• 제목/요약/키워드: cardiopulmonary resuscitation(CPR)

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중증시각장애 대학생을 대상으로 한 가슴압박소생술 교육효과 (The effects of hands-only cardiopulmonary resuscitation education for undergraduates with severe visual impairment)

  • 정화윤;최은숙
    • 한국응급구조학회지
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    • 제22권3호
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    • pp.163-176
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    • 2018
  • Purpose: The purpose of this study was to determine the effectiveness of hands-only CPR education according to the American Heart Association (2015) guideline for undergraduates with severe visual impairment, to provide basic data for expanding the subject of hands-only CPR education among the visually impaired. Methods: Twenty-one students attending four universities in C Province, aged 19 years or older, were enrolled in this study. These students had severe visual impairment and no other disabilities and have never received hands-only CPR education. This study data were collected from December 1, 2017 to January 11, 2018. The accuracy of the participants' technique was measured using Brayden Pro CPR manikin. The data were analyzed using SPSS version 24.0. Results: Hands-only CPR education was effective in increasing confidence and accuracy of chest compression among undergraduates with severe visual impairment. Conclusion: These findings suggest that individuals with severe visual impairment should be given more educational opportunities. Additionally, subsequent studies should develop equipment that helps increase accuracy by using video aids with commentary or other auditory components for the visually impaired.

심폐소생술 실습교육이 간호학생의 지식 및 수행능력에 미치는 효과 (The Effect of CPR Clinical Training in Nursing Students's Knowledge and Practical Ability)

  • 오숙희;선정주;김상희
    • 한국보건간호학회지
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    • 제23권2호
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    • pp.153-161
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    • 2009
  • Purpose: This study was done to evaluate the differences between an experimental group and a control group of nursing students for their knowledge of CPR and their practical ability after undergoing CPR training. Method: This experiment was done with nursing students, who are divided into the experimental group (20 students) and the control group (23 students) in Chunbuk C city. The data were analyzed using the SPSS PC+ 12.0 program for the Chi-square tests, t-tests and Wilcoxon rank sum tests. Results: The 1st hypothesis, that the CPR knowledge scores for the experimental group will be higher than the scores for the control group (t=-3.934, p=<.001), was supported. On the other hand, the control group showed a conspicuous and meaningful improvement (t=-3.932, p=<.001). The 2st hypothesis, that the practical ability scores for the experimental group will be higher than the scores for the control group (t=-3.926, p=<.001), was supported. Conclusion: The CPR training in combination with theory and clinical placement is seen as a means to effectively develop the knowledge and practical ability of CPR.

간호대학생 대상 심폐소생술 교육의 지속효과 (Retention of cardiopulmonary resuscitation skills in Nursing students)

  • 박정미;서순림
    • 한국응급구조학회지
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    • 제9권2호
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    • pp.169-180
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    • 2005
  • The purpose of this research was to evaluate retention of cognitive knowledge, psychomotor skills and self-confidence on CPR 3 months after CPR training program. The sample consisted of 39 nursing students. We provided one rescuer CPR training program for nursing college students on the basis of AHA. The questionnaires for knowledge of CPR were developed 50 items based on AHA guidelines. Self-confidence were checked by 11 items questionnaires. The accuracy of CPR skills were checked by Skillreporter CPR training manikin and by researcher's evaluation based on CPR skill checklist. The results were as follows ; 1. The majority of participants didn't have any previously experiences of CPR training (76.9%). Only 15.1% previously took the CPR training with CPR practice. 2. In terms of self-confidence of CPR. The score were increased for 2 days (p>.001) but retention of self confidence was significantly statistical decreased in 3 months after training (p<.001). 3. There was a statistically significant decrement in mean of knowledge of CPR between 2 days and 3 months after CPR training (p<.001). 4. There was a statistically significant decrement in cognitive knowledge of CPR based on CPR skills checklist(p<.001). 5. Retention scores of psychomotor skills of CPR 3 months after training were 42.10% in numbers of adequate ventilation, 52.81% in numbers of adequate chest compression (p<.001) respectively. 6. Retention of passing rate on chest compressions of CPR 3 months after training was 27% (p<.001), on ventilation was 2.63% (p>.001). The error items with statistically significant differences 3 months after CPR training were too little ventilation (74.36%) and too little chest compressions (92.31%). The results of the study suggest that we need further evaluation of course components which could improve retention of CPR for all trainees.

