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

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심폐소생술 실시의사에 대한 요인분석 (Analysis of factors for intention to perform cardiopulmonary resuscitation)

  • 임승환
    • 한국응급구조학회지
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    • 제17권3호
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    • pp.169-179
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    • 2013
  • Purpose: The performance rate to perform Cardiopulmonary Resuscitation (CPR) by witness in out-of-hospital Cardiac Arrest (OHCA) is very low in South Korea. To prevent the death caused by OHCA, it is important to encourage the witness to perform CPR actively. The purpose of the study is to investigate the influencing factors to affect bystander CPR rate. Methods: I conducted a questionnaire survey from 25 February to 4 March, 2013, receiving responses from 517 people in Korea. The questionnaire included social demographic factors, history of heart disease, knowledge of CPR, and the reliability of emergency medical service (EMS). A logistic regression analysis was conducted. Results: Among the 517 respondents, 294 (57.4%) had intention of performing CPR. Multiple logistic regression analysis found the following significant predictors of CPR intention: gender (odds ratio [OR] = 0.390), age (OR = 1.024), religion (OR = 0.843), and knowledge of CPR (OR = 4.734). Conclusion: This study indicated that the strongest predictor is knowledge of CPR. Therefore, it would be helpful to teach CPR nationwide to encourage performing CPR. In addition, effect of CPR education in religious facilities is necessary.

간호대학생의 기본심폐소생술 수행능력 관련 요인 (Factors Influencing Cardiopulmonary Resuscitation Skills in Nursing Students)

  • 심환희;태영숙
    • 한국학교ㆍ지역보건교육학회지
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    • 제16권2호
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    • pp.1-15
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    • 2015
  • Objectives: This study purposed to identify the factors influencing cardiopulmonary resuscitation(CPR) skills in nursing students. Methods: The research design was descriptive study. Data were collected through structured questionnaires. The participants of this study were 202 nursing students in B & U metropolitan city, and C city. Data were collected from November 15 to November 30, 2013. The data were analyzed using t-test, ANOVA, Scheffe's test, Pearson's correlation coefficients, and Multiple stepwise regression with SPSS WIN v 20.0. Results: CPR knowledge(r=0.51, p<0.001), critical thinking disposition(r=0.43, p<0.001), CPR attitude(r=0.56, p<0.001). self efficacy(r=0.74, p<0.001), and CPR skills were significantly correlated with each other. Predictors of CPR skills were self efficacy, CPR knowledge, critical thinking disposition, grade, and CPR attitude. These variables explained 60% of CPR skills. Multiple regression analysis showed that most powerful factors influencing CPR skills among nursing students was self efficacy. Conclusions: Based on this study, it is required to develop nursing education program to improve self efficacy of nursing students for increasing CPR skills.

일 지역 주민의 심폐소생술 수행에 미치는 영향요인 (Factors Influencing Cardiopulmonary Resuscitation Performance on a Stranger)

  • 김현숙;엄동춘;홍선우
    • 한국간호교육학회지
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    • 제16권2호
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    • pp.339-346
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    • 2010
  • Purpose: Bystander cardiopulmonary resuscitation (CPR) improves survival. However, there have been few studies on the performance of bystander CPR in Korea. This study was done to identify the reasons for being unwilling to perform CPR, and to investigate the factors associated with performing CPR on a stranger in an emergency situation. Method: The participants in this study were 444 local residents. Data were collected by using self-reported questionnaires from May 1 to June 30, 2010. For data analysis, descriptive statistics and multiple logistic regression were performed using SAS version 9.1. Result: Only 32.2% of respondents reported being willing to perform CPR on a stranger. The major reason for not being willing to perform CPR on a stranger was "have no confidence to perform CPR well". From multiple logistic regression analysis, statistically significant predictors of CPR performance on a stranger were found to be a higher educational level (OR=6.11, 95% CI 1.46-25.52), neighbors with angina pectoris or myocardial infarction (OR=6.65, 95% CI 3.93-11.24), and having confidence of performing CPR (OR=3.02, 95% CI1.78-5.14). Conclusion: CPR education (including automatic external defibrillator) should be offered to family members and neighbors. In addition, the Good Samaritan Law must be given wider publicity at the national level.

