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A Comparison of Chest Compression Quality According to 2 Rescuers' Teamwork-Oriented Encouragement Method in Cardiopulmonary Resuscitation(CPR) Guidelines for 2010

2010년 심폐소생술 가이드라인에서 2인 구조자의 팀워크 중심의 격려방법에 따른 가슴압박 질 비교

  • Park, Sang-Sub (Department of Emergency Medical Technology, ChungCheong University)
  • 박상섭 (충청대학교 응급구조과)
  • Received : 2012.08.22
  • Accepted : 2012.11.08
  • Published : 2012.11.30

Abstract

The purpose of this study was to examine difference in quality of chest compression according to encouragement method of focusing on two rescuers' teamwork in CPR guideline for 2010. Subjects were randomly extracted the Dept. Emergency Medical Technology students who completed the curriculum of CPR. A group was divided into the group with one-time encouragement(33 people) and the group with continuous encouragement(33 people). Measurement period was progressed from April 30, 2012 to May 7. The collected data were analyzed with SPSS WIN program(version 12.0). As a result of research, the accuracy of chest compression(time, %) was higher(p<.05) in the group with one-time encouragement(118.72 times, 78.54%) than the group with continuous encouragement(95.12 times, 62.96%). As for the recognition of subjective concentration, the recognition as saying of being helpful for concentration was higher(p<.05) in the group with one-time encouragement(3.90 points) than the group with continuous encouragement(3.12 points). Even as for the recognition of subjective fatigue relief, the recognition as saying of being helpful for fatigue relief was higher(p<.05) in the group with one-time encouragement(3.96 points) than the group with continuous encouragement(3.30 points).

본 연구는 2010년 심폐소생술 가이드라인에서 2인 구조자의 팀워크 중심에서 격려방법에 따른 가슴압박 질 차이를 알아보고자 한다. 대상자는 심폐소생술 교육과정을 이수한 응급구조과 재학생을 무작위 추출하였다. 집단은 1회 격려집단(33명)과 연속적 격려집단(33명)으로 구분하였다. 측정 기간은 2012년 4월 30일부터 5월 7일까지 진행되었다. 수집된 자료는 SPSS WIN program(version 12.0)으로 분석하였다. 연구결과 가슴압박 정확도(회, %)는 1회 격려집단(118.72회, 78.54%)이 연속적 격려집단(95.12회, 62.96%) 보다 정확도 질이 높았다(p<.05), 주관적 집중력 인식은 1회 격려집단(3.90점)이 연속적 격려집단(3.12점) 보다 집중력에 도움이 된다는 인식이 높았고(p<.05), 주관적 피로도 완화 인식도 1회 격려집단(3.96점)이 연속적 격려집단(3.30)보다 피로도 완화에 도움이 된다는 인식이 높았다(p<.05).

