• 한국응급구조학회지
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• 제10권3호
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• pp.33-47
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• 2006

This research is devoted to increase resuscitation rate of emergency patients, expanding CPR to a pan-national campaigning, revaluating popularity and suitability of the education about the existing CPR(Bystander cardiopulmonary resuscitation) education expansion of 119 EMS. Questionnaire was carried from seven hundred fifty eight residental and students in kyuggi fist area(Southern suwon, Middle suwon, Osan, Young-in) from July 20 to July 30, 2006. The institutional support for CPR education and special eduction institution are not prepared, 52.44% of those have CPR education, according to questionnaire. 39.9% of the educated is from 119 EMS and it is big outcome, 119 EMS efforts in the vortex of poor surroundings. But, 69.76% of the uneducated said they had not chance of CPR education and 19.63% said that the reason is no special eduction institution and information for CPR education. They say that CPR education was carried for only applicants in 119 EMS, without systematic and institutional support, special eduction institution. So, we have to expand the infrastructure, institute CPR education for systematic propagation of CPR education. And we need to make plan constructive public relations, intensify maintaining of CPR educated.

• 중환자간호학회지
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• 제6권2호
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• pp.24-36
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• 2013

Propose: This study was to investigate the educational effect and retention of repeated simulation-based basic life support (BLS) training for nursing students. Methods: A comparison group design with pretest and posttest was used. A total of 35 nursing students (18 for the experimental group, 17 for the control group) participated in the study. A repeated simulationbased BLS training program which include a lecture, skills training, and two repeated sessions of simulation practice and debriefing was provided twice for experimental group. Knowledge, self-efficacy, and skill performance of cardiopulmonary resuscitation (CPR) were measured three times: at baseline, week 2, and week 6. Descriptive analysis, repeated measures ANOVA, and t-test were used for data analyses. Results: Knowledge, self-efficacy and skill performance of CPR were not significantly changed by group assignment, by the time, and interaction of group by time. Effectiveness of intervention was not maintained until Week 6. Conclusion: The results suggest that the timing of repeat education, total training time, and students' mastery of CPR performance should be considered when developing simulation-based programs to improve and maintain students' CPR knowledge, self-efficacy, and skill performance.

• 한국컴퓨터정보학회논문지
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• 제25권2호
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• pp.157-162
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• 2020

본 연구는 유치원생 대상 심폐소생술 교육 효과를 분석하여, 최초반응자로서의 역할이 가능한지 파악하고 향후 유치원생 대상의 심폐소생술 교육 프로그램 개발 및 활성화를 위한 기초자료로 사용하기 위하여 진행되었다. J시 소재 일개 유치원 6세, 7세반 어린이를 대상으로 10주간 5회의 심폐소생술 교육을 반복하였으며, 피드백 장비를 활용하여 객관적 자료를 수집하였다. 자료 분석은 SPSS 23.0 for win 통계 프로그램을 이용하여 t-test와 paired t-test 분석을 하였다. 연구결과, 반복 교육 후 가슴압박 깊이, 가슴압박 적정 속도, 적절한 가슴압박 위치 모두 유의하게 증가하였다. 결론적으로 유치원생 대상 심폐소생술 교육에 효과가 있었으며, 유치원생들도 최초반응자의 역할 수행이 가능할 것으로 보여진다.

• 한국응급구조학회지
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• 제18권3호
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• pp.37-51
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• 2014

Purpose: This study aimed to evaluate the educational experience, re-demand, pre-post self-efficacy, subjective social contribution of disadvantaged youth after first-aid and cardiopulmonary resuscitation (CPR) education. Methods: The subjects in this study were 967 disadvantaged youth from the general population. Data analyzed were frequency, percentage, and results of the $x^2=test$, t = test, one-way analysis of variance, and Pearson correlation by using the SPSS 18.0 statistical program. Results: Of the subjects, 51.7% had educational experiences, mostly less than 1 year. First-aid and CPR education improved self-efficacy. In particular, a higher the self-efficacy resulted in a higher subjective social contribution. Conclusion: This study showed that first aid and CPR education positively affected the self-efficacy, and awareness of social contribution in disadvantaged youth. Therefore, appropriate first aid and CPR education program for disadvantaged youth is beneficial.