유치원 교사의 심폐소생술 실시 의향에 영향을 주는 요인 (Factors that influence kindergarten teachers' willingness to perform cardiopulmonary resuscitation)

  • 정형근;엄태환
    • 한국응급구조학회지
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    • 제19권2호
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    • pp.19-27
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    • 2015
  • Purpose: To determine factors of kindergarten teachers' willingness to perform cardiopulmonary resuscitation (CPR) and to suggest education methods toward CPR. Methods: We interviewed 92 kindergarten teachers trained to administer CPR. Among them, 74 answered the questions regarding CPR experience, barriers, and willingness. Logistic regression was used to calculate odds ratios (OR) and 95% confidence intervals (CIs) for the association of willingness factors to cognition, performance, and attitude toward CPR. Results: Of the participants, 73 (98.7%) were female, 32 (43.0%) were in their twenties (mean age: 33.9 years), 31 (41.9%) graduated college, 47 (63.5%) had < 10 years of tenure, and 65 (87.8%) and 62 (83.8%) indicated willingness to perform CPR to family members and kindergarteners, respectively. Barrier factors included fear of performing CPR incorrectly (46.8%) and injuring the victim (25.6%). Willingness factors included understanding brain death (37.7%) and performing CPR correctly (26.1%). Willingness predictors included attitude toward family members (OR: 4.54, 95% CI: 1.19 -17.39, p = .027) and kindergarteners (OR: 3.07, 95% CI: 1.15-8.22, p = .025), and cognition to kindergarteners (OR: 0.36, 95% CI: 0.13-0.99, p = .050). Conclusion: The kindergarten teachers were more willing to perform CPR to family members and kindergarteners than to others in an attitude-dependent manner.

간호대학생의 심폐소생술 수행의지에 미치는 영향요인 (Factors Influencing for Intention to Perform Cardiopulmonary Resuscitation in Nursing Students)

  • 박주영;김현진;송경진
    • 근관절건강학회지
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    • 제26권2호
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    • pp.131-140
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    • 2019
  • Purpose: The purpose of this study was to explore factors influencing for intention to perform cardiopulmonary resuscitation (CPR) in undergraduate nursing students. Methods: A total of 146 students at G University participated in this descriptive study. With a self-administered questionnaire, the data were collected from November 26 to November 30, 2018. Results: In this study, intention to perform CPR had significant positive correlations with attitude of CPR (r=60, p<.001), self-efficiency of CPR (r=.53, p<.001), and confidence in automated external defibrillator (AED) utilization (r=.47, p<.001). Stepwise multiple regression analysis showed that factors influencing for intention to perform CPR were attitude of CPR (${\beta}=.60$, p<.001) and confidence in AED utilization (${\beta}=.26$, p<.001). Overall, approximately 41% of the variability in intention to perform CPR was explained by these variables ($R^2=.41$, F=50.04, p<.001). Conclusion: In order to promote the intention to carry out CPR among nursing college students, it will be necessary to develop strategies to strengthen a positive attitude toward CPR in fundamental nursing and clinical nursing practices in addition to improve confidence in AED utilization.

Comparison analysis of rescuer's neck muscle tone and stiffness according to cardiopulmonary resuscitation skill-level

  • Wang, Joong-San;Kim, Jeong-Ja;Jung, Ji-Yun
    • 한국컴퓨터정보학회논문지
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    • 제26권11호
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    • pp.165-172
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    • 2021
  • 이 연구의 목적은 가슴압박소생술(cardiopulmonary resuscitation, CPR)의 숙련도에 따른 목근육에 근긴장도와 근경직 차이를 확인하기 위해 실시되었다. 연구대상자는 20대 여학생 30명으로 숙련자군과 비숙련자군 각각 15명이었다. 연구결과, 숙련자군은 가슴압박 수행 후 손잡기(hand grip)의 위손쪽 아랫목근육의 근경직과 위등세모근의 근긴장도가 유의하게 감소되었다(p<.05). 비숙련자군은 가슴압박 후 양쪽 위등세모근의 근긴장도와 근경직이 모두 유의하게 감소되었지만(p<.05) 연구군 간에 유의한 차이는 없었다. 그리고, 비숙련자군은 숙련자군과 비교하여 가슴압박 수행 후 평균압박속도, 총압박횟수, 가슴압박 정확도, 가슴이완 정확도가 유의하게 낮았다(p<.05). 이 연구를 통해 가슴압박은 수행자의 목근육에 근생리학적 영향을 미치지만, CPR 숙련도에 따른 차이는 없으며, 숙련도는 CPR 정확성에 중요한 요소인 것을 확인하였다.

