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Comparison of Nurse-initiated Defibrillation Using Automatic Defibrillation and Manual Defibrillation Modes in Early Cardiac Arrest Simulation: A Randomized Controlled Trial KCI 등재
심정지 초기 시뮬레이션에서 자동제세동 모드와 수동제세동 모드를 이용한 간호사의 제세동 비교: 무작위 대조군 실험 연구
- 언어ENG
- URLhttps://db.koreascholar.com/Article/Detail/451180
pp.1-19
Purpose: This randomized controlled simulation study compared the automatic defibrillation (Auto-D) and manual defibrillation (Manual-D) modes used by nurses during in-hospital cardiac arrest (IHCA) simulation to evaluate the defibrillation decision (D-decision) accuracy and response times. Methods: Sixty nurses trained in advanced life support courses were randomly assigned to Auto-D (n=30) or Manual-D (n=30) groups. Participants completed four simulation scenarios with the following ECG rhythms: pulseless electrical activity, ventricular fibrillation-1 (VF-1), asystole, and VF-2. The primary outcomes included the D-decision accuracy and defibrillation time in two VF scenarios. Secondary outcomes included hands-off times. Qualitative data from the debriefings were analyzed using inductive content analysis. Results: The D-decision accuracy for the Auto-D group was higher than that for the Manual group (100% vs. 80%); however, the difference was insignificant (p=.056). The defibrillation time of VF-2 in the Auto-D group was shorter than that in the Manual-D group (p=.038). Hands-off times were similar across scenarios except for asystole case. The qualitative analysis revealed five themes regarding accuracy, time, and psychological burden. Conclusion: The Auto-D mode provides reliable D-decision accuracy and comparable response times, with a notably reduced psychological burden, supporting its use as a cost-effective strategy to improve IHCA responses and patient outcomes.
Ⅰ. Introduction
Ⅱ. Methods
1. Study Design
2. Study Participants
3. Ethical Consideration
4. Study Procedures
5. Outcomes Measures
6. Data Analysis
Ⅲ. Results
1. Characteristics of Participants
2. Primary and Secondary Outcomes
3. Qualitative Data
Ⅳ. Discussion
Ⅴ. Conclusions
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