지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
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초록· 키워드
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Purpose: Education of adult laypersons in cardiopulmonary resuscitation (CPR) has been done frequently and done worldwide. Effective performance of bystander CPR has a decisive effect on outcomes for children as well as for adults. Although the chance of coming into contact with cardiac arrest and acute airway obstruction in a child is relatively high, there are only a few studies of the performance of CPR and abdominal thrust (Heimlich maneuver) done by teachers in child care centers. Therefore, we investigated the effects of CPR and abdominal thrust (Heimlich maneuver)education on teachers in child care centers, especially on their confidence and attitude while performing CPR and Heimlich maneuvers.
Methods: Between August 2009 and October 2009, 245participants who worked in child care centers received 2hours of education regarding CPR & emergency procedures for airway obstruction (Heimlich maneuver, abdominal thrust). Participants were asked questions (using a questionnaire) about their confidence and willingness to perform bystander CPR & the Heimlich maneuver. These questions were asked both before their education session and afterwards. Those who answered that they wouldn’t perform bystander CPR & Heimlich maneuvers were asked to state the reason. In addition, participants were asked if they were aware of the law exempts from liability bystanders who are not health care providers and who provide CPR or Heimlich as an emergency procedure.
Results: The ‘definitely yes’ answer to ‘willingness to perform CPR and abdominal thrust on a child increased from 33.1%, 41.2% before the education session to, respectively,82.9%, 86.9% afterward (p<0.001). If we included ‘yes’and ‘relatively yes’ answers, the accuracy of performance of acute airway obstruction (abdominal thrust, Heimlich maneuver) increased from 36% before education to 86.9%after. Meanwhile, the reasons for not performing bystander CPR and abdominal thrust, the ratio of ‘fear of disease transmission’ and ‘fear of legal liability’ was high in comparison to the ratio of ‘fear of poor knowledge/performance’.
Only 20.8% answered ‘yes’ to ‘awareness that the law provided exemptions from liability for bystanders doing such emergency procedures.
Conclusion: Adequate, constant education, including theoretical and practical child CPR and emergency maneuvers for acute airway obstruction of non-health care providers increased their confidence, accuracy and willingness to perform bystander CPR and abdominal thrust maneuvers.
목차
등록된 정보가 없습니다.
참고문헌 (18)
참고문헌 신청
Celenza T / 2002 / Community competence in cardiopulmonary resuscitation / Resuscitation 55:157~165
Stiell IG / 2004 / Advanced cardiac life support in out-ofhospital cardiac arrest / N Engl J Med 351:647~656
Lo´pez-Herce J / 2005 / Outcome of out-of-hospital cardiorespiratory arrest in children / Pediatr Emerg Care 21:807~815
Sirbaugh PE / 1999 / A prospective, population-based study of the demographics, epidemiology, management, and outcome of out-of-hospital pediatric cardiopulmonary arrest / Ann Emerg Med 33:174~184
윤성현 / 2007 / 병원외 심정지 소아의 심폐소생술에 대한 고찰 / 대한응급의학회지 18(3):202~210
Stiell IG / 2004 / Advanced cardiac life support in out-ofhospital cardiac arrest / N Engl J Med 351:647~656
Lo´pez-Herce J / 2005 / Outcome of out-of-hospital cardiorespiratory arrest in children / Pediatr Emerg Care 21:807~815
Sirbaugh PE / 1999 / A prospective, population-based study of the demographics, epidemiology, management, and outcome of out-of-hospital pediatric cardiopulmonary arrest / Ann Emerg Med 33:174~184
윤성현 / 2007 / 병원외 심정지 소아의 심폐소생술에 대한 고찰 / 대한응급의학회지 18(3):202~210
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