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題名：南區某護專學生執行成人心肺復甦術之分析與探討
書刊名：長庚護理
作者：唐景俠／陳建良／張志然
作者(外文)：Tang, Jing-shia／Chen, Chien-liang／Chang, Chih-jan
出版日期：2004
卷期：15:2=46
頁次：頁165-174
主題關鍵詞：護生；南區護專；心肺復甦術；Cardiopulmonary resuscitation；CPR；Student nurses；Southern nursing college
原始連結：連回原系統網址new window
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  • 被引用次數被引用次數:期刊(2) 博士論文(0) 專書(0) 專書論文(0)
  • 排除自我引用排除自我引用:2
  • 共同引用共同引用:15
  • 點閱點閱:39
　　　　　本研究之目的乃藉由評核70位南部某五專實習護生之心肺復甦術（cardiopulmonary resuscitation, CPR）技能，試圖找出多數人易犯之錯誤，以作為將來CPR教學改善的參考。評核標準分為13項，乃依據美國心臟學會（American Heart Association, AHA）公佈之準則。以新式液晶螢幕型安妮模型為工具，分別於急診室實習之第一、二、四週評估其表現，分析各項之學習進步情況與達成率。結果發現第一週並沒有人能順利完成所有評核項目，經過二週與四週的學習則分別增為1人與8人。在評核的13項要素裡，第一次評核只有「確定意識」和「求救」兩項達成率在80%以上，其餘皆低於60％。經過二週後，除了「正確按壓深度」一項之外，其餘項目在第二次評核之達成率相較於第一次皆有顯著的提高（以麥氏考驗分析，p＜ .05） 。經過四週後，則所有項目在第三次評核之達成率皆明顯較第一次進步（p＜ .05） 。然而，在第四週達成率中仍有過半項目未達80％，其中，「檢查脈博」 、「正確按壓深度」及「每次吹氣使胸部起伏」三項之達成率甚至僅達54％至57％。綜而言之，「正確按壓深度」為護生學習上最大之障礙，不僅學習速度最慢，甚且訓練至第四週之達成率亦僅有54％。
　　　　　The purpose of this study was to evaluate the cardiopulmonary resuscitation (CPR) skills of 70 student nurses in a Southern Nursing College. By identifying the most frequent mistakes made by the students, this study aimed to improve the teaching strategies of CPR skills. The 13 evaluating items were quoted from the guidelines of American Heart Association (AHA). The performance of students were tested on a digital resuscitation manikin and evaluated at the first, the second and the forth weeks in their practical training in the emergency room. The results showed that no student could accomplish all items after the first week. Only one student could complete all items after the second week. In the forth week, 8 student nurses passed all assessments. The success rates of “check responsiveness” and “call for help” reached over 80%, while the rest of the test items were below 60% in the first test. The success rates of all items were significantly improved after the second week except the “correct compression depth” (McNemar test, p < .05). Moreover, the success rates of all items in the third test were significantly improved as compared with the first test (p < .05). However, the success rates of more than half of the test items were still below 80%. The success rates of “check pulse”, “correct compression depth”, and “every inflation to produce visible lifting of the chest” ranged only 54% to57%. In conclusion, the “chest compression” was a biggest obstacle to CPR learning with only 54% success rate after 4 weeks.
期刊論文
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2.羅夢伶(19961000)。中部地區護生接受心肺甦醒術課程後之知識、態度與行為及其相關因素之探討。中臺醫專學報，9，35-53。  延伸查詢new window
3.周志中(19930400)。臺灣心肺甦醒術教育的缺失。臺灣醫界，36(4)，61-64。  延伸查詢new window
4.張國頌、周志中(19970600)。國內急救教材之比較與檢討。中華民國急救加護醫學會雜誌，8(2)，47-62。  延伸查詢new window
5.Baskett, P. J. F.、Bossaert, L.、Carli, P.、Chamberlain, D.、Dick, W.、Nolan, J. P.、Parr, M. J. A.、Scheidegger, D.、Zideman, D.、Blancke, W.、Delooz, H.、Handley, A.、Kettler, D.、Kloeck, W.、Kramer, E.、Quan, L.、Studer, W.、Van Drenth, A.(1996)。Guidelines for the basic management of the airway and ventilation during resuscitation: A statement by the Airway and Ventilation Management Working Group of the European Resuscitation Council。Resuscitation，31(3)，187-200。  new window
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11.Handley, A. J.、Monsieurs, K. G.、Bossaert, L. L.(2001)。European Resuscitation Council Guidelines 2000 for Adult Basic Life support。Resuscitation，48，199-205。  new window
12.Idris, A. H.、Wenzel, V.、Banner, M. J.、Melker, R. J.(1995)。Smaller tidal volumes minimize gastric inflation during CPR with an unprotected airway。Circulation，92(suppl)，1-759。  new window
13.Inwood, H.(1996)。Knowledge of resuscitation。Intensive and Critical Care Nursing，12(1)，33-39。  new window
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16.Kaye, W.、Rallis, S. F.、Mancini, M. E.、Linhares, K. C.、Angell, M. L.、Donovan, D. S.、Zajano, N. C.、Finger, J. A.(1991)。The problem of poor retention of cardiopulmonary resuscitation may lie with the instructor, not the learner or the curriculum。Resuscitation，21(1)，67-87。  new window
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18.Marteau, T. M.、Johnston, M.、Wynne, G.、Evans, T.(1989)。Cognitive factors in the explanation of the mismatch between confidence and competence in performing basic life support。Psychology and Health，3(3)，173-182。  new window
19.Moser, K.、Coleman, S.(1992)。Recommendations for improving cardiopulmonary resuscitation skills retention。Heart and Lung，21(4)，372-380。  new window
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23.Wynne, G.、Marteau, T. M.、Johnston, M.、Whiteley, C. A.、Evans, T. R.(1987)。Inability of trained nurses to perform basic life support。British Medical Journal，294，1198-1199。  new window
24.Yakel, M. E.(1989)。Retention of cardiopulmonary resuscitation skills among nursing personnel: what makes the difference?。Heart and Lung，15(5)，520-525。  new window
25.楊銘欽、范靜媛、黃久美(19980200)。臺北市衛生局急救與心肺復甦術訓練班學員成果評估。中華公共衛生雜誌，17(1)，59-69。new window  延伸查詢new window
26.蔡似蘭(19930500)。臺北巿北投區國小教職員「心肺復甦術」衛生教育效果之分析比較。衛生行政，13(2)，51-65。  延伸查詢new window
27.羅元宏、廖運正、林玉華(20000600)。新竹縣推展國中小教師心肺復甦術教學成效報告。學校衛生，36，85-96。  延伸查詢new window
28.Berden, H. J.、Willems, F. F.、Hendrick, J. M.、Pijls, N. H.、Knape, J. T.(1993)。How frequently should basic cardiopulmonary resuscitation training be repeated to maintain adequate skills?。British Medical Journal，306(6892)，1576-1577。  new window
29.Emergency Cardiac Care Committee and Subcommittees, American Heart Association(1992)。Guidelines for cardiopulmonary resuscitation and emergency cardiac care。Journal of American Medical Association，268，2171-2295。  new window
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圖書論文
1.林貴滿(2002)。急症病人之護理。內外科護理技術。台北市：華杏。  延伸查詢new window
 
 
 
 
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