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화재진압대원을 위한 심폐소생술 훈련프로그램 개발

Development of cardiopulmonary resuscitation training program for firefighters

  • 투고 : 2022.10.31
  • 심사 : 2022.12.26
  • 발행 : 2022.12.31

초록

연구 목적: 본 연구는 화재 현장에서 발생한 심정지 소방관의 소생률 향상을 위하여 화재진압대원을 위한 심폐소생술 훈련프로그램(FD-CPR)을 개발하고자 하였다. 연구 방법: 행동주의 이론을 전제로 한 FD-CPR 교수설계 모형을 3단계(분석, 설계, 개발) 절차에 따라 개발하였으며, 7명의 전문가 집단(응급의학과 교수 1인, 응급구조학과 교수 1인, 교육학과 교수 1인, 소방학교 교수 2인, 현장 활동 15년 이상 대원 2인)의 내용 타당도 검증(CVI)과 예비 실험을 거쳐 완성하였다. 연구 결과: 7개 절차로 구성된 시나리오 및 16개 항목으로 구성된 수행 능력 평가도구를 개발하였다. 평가도구의 난이도는 평균 41.16%, 변별도는 0.32로 나타나 난이도가 고르며, 변별도가 높은 것으로 확인되었다. 이후, 총 80분짜리 훈련프로그램을 개발하였고, 전문가 7인의 내용 타당도 검증 결과 1.0으로 높았다. 결 론: 본 연구를 통해 국내 처음으로 개발된 화재진압대원을 위한 기본 심폐소생술 훈련프로그램은 화재진압대원들의 심폐소생술 수행 능력 향상에 효과가 있는 것으로 나타났다. 이에 소방학교 신규 화재진압대원 교육과정에 본 프로그램을 넣게 된다면, 심폐소생술에 대한 반복훈련이 이뤄질 수 있으므로 심폐소생술의 수행 능력은 유지될 것이고, 나아가 심정지 동료의 소생률 향상에도 이바지할 수 있을 것으로 기대한다.

Purpose: This study aimed to develop a cardiopulmonary resuscitation training program for firefighters (FD-CPR) to help improve the survival rate after cardiac arrest on the fireground. Methods: The FD-CPR was developed following 3 steps of the FD-CPR instructional design based on the behaviorism theory. The content of the program was validated by a group of 7 experts using the contents validity index (CVI) and through a pilot-test. Results: A scenario consisting of 7 procedures, and a skill performance evaluation tool consisting of 16 questions were developed. The evaluation tool average score for the difficulty test was 41.16% (even) and that for the discrimination test was 0.32 (high). Subsequently, an 80 min training program was developed. As verified by the 7 experts through the CVI, it was as high as 1.0. Conclusion: The FD-CPR developed domestically for the first time in this study was effective in enhancing the CPR performance skills of the firefighters. If FD-CPR is added to the curriculum at the Fire Service Academy educational course for the new firefighters, the CPR performance skills could be maintained. Furthermore, the program can facilitate a better survival rate for colleagues having cardiac arrest on the field.

