The Influence of the Knowledge of Cardiopulmonary Resuscitation and Educational Experience on the Confidence of Nursing Students

Soonjung Hwang,Myungin Lee J-INSTITUTE 2022 International Journal of Crisis & Safety Vol.7 No.2

Purpose: This study is a descriptive research study intended to investigate the effect of the nursing students' knowledge and educational experience of cardiopulmonary resuscitation on their confidence. Method: The subjects of this study were 183 nursing students attending University V located in City J of Prov-ince J, and the study period ran from November 18 to November 29, 2019. As for the research tool, the cardio-pulmonary resuscitation related knowledge and confidence were used. As for the data analysis, confidence ac-cording to the cardiopulmonary resuscitation related knowledge and educational experience of the nurs-ing students was analyzed using the t-test, and knowledge was analyzed using the chi-square test. The relationship between knowledge and educational experience and confidence of the nursing students was analyzed with the Pearson's correlation coefficient. Results: The cardiopulmonary resuscitation related knowledge score was 9.6 points for 1st and 2nd years and 13.2 for 3rd and 4th years out of a total of 17 points, where the cardiopulmonary resuscitation related knowledge was measured higher among the 3rd and 4th years. The confidence in the cardiopulmonary resuscitation of 3rd and 4th years with the experience in the cardiopulmonary resuscitation practice and clinical practice was 6.72 points, which was higher than 3.84 points for the 1st and 2nd years, and there was a statistically significant difference(p<0.05). Conclusion: Hence, in order to facilitate the cardiopulmonary resuscitation education, the educational support should be provided to develop an educational program that includes knowledge and build confidence in the car-diopulmonary resuscitation.

간호사의 심폐소생술의 의미

박진아(Park Jin Ah),박금주(Park Kuem Ju),김려화(Jin Li Hua) 질적연구학회 2010 질적연구 Vol.11 No.2

Purpose: The purpose of this study was to explore the meaning of cardiopulmonary resuscitation experienced by nurses. Methods: The phenomenological method developed by Giorgi was used for this study. The participants were 8 nurses who had experienced cardiopulmonary resuscitation. The data were collected between July, 2010 and September, 2010 by face-to-face interviews. The interview was recorded and then transcribed. Results: The constituents associated with the meaning of the Nurses' experiences on cardiopulmonary resuscitation were as followings: "nurses still felt embarrassed in the situation of cardiopulmonary resuscitation," "nurses found life worth and sense of satisfaction after cardiopulmonary resuscitation," "bad results of cardiopulmonary resuscitation caused nurses' emotional distress," "nurses felt sorry for patient who had no chance of being resuscitated," "nurses helped patient who had been determined to do-not-resuscitate with all their hearts." Conclusion: The results of this study may contribute to a deeper understanding of the meaning of the cardiopulmonary resuscitation experienced by nurses. Our results highlight the need to perform more studies on comfortable experiences of patients who were recipients of do-not-resuscitate and to develop support systems for nurses working at general wards.

전통적 수동식 소생기와 새로 고안한 수동식 소생기를 이용한 일회 환기량의 비교

조성욱,한규홍,양중일,조용철,유승,김승환,유연호,유인술,이진웅 대한응급의학회 2010 大韓應急醫學會誌 Vol.21 No.6

Purpose: A manual resuscitator is often used during cardiopulmonary resuscitation. Artificial ventilation during cardiopulmonary resuscitation is important to the victim's survival. But, manual resuscitators can not achieve delivery of optimal tidal volumes during cardiopulmonary resuscitation. Hence, we suggest a newly designed manual resuscitator that achieves optimal tidal volumes. Methods: This study was done on sixty one participants using a conventional manual resuscitator and a newly designed resuscitator. Each participant squeezed the resuscitators ten times. We measured tidal volumes and participant variables including age, sex, type of emergency medical practitioner, hand height, hand grip strength, and hand volume. Results: For the 61 patients, mean tidal volume with the conventional resuscitator was 501.67±143.95 ml and with the newly designed resuscitator it was 527.14±23.77 ml (p=0.156). Accuracy of the conventional resuscitator was 19.7%; for the newly designed resuscitator it was 91.8%. Tidal volume did not correlate with age, sex, type of emergency medical practitioner, hand height, hand grip strength,or hand volume. Conclusion: Our newly designed resuscitator was better able to ventilate optimal tidal volumes than a conventional resuscitator. Further study with the newly designed resuscitator should be done in the clinical setting.

