E-learning을 활용한 일반인 심폐소생술 교육의 효과 = E-learning can be Helpful for Mastering Basic Life Support Skills on Public

다국어 초록 (Multilingual Abstract)

Purpose: Barriers to cardiopulmonary resuscitation (CPR)education are magnified by relative cost and course availability.
E-learning has emerged as a viable solution for continuous,on-demand training and organizational learning.
We assessed the hypothesis that E-learning is a viable strategy for CPR training of the general public and sought to evaluate its effects on CPR quality compared to traditional classroom-based methods.
Methods: The E-learning program was specifically designed to teach basic life support skills, and consisted of 50 minutes internet lectures and simulation videos. The training session was freely available to twenty two officers in rural South Korea. The trainees were able to practice with a mannequin and an automated external defibrillator (AED)trainer at their place of employment over the course of 3days. The control group was trained at a hospital by certified instructors using the same equipment during a 2 hour period.
At the end of the course, the participant’s skills were evaluated using a checklist and a skill performance test.
Results: Forty two subjects were enrolled finally with 19 and 23 belonging to the E-learning and the control groups,respectively. One E-learning trainee was excluded because he was absent from the skills test. The mean time to learn CPR and AED techniques was 29.0±24.5 minutes in the elearning group. The mean age of the E-learning group was significantly older than that of the control group (32.4±4.0vs. 26.0±1.5, p<0.001). However, we did not find any significant differences in their weight, height or CPR educational status. Before the education sessions, the willingness to perform CPR and their confidence in performing CPR were not significantly different among the two groups. Regarding skill performance, there were no significant differences between the groups except the volume of ventilation. The control group showed a higher volume of ventilation than the elearning group (1,031.7±521.6 vs. 548.8±303.3, p=0.004).
Conclusion: E-learning accompanied with appropriate practice can be a helpful tool for public CPR training. The demand for E-learning will increase, and this study shows that e-learning programs can be successful, yielding similar results as traditional, classroom-based training.

참고문헌 (Reference)

1 이원웅, "일반인 심폐소생술 교육 후 목격자 심폐소생술에 대한 자신감 및 태도변화" 대한응급의학회 20 (20): 505-509, 2009

2 "http://www.kacpr.org/"

3 Heidenreich JW, "Uninterrupted chest compression CPR is easier to perform and remember than standard CPR" 63 : 123-130, 2004

4 Connolly M, "The ‘ABC for life’ programme-teaching basic life support in schools" 72 : 270-279, 2007

5 Kim KJ, "Medical education in Korea: the e-learning consortium" 31 : e397-e401, 2009

6 Gormley GJ, "Is there a place for e-learning in clinical skills? A survey of undergraduate medical students’ experiences and attitudes" 31 : e6-e12, 2009

7 Nishiyama C, "Effectiveness of simplified chest compression-only CPR training program with or without preparatory self-learning video: a randomized controlled trial" 80 : 1164-1168, 2009

8 Sajeva M, "E-learning: Web-based education" 19 : 645-649, 2006

9 Autti T, "E-learning is a well-accepted tool in supplementary training among medical doctors: an experience of obligatory radiation protection training in healthcare" 48 : 508-513, 2007

10 Monsieurs KG, "E-learning in resuscitation ; Removing the instructor, the manikin, or both?" 12 : 53-56, 2009

11 Levy Y, "Comparing dropouts and persistence in e-learning courses" 48 : 185-204, 2007

12 Wong D, "A Critical Literature Review on e-Learning Limitations" 2 : 55-62, 2007

13 ECC Committee, "2005 Ameican Heart Association guidelines for cardiopulmonary resuscitation and emergency cardiovascular care" 112 : 1-203, 2005