• 근관절건강학회지
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• 제31권1호
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• pp.22-30
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• 2024

Purpose: In-hospital cardiac arrest is rare, but often results in high mortality rates. Early and effective cardiopulmonary resuscitation (CPR) is crucial for survival and nurses are often the first responders. This study aimed to investigate how inter-professional attitudes and educational burdens affect self-efficacy related to CPR performance following team-based CPR simulation training. Methods: This retrospective observational study analyzed data from a satisfaction survey conducted after team-based CPR training sessions between January and November 2022. Of the 454 nurses surveyed, 238 were included in the study after excluding those with ambiguous responses. Multiple regression analysis was performed to assess factors influencing CPR self-efficacy. The factors examined included inter-professional attitudes and educational burden. Results: Higher levels of inter-professional attitudes, particularly regarding teamwork roles and responsibilities, lower educational burden, and a positive perception of CPR competence were all associated with improved CPR-related self-efficacy. Participants who reported higher engagement in teamwork, lower task load, and greater confidence in their CPR abilities demonstrated higher self-efficacy in performing CPR. Conclusion: Enhancing the competencies of nurses who may act as initial responders in CPR situations within or outside hospital settings can help save lives and support public health.

• 한국응급구조학회지
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• 제4권1호
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• pp.35-46
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• 2000

The results of analyzing the cognition of CPR by college students who major in public health or not order to enhance the educational efficiency of first aid ability and its expansion are as follows. 1. In case of students majoring in public health, the students who have the knowledge of term 'CPR' are 95.3% of total 300 students and 62.6% of the students who don't major in public health know it. In the item test of examining the degree of theoretical knowledge of CPR, the cases who know all 12 items are 5.2% and 1.6% respectively in cases who major in public health and don't major in it and it is judged that the extension of educational opportunity for them should be urgent. 2. The students who have experienced the practice of CPR are 20.6% in case who major in public health and 7.4% in other case. Therefore it seems to desirable that indirect field experience should be obtained by strengthening practice centered education. 3. The order of practice to examine the CPR ability is asked and the students who show very good remark are just 21~22% in both cases and they conducted very ineffective CPR and it is examined that they did first aid which may a serious damage to patients. Then the cases who recovered pulse and respiration after CPR were very low as 28.8% in the students who major in public health and 35.7% in others. It is therefore considered that the exact education of conducting the maintenance of respiratory trace, artificial respiration and CPR is necessary. 4. The cases who had the education of CPR were 51% in the students who major in public health and 39.4% in others, who had little opportunities to have CPR and 92.5~93.2% in both groups fee the necessity of continuous education and it is very encouraging to extend the education of CPR. 5. The education of CPR is mainly done at school (70.3~79.4%) and from teachers (52.7~55.4%) and 71.2% of the students majoring in public health responded that it is good for them to have education of CPR at school and lecture by first-aider and 58.9% of others did it. The cases who ask for lecture by the Professors of Dept. of First-Aid are 11.8 in students majoring in public health and 13.1% in others and it is judged that lecture by them having the theoretical foundation and first-aider with practical ability will be desirable. 6. On teaching methods, 57.5% of the cases majoring in public health and 63.3% of others ask for practice and 20% of both groups need theory centered teaching. 7. On lecture fee, 83% of the cases majoring in public health and 83.3% of others consider it should be free and 8~11.8% who are to pay for 10,000 won and it is judged that it should be opened and operated as liberal arts by college in the dimension of lifelong education. 8. On the objects of education, 83% of cases majoring in public health and 66.6% of others consider it should be conducted in people of all ages and both sexes and it is known that everyone recognizes the necessity of popularizing the education of first-aid.

• 한국학교ㆍ지역보건교육학회지
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• 제10권2호
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• pp.1-13
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• 2009

Objectives: This study is a quasi-experimental research with nonequivalent control group pretest-posttest design study to compare and verify the educational effects between CPR Song.Video Self-Instruction and CPR VSI. Method: We selected total 58 subjects who were freshmen at the Dept of Emergency Medical technology, G College in G Metropolitan City and 28 of them were experimental group which had no experience to have CPR instruction and consented to take part in this research and 30 students were control group. Data were collected from Apr. 27 to 29, 2009. Data were analyzed with SPSS/PC+(version 14.0). and all significance level was set as p<0.05. Results: 1. In the knowledge of CPR, the knowledge level before CPR instruction was 2.17 out of 10 in experimental group and 1.86 in control group. After CPR instruction, experimental group got 9.07 and it meant the increase of 6.89 and control group showed increase to 7.16(p=0.000). 2. Self-efficacy of CPR showed 2.61 out of 10 in both experimental and control groups, and after CPR instruction, experimental group showed increase of 3.93 as 6.55 and control group showed increase of 3.91 as 6.52(p=0.000). 3. Accuracy of CPR performance was 0.32 out of 10 in experimental group and 0.40 in control group. After CPR instruction, experimental group got 9.25 and showed increase of 8.92 and control group got 9.20 and showed increase of 8.80(p=0.000). 4. Study satisfaction was 4.22 out of 5 in experimental group and 3.04 in control group, and experimental group was higher than control group. there was no statistically significant difference. Conclusions: This study found that CPR Song；Video Self-Instruction achieved better results than CPR VSI. With these results, it is considered that CPR instruction for college students through mass communication or video will be very helpful.