초등학생의 기본 심폐소생술에 대한 인식, 태도 및 수행자신감

박영례,김혜숙,차혜경 한국학교보건학회 2010 韓國學校保健學會誌 Vol.23 No.2

Purpose: The purpose of this study was to identify awareness, attitude and perceived competence about cardiopulmonary resuscitation in elementary school students. Methods: Data were collected from a convenience sample of 616 5th and 6th grade elementary school students in Korea during September and December 2008. A self-questionnaire was used to gather the data. Descriptive statistics, t-test, test, Pearson correlation coefficients and multiple stepwise regression with the SPSS program were used to analyze the data. Results: Among the items related to elementary school students' awareness of cardiopulmonary resuscitation, artificial respiration was perceived at the highest rate (91.9%) and was followed by cardiopulmonary resuscitation, chest compression and airway management. The mean score for attitude 3.51, perceived competence 3.47. There was a positive correlation between awareness, attitude and perceived competence. Attitude and awareness were significant predictors and explained 57.5% of perceived competence about cardiopulmonary resuscitation. Conclusion: The results indicate the necessity of developing effective cardiopulmonary resuscitation education programs for elementary school students.

임상진료지침 개발과정의 장애요인 : 심폐소생술을 중심으로

박성희 한국의료QA학회 2000 한국의료질향상학회지 Vol.7 No.1

Background : Despite favorable effects of guidelines on patient care, guidelines often fail to achieve their objectives. Poorly implemented medical practice guidelines can produce only weak effects on the process of health caredelivery. Therefore, we performed this study to investigate barriers related development of clinical practice guidelines. Methods : Cardiopulmonary resuscitation was selected as a target problem. Self questionnaires about management of cardiopulmonary resuscitation were developed by a researcher with advisory 8 experts. The questionnaires were designed as a unstructured methods. The data were collected from March I to May 31, 1999. A total 50 death case admitted inpatient to Inha University Hospital were subjected to evaluate the development and application of clinical practice guidelines for cardiopulmonary resuscitation. The data were examined by frequency, t-test with SPSS. Result : The article reviewed several common barriers that might limit successful implementation of guidelines in clinical practice, as illustrated by-evaluating recommendations for cardiopulmonary resuscitation clinical practice guidelines. Some major problems with guidelines were characterized as follows ; (1) ethical problem : euthanasia, (2) occurrence on various emergency event and setting, (3) non-medical problems (4) unreliable of medical record etc. Conclusion : Careful analysis of guideline attributes, anticipated effect on medical care, and organizational factors revealed several barriers to successful guideline- implementation that should be addressed in the design of future guideline-based interventions.

심폐소생술 시행 위치변화에 따른 흉부압박의 질 비교

권혜란,박대성 사단법인 한국응급구조학회 2011 한국응급구조학회지 Vol.15 No.1

Purpose : This study is equivalence experiment performed to test practice effects between experimental group from both left and right direction of mannequin and control group having practice from only right direction in cardiopulmonary resuscitation education. Methods : Subject of the research were total 71 elementary and middle school teachers in J province who had not experience to have cardiopulmonary resuscitation. They were divided into experimental group of 35 participants who practiced cardiopulmonary resuscitation from both right and left direction of mannequin on Dec. 27, 2009 and control group of 36participants who performed cardiopulmonary resuscitation from only right direction of mannequin on Dec. 28, 2009. Collected data were analyzed by SPSS/PC+(version 14.0). Results :1. There was no statistically significant difference by sex among general characteristics of the subjects. 2. According to the quality of chest compression performed from the right direction of mannequin, experimental group showed better results in proper depth (time), insufficient depth (time), too lowered compression position (time) and inexact position (time) than control group(p< .05). In the quality of chest compression from the left side of mannequin, experimental group performed better results in proper depth (time),insufficient depth (time), inexact compression position (time) and mean chest compression depth(mm) than control group(p<.05) and also in more left-centered compression position (time) than control group(p<.001). 3. The quality of chest compression by experimental group, the right side of mannequin was superior in proper depth (time) to the left side of mannequin (p< .001) and showed better results in insufficient depth (time) and chest compression/recoil rate (p< .05). According to the quality of chest compression by control group, the right side of mannequin showed superior results in proper depth (time), insufficient depth (time), too left-centered compression position (time) and mean chest compression depth (mm) (p<.05) to the left side of mannequin. Conclusion : The group having practice from both right and left sides of mannequin was superior in the quality of chest compression to the group having practice from only right side of mannequin. How to practice cardiopulmonary resuscitation from both right and left sides of mannequin can be recommended and practice from left side of mannequin is also useful.

