본문 바로가기
KERD
논문KCI 등재

백-밸브-마스크를 이용한 1인 호흡보조요법 교육의 효과

Effects of educational intervention on single-rescuer respiratory-assistant therapy using a bag valve mask

엄동춘|이용재
사단법인 한국응급구조학회 (The Korean Society of Emergency Medical Services)|2019.12|한국응급구조학회지 (The Korean Journal of Emergency Medical Services)|제23권 제3호|pp. 29-40|DOI https://doi.org/10.14408/KJEMS.2019.23.3.029

1

조회

0

다운로드

1

인용

0

참고문헌

키워드

EducationInterventionRespiratory therapyBag-valve-mask

초록

Purpose: This study was conducted to identify the effects of educational intervention on pre-test and post-test tidal volume, endotracheal peak pressure, and ventilation interval measurements during single-rescuer respiratory-assistant therapy by paramedic students. Methods: The present study, with a quasi-experimental design, included a pre-test and post-test nonequivalent control group. A total of 62 paramedic students (31, experimental group; 31, control group) participated in this study. The intervention lasted 80 minutes. Data were collected from each student before the intervention and two weeks after the intervention, between September 3 and 21, 2018. The collected data were analyzed using IBM SPSS Statistics for Windows, Version 25.0. Results: Tidal volume (p<.001) and endotracheal peak pressure (p=.002) measurements after the intervention were significantly different between the two groups. Analysis of covariance was used to control the variance (the pretest value of endotracheal peak pressure) in order to identify the effect of the intervention in the two groups. Endotracheal peak pressure was not significantly different between the two groups. Conclusion: Education and training of paramedic students in emergency medical services on single-rescuer respiratory-assistant therapy is necessary for the emergency care of patients with respiratory arrest.

Abstract

Purpose: This study was conducted to identify the effects of educational intervention on pre-test and post-test tidal volume, endotracheal peak pressure, and ventilation interval measurements during single-rescuer respiratory-assistant therapy by paramedic students. Methods: The present study, with a quasi-experimental design, included a pre-test and post-test nonequivalent control group. A total of 62 paramedic students (31, experimental group; 31, control group) participated in this study. The intervention lasted 80 minutes. Data were collected from each student before the intervention and two weeks after the intervention, between September 3 and 21, 2018. The collected data were analyzed using IBM SPSS Statistics for Windows, Version 25.0. Results: Tidal volume (p<.001) and endotracheal peak pressure (p=.002) measurements after the intervention were significantly different between the two groups. Analysis of covariance was used to control the variance (the pretest value of endotracheal peak pressure) in order to identify the effect of the intervention in the two groups. Endotracheal peak pressure was not significantly different between the two groups. Conclusion: Education and training of paramedic students in emergency medical services on single-rescuer respiratory-assistant therapy is necessary for the emergency care of patients with respiratory arrest.

참고문헌 (27)