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일부지역 치과위생사의 심폐소생술에 관한 영향요인 분석 (Analysis of factors affecting the implementation of CPR by dental hygienists in certain regions)

  • 천혜원
    • 한국치위생학회지
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    • 제17권6호
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    • pp.1037-1051
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    • 2017
  • Objectives: The purpose of this study was to examine the knowledge of dental hygienists on CPR, their CPR attitude and performance ability in an effort to offer data that can contribute to the development of a more effective CPR education program. Methods: A self-reported questionnaire was filled out by 234 dental hygienists in Jeollanam and Jeollabukdo from February 24 to May 20, 2017. The questionnaire asked dental hygienists of the knowledge, attitude, performance ability in regards to CPR. The data were analyzed using SPSS Window ver. 19.0 program through independent t-test, one-way ANOVA, chi-square test and multiple regression analysis. The Cronbach alpha of their CPR knowledge was 0.78, and that of attitude to CPR was 0.79. The Cronbach alpha of CPR performance ability was 0.96. Results: The dental hygienists surveyed in this study who were aware of CPR accounted for 88.9% of total subjects. Dental hygienists who were certified in CPR accounted for 20.5% of total subjects. They received a score of 7.66 on CPR knowledge, 3.33 on attitude and 2.61 on performance ability. There was a positive correlation between the knowledge and attitude, between the knowledge and performance ability and between the attitude and performance ability (r=0.332, r=0.461, r=0.426). A regression analysis showed that the dental hygienists who were younger, who graduated from a four-year university or a higher educational institution, who were CPR certificate holders, who received more CPR education, who were cognizant of automated external defibrillator, who were more knowledgeable on CPR and who took a more positive attitude were more likely to be affected in terms of CPR performance. Conclusions: The dental hygienists surveyed were aware of CPR on the whole, but their CPR knowledge, attitude and performance were not sufficient to perform CPR in emergency situations. More intensive education should be provided for dental hygienists to have an accurate knowledge of CPR to carry it out with a positive attitude.

감전으로 심정지된 소아환자 소생 1례 (A Case of Resuscitation of an Electrocuted Child by a 119 Paramedic)

  • 이재민;김대원;윤형완
    • 한국화재소방학회논문지
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    • 제34권4호
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    • pp.135-140
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    • 2020
  • 본 연구의 목적은 소아에서 감전으로 인한 심정지 사례를 통하여 소아 감전에 대한 예방을 더 잘 하고자 하는데 있다. 소아기는 전기 손상의 위험성이 높은 환자군 중 하나이며, 본 증례에서도 2살의 소아가 가정 콘센트에 젓가락을 삽입하여 감전사고 된 상황이다. 이 사례는 119구급대에 의해 전문심폐소생술이 적절하게 이루어져 병원 전 자발순환회복(Return of spontaneous circulation, ROSC)된 사례이다. 국내에서 소아의 감전사고 소생 성공사례가 매우 드물며, 119구급대원의 적절한 소생술로 자발순환회복되어 퇴원한 1례를 문헌고찰과 함께 보고하는 바이다.

심폐소생술(CPR) 및 자동제세동기(AED)에 대한 웹사이트 내용성 분석 (Analysis of Contents of Website Information about CPR and Automated External Defibrillator)

  • 강보라;양현모;이인수
    • 보건의료산업학회지
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    • 제7권3호
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    • pp.29-44
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    • 2013
  • The purpose of this study is to give the users, who wants to know the information about CPR and AED on the Internet, more accurate information which is analyzed and considered with the factors to improve the contents of them. The source of the instrument for this study is from the contents of twenty four websites which is able to join in and searched by the Web Search Engine with four keywords: 'Cardiopulmonary Resuscitation', 'CPR', 'Automated External Defibrillator', and 'AED'. According to the results of the study, frequency questions of more than 50% among 53 questions on whether to suggest were investigated as 22 questions from content analysis results of the websites, and it showed that the highest frequency, which were examined to that chest compressions and respiratory rate; 79.2%. The correctness of the contents of the all websites of the study is as low as 36.00 point full marks at 100 points.

6시그마 과정을 적용한 간호사들의 심폐소생술 수행능력 향상 활동 사례연구 (A Study on the Effectiveness of CPR Training for Nurses in the 6-Sigma Course)

  • 오숙희;장금성
    • 간호행정학회지
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    • 제16권1호
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    • pp.5-16
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    • 2010
  • Purpose: This study was done to identify the effectiveness of CPR training for nurses in the 6-sigma course. Method: The participants were nurses and doctors who worked in the medical center. For data analysis, the SPSS/PC14.0 program was used. Result: The total 11 categories of the primary problems were revealed on the recognition of carrying out CPR by nurses and doctors. After understanding the nurses' CPR knowledge and the practical ability, the survey showed 14.97 points and 67.12 points. After the education, the scores were increased from 14.87 to 23.25 in knowledge and from 67.12 to 93.43 in practical ability. The 6-sigma problem was ended as worked up the management plan and understood the changes over the management improving team. Conclusion: This study carries an emphasis on understanding of various CPR performance problems applied with 6-sigma in ward. In addition, improvement activities in relation to policy of hospitals suggest the high possibilities that the application of the improvement activities could be extended into the entire hospitals.

