[논문]자동 심장충격기 실습 교육 방법에 따른 수행 능력 비교

임준녕; 탁양주

doi:10.14408/kjems.2022.26.1.007

자동 심장충격기 실습 교육 방법에 따른 수행 능력 비교
Comparison of the skill performance based on an automated external defibrillator training method: A manikin-based study 원문보기

한국응급구조학회지 = The Korean journal of emergency medical services, v.26 no.1, 2022년, pp.7 - 19

임준녕 (대한민국 육군 36사단 108여단) , 탁양주 (한국교통대학교 응급구조학과)

Abstract ▼ AI-Helper

Purpose: The purpose of this study is to evaluate the interrupted chest compression time during the use of an automated external defibrillator (AED) depending on different AED practice training methods, and to report differences in self-efficacy before and after training. Methods: We enrolled university freshmen who have had cardiopulmonary resuscitation (CPR) training but have not or have had AED training but over 6 months. We examined differences between the group that practiced only shockable rhythms during training and the group that practiced both shockable and non-shockable rhythms. Results: A total of 72 individuals participated in this study, with 36 individuals each in the control and experimental groups. There was no statistically significant difference in the proficiency of AED usage between the two groups. In non-shockable cases, the experimental group showed shorter chest compression interruption time than the control group (2.30±1.21sec vs. 3.16±1.73 sec; p<0.01). In terms of self-efficacy before and after training, both groups showed higher self-efficacy after than before training. Conclusion: Individuals who underwent training that provided practice on both shockable and non-shockable rhythms had a shorter interrupted chest compression time when using the AED.

주제어

표/그림 (8)

그림 Fig. 1. Flow diagram of the study.
그림 Fig. 2. Flow chart of experimental studies.
표 Table 1. General characteristics
표 Table 2. Level of awareness (score)
표 Table 3. Comparison of the proficiency score of the ^*AED (score)
표 Table 4. Comparison of chest compression interruption times (sec)
표 Table 5. Comparison of self-efficacy between groups (score)
표 Table 6. Self-efficacy before and after evaluation (score)

참고문헌 (24)

KCDC. 2006-2017 Sudden Cardiac Arrest Survey Statistics Volume 1, 2017 https://www.kdca.go.kr/board/board.es?mida20503050000&bid0021&actview&list_no142010
Lee MG, Kim SJ, Choi DH, Jun DH, Yoo BD, Lee DP. Outcome of non-traumatic prehospital cardiac arrest. J Korean Soc Emerg Med 2002;13(4):428-33.
KCDC. 2020 Korean guidelines for cardiopulmonary resuscitation and emergency cardiovascular care. 2020. https://www.kdca.go.kr/board/board.es?mida205030KG50000&bid0021&actview&list_no712705
Panchal AR, Bartos JA, Cabanas JG, Donnino MW, Drennan IR, Hirsch KG et al. Part 3: Adult Basic and Advanced Life Support: 2020 American Heart Association Guidelines for Cardiopulmonary Resuscitation and Emergency Cardiovascular Care. Circulation 2020;142:366-468. https://doi.org/10.1161/CIR.0000000000000916

상세보기
Edelson D, Abella BS, Kramer-Johansen J, Wik L, Myklebust H, Barry AM et al. Effects of compression depth and pre-shock pauses predict defibrillation failure during cardiac arrest. Resuscitation 2006;71:137-45. https://doi.org/10.1016/j.resuscitation.2006.04.008

상세보기
Sell RE, Sarno R, Lawrence B, Castillo EM, Fisher R, Brainard C et al. Minimizing pre-and post-defibrillation pauses increases the likelihood of return of spontaneous circulation (ROSC). Resuscitation 2010 Jul;81(7):822-5. https://doi.org/10.1016/j.resuscitation.2010.03.013

상세보기
Cheskes S, Schmicker RH, Christenson J, Salcido DD, Rea T, Powell J et al. Perishock pause: an independent predictor of survival from out of hospital shockable cardiac arrest. Circulation 2011;5;124(1):58-66. https://doi.org/10.1161/CIRCULATIONAHA.110.010736

