심폐소생술 시행 위치변화에 따른 흉부압박의 질 비교 = Comparison of Qualities of Chest Compression according to change of position in cardiopulmonary resuscitation performance

다국어 초록 (Multilingual Abstract)

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.

참고문헌 (Reference)

1 박대성, "치위생과 학생을 대상으로 한 기본 심폐소생술 교육효과" 한국치위생과학회 8 (8): 381-386, 2008

2 박대성, "중학생의 심폐소생술 교육에 어떤 방법이 효과적인가" 조선대학교 대학원 2010

3 박대성, "일부 중학생의 심폐소생술에 관한 노래․동영상 자가 학습과 심폐소생술 동영상 자가 학습(VSI)과의 교육 효과 비교" 한국콘텐츠학회 10 (10): 225-235, 2010

4 장종하, "심폐소생술 시 백보드를 사용한 침대와 바닥에서 시행한 흉부압박에 대한 비교연구" 중앙대학교 2009

5 박대성, "심폐소생술 시 무릎보호를 한 경우와 하지 않는 경우 간의 심폐소생술의 질 비교" 한국산학기술학회 11 (11): 733-740, 2010

6 "대한심폐소생협회"

7 박대성, "기본 심폐소생술 교육 후 지식 및 자신감이 정확도, 술기 수행에 미치는 영향-일부 물리치료(학)과 학생을 중심으로" 7 (7): 47-54, 2008

8 김수홍, "간호 대학생의 심폐소생술 교육 효과 및 교육효과 지속에 대한 연구" 대한응급의학회 18 (18): 496-502, 2007

9 Ritter G, "The effect of bystander CPR on survival of outof-hospital cardiac arrest victims" 110 (110): 932-937, 1985

10 Einspruch EL, "Retention of CPR skills learned in a traditional AHA heartsaver course 30-min video self-training: a controlled randomized study" 74 (74): 476-486, 2007

11 Lasen MP, "Predicting survival from out-of-hospital cardiac arrest: graphic model" 22 (22): 1652-1658, 1993

12 Larsen PD, "Patterns of external chest compression" 53 (53): 281-287, 2002

13 "Highlights of the 2010 American Heart Association Guidelines for CPR and ECC"

14 Perkins GD, "Effects of a backboard, bad height, and operator position on compression depth during simulated resuscitation" 32 (32): 1632-1635, 2006

15 Gallagher EJ, "Effectiveness of bystander cardiopulmonary resuscitation and survival following out-of-hospital cardiac arrest" 274 (274): 1922-1925, 1995

16 Gallagher EJ, "Effectiveness of bystander cardiopulmonary resuscitation and survival following out-of-hospital cardiac arrest" 274 (274): 1922-1925, 1995

17 Halperin HR, "Determinants of blood flow to vital ortans during cardiopulmonary resuscitation" 73 : 539-550, 1986

18 Reder S, "Comparison of three instructional methods for teaching cardiopulmonary resuscitation and use of an automatic external defibrillator to high school students" 69 (69): 443-453, 2006

19 Kern KB, "Cardiopulmonary resuscitation without ventilation" 28 (28): 186-189, 2000

20 Van Hoeyweghen RJ, "Belgian. Cerebral resuscitation study group: quality and efficiency of bystander CPR" 26 (26): 47-52, 1993

21 American Heart Association(AHA), "2005 american heart association guideline for cardiopulmonary resuscitation and emergency cardiovascular care" 2 (2): 2005