가상실현 기반 구급차에서 루카스와 수기에 의한 가슴압박과 인공호흡 비교 -마네킨 연구- (Comparison of chest compression and ventilation volume using LUCAS and manual in virtual reality-based ambulance simulation -A manikin study-)

  • 이재국;김진수;노상균
    • 한국응급구조학회지
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    • 제22권3호
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    • pp.67-76
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    • 2018
  • Purpose: The purpose of this study was to evaluate the quality of chest compressions and ventilation when using an mechanical device(LUCAS) and 2-men manual cardiopulmonary resuscitation(CPR) performed on a minikin, as well as to propose a more effective CPR method during transit. Methods: Data were collected by LUCAS and manual virtual reality based ambulance simulation. Analysis was performed using SPSS software 12.0. The average and standard deviation of chest compression depth and ventilation were analyzed using descriptive statistics and t-test. Results: In the virtual reality based LUCAS and manual CPR results, LUCAS showed better chest compression and lower incomplete chest release than manual CPR. During CPR with a chest compression-ventilation ratio of 30:2 in virtual reality ventilation with bag-valve mask was able to deliver an adequate volume of breathing. Conclusion: It is suggested that rescuers on ambulance may consider using LUCAS as an alternative to high-quality chest compression during transit.

119구급대에 의한 병원 전 임산부 심장정지 소생환자 1례 (Out-of-Hospital Cardiac Arrest Response to a Pregnant Woman by the 119 Emergency Medical Service System: A Case Study)

  • 이재민;홍수미;안국기;윤형완
    • 한국화재소방학회논문지
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    • 제34권1호
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    • pp.127-134
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    • 2020
  • 임신부에서 심정지가 발생하였을 때, 가장 중요한 것은 임신부를 소생시키는 것이다. 임신부에서의 심정지는 산모와 태아를 동시에 고려해야 한다는 점 때문에 일반적인 심정지와 다른 부분이 있다. 임신부 심정지 환자에서는 태아를 분만해야 하는지를 결정하는 것은 산모와 태아 모두를 위하여 매우 중요하다. 심폐소생술이 수행되더라도 임신부 심정지 환자가 모두 소생되는 것은 아니며, 얼마나 신속하고 정확하게 심폐소생술이 시행되었느냐에 따라 환자의 생존율이 결정된다. 임신부 심정지 환자는 30세 목격당시 보호자에 의한 빠른 인지와 신속한 신고 및 목격자 심폐소생술이 이루어져 졌으며 119구급대에 의한 전문소생술이 적용되었고, 환자와 태아 모두 적절한 치료 후 6일 만에 건강하게 퇴원한 사례이다. 병원 전 단계에서 임신부 환자가 자발순환회복(Return of spontaneous circulation, ROSC)되어 이송하는 경우와 전문심장구조술을 시행 하는 경우는 매우 드물다. 임신부 심정지가 발생하여 목격자에 의한 심폐소생술과 119구급대원에 의한 전문심장소생술로 현장에서 자발순환회복되어 생존퇴원한 1례를 경험하여 문헌고찰과 함께 보고하는 바이다.

구급차 내에서의 심폐소생술 방법에 관한 연구 (A Study on the Cardiopulmonary Resuscitation Methods in Ambulance)

  • 신소연;김지희;김경용;강신우;방성환;윤종근;노상균
    • 한국화재소방학회논문지
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    • 제28권4호
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    • pp.104-111
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    • 2014
  • 이 연구는 소방에 근무하는 응급구조사에 의해 시행되는 구급차 내 심폐소생술 방법에 관한 연구이다. 연구 대상은 경기도 관할 780명으로 2012년 보수교육 종료 후 설문을 통하여 수집하였다. 일반적 특성, 가슴압박 방법(한 손 가슴압박 VS 두 손 가슴압박), 심폐소생술 방법(표준심폐소생술 VS 가슴압박소생술) 등에 대하여 Chi-square test, t-test. ANOVA로 분석하였다. 한 손을 이용한 가슴압박 14.0%, 두 손을 이용한 가슴압박 86.0%를 보였고, 표준심폐소생술(가슴압박 VS 인공호흡)은 28.3%, 가슴압박소생술 71.7%를 보였다. 고품질의 심폐소생술을 위해서는 심정지 환자의 구급 출동만이라도 운전자 포함 3명 이상의 응급구조사가 출동할 수 있도록 탄력적인 인력 운영 방안이 필요하며, 역량 강화를 위한 심폐소생술의 정기적인 교육이 필요하다.