• Title/Summary/Keyword: cardiopulmonary resuscitation(CPR)

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CPR Training Effect for Civilian (일반인에게 실시한 심폐소생술 교육효과)

  • Koh, Jae-Moon;Kim, Tae-Min
    • The Korean Journal of Emergency Medical Services
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    • v.16 no.1
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    • pp.19-29
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    • 2012
  • Purpose: This study was focused on the training effects of the cardiopulmonary resuscitation(CPR) which is based on the AHA guideline 2010 for lay person. The purpose of this study was to investigate the effectiveness of the CPR training for civilian by checking the performance ability of the subjects before and after the CPR education. Method: This study was a single primary experimental study designed with pre and post test. Study subjects were 55 apartment managers who participated in all test on December 5 and December 11, 2011. The tools of this study were CPR performing evaluation sheet and CPR teaching program(AHA). Data were analysed by descriptive statistics, t-test, repeated ANOVA and Bonferroni with SPSS 18.0 program. Result: The CPR practice performing ability was significantly increased by test. The CPR practice performing ability of the learning experience group had significantly higher score than that of non-experience group. The self-confidence on CPR practice when faced emergency situation was highly increased after practice training. Conclusion: Practical performance evaluation score has improved step by step. The primary and secondary practical evaluation showed a significant difference in all items and practice-oriented education was found to be effective in CPR training.

A Comparison in Educational Effects Between Video Self-Instruction (VSI) and Basic CPR (Cardiopulmonary Resuscitation) among College Students in Some Areas (일부지역 대학생들의 VSI(Video Self-Instruction) 심폐소생술과 기본심폐소생술 교육 효과 비교)

  • An, Ju-Yeong;Park, Sang-Sub
    • The Journal of Korean Society for School & Community Health Education
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    • v.10 no.1
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    • pp.1-16
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    • 2009
  • Objectives: This study aims to perform comparative analysis of educational effects between video self-instruction (VSI) and basic cardiopulmonary resuscitation among college students in some areas. Methods: This study was conducted with 57 college students (28 for control group and 29 for experimental group) in U Metropolitan City from September 27 to October 5, 2007, and SPSS 14.0 Version was used for analysis. Results: As for differences in attitudes before and after cardiopulmonary resuscitation training, the experimental group (1.48) was higher than the control group (.91), which was significant (p<.001). The experimental group (9.56) also showed higher knowledge score than the control group (7.79) with significant differences (p<.05). The former (3.93) also showed higher concrete self-efficacy than the latter (2.17). with significant differences (p<.05). The experimental group (43.24) showed higher practical performance ability than the control group (34.48), with no significant difference. The former (30.93) also showed higher accuracy in chest compression skill than the control group (20.25). with no significant difference.

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Effects on Self Efficacy in Knowledge and Attitude of Basic Cardiopulmonary Resuscitation in the Higher Grade of Elementary School Students (초등학교 고학년 학생의 기본 심폐소생술에 대한 지식 및 태도가 자기효능감에 미치는 영향)

  • Chun, Youngmi;Park, Sunhee;Park, Sangyoun
    • Journal of East-West Nursing Research
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    • v.19 no.2
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    • pp.121-127
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    • 2013
  • Purpose: The purpose of this study was to determine the effects of knowledge and attitude on self efficacy of cardiopulmonary resuscitation (CPR) in the fifth and the sixth grade of elementary school students. Methods: The participants were 242 elementary school students from A city. Data were collected from August 26 to August 27, 2013 using a questionnaire. Data analysis was performed by SPSS/WIN 19.0 using ANOVA, t-test, Pearson correlation and stepwise multiple regression. Results: Factors affecting on self efficacy to CPR were attitude (${\beta}=.54$), religion (${\beta}=-.16$), recognition (${\beta}=.15$) and knowledge (${\beta}=.13$). These factors explain 47.0% of the variance in self efficacy. Conclusion: The results of this study show that attitude to CPR has the strongest influence on efficacy. Based on the results of this study, we suggest that customized programs and further research by using 2010 guideline are needed to develop for elementary school students.

