Development and Effect of Basic Cardiopulmonary Resuscitation Training Program for Firefighters

DC Field Value Language
dc.contributor.advisor박재범-
dc.contributor.author손정원-
dc.date.accessioned2022-11-29T02:32:46Z-
dc.date.available2022-11-29T02:32:46Z-
dc.date.issued2021-08-
dc.identifier.other31202-
dc.identifier.urihttps://dspace.ajou.ac.kr/handle/2018.oak/20347-
dc.description학위논문(박사)--아주대학교 일반대학원 :의학과,2021. 8-
dc.description.tableofcontentsⅠ. Introduction 1 A. Necessity 1 B. Purpose 4 C. Terminology 5 Ⅱ. Theoretical background 9 A. Theoretical framework of the study 9 B. Conceptual framework of the study 11 C. Hypothesis 13 Ⅲ. Method 15 A. Study target 15 B. Study design 18 C. Study method 19 Ⅳ. Result 29 A. Development of the FDCPR-BLS program 29 B. Verifying the effect of the FDCPR-BLS program 71 Ⅴ. Discussion 85 A. Development of the FDCPR-BLS program 85 B. Verifying the effect of the FDCPR-BLS program 91 C. Strengths and limitations 97 Ⅵ. Conclusion 100 Reference 104-
dc.language.isoeng-
dc.publisherThe Graduate School, Ajou University-
dc.rights아주대학교 논문은 저작권에 의해 보호받습니다.-
dc.titleDevelopment and Effect of Basic Cardiopulmonary Resuscitation Training Program for Firefighters-
dc.typeThesis-
dc.contributor.affiliation아주대학교 일반대학원-
dc.contributor.alternativeNameJeong-Won Son-
dc.contributor.department일반대학원 의학과-
dc.date.awarded2021. 8-
dc.description.degreeDoctoral-
dc.identifier.localId1227084-
dc.identifier.uciI804:41038-000000031202-
dc.identifier.urlhttps://dcoll.ajou.ac.kr/dcollection/common/orgView/000000031202-
dc.subject.keywordFDCPR-BLS program-
dc.subject.keywordFirefighter-
dc.subject.keywordKACPR-BLS program-
dc.subject.keywordKnowledge-
dc.subject.keywordLearning satisfaction-
dc.subject.keywordSelf-efficacy-
dc.subject.keywordSkill performance-
dc.description.alternativeAbstractThis study was aimed at developing and examining the effects of a training program for basic cardiopulmonary resuscitation for firefighters to improve their survival rate after cardiac arrest on the fireground. The 5 steps of the ADDIE (Analysis, Design, Development, Implementation, Evaluation) instructional design based on the behaviorism theory and the contents validity index (CVI) were used by the group, consisting of 7 experts (1 emergency medicine professor, 1 emergency medical technology professor, 2 fire service academy professors, 1 education professor, 2 firefighters with more than 15 years of experience on the field), to develop and validate the program. The randomized control group pretest-posttest design was used to verify the effects. The participants of this study were 63 new firefighters undergoing training at K Fire Service Academy located in Gyeonggi Province pending appointment. Block randomization, with Microsoft Excel, was used to group the participants. The experimental and control groups comprised 31 and 32 members, respectively. The research lasted from November 13 to December 18, 2020, and the collected data were analyzed with IBM SPSS Statistics V25.0. The newly developed basic cardiopulmonary resuscitation training program (FDCPR-BLS program) was applied to the experimental group, and the preexisting basic cardiopulmonary resuscitation program (KACPR-BLS program) was applied to the control group. After each practice for 80 minutes at a time in both groups, the effects on the knowledge, self-efficacy, skill performance, and learning satisfaction were tested, and the results were as follows. The knowledge of the experimental group increased by 4.12 points from 6.94 to 11.06 and that of the control group increased by 4.15 points from 6.91 to 11.06. Therefore, the magnitudes of change in the knowledge score in the experimental group significantly decreased than that in the control group (t=16.869, p<.001). The self-efficacy of the experimental group increased by 2.46 points from 44.35 to 46.81 and that of the control group decreased by 5.47 points from 42.66 to 37.19 after the program. Therefore, the magnitudes of change in the self-efficacy score in the experimental group significantly increased than that in the control group (t=3.331, p<.002). The skill performance of the experimental group increased by 6.81 points from 6.74 to 13.55 and that of the control group increased by 4.47 points from 6.56 to 11.03. Therefore, the magnitudes of change in the skill performance score in the experimental group significantly increased than that in the control group (t=13.782, p<.001). The time to reach the initial chest compression in the experimental group decreased by 76.0 seconds from 124.13 to 48.13 seconds and that of the control group decreased by 15.9 seconds from 123.06 to 107.10. Therefore, the magnitudes of change in the time to reach initial chest compression in the experimental group significantly decreased than that in the control group (t=-38.284, p<.001). The learning satisfaction was 21.77 points higher in the experimental group than in the control group, and the difference was statistically significant (t=-28.220, p<.001). Self-efficacy (β=-0.572, p<.001) and skill performance (β=-0.397, p<.001), but not knowledge (β=0.050, p>.05), were negatively correlated with the time to reach initial chest compression. A higher self-efficacy or skill performance was associated with a shorter time to reach initial chest compression. The FDCPR-BLS Program developed in this study was effective in enhancing the knowledge, self-efficacy, skill performance, and learning satisfaction of the firefighters on CPR. If this program is added to the ‘Fire Reacting Capability Test (Fire-fighter Ⅰ, Ⅱ)’, the iterative training to CPR can be conducted, and the skill performance of CPR could be maintained. Furthermore, the program can facilitate a better survival rate of colleagues suffering from cardiac arrest.-
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Graduate School of Ajou University > Department of Medicine > 4. Theses(Ph.D)
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