키워드

참고문헌

  1. National Fire Service Agency (NFSA). Fire fighting tactics I-2. 1st ed. Gongju: Freebe, 2021. 1-13.
  2. National Institute for Occupational Safety and Health (NIOSH). Fire fighter fatality investigation and prevention program. Available at: https://www.cdc.gov/niosh/fire/default.html, 2021.
  3. Hwang SO, Lim KS. Cardiopulmonary resuscitation and advanced cardiovascular life support, 5th ed. Seoul: Koonja Publishing Inc, 2016. 1-16.
  4. Bobow BJ, Clark LL, Ewy GA, Chikani V, Sanders AB, Berg RA et al. Minimally interrupted cardiac resuscitation by emergency medical services for out-of-hospital cardiac arrest. JAMA 2008;299(10):1158-65. https://doi.org/10.1001/jama.299.10.1158
  5. Cha KC, Kim YJ, Shin HJ, Cha YS, Kim H, Lee KH et al. Optimal position for external chest compression during cardiopulmonary resuscitation: an analysis based on chest CT in patients resuscitated from cardiac arrest. Emerg Med J 2013;30(8):615-9. https://doi.org/10.1136/emermed-2012-201556
  6. Larsen MP, Eisenberg MS, Cummins RO, Hallstrom AP. Predicting survival from out-of-hospital cardiac arrest: a graphic model. Ann Emerg Med 1993;22(11):1652-8. https://doi.org/10.1016/S0196-0644(05)81302-2
  7. National Fire Service Academy (NFSA). Firefigther training manual(first-class), 1st ed. Gongju: Freebe, 2018. 57-68.
  8. National Fire Agency (NSA). Dead firefighter memorial. Available at: https://www.nfa.go.kr/cherish/news/notice/;jsessionid=qqhR+LXdNWBOJwx0zCZC5Lpi.nfa12, 2021.
  9. Kim ES. Skinner's behaviorism and his psychological ideal. Journal of Cheongju National University of Education 1989;19:83-99.
  10. Choi SJ. A study of the behaviorial method of learning guidance. Unpublished master's thesis, Dankuk University, 1987, Yongin, Korea.
  11. Im SH. Brain-scientific understanding of behavioristic learning theory and educational implications. Unpublished master's thesis, Seoul National University, 2010, Seoul, Korea.
  12. University of Florida Education Center (UFEC). Interservice procedures for instructional system development: executive summary and model. Available at: https://apps.dtic.mil/sti/pdfs/ADA019486.pdf, 1975
  13. Park CD. Development of an evaluation model for e-learning based teacher training programs using the delphi and AHP method. Unpublished doctoral thesis, Soongsil University, 2010, Seoul, Korea.
  14. Song GJ, Kim JB, Kim JH, Kim CW, Park SY, Lee CH et al. Part 2: Basic life support = 2015 Korean guidelines for cardiopulmonary resuscitational and emergency cardiovascular care. J Korean Soc Emerg Med 2016;28(4):9-34.
  15. Oh IK, Choi JI. Educational program development methodology, 1st ed. Seoul: Hakjisa Inc, 2015.
  16. Korea Disease Control and Prevention Agency (KDCA). General CPR standard training program instructors and training guidelines. Available at:http://www.cdc.go.kr/board/board.es?mid=a20503050000&bid=0021&act=view&list_no=127633, 2017
  17. Korea Health Personnel Licensing Examination Institute (KHPLEI). Level 2 emergency medical technician national practical test. Available at:https://www.kuksiwon.or.kr/notice/brd/m_51/view.do?seq=2812&srchFr=&srchTo=&srchWord=%EC%9D%91%EA%B8%89%EA%B5%AC%EC%A1%B0%EC%82%AC&srchTp=0&itm_seq_2=0&multi_itm_seq=0&company_cd=&company_nm=, 2020
  18. National Fire Service Agency (NFSA). Fire fighting tactics I-1. 1st ed. Gongju: Freebe, 2018. 110-32.
  19. National Fire Service Academy (NFSA). Fire-fighter training manual(Second-class), 1st ed. Gongju: Freebe, 2018. 357-8.
  20. Shrout PE, Fleiss JL. Intraclass correlations: uses in assessing rater reliablility. Psychological Bulletin 1979;86(2):420-8. https://doi.org/10.1037/0033-2909.86.2.420
  21. Park J, Kim TH. Reliability and validity of a smartphone-based assessment of gait parameters in patients with chronic stroke. J Korean Soc Phys Med 2018;13(3):19-25. https://doi.org/10.13066/kspm.2018.13.3.19
  22. Son JW. Development and effect of Basic Cardiopulmonary Resuscitation Training Program for Firefighters. Unpublished doctoral thesis, Ajoul University 2004, Suwon, Korea.
  23. National Fire Agency (NFA). 2020 National fire agency statistical yearbook. Available at: http://www.nfa.go.kr:8005/wv/ezpdf/customLayout.jsp?contentId=L0RBVEEvbmZhL25mYS53YXIvdXBsb2FkLy9ib2FyZC8vYmJzXzAwMDAwMDAwMDAwMDAwMTkvMjAyMDA3MDkvMjAyMDA3MDkwOTQyNDAyNjQ3My5wZGY%3D, 2020
  24. U.S. Fire administration (USFA). Annual report on firefighter fatalities in the United States. Available at:https://www.usfa.fema.gov/statistics/reports/ firefighters-departments/firefighter-fatalities.html, 2020