Keywords

References

  1. M. C. Shin, et al, "The Effects of 'Hands OnlyTM' Cardiopulmonary Resuscitation (CPR) in CPR Education in Elementary School", J of Korean Soc Emerg Med, Vol.21, No.5, pp.665-669, 2010.
  2. C. W. Lee, et al, "E-learning can be Helpful for Mastering Basic Life Support Skills on Public", J of Korean Soc Emerg Med, Vol.21, No.4, pp.423-428. 2010.
  3. M. R. Sayre, R. A. Berg, D. M. Cave, R. L. Page, J. Potts, R. D. White, "Hands-only (compression-only) cardiopulmonary resuscitation: a call to action for bystander response to adults who experience out-of-hospital sudden cardiac arrest: a science advisory for the public from the American Heart Association Emergency Cardiovascular Care Committee", Circulation, Vol.117, No.16, pp.2162-2167, 2008. https://doi.org/10.1161/CIRCULATIONAHA.107.189380
  4. S. O. Hwang, K. S. Lim. "Cardiopulmonary resuscitation and advanced cardiovascular life support", koonja publisher, pp.3-356, 2011.
  5. M. Holmberg, S. Holmberg, J. Herlitz. "Effect of bystander cardiopulmonary resuscitation in out-of-hospital cardiac arrest patients in Sweden", J of Resuscitation, Vol.47, No.1, pp.59-70, 2000 https://doi.org/10.1016/S0300-9572(00)00199-4
  6. T. Kitamura, T. Iwami, T. Kawamura, K. Nagao, H. Tanaka, V. M. Nadkarni, R. A. Berg, A. Hiraide, "Conventional and chest-compression-only cardiopulmonary resuscitation by bystanders for children who have out-of-hospital cardiac arrests: a prospective, nationwide, population-based cohort study", Lancet, Vol.375, pp.1347-1354, 2010 https://doi.org/10.1016/S0140-6736(10)60064-5
  7. T. Iwami, T. Kawamura, A. Hiraide, R. A. Berg, Y. Hayashi, T. Nishiuchi, K. Kajino, N. Yonemoto, H. Yukioka, H. Sugimoto, H. Kakuchi, K. Sase, H. Yokoyama, H. Nonogi, "Effectiveness of Bystander-Initiated Cardiac-Only Resuscitation for Patients With Out-of-Hospital Cardiac Arrest", Circulation, Vol. 116, No.1, pp.2900-2907. 2007. https://doi.org/10.1161/CIRCULATIONAHA.107.723411
  8. American Heart Association(AHA). "Highlights of the 2010 American Heart Association Guidelines for CPR and ECC". http://www. americanheart. org. 2010.
  9. KACPR. "2011 Korean guideline for CPR ECC", www.kacpr.org, 2011.
  10. American Heart Association(AHA), "BLS for healthcare provider manual", http://www. americanheart.org. 2010.
  11. D. Smekal, J. Johansson, T. Huzevka, S. Rubertsson, "No difference in autopsy detected injuries in cardiac arrest patients treated with manual chest compressions compared with mechanical compressions with the $LUCAS^{TM}$ device-A pilot study", J of Resuscitation, Vol.80, No.10, pp.1104-1107, 2009. https://doi.org/10.1016/j.resuscitation.2009.06.010
  12. K. Bohm, M. Rosenqvist, J. Herlitz, J. Hollenberg, L. Svensson, "Survival Is Similar After Standard Treatment and Chest Compression Only in Out-of-Hospital Bystander Cardiopulmonary Resuscitation", Circulation, Vol.116, No.25, PP.2908-2912, 2007. https://doi.org/10.1161/CIRCULATIONAHA.107.710194
  13. M. K. Seo, "The Impact of Organizational Factors on Teamwork in Mental Health Practice". J of Crit Soc Wel, Vol.17. pp.143-169, 2004.
  14. K. S. Jung, "A study on the Effect of Encouragement and Compiments from the family to improve basic living habits of elementary school students", Daegu National University of Education, A thesis for the degree of master, 2010.
  15. K. Cokley, "Perceived Faculty Encouragement and Influence on College Students", J of College Student Development, Vol.41, No.3, pp.348-352. 2000.
  16. S. H. Kim, "Differences of teacher`s praise language and encouragement language", J of Elementary Education, Vol.20, No.3, pp.377-399, 2007.
  17. S. H. Choi, "Respiratory kinematics and coordination of respiration and phonation in normal subjects and dysphonic patients: using an integrated analysis system of respiration, EGG, and voice", Yonsei University, A thesis for the degree of doctor, 2006.
