• 한국응급구조학회지
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• 제16권1호
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• pp.19-29
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• 2012

Purpose: This study was focused on the training effects of the cardiopulmonary resuscitation(CPR) which is based on the AHA guideline 2010 for lay person. The purpose of this study was to investigate the effectiveness of the CPR training for civilian by checking the performance ability of the subjects before and after the CPR education. Method: This study was a single primary experimental study designed with pre and post test. Study subjects were 55 apartment managers who participated in all test on December 5 and December 11, 2011. The tools of this study were CPR performing evaluation sheet and CPR teaching program(AHA). Data were analysed by descriptive statistics, t-test, repeated ANOVA and Bonferroni with SPSS 18.0 program. Result: The CPR practice performing ability was significantly increased by test. The CPR practice performing ability of the learning experience group had significantly higher score than that of non-experience group. The self-confidence on CPR practice when faced emergency situation was highly increased after practice training. Conclusion: Practical performance evaluation score has improved step by step. The primary and secondary practical evaluation showed a significant difference in all items and practice-oriented education was found to be effective in CPR training.

• 한국학교ㆍ지역보건교육학회지
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• 제10권1호
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• pp.1-16
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• 2009

Objectives: This study aims to perform comparative analysis of educational effects between video self-instruction (VSI) and basic cardiopulmonary resuscitation among college students in some areas. Methods: This study was conducted with 57 college students (28 for control group and 29 for experimental group) in U Metropolitan City from September 27 to October 5, 2007, and SPSS 14.0 Version was used for analysis. Results: As for differences in attitudes before and after cardiopulmonary resuscitation training, the experimental group (1.48) was higher than the control group (.91), which was significant (p<.001). The experimental group (9.56) also showed higher knowledge score than the control group (7.79) with significant differences (p<.05). The former (3.93) also showed higher concrete self-efficacy than the latter (2.17). with significant differences (p<.05). The experimental group (43.24) showed higher practical performance ability than the control group (34.48), with no significant difference. The former (30.93) also showed higher accuracy in chest compression skill than the control group (20.25). with no significant difference.

• 동서간호학연구지
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• 제19권2호
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• pp.121-127
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• 2013

Purpose: The purpose of this study was to determine the effects of knowledge and attitude on self efficacy of cardiopulmonary resuscitation (CPR) in the fifth and the sixth grade of elementary school students. Methods: The participants were 242 elementary school students from A city. Data were collected from August 26 to August 27, 2013 using a questionnaire. Data analysis was performed by SPSS/WIN 19.0 using ANOVA, t-test, Pearson correlation and stepwise multiple regression. Results: Factors affecting on self efficacy to CPR were attitude (${\beta}=.54$), religion (${\beta}=-.16$), recognition (${\beta}=.15$) and knowledge (${\beta}=.13$). These factors explain 47.0% of the variance in self efficacy. Conclusion: The results of this study show that attitude to CPR has the strongest influence on efficacy. Based on the results of this study, we suggest that customized programs and further research by using 2010 guideline are needed to develop for elementary school students.

• 한국간호교육학회지
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• 제19권4호
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• pp.508-517
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• 2013

Purpose: The purpose of this study was to evaluate the effectiveness of infant CPR (Cardiopulmonary Resuscitation) immediate remediation[LAB2]. Methods: This is a quasi-experimental study with a non-equivalent comparison group pre-post test design. Participants were 73 child care teachers in J district in Seoul. The experimental group (35) received immediate remediation with video learning [LAB3]for infant CPR education and the control group (38) received video learning only. We investigated confidence of infant CPR and tested single-rescuer infant CPR performance depending on a checklist (8 items). Data were collected before and right after to evaluate the confidence of infant CPR and before, right after and 2 weeks after the education to evaluate the skill performance and final acceptance. Results: There was a significant increase in confidence of infant CPR in the experimental group and control group. There was a statistically significant difference in the degree of skill performance between groups according to the amount time (F=10.58, p<.001). The degree of skill performance was tested two weeks after the education and immediate remediation was 5.35 times more effective compared to the video image demonstration (B=1.677, p<.001). Conclusion: The findings provide the necessity of immediate remediation education of infant CPR to increase confidence and skill performance ability.

• 한국컴퓨터정보학회논문지
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• 제21권9호
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• pp.107-112
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• 2016

In this paper, we propose the effects of military cardiopulmonary resuscitation(CPR) on the quality of debriefing and feedback device training. The key idea of combination debriefing and feedback device training is to maximize effects of CPR. The participants of the research were non-medic soldiers in ROK army, and had not undergone any professional CPR training before. Each group of soldier was randomized to perform of military CPR by using training method in each group. After 5 minutes of performing CPR, each D, F, DF group showed significant improvement in CPR performance. When comparing each group, the rate of success in CPR performance in DF group was significantly higher than that of F group with the average difference of 11.160(p<.01) points. In summation, the training programs that DF received seemed to be more efficient and effective than that of D and F. The fatigue level was evaluated by comparing the lactate concentration in blood after performing CPR. Through this experiment, we show that the training programs that DF received is more efficient and effective than that of D and F.

