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최근명,고봉연,이인모,이정은 동남보건대학 2003 論文集-東南保健大學 Vol.21 No.2
This study was conducted to provide basic data for the enhancement of education and training methods, and improvement of education quality through system evaluation of the education of Cardiopulmonary Resuscitation(CPR) that is directly connected to patients' life in the rescue and emergency measure education contents. The consigned education targeted the trainees for the Consigned Education in Gyeonggi Province in 2003. The consigned education was undertaken in Gyeonggi Province, pursuant to Article 14 of the Law of Emergency Medical Treatment, Article 4 of the Enforcement Ordinance and Article 6 of the Enforcement Regulation of the Law of Emergency Medical Treatment. The research target consisted of 359 work force trained and educated at the Dongnam Health College and 493 work force trained and educated by visiting their work place in Gyeonggi Province. They were police officers, public officials, school nurses and others who are likely to initially contact victims. For practice and evaluation after theory lecture, the targets were divided into 8 groups by classifying them into 2 classes. The practical training was conducted in a way of one to one practice that could be carried out along with a practice assistant under the guidance of a practice lecturer using SkillReporter mannequin(Resusci Anne) of Leardal Inc. The evaluation was performed using the SkillReporter mannequin(Resusci Anne). For the evaluation of data and satisfaction according to the results of accuracy and error in compression and breath, an analysis was carried out using the SPSS PC^+(ver. 10.1) statistical package, after inputting result values of the satisfaction evaluation sheet to the computer. To measure accuracy and it by item error according to training and education methods such as mobilization and visit, and general characteristics of targets in relation to technical statistics including frequency, percentage and CPR evaluation, a t-test and ANOVA were conducted. With regard to evaluation of satisfaction, an evaluation sheet that consisted of a total of 10 questions with Likert 3 point measure which were developed by the researchers of this paper was used, and the value of Cronbach a was .8364. The results of the study were as follows. 1) Looking at the composition in terms of gender of the research target, men were 636(76.5%) and women were 195(23.5%). Their average age its31.44±8.17. In terms of occupation, police officers were 493(59.3%), school nurses were 163(19.6%) and others were 175(21.1%). 2) As for the overall result of CPR. the accuracy of compression was 92.6%±5.61 and breath accuracy was 92.5%±8.96. 3) With regard to the accuracy of CPR by gender, men showed 92.8% of accuracy and women showed 91.6% of accuracy, which showed more accurate CPR was conducted by men (t= 2.616, p=.009). As for the accuracy of CPR by age, it did not show any significant difference (F=1.692, p=.167). When it comes to the accuracy of CPR by occupation, police officers showed the highest accuracy with 93.0% (F=4.758, p=.009). In the accuracy of CPR according to train and education types such as mobilization and visit, mobilized target showed 91.8%±5.81, while visiting target showed 93.0%±5.05 of accuracy, which showed a statistically significant difference (t=-3.080, p=.002). 4) In the errors of the CPR, 'too much'of breath showed 1.33±4.02, and 'too little' of breath showed 2.03±5.22 in error. In the case of 'too fast' in breath, 4.79±7.59 in error was shown; thus, 'too fast' in breath showed the highest error, followed by 'too little' and 'too much? As for compression, too deep compression showed 1.50±2.92, .while too shallow compression showed 4.01±4.14 in error. The wrong hand position showed 1.61±3.69 and the too low hand position showed .86+2.85 in error, while incomplete release showed 47±2.15 in error. Accordingly, the too shallow compression showed the most errors. 5) Satisfaction with the training and education among those participated in the training and education was 2.89±.199 points, which showed high satisfaction. Men showed higher satisfaction than women with 2.90±.192 and 2.85±.216, respectively(t=2.884, p=.004). In the comparison of satisfaction with the training and education for CPR by education types between mobilization and visit, training and education by visit showed higher satisfaction with 2.91±.179 than mobilized training and education with 2.84±.221(t=-3.700, p=.000).