보건진료 전담공무원의 심폐소생술에 대한 지식, 태도, 자신감과 수행경험 (Knowledge, attitude, confidence, and experiences of community health practitioner regarding cardiopulmonary resuscitation)

  • 황성호
    • 한국응급구조학회지
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    • 제18권1호
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    • pp.55-66
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    • 2014
  • Purpose : The purpose of the study is to investigate the knowledge, attitude, confidence, and experiences of community health practitioner(CHP) regarding cardiopulmonary resuscitation(CPR). Methods : The subjects were 333 CHP in G Province, C Province, and I Metropolitan City. A structured self-reported questionnaire was filled out by 209 participants from July 29, 2013 to September 30, 2013. Results : Confidence level toward CPR was intermediate, and knowledge and attitude level was very low. Seventeen participants performed CPR to cardiac arrest victim. Eleven patients among 25 patients had spontaneous recovery of circulation (ROSC). So the rate was very high. Conclusion : It is necessary to perform the efficient CPR in CHP. In order to improve the positive attitude and confidence in CHP, the renewal system must maintain every two years.

시간 경과에 따른 1인 심폐소생술의 질과 피로도의 변화 (The variation of elapsed time on fatigue and quality of single rescuer cardiopulmonary resuscitation)

  • 장문순;탁양주
    • 한국응급구조학회지
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    • 제17권1호
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    • pp.9-19
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    • 2013
  • Purpose : The purpose of this study was to investigate the variation of elapsed time in the cardiopulmonary resuscitation (CPR) quality and the fatigue in continuous CPR by single rescuer. This study will provide basic data about the time for the alternation of the CPR providers. Methods : The volunteer students having healthcare provider certification were recruited from the department of emergency medical service. The students performed 30:2 CPR for 20 minutes, and the data were recorded and analyzed. Metrics were based on the 2010 American Heart Association (AHA) Guidelines, and the CPR continued without any feedback. Results : Among the indicators of CPR, the accuracy and the depth of chest compressions decreased after about 5.3 minutes, and the rate increased approximately after 6.8 minutes. Changes in clinical indicators appeared, and fatigue increased after about 3 minutes. According to the increase in fatigue level, the changes in the CPR indicators and clinical indicators showed up, and these results proved to be statistically significant. However, there were no associations among the time, fatigue, and gender. Conclusion : Even though the times of changes in the indicators appeared differently, the times of changes in fatigue and CPR quality were able to be confirmed.

목소리를 동반한 가슴압박이 심폐소생술에 미치는 영향 (The effect of chest compression with voice on cardiopulmonary resuscitation)

  • 장문순
    • 한국응급구조학회지
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    • 제17권2호
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    • pp.21-28
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    • 2013
  • Purpose : The aim of the study is to compare the effect of cardiopulmonary resuscitation (CPR) with voice and CPR without voice by one rescuer. Methods : Subjects were 26 students in C University who had basic life support certificate for Healthcare Provider. They performed 30:2 CPR for 6 minutes by two groups of CPR with voice and CPR without voice by one rescuer from August 14 to 16, 2012. They performed CPR with Resusci Anne SkillReporter$^{TM}$ and Laerdal PC SkillReporting System Ver. 2.4.1(Laerdal Medical, Norway and recored voice using TES-1350A(TES Electrical Electronic Corp, Taiwan). Between each experiment, 1 day of rest was given, providing enough time to recover from the fatigue of CPR. Results : The depth, rate of chest compression, and ventilation volume were not affected by a voice (p >.05), and the ratio of chest compression to ventilation kept 30:2, when the subject made a sound (p <.05). Conclusion : Making voice during CPR was associated with an accurate ratio of 30:2 and the reduction in hands off time.

간호대학생의 심폐소생술에 대한 지식, 태도, 수행능력에 관한 연구 (Analysis of Nursing Students' Knowledge, Attitude and Ability to Perform Cardiopulmonary Resuscitation)

  • 김혜숙;김미선;박미화
    • 기본간호학회지
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    • 제16권4호
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    • pp.430-437
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    • 2009
  • Purpose: This study was designed to provide a systematic understanding of nursing students' knowledge, attitude and ability to perform cardiopulmonary resuscitation (CPR). Fundamental data regarding CPR education was processed in order to analyze factors influencing knowledge, attitude and ability. Methods: A total of 663 nursing students from G city and South Jeolla Province participated in this study during March and April 2009. Questionnaires were used to gather the data. Descriptive statistics, t-test, ANOVA, and Pearson correlation coefficients with SPSS WIN 12.0 were used for data analysis. Results: The mean score for knowledge regarding CPR was 7.84 of a total possible score of 15, for attitude, 39.90 of a total possible score of 55 and for performance ability, 40.17 of a total possible score of 75. There was a positive correlation between CPR knowledge, attitude and performance ability. As knowledge increased so did attitude and performance ability. Conclusion: In order to develop positive attitudes in nursing students toward the performance of CPR, we need to strengthen education related to CPR and create effective education programs which are focused particularly on practical training for the students.

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