbal order given carrying out CPR. This study performed convenience sampling targeting 62 students(31 people for group with non-verbal order, 31 people for group with verbal order) at university where is located in G Province. Survey period was carried out from October 7, 2010 to October 21. Analytical method was made by using SPSS WIN(Version 12.0). As a result of research, the group with non-verbal order was indicated to be higher in accuracy of CPR on artificial respiration and chest compression in several spheres than the group with verbal order. Based on this, the non-verbal order method needs to try to be applied to performing education and skills of CPR in the future. And, even a continuous research is needed on effectiveness between verbal order method and non-verbal order method in an emergency situation.