초·중·고등학생의 목격자 심폐소생술 수행 의도와 관련된 요인
Factors Influencing Willingness to Perform Bystander CPR among Elementary, Middle and High School Students
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초록
본 연구는 초·중·고등학교 학생들의 목격자 심폐소생술 수행 의도에 영향을 미치는 요인을 파악하여 심폐소생술 훈련 프로그램 개발에 필요한 기초자료를 제공하고자 수행되었다. 연구대상자는 B시의 초·중·고등학교 5,619명을 대상으로 설문지를 이용하여 자료를 수집하였으며 조사된 자료는 위계적 로지스틱 회귀분석으로 분석하였다. 본 연구결과 전체 대상자의 57.0%가 목격자 심폐소생술 수행 의도를 가지고 있었으며, 이에 영향에 미치는요인은 남학생(aOR: 1.460, 95% CI, 1.302-1.637), 학교급(중학생: aOR: 2.101, 95% CI, 1.821-2.424, 고등학생: aOR: 3.593, 95% CI, 3.067-4.210), AED 본 경험(aOR: 1.170, 95% CI, 1.034-1.324), 선한 사마리아법 인지(aOR: 1.211, 95% CI, 1.040-1.411), 심폐소생술 수행 경험(aOR: 3.982, 95% CI, 1.401-11.315), 심폐소생술에 대한 태도(aOR: 2.783, 95% CI, 1.883-4.112)와 자기효능감(aOR: 3.428, 95% CI, 3.007-3.909)으로 나타났다. 따라서 본 연구결과를 통해서 확인된 목격자 심폐소생술 수행 의도와 관련된 변인들을 고려하여 초·중·고등학교 학생들을 대상으로 한 심폐소생술 훈련프로그램을 개발하고 적용하는 것이 필요하다.
Abstract
The purpose of this study was to examine factors influencing willingness to perform bystander cardiopulmonary resuscitation (CPR) among elementary, middle and high school students. The data were collected from 5,619 students in a city in Korea and analyzed by a hierarchical multiple logistic regression model. About 57.0% of the students reported that they had an intention to perform CPR on a stranger. Gender, school type, experience in observing automated external defibrillator (AED), awareness of the Good-Samaritan law, experience in bystander CPR, positive attitude toward bystander CPR and self-efficacy were found to be significant factors of willingness to perform bystander CPR among the students. Training programs designed to enhance positive attitude and self-efficacy of learners would strengthen willingness to perform bystander CPR among students.
참고문헌 (29)
- Ahn, K. O., "Epidemiology and outcomes from non-traumatic out-of-hospital cardiac arrest inKorea: a nationwide observational study", Resuscitation, 81, pp.974~981 (2010)
- Ajzen, I., "The theory of planned behavior", Organizational Behavior and Human, 50, pp.179~211 (1991)
- Aspropoulos, E., "Can you please put it out? Predicting non-smokers' assertiveness intentions at work", Tobacco Control, 19, pp.148~152 (2010)
- Bandura, A., "Social foundations of thought and action: A social cognitive theory" (1986), Prentice-Hall
- Berdowski, J, "Global incidences of out-of-hospital cardiac arrest and survival rates: systematic review of 67 prospective studies", Resuscitation, 81, pp.1479~1487 (2010)
- Bobrow, B. J., "Chest compression-only CPR by lay rescuers and survival from out-of-hospital cardiac arrest", Journal of Amecircan Medical Association, 304, pp.1447~1454 (2010)
- Bolman, C. 1., "Factors determining cardiac nurses' intentions to continue using a smoking cessation protocol", Heart Lung, 31(1), pp.15~24 (2002)
- Coons, S. J., "Performing bystander CPR for sudden cardiac arrest, Behavioral intentions among the general adult population in Arizona", Resuscitation, 80(3), pp.334~340 (2009)
- Dwyer, T., "Psychological factors inhibit family member’s confidence to initiate CPR", Prehospital Emergency Care, 12, pp.157~161 (2008)
- Fishbein, M., "Belief, attitude, intention, and behavior: An introduction to theory and research" (1975), Addison-Wesley
- 황성오, "심폐소생술의 최신 경향", 대한의사협회지, 56(7), pp.600~608 (2013), 대한의사협회
- Johnston, T. C., "Factors influencing Queenslanders’ willingness to perform bystander cardiopulmonary resuscitation", Resuscitation, 56(1), pp.67~75 (2003)
- 강경희, "심폐소생술 수행 의지에 영향을 미치는 요인", 보건교육건강증진학회지, 25(4), pp.43~54 (2008), 한국보건교육건강증진학회
- Kanstad, B. K., "CPR knowledge and attitude to performing bystander CPR among secondary school students in Norway", Resuscitation, 82, pp.1053~1059 (2011)
- 김현숙, "일 지역 주민의 심폐소생술 수행에 미치는 영향요인", 한국간호교육학회지, 16(2), pp.339~346 (2010), 한국간호교육학회
- 김명수, "간접흡연 노출에 대한 비흡연 대학생의 주장행위에 관한 연구 -건강신념모형과 ASE model 적용을 중심으로-", 한국산학기술학회논문지, 13(11), pp.5187~5195 (2012), 한국산학기술학회[DOI]
- Kuramoto, N., "Public perception of and willingness to perform bystander CPR in Japan", Resuscitation, 79(3), pp.475~481 (2008)
- Lechner, L., "Starting participation in an employee fitness program; attitude, social influence, and self-efficacy", Preventive Medicine, 24(6), pp.627~633 (1995)
- Lee, M. J., "Influence of nationwide policy on citizens’ awareness and willingness to perform bystander cardiopulmonary resuscitation", Resuscitation, 84, pp.889~894 (2013)
- Miró, O., "Teaching basic life support to 12-16 year olds in Barcelona schools: views of head teachers", Resuscitation, 70(1), pp.107~116 (2006)
- Myerburg, R. J., "Sudden cardiac death. Structure, function, and time-dependence of risk", Circulation, 85(1), pp.I2~I10 (1992)
- Awareness and Emergency Medical Services Satisfaction Survey Results Report, "National Emergency Medical Center", National Emergency Medical Center, ~ (2014)
- Omi., W., "The attitudes of Japanes high school students toward cardiopulmonary resuscitation", Resuscitation, 78, pp.340~345 (2008)
- Panchala, A. R., "An “Intention-Focused” paradigm for improving bystander CPR performance", Resuscitation, 88, pp.48~51 (2015)
- Prochaska, J. O., "In search of how people change: applications to addictive behaviors", American Psychologist, 47(9), pp.1102~1114 (1992)
- Ro, Y. S., "A trend in epidemiology and out-comes of out-of-hospital cardiac arrest by urbanization level: a nationwide observational study from 2006 to 2010 in South Korea", Resuscitation, 84, pp.547~557 (2013)
- Sasson, C., "Predictors of survival from out-of- hospital cardiac arrest:a systematic review and meta-analysis", Circulation Cardiovascular Quality and Outcomes, 3, pp.63~81 (2010)
- Stroobants, J., "School children as BLS instructors for relative and friends; implication on attitude towards bystander CPR", Resuscitation, 85, pp.1769~1774 (2014)
- Vaillancourt, C., "Barriers and facilitators to CPR training and performing CPR in an older population most likely to witness cardiac arrest: a national survey", Resuscitation, 84(12), pp.1747~1752 (2013)