항공 서비스관련학과 대학생들의 심폐소생술 자기효능감이 교육 만족, 재교육 의도, 추천 의도에 미치는 영향

홍지숙(Hong, Jisuk) 대한관광경영학회 2021 觀光硏究 Vol.36 No.1

본 연구의 목적은 항공 서비스관련학과 대학생들의 심폐소생술 자기효능감이 교육 만족, 재교육 의도, 추천 의도에 영향을 미치는 요인을 알아보고자 하였다. 위 연구 내용을 분석하기 위해 2019년 11월 14일부터 29일까지 심폐소생술 교육 경험이 있는 항공 서비스관련학과 대학생에게 설문조사를 수행하였으며, 250명을 유효 표본으로 자료를 분석하였다. 자료 분석 결과는 다음과 같다. 첫째, 심폐소생술 자기효능감 하위요인인 교육 인식과 수행 능력이 교육 만족에 정(+)의 영향을 미치는 것으로 나타났다. 둘째, 심폐소생술 자기효능감 하위요인인 교육 인식과 수행 능력이 재교육 의도에 정(+)의 영향을 미치는 것으로 나타났다. 셋째, 심폐소생술 자기효능감 하위요인인 교육 인식과 수행 능력이 추천 의도에 정(+)의 영향을 미치는 것으로 나타났다. 본 연구의 결과를 바탕으로 심폐소생술 교육프로그램 참여자들은 교육을 통해 자기 효능감을 얻고, 이는 교육에 대한 만족과 재교육 의도, 추천 의도에 중요한 영향을 미치는 것으로 나타났다. 이에 심폐소생술 교육프로그램에서 교육의 자료와 실습 교재 및 장비 등의 구축으로 참여자의 만족을 유도하고, 심폐소생술에 대한 학습자의 자기효능감과 동기부여를 통한 심폐소생술의 반복 학습 프로그램으로 교육의 향상 효과를 도모해야 할 것이다. 따라서 항공서비스관련학과 교육프로그램은 한번 수료한 시점에서 1년 혹은 2년 후 재교육을 실시하여 교육의 효력을 유지되도록 해야 하며, 학과의 실정에 따라 비교과과정 프로그램을 정기적으로 운영하여 학생들의 수행 능력을 높일 수 있다. This study sought to find out the factors that influence cardiopulmonary resuscitation self-efficacy of university students in the department of aviation services on educational satisfaction, re-education intentions, and recommendation intentions. From November 14 to 29, 2019, 250 university students from the department of airline services, who had experience in cardiopulmonary resuscitation training, were surveyed. Education and performance, lower factor analysis, CPR self-efficacy skills retraining education content, purpose and intent shown to have a significant impact on the recommendation. Based on the results of this study, participants in cardiopulmonary resuscitation education programs were found to play an important role in satisfaction, re-education intentions and recommendation intentions. Therefore, it is necessary to induce participants satisfaction through the establishment of educational materials, practical materials, and equipment in CPR education programs, and to improve education through repeated learning programs of CPR through learners self-efficacy and motivation. It is also necessary to evaluate the application of educational design in various ways to improve the self-efficacy of cardiopulmonary resuscitation. Students who have completed the aviation service-related department education program should be retrained after one or two years to maintain the effectiveness of the education. Depending on the conditions of the department, comparative course programs can be operated regularly to improve students performance.