  1. Hwang SH, "Cardiopulmonary resuscitation and advanced cardiovascular life support", pp.3~13 (2016), Koonja
  2. "Cause of death statistics"[URL]
  3. Jared Strote, "Prehospital endotracheal intubation: the controversy continues", The American Journal of Emergency Medicine, 27(9), pp.1142~1147 (2009), Elsevier BV[DOI]
  4. Jo Kramer-Johansen, "Advanced cardiac life support before and after tracheal intubation—direct measurements of quality", Resuscitation, 68(1), pp.61~69 (2006), Elsevier BV[DOI]
  5. 김상태, "3가지 성문위기도기(Supraglottic airway device)의 삽관 용이성과 삽관시간 비교 - 마네킨을 이용한 연구", 한국응급구조학회지, 16(2), pp.23~30 (2012), 사단법인 한국응급구조학회
  6. Andrea Gabrielli, "Alternative ventilation strategies in cardiopulmonary resuscitation", Current Opinion in Critical Care, 8(3), pp.199~211 (2002), Ovid Technologies (Wolters Kluwer Health)[DOI]
  7. Mark S. Link, "Part 7: Adult Advanced Cardiovascular Life Support", Circulation, 132(18 suppl 2), pp.S444~S464 (2015), Ovid Technologies (Wolters Kluwer Health)[DOI]
  8. Monica E. Kleinman, "Part 5: Adult Basic Life Support and Cardiopulmonary Resuscitation Quality", Circulation, 132(18 suppl 2), pp.S414~S435 (2015), Ovid Technologies (Wolters Kluwer Health)[DOI]
  9. "Korean 2015 guidelines for cardiopulmonary resuscitation and emergency cardiocascular care"[URL]
  10. An JY, "The effect of bag-valve mask using skill education with flowmeter", master’s, pp.2018
  11. 엄태환, "백밸브마스크를 이용한 1인 심폐소생술에서 구조자 위치 변화에 따른 가슴압박과 인공호흡의 질 변화 연구", 한국응급구조학회지, 20(1), pp.7~15 (2016), 사단법인 한국응급구조학회
  12. 신소연, "RespiTrainer를 활용한 백-밸브마스크 환기에서 일회호흡량과 기도압 비교 연구", 한국화재소방학회 논문지, 28(6), pp.76~81 (2014), 한국화재소방학회[DOI]
  13. Aaron M. Joffe, "A Two-handed Jaw-thrust Technique Is Superior to the One-handed “EC-clamp” Technique for Mask Ventilation in the Apneic Unconscious Person", Anesthesiology, 113(4), pp.873~879 (2010), Ovid Technologies (Wolters Kluwer Health)[DOI]
  14. Danielle Hart, "Face Mask Ventilation: A Comparison of Three Techniques", The Journal of Emergency Medicine, 44(5), pp.1028~1033 (2013), Elsevier BV[DOI]
  15. 이남종, "백-밸브-마스크 환기 시 마스크 밀착방법에 따른 환기효과 비교", 한국응급구조학회지, 22(1), pp.73~82 (2018), 사단법인 한국응급구조학회[DOI]
  16. Zsolt T. Stockinger, "Prehospital Endotracheal Intubation for Trauma Does Not Improve Survival over Bag-Valve-Mask Ventilation", The Journal of Trauma: Injury, Infection, and Critical Care, 56(3), pp.531~536 (2004), Ovid Technologies (Wolters Kluwer Health)[DOI]
  17. Anna Fiala, "EMT-led laryngeal tube vs. face-mask ventilation during cardiopulmonary resuscitation - a multicenter prospective randomized trial", Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine, 25(1), pp.104~ (2017), Springer Science and Business Media LLC[DOI]
  18. "The standard protocols for 119 emergency medical services provider", NFA, ~ (2015)
  19. Jun Young Hong, "Effects of bed height on the performance of endotracheal intubation and bag mask ventilation", Signa Vitae - A Journal In Intensive Care And Emergency Medicine, 12(1), pp.47~51 (2016), Pharmamed Mado Ltd[DOI]
  20. Korean emergency airway management society, "Emergency airway management", pp.99~137 (2007), Koonja
  21. 류현호, "심폐소생술의 질을 향상시키기 위한 방법으로서 메트로놈 보조의 효과", 대한응급의학회지, 17(3), pp.217~224 (2006), 대한응급의학회
  22. Lee EA, "Nursing research and statistical analysis" (2009), Soomoonsa
  23. 엄동춘, "기관내 튜브삽관 후 커프 압력에 대한 교육 효과", 한국응급구조학회지, 21(2), pp.7~16 (2017), 사단법인 한국응급구조학회[DOI]
  24. 엄동춘, "응급구조학과 학생들의 호흡보조요법 경험, 지식이 수행자신감에 미치는 영향요인", 한국응급구조학회지, 22(2), pp.67~77 (2018), 사단법인 한국응급구조학회[DOI]
  25. Park YN, "Effect of Pre-hospital advanced cardiopulmonary life support (ACLS) simulation training on paramedic’s competency", master’s, pp.2017
  26. 현광록, "2인구조자 심폐소생술 시 환기방법에 따른 가슴압박 중단시간의 비교 : 일개 대학병원 간호사를 대상으로", 한국응급구조학회지, 19(2), pp.7~17 (2015), 사단법인 한국응급구조학회[DOI]
  27. Tom P. Aufderheide, "Hyperventilation-Induced Hypotension During Cardiopulmonary Resuscitation", Circulation, 109(16), pp.1960~1965 (2004), Ovid Technologies (Wolters Kluwer Health)[DOI]

관련 논문AI추천

백-밸브-마스크 보조장치를 이용한 환기효과 비교김가은, 김용석, 서은영, 윤병길사단법인 한국응급구조학회 · 한국응급구조학회지2022 · 제26권 제3호임상실습 경험이 응급구조학과 학생들의 백밸브 장비 지식과 수행 능력에 미치는 영향문준동, 정미영, 정은진, 최윤선사단법인 한국응급구조학회 · 한국응급구조학회지2025 · 제29권 제2호유량계를 이용한 백밸브마스크의 효과김환희, 안주영, 윤형완한국컴퓨터정보학회 · 한국컴퓨터정보학회논문지2022 · 제27권 제11호마네킨을 이용한 기관내삽관 시 백밸브마스크 양손하단 환기법의 효과김용준, 박종찬, 윤성우, 이경열사단법인 한국응급구조학회 · 한국응급구조학회지2025 · 제29권 제3호백-밸브-마스크 환기증진을 위한 보조기구 개발 및 효과권찬양, 이인수사단법인 한국응급구조학회 · 한국응급구조학회지2018 · 제22권 제1호백-밸브-마스크 환기 시 마스크 밀착방법에 따른 환기효과 비교백미례, 이남종사단법인 한국응급구조학회 · 한국응급구조학회지2018 · 제22권 제1호

이 간행물의 다른 논문 (13건)

119구급대의 스마트의료지도 직무수행능력 영향요인이효철, 최준원pp. 7-161급 응급구조사의 자격에 대한 입법론적 고찰황성호pp. 17-27국문으로 개발된 기본심폐소생술 애플리케이션 정보의 정확성과 신뢰성 평가정은경, 강지훈pp. 41-51대학생의 선의의 응급의료면책에 대한 인식과 기본심폐소생술에 대한 태도최은숙, 이경열pp. 53-65심폐소생술 시 구조자의 hand technique에 따른 가슴압박의 질 및 피로도 비교김병우, 박유진, 정지원pp. 67-81
원문 보기