• Journal of Korean Medical Science
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• 제33권51호
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• pp.328.1-328.12
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• 2018

Background: In cardiac arrest, the survival rate increases with the provision of bystander cardiopulmonary resuscitation (CPR), of which the initial response and treatment are critical. Telephone CPR is among the effective methods that might increase the provision of bystander CPR. This study aimed to describe and examine the improvement of neurological outcomes in individuals with out-of-hospital acute cardiac arrest by implementing the nationwide, standardized telephone CPR program. Methods: Data from the emergency medical service-based cardiac arrest registry that were collected between 2009 and 2014 were used. The effectiveness of the intervention in the interrupted time-series study was determined via a segmented regression analysis, which showed the risk ratio and risk difference in good neurological outcomes before and after the intervention. Results: Of 164,221 patients, 148,403 were analyzed. However, patients with unknown sex and limited data on treatment outcomes were excluded. Approximately 64.3% patients were men, with an average age of 63.7 years. The number of bystander CPR increased by 3.3 times (95% confidence interval [CI], 3.1-3.5) after the intervention, whereas the rate of good neurological outcomes increased by 2.6 times (95% CI, 2.3-2.9 [1.6%]; 1.4-1.7). The excess number was identified based on the differences between the observed and predicted trends. In total, 2,127 cases of out-of-hospital cardiac arrest (OHCA) after the intervention period received additional bystander CPR, and 339 cases of OHCA had good neurological outcomes. Conclusion: The nationwide implementation of the standardized telephone CPR program increased the number of bystander CPR and improved good neurological outcomes.

• 한국임상보건과학회지
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• 제1권1호
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• pp.47-61
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• 2013

Purpose. Effective health policy to raise education rate and to provide basic data to identify the college of Education degree and CPR. Purpose of this study was to inform the need for retraining of college students received CPR training. Methods. The sample consisted of 70 a series of health related university students and 70 the general college students ; total 120 in J city. The period of data collecting was from November 1st to Nov. 16th. The tools were 24 questionnaires named "CPR Survey". The collected data were analyzed to get frequency, percentage, average, and standard deviation, t-test and Person's correlation coefficients by using of SPSS for WINDOW 12.0 K program. Results. The number of CPR-trained persons was significantly higher in the health related university students than general college students. Conclusions. CPR training after the passage of time, the percentage of correct answer got lower as time goes by. The answer should be 'School formal education' was the highest. The percentage of students who recognized the necessity of CPR re-education was high.

• 한국응급구조학회지
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• 제10권1호
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• pp.5-12
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• 2006

Purpose: Few data exist regarding the cardiopulmonary resuscitation(CPR) education in relationship to characteristics of socio-economic status and health-medical conditions in Korea. The purpose of this study is to describe and analyze the characteristics of which laypersons want the CPR education. Methods: Based on a health survey of Incheon Metropolitan City adults(n=5,114), tests of the differences between the group that wants the CPR (n=1318) and the group that doesn't (n=3576), and a logistic regression analysis of two groups was performed on socio-economic status-gender, age, marital stats, education level, numbers of family members, and monthly household income-and health-medical conditions-diseases, accident experience, EMS(emergency medical system) experience, and health status. Results: Even the participation rate of the CPR education in Korea is only 4.3%, which is extremely lower than other developed countries, there are statistically significant differences between the group that wants the CPR and the group that doesn't on gender(p=0.005), age(p=0.000), education level(p=0.000), numbers of family members(p=0.000), monthly income(p=0.000). diseases(p=0.000). health status(p=0.042). Furthermore, age(OR: 1.025, p=0.000), education level(OR : 0.721, p=0.000), numbers of family members(OR: 0.809, p=0.000), and health status(OR: 1.077, p=0.000) are statistically significant factors on the wish for the CPR education. Conclusion: Accident and EMS experiences are not so much influential factors on that laypersons want the CPR education in Korea. Therefore, certain subgroups of laypersons such as high-risk patients and family members need targeted outreach programs in CPR education.

• 한국응급구조학회지
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• 제8권1호
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• pp.33-45
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• 2004