• 성인간호학회지
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• 제27권2호
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• pp.146-155
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• 2015

Purpose: The aim of this descriptive study was to explore the relationship between non-technical skills (NTSs) and cardiopulmonary resuscitation (CPR) performance of nurses' teams in simulated cardiac arrest in the hospital. Methods: The sample was 28 teams of nurses in one university hospital located in Seoul. A high fidelity simulator was used to enact simulated cardiac arrest. The nurse teams were scored by raters using both the CPR performance checklist and the NTSs checklist. Specifically the CPR performance checklist included critical actions; time elapsed to initiation of critical actions, and quality of cardiac compression. The NTSs checklist was comprised of leadership, communication, mutual performance monitoring, maintenance of guideline, and task management. Data were collected directly from manikin and video recordings. Results: There was a significant difference between the medians of the NTSs and CPR performance (Mann Whitney U=43.5, p=.014). In five subcategories, communication (p=.026), mutual performance monitoring (p=.005), and maintenance of guideline (p=.003) differed significantly with CPR performance in medians. Leadership (p=.053) and task management (p=.080) were not significantly different with CPR performance. Conclusion: The findings indicate that NTSs of teams in addition to technical skills of individual rescuers affect the outcome of CPR. NTSs development and assessment should be considered an integral part of resuscitation training.

• 한국산학기술학회논문지
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• 제14권5호
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• pp.2271-2280
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• 2013

본 연구는 보건의료계열 대학생의 심폐소생술에 대한 지식, 자신감 및 태도를 알아보고 심폐소생술에 대한 태도에 영향을 미치는 요인을 파악하고자 시도된 서술적 조사연구이다. 연구 대상은 참여를 동의한 보건의료계열 대학생 516명으로 하였다. 자료 분석은 연구목적에 따라 t-test, one-way ANOVA, Pearson's correlation coefficient, Multiple linear regression을 실시하였다. 대상자의 심폐소생술에 대한 태도와 심폐소생술에 대한 지식은 유의한 정적 상관관계가 있는 것으로 나타났으며(r=.269, p<.001), 또한 심폐소생술에 대한 태도와 심폐소생술에 대한 자신감은 유의한 정적 상관관계가 있는 것으로 나타났다(r=.620, p<.001). 대상자의 심폐소생술에 대한 태도에 영향을 미치는 요인으로는 심폐소생술에 대한 자신감, 성별, 심폐소생술에 대한 지식, 성격, 전공에 대한 생각, 심폐소생술 교육경험, 의료봉사경험, 전공선택동기가 유의한 영향 요인이었으며, 설명력은 49%이었다. 본 연구의 결과를 근거로 심폐소생술에 대한 긍정적인 태도를 강화할 수 있는 적극적인 프로그램 개발과 교육을 제언한다.

• 한국응급구조학회지
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• 제25권3호
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• pp.7-16
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• 2021

Purpose: The I-gel device is Korea's most frequently used airway management method during pre-hospital cardiopulmonary resuscitation (CPR). This study aimed to compare changes in ventilation volume according to the fixation method with a simulated manikin. Methods: We placed I-gel into an advanced life support simulator and compared tape and band fixation conditions. CPR was performed according to the 2020 Korean CPR guidelines, using a mechanical chest compression device and an adult bag. The positional shift of I-gel and the ventilation volume of the simulated manikin were measured after performing CPR for 20 minutes. Five trials were carried out in each setting. Statistical analysis was carried out with SPSS 27.0. P < .05 was considered significant. Results: Positional shift after 20 minutes of CPR was as follows: tape fixation, 7.2 ± 0.2 mm; band fixation, no change, indicating a significant difference between the two groups (p=.003). The mean ventilation volume was tape fixation, 482.63 ± 30.84 mL; band fixation, 544.96 ± 22.98 mL, showing a significant difference (p=.002). Conclusion: When using the I-gel during pre-hospital CPR, using a band-type fixing device with elasticity rather than fixing the tape provides stable and appropriate ventilation by maintaining the fixed position.

• 대한의용생체공학회:의공학회지
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• 제37권5호
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• pp.153-160
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• 2016

This study proposes an algorithm for removal of CPR artifact in order that automated external defibrillator (AED) can effectively diagnose ECG rhythm during cardiopulmonary resuscitation (CPR). Current AED required to interrupt chest compression for reliable rhythm analysis to avoid the effect of artifacts produced by CPR. However even temporarily interruption of chest compression during CPR adversely affects the probability of restoration of spontaneous circulation (ROSC) and survival after the delivery of the shock. Therefore, we proposed a method for removal of CPR artifacts using least mean square (LMS) filter. The removal of the CPR artifacts would enable compressions to continue during AED rhythm analysis, thereby increasing the likelihood of resuscitation success. It was tested on 31 segments of shockable and 300 segments of non-shockable ECG signals recorded from three pigs during CPR. In the result, sensitivity (Se) and specificity (Sp) analysis on the test segments showed values of Se = 3.2%, Sp = 66.0% and Se = 96.8%, Sp = 98.7% in the case of unfiltered and filtered signals during CPR. In conclusion, it was shown that the proposed method can be a useful tool to exactly diagnose the ECG rhythm during the CPR.

• 한국간호교육학회지
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• 제23권1호
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• pp.86-94
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• 2017

Purpose: This study was conducted to identify the effects of cardiopulmonary resuscitation (CPR) practice education on CPR knowledge, attitude, confidence, learning satisfaction and performance of the personal assistants for the disabled. Methods: This is a quasi-experimental study with a non-equivalent control group. The participants were 62 personal assistants for the disabled. Thirty-one subjects were assigned to an experimental group and the remaining subjects were assigned to a control group. The date collected were analyzed using the IBM SPSS Statistics 20.0 program by descriptive statistics, $x^2$-test, Fisher's exact test, and t-test. Results: CPR practice education was found to have a meaningful effect on CPR knowledge (p<.001), learning satisfaction (p<.001), and performance (p<.001) of the personal assistants for the disabled. Conclusion: Considering these results, it would be useful to develop CPR practice curriculum to enhance CPR knowledge, attitude, confidence, learning satisfaction and performance of the personal assistants for the disabled.