두가지 혈류 유발방법에 의한 새로운 심폐소생술(이중 혈류 유발 심폐소생술)장치의 개발

황성오,김현,조준휘,오범진,임종천,최경훈,윤정한,이승환,김영식,이강현,이윤선 大韓應急醫學會 1999 대한응급의학회지 Vol.10 No.2

Background: There have been many efforts to augment blood flow during cardiopulmonary resuscitation. These efforts have focused on maximizing the effect of cardiac pump or thoracic pump alone. However, considering that the heart is the biggest blood reservoir and increase of intrathoracic pressure can generate blood flow, simultaneous exploitation of both mechanisms may have synergistic effect. We hypothesized that simultaneous chest constriction in addition to sternal compression by standard CPR may have additive hemodynamic effects by preventing deformation of the chest and increase of intrathoracic pressure. Methods and results: we built a new mechanical device to perform compression and thoracic constriction simultaneously. The device consists of two main elements. Piston in the center is to depress the sternum. Strap is to constrict the thorax circumferentially. Strap is attached to both sides of the piston. When the piston is pushed down, it depresses the sternum and pulls on the thoracic strap. To determine strap width to produce optimal hemodynamic effect, we measured hemodynamic parameters with variable widths of strap in two dogs after induction of ventricular fibrillation. Result of the experiment showed that 10cm wide strap was determined to be most effective. We also determined optimal depth of compression to produce maximal hemodynamic effect with animal experiments using two dogs. Animal experiments showed that the highest aortic pressure could be generated when the stemum was depressed to 5 cm. Cardiopulmonary resusciation using a new device could generate higher systolic aortic pressure, coronary perfusion pressure and end-tidal carbon dioxide tension in comparison with standard cardiopulmonary resuscitation in a pilot animal study using two dogs. Conclusion: New cardiopulmonary resuscitation method using a mechanical device designed by us could perform sternal compression and simultaneous thoracic constriction, and generate better hemodynamic effects than standard cardiopulmonary resuscitation in pilot animal experiments.

심폐소생술 시행 시 피구조자의 위치, 성별, 체중에 따른 가슴압박과 인공호흡 정확도 비교

백홍석(Hong-Seok Baek),박상섭(Sang-Sub Park) 한국콘텐츠학회 2011 한국콘텐츠학회논문지 Vol.11 No.5

본 연구는 심폐소생술 수행 시 피구조자의 위치, 성별, 체중에 따른 가슴압박과 인공호흡 정확도 비교를 통하여 심폐소생술 수행에 정확성을 높이는데 그 목적이 있다. 본 연구는 G도 소재 대학생 72명(실험군 36명, 대조군 36명)을 편의추출 하여 시행하였으며, 조사기간은 2009년 11월 5일부터 11월 19일까지 시행되었다. 수집된 자료는 SPSS WIN 12.0 Version 프로그램을 사용하여 분석하였다. 연구결과 대부분 영역에서 우측이 좌측보다 인공호흡과 가슴압박의 효과적으로 나타났음이 증명되었기에 향후 심폐소생술 수행방법과 교육방법에 있어서 우측 편에서 시행하는 심폐소생술 수행방법을 작용해 볼 필요가 있다. 하지만 실제 응급현장에서 심폐소생술 생존율이 우측 편에서 효과적인가에 대해서는 지속적 연구가 이루어져야 할 것으로 여겨진다. The purpose of this study was to increase accuracy in performing cardiopulmonary resuscitation through comparing accuracy between chest compression and artificial respiration depending on position, gender, and weight of a victim given conducting cardiopulmonary resuscitation. This study randomly sampled 72 college students in G Province (36 in the experimental group and 36 in the control group) to conduct a research from November 5 to 19, 2009. The collected data were analyzed by using an SPSS WIN 12.0 Version program. Since the results showed that most regions got more effective artificial respiration and chest compression on the right side than on the left side, it is necessary to apply cardiopulmonary resuscitation on the right side in terms of how to implement and instruct cardiopulmonary resuscitation in the future. However, it seems that continuous researches are necessary to see if cardiopulmonary resuscitation is more effective on the right side in terms of the survival rate in an actual emergency.

심폐소생술 1인과 2인 구조자의 30:2 흉부압박-환기 비가 심박수와 혈중젖산농도에 미치는 영향

한건수(Gun Soo Han),김진우(Jin Woo Kim),조병준(Byung Jun Cho) 한국사회체육학회 2010 한국사회체육학회지 Vol.0 No.40

The purpose of this experiment was to recognize the effect of Heart Rate, Blood Lactate Concentration by changes of 30:2 Compression-Ventilation ratio in the Rescuer. Compression to ventilation ratios of 30:2 are recommended in the 2005 guidelines for Cardiopulmonary Resuscitation. Heart rate, blood lactate concentration were evaluated for students randomized to perform 30:2 Cardiopulmonary Resuscitation 10 minutes at either 1 rescuer or 2 rescuer on a recording Cardiopulmonary Resuscitation Manikin. There are twenty students participated in this experimental study. Heart rate and lactate in 1 rescuer were also significantly higher than 1 rescuer after second minute. Fatigue associated with Cardiopulmonary Resuscitation reach maximal steady state at 2-3 minutes. The most significant factor determinate fatigue is number of rescuers. Rapid and exact rescuer position change is most important measure to improve Cardiopulmonary Resuscitation quality. Enhancement of physical strength also can prevent rescuer`s fatigue.