The CPR Educational Program Effect of Infant CPR Immediate Remediation for Child Care Teachers (보육교사 대상의 영아 심폐소생술 현장교정교육의 효과)

  • Kim, Il Ok;Shin, Sun Hwa
    • The Journal of Korean Academic Society of Nursing Education
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    • v.19 no.4
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    • pp.508-517
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    • 2013
  • Purpose: The purpose of this study was to evaluate the effectiveness of infant CPR (Cardiopulmonary Resuscitation) immediate remediation[LAB2]. Methods: This is a quasi-experimental study with a non-equivalent comparison group pre-post test design. Participants were 73 child care teachers in J district in Seoul. The experimental group (35) received immediate remediation with video learning [LAB3]for infant CPR education and the control group (38) received video learning only. We investigated confidence of infant CPR and tested single-rescuer infant CPR performance depending on a checklist (8 items). Data were collected before and right after to evaluate the confidence of infant CPR and before, right after and 2 weeks after the education to evaluate the skill performance and final acceptance. Results: There was a significant increase in confidence of infant CPR in the experimental group and control group. There was a statistically significant difference in the degree of skill performance between groups according to the amount time (F=10.58, p<.001). The degree of skill performance was tested two weeks after the education and immediate remediation was 5.35 times more effective compared to the video image demonstration (B=1.677, p<.001). Conclusion: The findings provide the necessity of immediate remediation education of infant CPR to increase confidence and skill performance ability.

Study of military CPR quality and education by feedback device and debriefing

  • Moon, Soo-Jae;Kim, Seon-Rye;Cho, Byung-Jun
    • Journal of the Korea Society of Computer and Information
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    • v.21 no.9
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    • pp.107-112
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    • 2016
  • In this paper, we propose the effects of military cardiopulmonary resuscitation(CPR) on the quality of debriefing and feedback device training. The key idea of combination debriefing and feedback device training is to maximize effects of CPR. The participants of the research were non-medic soldiers in ROK army, and had not undergone any professional CPR training before. Each group of soldier was randomized to perform of military CPR by using training method in each group. After 5 minutes of performing CPR, each D, F, DF group showed significant improvement in CPR performance. When comparing each group, the rate of success in CPR performance in DF group was significantly higher than that of F group with the average difference of 11.160(p<.01) points. In summation, the training programs that DF received seemed to be more efficient and effective than that of D and F. The fatigue level was evaluated by comparing the lactate concentration in blood after performing CPR. Through this experiment, we show that the training programs that DF received is more efficient and effective than that of D and F.

Relationship between Non-technical Skills and Resuscitation Performance of Nurses' Team in in-situ Simulated Cardiac Arrest (심정지 현장 시뮬레이션에서 일반 간호사의 비기술적 술기와 심폐소생술 수행 간의 관계)

  • Kim, Eun Jung;Lee, Kyeong Ryong
    • Korean Journal of Adult Nursing
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    • v.27 no.2
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    • pp.146-155
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    • 2015
  • Purpose: The aim of this descriptive study was to explore the relationship between non-technical skills (NTSs) and cardiopulmonary resuscitation (CPR) performance of nurses' teams in simulated cardiac arrest in the hospital. Methods: The sample was 28 teams of nurses in one university hospital located in Seoul. A high fidelity simulator was used to enact simulated cardiac arrest. The nurse teams were scored by raters using both the CPR performance checklist and the NTSs checklist. Specifically the CPR performance checklist included critical actions; time elapsed to initiation of critical actions, and quality of cardiac compression. The NTSs checklist was comprised of leadership, communication, mutual performance monitoring, maintenance of guideline, and task management. Data were collected directly from manikin and video recordings. Results: There was a significant difference between the medians of the NTSs and CPR performance (Mann Whitney U=43.5, p=.014). In five subcategories, communication (p=.026), mutual performance monitoring (p=.005), and maintenance of guideline (p=.003) differed significantly with CPR performance in medians. Leadership (p=.053) and task management (p=.080) were not significantly different with CPR performance. Conclusion: The findings indicate that NTSs of teams in addition to technical skills of individual rescuers affect the outcome of CPR. NTSs development and assessment should be considered an integral part of resuscitation training.

The Influential Factors for the Attitude of Health-Care University Students on Cardiopulmonary Resuscitation (보건의료계열 대학생의 심폐소생술 태도에 영향을 미치는 요인)

  • Jung, Geum-Sook;Oh, Hyun-Mi;Jeong, Seon-Young
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.14 no.5
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    • pp.2271-2280
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    • 2013
  • This study is a descriptive research carried out to investigate the knowledge, confidence and attitude on cardiopulmonary resuscitation(CPR) of university students studying health care and figured out the factors affects their attitudes on CPR. 516 health-care university students were informed with the agreement of this study. The data were analyzed with t-test, one-way ANOVA, Pearson's correlation coefficient and Multiple linear regression were used. There were significant positive correlations between the attitude and knowledge(r=.269, p<.001) and between the attitude and confidence (r=.620, p<.001) on CPR. It was found that the influential factors for the attitude on CPR include confidence, gender, knowledge, personality, perception, education experience in CPR, experiences in medical service and the reason for choosing the subject and their persuasive power was 49%. Programs and educations enhancing knowledge and positive attitude on CPR is needed, and there needs to be developing in a proactive manner.

