Effect of Coaching with Repetitive Verbal Encouragements on Dispatch-Assisted Cardiopulmonary Resuscitation: A Randomized Simulation Study. 2

• 資料種別: 博士論文
• タイトル: Effect of Coaching with Repetitive Verbal Encouragements on Dispatch-Assisted Cardiopulmonary Resuscitation: A Randomized Simulation Study.
• 巻次・部編番号: 63 2
• 著者・編者: Takano, Keisuke; Asai, Hideki; Fukushima, Hidetada
• 著者標目: Takano, Keisuke; Asai, Hideki; Fukushima, Hidetada
• 出版事項: Elsevier
• 出版年月日等: 2022-08; 63 2
• 出版年（W3CDTF）: 2022-08
• 並列タイトル等: 反復的な督励が口頭指導下の心肺蘇生法に与える効果に関する無作為化シミュレーション研究
• タイトル（掲載誌）: The Journal of emergency medicine
• 掲載ページ: 240-246
• ISSN（掲載誌）: 07364679
• 授与機関名: 奈良県立医科大学
• 授与年月日: 2022-09-28
• 授与年月日（W3CDTF）: 2022-09-28
• 報告番号: 甲第852号
• 学位: 博士（医学）
• 本文の言語コード: eng
• 件名標目: Cardiac arrest; cardiopulmonary resuscitation; chest compression; dispatcher instruction; simulation
• 対象利用者: 一般
• 一般注記: type:Thesis; Background: Current guidelines emphasize the assistance of the emergency dispatcher in bystander cardiopulmonary resusitation (CPR). Its quality, however, has varied across cases. Objective: To determine the effect of repetitive coaching by dispatchers using verbal encouragement on the quality of lay-rescuer CPR. Methods: We conducted a dispatch-assisted CPR (DACPR) simulation study. Participants with no CPR training within the previous year were assigned randomly to 1 of 2 DACPR simulations. One was the No Coaching Group: callers were told to perform CPR and the dispatcher periodically confirmed that the caller was performing CPR. The second group was the Coaching Group: the dispatcher repetitively coached, encouraged, and counted aloud using a metronome. Participants performed CPR for 2 min under instruction from the study dispatcher. Parameters including chest compression depth, rate, and chest compression fraction were recorded by video camera and CPR manikin. Results: Forty-nine participants 20 to 50 years of age were recruited, and 48 completed the simulation (Coaching Group, n = 27; No Coaching Group, n = 21). The chest compression fraction was higher in the Coaching Group (99.4% vs. 93.0%, p = 0.005) and no participants interrupted chest compression more than 10 s in this group. When comparing the average depth of each 30-s period in each group, the depth increased over time in the Coaching Group (40.9 mm, 43.9 mm, 44.1 mm, and 42.8 mm), while it slightly decreased in the No Coaching Group (40.6 mm, 40.1 mm, 39.4 mm, and 39.8 mm). Conclusions: Repetitive verbal encouragements augmented chest compression depth with less-hands off time. Continuous coaching by dispatchers can optimize lay-rescuer CPR.; 博士（医学）・甲第852号・令和4年9月28日; © 2022 Elsevier Inc.; © 2022 The Author(s). Published by Elsevier Inc.This is an open access article under the CC BY license (http://creativecommons.org/licenses/by/4.0/).; identifier:The Journal of emergency medicine Vol.63 No.2 p.240-246 (2022 Aug); identifier:07364679; identifier:http://ginmu.naramed-u.ac.jp/dspace/handle/10564/4079; identifier:The Journal of emergency medicine, 63(2): 240-246
• 国立国会図書館永続的識別子: info:ndljp/pid/12510353; https://dl.ndl.go.jp/pid/12510353
• コレクション（共通）: 障害者向け資料
• コレクション（障害者向け資料：レベル1）: テキストデータ
• コレクション（個別）: 国立国会図書館デジタルコレクション > デジタル化資料 > 博士論文; https://dl.ndl.go.jp/collections/A00014
• 収集根拠: 博士論文（自動収集）
• 受理日（W3CDTF）: 2023-01-30T13:49:41+09:00
• 記録形式（IMT）: application/pdf
• オンライン閲覧公開範囲: 国立国会図書館内限定公開
• デジタル化資料送信: 図書館・個人送信対象外
• 遠隔複写可否（NDL）: 可
• 関連情報（URI）: https://doi.org/10.1016/j.jemermed.2022.05.010
• 掲載誌（URI）: http://hdl.handle.net/10564/4079
• 連携機関・データベース: 国立国会図書館 : 国立国会図書館デジタルコレクション; https://dl.ndl.go.jp