• 디지털융복합연구
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• 제13권10호
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• pp.385-395
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• 2015

목격자 심폐소생술 시행률을 높이는 핵심 방안 중 하나가 학생들에게 심폐소생술 교육을 하는 것이다. 본 연구의 목적은 보건교사가 실시하는 중학생 심폐소생술 교육의 결과를 교육 전 수준과 비교 검증하는 것이다. 2014년 3월부터 6월까지 부산광역시 중학생 812명을 대상으로 교육 전과 후의 관찰 값을 SPSS, SAS프로그램을 사용하여 카이검정과 맥네머 검정으로 분석하였다. 대상자의 성별과 과거교육 경험을 층하한 후 각 층하군에서 인식, 의지 및 자신감의 모든 항목에서 교육 전보다 교육 후에 통계적으로 유의하게 긍정적인 변화가 관찰되었다(p<0.05). 목격자 심폐소생술이 더 많이 실시되기 위해서는 중학생에게 보건교사가 이론과 실습으로 구성된 심폐소생술 교육을 실시하는 것이 바람직하다고 판단된다. 이러한 교육의 실현을 위하여 교육 도구의 공급을 위한 지역사회의 정책 개발을 위한 추가적인 연구가 더 필요할 것으로 생각한다.

• 한국콘텐츠학회논문지
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• 제10권4호
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• pp.225-235
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• 2010

본 연구는 심폐소생술 교육 경험이 없는 중학생의 심폐소생술에 관한 노래 동영상 자가 학습과 심폐소생술 동영상 자가 학습(VSI)과의 교육 효과를 파악함으로써, 중학생을 대상으로 효과적인 심폐소생술 교육방법을 위한 기초자료를 제공하고자 시도하였다. 연구의 대상자는 G광역시에 소재한 S중학교 3학년 학생을 대상으로 편의표집하여 총 68명으로 실험군 33명, 대조군 35명이 최종 실험처치까지 참여하였다. 조사기간은 2009년 4월 22일부터 23일까지 2일에 걸쳐서 자료를 수집하였다. 연구 결과는 중학생을 대상으로 한 심폐소생술에 관한 노래 동영상 자가 학습이 심폐소생술 동영상 자가 학습(VSI)보다 좋은 결과가 나왔다고는 볼 수는 없다. 하지만 교육 효과가 확인되었으므로 중학생을 대상으로 한 심폐소생술 교육에 있어 유용하게 활용 될 수 있을 것으로 사료된다.

• 한국응급구조학회지
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• 제9권2호
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• pp.55-78
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• 2005

The purpose of this study was to provide basic data for the improvement of the guidelines and training programs regarding the cardiopulmonary resuscitation performance of bystanders who can respond to the incidents in earlier times as the first responder of the cardiac arrest incident, by reviewing the performance of basic CPR and the influencing factors after providing 70 students of Department of Emergency Medical Technology with the CPR training. For the purpose of the study, the collected data were computerized and analyzed by SPSS-WIN program(ver. 10.1). The results for this study were as follows The duration of session between the groups in the BLS CPR were 3 minutes and 36 seconds, 2 minutes and 32 seconds respectively. The average compression number per minute were 24.3 times and 33,2 times respectively(p=.000), and the average compression rate per minute were 112 times and 122 times respectively(p=.000). The average ventilation number per minute were 3.54 times and 5.1 times respectively(p=.000). The errors in compression "Too shallow" were 20.73 times(34.6%) and 23,23 times(38,7%) out of 60 times in 4 cycles with the standard of 38 nun. In CPR performance results according to gender in the first episode, males showed better results in compression depth as 41.5 mm comparing to females average 38.2 mm(p=.015). When ventilation results were compared according to the use of FS, the average ventilation number per minute, total ventilation per minute and the average volume per episode were significantly higher when FS was not used(<.040), There was no significant difference in ventilation accuracy between two groups. According to the results, we need to improve and distribute portable barrier devices, and to be familiar with those devices. We need to enforce ventilations as well as to include compressions so that faster and more accurate CPR can be performed. Additionally, we need to exclude ventilation only cases, minimize the interference time of chest compression due to inaccurate ventilation, simplify or minimize the complicatedness of CPR performance and responding time related to breathing, provide first responders with various training programs such as initial assessment and ventilations only, or initial assessment and chest compression-only CPR and than provide advanced training with AHA BLS education including CPR for more than two people according to CPR skills and target characteristics.