  18. Ministry for Health(MW). http://www.mw.go.kr, "2010 National Health Statistics-National Health and Nutrition Examination Survey 5th 1rd year(2010)", 2011.
  19. J. H. Na, S. O. Park, K. J Baek, D. Y. Hong, K. R. Lee, M. H. Lee, "Analysis of the Time-Dependent Changes of Chest Compression Quality and Related Rescuer Factors in CardioPulmonary Resuscitation by LayPersons", J of Korean Soc Emerg Med, Vol.22, No.5, pp.431-437, 2011.
  20. I. S. Yoo, D. J. Gwak, "Decay in Quality of Closed-Chest Compressions over time on CPR", J of Korean Soc Emerg Med, Vol.9, No.1, pp.34-38, 1998.
  21. R. S. Hoke, D. Chamberlain, "Skeletal chest injuries secondary to cardiopulmonary resuscitation", J. of Resuscitation, Vol.63, No.3, pp.327-338, 2004. https://doi.org/10.1016/j.resuscitation.2004.05.019
  22. F. M. Weston Clive, R. J. Wilson, S. D. Jones, "Predicting survival from out-of-hospital cardiac arrest: a multivariate analysis", Resuscitation, Vol.34, No.1, pp.27-34, 1997. https://doi.org/10.1016/S0300-9572(96)01031-3
  23. B. S. Abella, et al, "Reducing barriers for implementation of bystander-initiated cardiopulmonary resuscitation: a scientific statement from the American Heart Association for healthcare providers, policymakers, and community leaders regarding the effectiveness of cardiopulmonary resuscitation", Circulation, Vol.117, No.5, pp.704-709, 2008. https://doi.org/10.1161/CIRCULATIONAHA.107.188486
  24. S. Cheung, C. D. Deakin, R. Hsu, G. W. Petley, F. Clewlow, "A prospective manikin-based observational study of telephone-directed cardiopulmonary resuscitation", J of Resuscitation, Vol.72, No.3, pp.425-435, 2007. https://doi.org/10.1016/j.resuscitation.2006.07.025
  25. T. D. Rea, M. S. Eisenberg, L. L. Culley, L. Becker, "Dispatcher-Assisted Cardiopulmonary Resuscitation and Survival in Cardiac Arrest", Circulation, Vol.104, No.21, pp.2513-2516, 2001. https://doi.org/10.1161/hc4601.099468
  26. B. G. Yoon, "A comparative study on accuracy and fatigue in Hands-Only CPR and Traditional CPR by voice instruction", Chungju National University, A thesis for the degree of master, 2012.
  27. M. Mirza, T. B. Brown, D. Saini, T. L. Pepper, H. K. Nandigam, N. Kaza, S. S. Cofield. "Instruction to "push hard as you can" improve average chest compression depth in dispatcher-assisted cardiopulmonary resuscitation", Resuscitation, Vol.79, No.1, pp.97-102, 2008. https://doi.org/10.1016/j.resuscitation.2008.05.012
  28. Y. H. Park, et al, "Comparison of the Quality of Chest Compressions between CPR Performed by a Single Trained Rescuer and Two Rescuer CPR Performed by a Trained Rescuer and an Untrained Rescuer in a Prolonged Out-of-Hospital CPR Scenario", J of Korean Soc Emerg Med, Vol.19, No.6, pp.617-626, 2008.
  29. Y. J. Kim, G. C. Cho, J. Y. Ryu, J. Y. You, Y. S. Jang, "Does Switching Rescuers Every 2 Minutes Improve the Quality of Chest Compression Provided in Cardiopulmonary Resuscitation?". J of Korean Soc Emerg Med, Vol.22, No.6, pp.609-614. 2011.
  30. D. Hightower, S. H. Thomas, C. Keith Stone, K. Dunn, J. A. March, "Decay in Quality of Closed-Chest Compressions Over Time", Ann Emerg Med, Vol.26, No.3, pp.300-303. 1995. https://doi.org/10.1016/S0196-0644(95)70076-5
  31. F. J. Ochoa, E. Ramalle-Gomara, V. Lisa, I. Saralegui, "The effect of rescuer fatigue on the quality of chest compressions", Resuscitation, Vol.37, No.3, pp.149-152. 1998. https://doi.org/10.1016/S0300-9572(98)00057-4
  32. A. Ashton, A. McCluskey, C. L. Gwinnutt, A. M. Keenan, "Effect of rescuer fatigue on performance of continuous external chest compressions over 3 min", Resuscitation, Vol.55, No.2, pp.151-155, 2002. https://doi.org/10.1016/S0300-9572(02)00168-5
  33. J. Y. Kim, H. J. Shin, I. J. Lee, "The Effect of Noise and Background Music on the Trunk Muscle Fatigue during Dynamic Lifting and Lowering Tasks". J of Ergonomics Society, Vol.27, No.3, pp.15-22, 2008. https://doi.org/10.5143/JESK.2008.27.3.015