상세보기
Cheskes S, Schmicker RH, Verbeek PR, Salcido DD, Brown SP, Brooks S et al. The impact of peri-shock pause on survival from out of hospital shockable cardiac arrest during the Resuscitation Outcomes Consortium PRIMED trial. Resuscitation 2014;85(3):336-42. https://doi.org/10.1016/j.resuscitation.2013.10.014

상세보기
Wik L, Kramer-Johansen J, Myklebust H, Sorebo H, Svensson L, Fellows B, Steen PA. Quality of cardiopulmonary resuscitation during out-of-hospital cardiac arrest. JAMA 2005;19;293(3):299-304. https://doi.org/10.1001/jama.293.3.299

상세보기
Caffrey SL, Willoughby PL, Pepe PE, Becker LB. Public use of automated external defibrillators. N Engl J Med 2002;347:1242-7. https://doi.org/10.1056/NEJMoa020932

상세보기
Bobrow BJ, Clark LL, Ewy GA, Chikani VS, Arthur BB. 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

상세보기
Weisfeldt ML, Sitlani CM, Ornato JP, Rea T, Aufderheide TP, Davis D et al. Survival after application of automatic external defibrillators before arrival of the emergency medical system: evaluation in the resuscitation outcomes consortium population of 21 million. J Am Coll Cardiol 2010;55(16):1713-20. https://doi.org/10.1016/j.jacc.2009.11.077

상세보기
Ministry of Legislation. Emergency Medical Services Act Article 47-2. https://www.law.go.kr/LSW/lsInfoP.do?urlModelsInfoP&lsId000218#0000
Park JM. The effectiveness of competency and retention in cardiopulmonary resuscitation through self-directed learning. Unpublished doctoral dissertation, Kyungpook National University 2006, Daegu, Korea.
Lee EJ. The effect of cardiopulmonary resuscitation confidence and recognition in non-clinical professionals in the hospital. Unpublished master's thesis, Kangwon National University 2015, Samcheok, Korea.
Kim MN. A study on recognition, education and public relations(PR) on cardiopulmonary resuscitation(CPR) and automated external defibrillator(AED) use in public institution employees. Unpublished master's thesis, Kangwon National University 2016, Samcheok, Korea.
Kang JH, Choa MH, Kim KW, Chung SW, Kim EY, Ko JW. Effect of devices on defibrillation skill in the objective structured clinical examination; a simulation study. J Korean Soc Emerg Med 2012;23(4):493-9.
Han YI. A study on CPR and AED use awareness, education, and confidence to perform in university students. KALCI 2018;18(4):455-81. https://doi.org/10.22251/jlcci.2018.18.4.455
Kim YR. A comparison of quality of SimPad based on field focus type CPR and video self-instruction CPR. Journal of Digital Convergence 2019;17(7):207-14. https://doi.org/10.14400/JDC.2019.17.7.207

원문보기 상세보기
Koh CY, Kim CH. Comparing the fully-automated external defibrillator and semi-automated external defibrillator used by laypersons: A simulation study. J Korean Soc Emerg Med 2013:24(4):362-9.
Park JM. The effects of cardiopulmonary resuscitation and automated external defibrillator education for school teachers. Korean J Emerg Med Ser 2013;17(2):29-41. https://doi.org/10.14408/KJEMS.2013.17.2.029

원문보기 상세보기
Beckers S, Fries M, Bickenbach J, Derwall M, Kuhlen R., Rossaint R. Minimal instructions improve the performance of laypersons in the use of semiautomatic and automatic external defibrillators. Crit Care 2005;9(2):110-6. https://doi.org/10.1186/cc3033

상세보기
Beckers SK, Fries M, Bickenbach J, Skorning MH, Derwall M, Kuhlen R et al. Retention of skills in medical students following minimal theoretical instructions on semi and fully automated external defibrillators. Resuscitation 2007;72(3):444-50. https://doi.org/10.1016/j.resuscitation.2006.08.001

상세보기
Mitchell KB, Gugerty L, Muth E. Effects of brief training on use of automated external defibrillators by people without medical expertise. Human Factors 2008;50(2):301-10. https://doi.org/10.1518/001872008X250746

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