• 한국응급구조학회지
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• 제11권3호
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• pp.129-138
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• 2007

Purpose : This is a study on the actual state of instructing in cardiopulmonary resuscitation(CPR) in hospitals, so lays its purpose on providing basic materials for instructing in CPR by understanding the actual state of instruction in CPR for paramedics or first aide persons in hospitals. Result : 1. As a result of examining the actual state of instruction in CPR operation during the past 3 months, 89.3% of the subjects answered that they receive regular instruction. 2. As the number of CPR instruction during one year, the majority of them, 96.0% answered that they have instruction more than one time a year. 3. As answers to their desired first-aid instruction to receive by allowing duplicated responses with 4 items, instruction in CPR and respiratory obstruction for adults was 18.2% occupying the highest proportion followed by instruction in first-aide treatment for traumas with 17.7% and in how to use the AED with 16.3%. Suggestion : First, it is thought that instruction in CPR should be conducted on a continuous basis and the number of instruction should increase. Second, one should provide first-aide persons with proper instruction in CPR operation by developing time tables and protocols for instructional programs, and also make it possible that they can learn various skills by increasing the number of instruction.

• 한국응급구조학회지
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• 제10권1호
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• pp.5-12
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• 2006

Purpose: Few data exist regarding the cardiopulmonary resuscitation(CPR) education in relationship to characteristics of socio-economic status and health-medical conditions in Korea. The purpose of this study is to describe and analyze the characteristics of which laypersons want the CPR education. Methods: Based on a health survey of Incheon Metropolitan City adults(n=5,114), tests of the differences between the group that wants the CPR (n=1318) and the group that doesn't (n=3576), and a logistic regression analysis of two groups was performed on socio-economic status-gender, age, marital stats, education level, numbers of family members, and monthly household income-and health-medical conditions-diseases, accident experience, EMS(emergency medical system) experience, and health status. Results: Even the participation rate of the CPR education in Korea is only 4.3%, which is extremely lower than other developed countries, there are statistically significant differences between the group that wants the CPR and the group that doesn't on gender(p=0.005), age(p=0.000), education level(p=0.000), numbers of family members(p=0.000), monthly income(p=0.000). diseases(p=0.000). health status(p=0.042). Furthermore, age(OR: 1.025, p=0.000), education level(OR : 0.721, p=0.000), numbers of family members(OR: 0.809, p=0.000), and health status(OR: 1.077, p=0.000) are statistically significant factors on the wish for the CPR education. Conclusion: Accident and EMS experiences are not so much influential factors on that laypersons want the CPR education in Korea. Therefore, certain subgroups of laypersons such as high-risk patients and family members need targeted outreach programs in CPR education.

• Journal of Chest Surgery
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• 제49권3호
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• pp.151-156
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• 2016

Background: Survival of children experiencing cardiac arrest refractory to conventional cardiopulmonary resuscitation (CPR) is very poor. We sought to examine current era outcomes of extracorporeal CPR (ECPR) support for refractory arrest. Methods: Patients who were <18 years and underwent ECPR between November 2013 and January 2016 were including in this study. We retrospectively investigated patient medical records. Results: Twelve children, median age 6.6 months (range, 1 day to 11.7 years), required ECPR. patients' diseases spanned several categories: congenital heart disease (n=5), myocarditis (n=2), respiratory failure (n=2), septic shock (n=1), trauma (n=1), and post-cardiotomy arrest (n=1). Cannulation sites included the neck (n=8), chest (n=3), and neck to chest conversion (n=1). Median duration of extracorporeal membrane oxygenation was five days (range, 0 to 14 days). Extracorporeal membrane oxygenation was successfully discontinued in 10 (83.3%) patients. Nine patients (75%) survived more than seven days after support discontinuation and four patients (33.3%) survived and were discharged. Causes of death included ischemic brain injury (n=4), sepsis (n=3), and gastrointestinal bleeding (n=1). Conclusion: ECPR plays a valuable role in children experiencing refractory cardiac arrest. The weaning rate is acceptable; however, survival is related to other organ dysfunction and the severity of ischemic brain injury. ECPR prior to the emergence of end-organ injury and prevention of neurologic injury might enhance survival.