Comparison of changes in ventilation volume according to fixation method of I-gel during cardiopulmonary resuscitation: a study using a simulated manikin (심폐소생술 시 아이젤의 고정 방법에 따른 환기량의 변화 비교: 시뮬레이션 마네킨을 이용한 연구)

  • Kim, Seon Tae;Shin, Sang-Yol;Choi, Jeong Woo
    • The Korean Journal of Emergency Medical Services
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    • v.25 no.3
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    • pp.7-16
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    • 2021
  • Purpose: The I-gel device is Korea's most frequently used airway management method during pre-hospital cardiopulmonary resuscitation (CPR). This study aimed to compare changes in ventilation volume according to the fixation method with a simulated manikin. Methods: We placed I-gel into an advanced life support simulator and compared tape and band fixation conditions. CPR was performed according to the 2020 Korean CPR guidelines, using a mechanical chest compression device and an adult bag. The positional shift of I-gel and the ventilation volume of the simulated manikin were measured after performing CPR for 20 minutes. Five trials were carried out in each setting. Statistical analysis was carried out with SPSS 27.0. P < .05 was considered significant. Results: Positional shift after 20 minutes of CPR was as follows: tape fixation, 7.2 ± 0.2 mm; band fixation, no change, indicating a significant difference between the two groups (p=.003). The mean ventilation volume was tape fixation, 482.63 ± 30.84 mL; band fixation, 544.96 ± 22.98 mL, showing a significant difference (p=.002). Conclusion: When using the I-gel during pre-hospital CPR, using a band-type fixing device with elasticity rather than fixing the tape provides stable and appropriate ventilation by maintaining the fixed position.

Design of CPR Artifact Removal Algorithm Based on Orthogonal Function using LMS Adaptive Filter (LMS 적응필터를 이용한 직교 함수 기반의CPR 잡음 제거 알고리즘 설계)

  • Lim, Eunho;Nam, Dong-Hoon;Myoung, Hyoun-seok;Kang, Dong-Won;Jeon, Dae-Keun;Yoon, Young-Ro;Lee, Kyoung-Joung
    • Journal of Biomedical Engineering Research
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    • v.37 no.5
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    • pp.153-160
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    • 2016
  • This study proposes an algorithm for removal of CPR artifact in order that automated external defibrillator (AED) can effectively diagnose ECG rhythm during cardiopulmonary resuscitation (CPR). Current AED required to interrupt chest compression for reliable rhythm analysis to avoid the effect of artifacts produced by CPR. However even temporarily interruption of chest compression during CPR adversely affects the probability of restoration of spontaneous circulation (ROSC) and survival after the delivery of the shock. Therefore, we proposed a method for removal of CPR artifacts using least mean square (LMS) filter. The removal of the CPR artifacts would enable compressions to continue during AED rhythm analysis, thereby increasing the likelihood of resuscitation success. It was tested on 31 segments of shockable and 300 segments of non-shockable ECG signals recorded from three pigs during CPR. In the result, sensitivity (Se) and specificity (Sp) analysis on the test segments showed values of Se = 3.2%, Sp = 66.0% and Se = 96.8%, Sp = 98.7% in the case of unfiltered and filtered signals during CPR. In conclusion, it was shown that the proposed method can be a useful tool to exactly diagnose the ECG rhythm during the CPR.

The Effect of CPR Practice Education of Personal Assistants for the Disabled (장애인활동보조인의 심폐소생술 실습교육 효과)

  • Kim, Sun-Mi;Jeong, Seonghee
    • The Journal of Korean Academic Society of Nursing Education
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    • v.23 no.1
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    • pp.86-94
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    • 2017
  • Purpose: This study was conducted to identify the effects of cardiopulmonary resuscitation (CPR) practice education on CPR knowledge, attitude, confidence, learning satisfaction and performance of the personal assistants for the disabled. Methods: This is a quasi-experimental study with a non-equivalent control group. The participants were 62 personal assistants for the disabled. Thirty-one subjects were assigned to an experimental group and the remaining subjects were assigned to a control group. The date collected were analyzed using the IBM SPSS Statistics 20.0 program by descriptive statistics, $x^2$-test, Fisher's exact test, and t-test. Results: CPR practice education was found to have a meaningful effect on CPR knowledge (p<.001), learning satisfaction (p<.001), and performance (p<.001) of the personal assistants for the disabled. Conclusion: Considering these results, it would be useful to develop CPR practice curriculum to enhance CPR knowledge, attitude, confidence, learning satisfaction and performance of the personal assistants for the disabled.