The study is designed to develop an educational CD-Title for Basic Life Support. The study is conducted from July to December, 2002, Based on the course of program development suggested by Dick and Cray. the study followed the planning, development, education and evaluation of a program. The developed CD-Title consists of 8 parts. 1. Intro include Introduction, Adult CPR, Child CPR, Infant CPR, Adult Foreign-Body Airway Obstruction, Infant Foreign-Body Airway Obstruction, and Exercise in Menu at Right of screen. 2. Introduction consist of death process at cardiac arresst, chain of survival, introduction of CPR, respiratory & ciculatory anatomy and physiology. 3. Adult CPR consist of assessment responsiveness, activating EMS system, position victim, opening a airway, checking for breathing, rescue breathing, checking for sign of circulation, chest compression, 1 person & 2 persion adult CPR video. 4. Child & Infant CPR consist of, causes, assessment responsiveness, position victim, opening the airway, checking for breathing, rescue breathing, checking for sign of circulation, chest compression, activating EMS system, child & infant CPR video. 5. Adult Foreign-Body Airway Obstruction include assessment responsiveness, activating EMS system, position victim, opening a airway, checking for breathing, 2 rescue breathing, reopening the airway, 2 rescue breathing, finger sweep, 5 abdominal thrusts, unresponsiveness adult Foreign-Body Airway Obstruction video. 6. Infant Foreign-Body Airway Obstruction consist of, causes, assessment responsiveness, position victim, opening the airway, checking for breathing, 2 rescue breathing, reopening the airway, 2 rescue breathing, checking foreign-body object in oral cavity of victim, 5 back blow, 5 chest thsusts, activating EMS system, video. 7. 32 exercise consist of 8 Adult CPR, 12 Child & Infant CPR, 5 Adult Foreign-Body Airway Obstruction, 7 Infant Foreign-Body Airway Obstruction. Every part consist of animations to trigger students interests. This CD-Title will be useful education for first responders and lay rescuers.

• 한국학교ㆍ지역보건교육학회지
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• 제16권2호
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• pp.1-15
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• 2015

Objectives: This study purposed to identify the factors influencing cardiopulmonary resuscitation(CPR) skills in nursing students. Methods: The research design was descriptive study. Data were collected through structured questionnaires. The participants of this study were 202 nursing students in B & U metropolitan city, and C city. Data were collected from November 15 to November 30, 2013. The data were analyzed using t-test, ANOVA, Scheffe's test, Pearson's correlation coefficients, and Multiple stepwise regression with SPSS WIN v 20.0. Results: CPR knowledge(r=0.51, p<0.001), critical thinking disposition(r=0.43, p<0.001), CPR attitude(r=0.56, p<0.001). self efficacy(r=0.74, p<0.001), and CPR skills were significantly correlated with each other. Predictors of CPR skills were self efficacy, CPR knowledge, critical thinking disposition, grade, and CPR attitude. These variables explained 60% of CPR skills. Multiple regression analysis showed that most powerful factors influencing CPR skills among nursing students was self efficacy. Conclusions: Based on this study, it is required to develop nursing education program to improve self efficacy of nursing students for increasing CPR skills.

• 대한간호학회지
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• 제46권3호
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• pp.463-474
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• 2016

Purpose: For cardiovascular patients, family caregivers play a vital role in daily nursing and cardiac emergencies. This study aimed to evaluate the effect of patient-centered CPR education (PCE) for family caregivers of patients with cardiovascular diseases. Methods: Fifty-four participants were randomly assigned to the PCE or control group. The PCE group received tailored counseling on overall cardiovascular disease information and CPR followed by interactive instructor-guided CPR training and re-education follow-up by telephone 2 weeks later. The control group received only video-based CPR self-education and booklets. Cardiovascular disease and CPR knowledge and self-efficacy were measured before (pre-test), immediately after (post-test 1), and 4 weeks after the PCE (post-test 2). CPR skills and performance were measured pre-test and at post-test1. Results: The PCE group demonstrated significant improvements in knowledge (F=91.09, p<.001), self-efficacy (F=15.19, p<.001) and CPR skills and performance (F=8.10, p=.008), as well as significant differences over time (knowledge: F=364.25, p<.001; self-efficacy: F=1162.28, p<.001; CPR skills and performance: F=1798.81, p<.001). There were significant group-by-time interactions for knowledge (F=8.10, p=.001), self-efficacy (F=4.30, p =.019) and CPR skills and performance (F=4.81, p=.036) by repeated measures ANOVA. Conclusion: This is the first study to demonstrate the effects of a patient-centered intervention with CPR education tailored for patients' and family caregivers' preferences, needs, and lifestyles. The results of this study encourage the use of tailored, patient-centered interventions in cardiovascular nursing practice.

• 한국응급구조학회지
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• 제17권2호
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• pp.21-28
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• 2013

Purpose : The aim of the study is to compare the effect of cardiopulmonary resuscitation (CPR) with voice and CPR without voice by one rescuer. Methods : Subjects were 26 students in C University who had basic life support certificate for Healthcare Provider. They performed 30:2 CPR for 6 minutes by two groups of CPR with voice and CPR without voice by one rescuer from August 14 to 16, 2012. They performed CPR with Resusci Anne SkillReporter$^{TM}$ and Laerdal PC SkillReporting System Ver. 2.4.1(Laerdal Medical, Norway and recored voice using TES-1350A(TES Electrical Electronic Corp, Taiwan). Between each experiment, 1 day of rest was given, providing enough time to recover from the fatigue of CPR. Results : The depth, rate of chest compression, and ventilation volume were not affected by a voice (p >.05), and the ratio of chest compression to ventilation kept 30:2, when the subject made a sound (p <.05). Conclusion : Making voice during CPR was associated with an accurate ratio of 30:2 and the reduction in hands off time.