본 연구 결과를 바탕으로 다음과 같이 제언하고자 한다.
1. 본 연구는 경기도 단일 병원의 일반병동에서 심폐소생술을 받은 환자를 대 상으로 후향적 조사연구를 하였으므로 연구결과의 일반화는 제한이 있어 지 역을 확대하여 일반화시키는 반복 연구를 제언한다.
2. 신속대응팀 운영시간이 평일 오전 8시부터 오후 8시까지 12시간으로 신속대 응팀이 운영을 확대하여 야간과 주말, 공휴일이 포함된 심폐소생술 받은 환 자의 임상 결과에 대해 추가 연구를 제언한다.
3. 연명의료결정법 시행 후 신속대응팀 효과를 검증하는 추가 연구를 제언한다.
4. 악화되는 환자의 동반질환을 스크리닝을 위한 프로그램을 개발하고 운영에 적용하여 그 효과에 대해 지속적으로 연구할 것을 제언한다.
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<부록 1> 환자 정보 조사지
<부록 1> 환자 정보 조사지(계속)
<부록 1> 환자 정보 조사지(계속)
-ABSTRACT-The effect of the Rapid Response Team on the clinical outcomes of patients with cardiopulmonary resuscitation
Mi Jung Yoon
Department of Nursing Science The Graduate School, Ajou University
(Supervised by Professor Jin-Hee Park, RN., Ph.D.)
This study is a retrospective study conducted to identify differences in clinical outcomes of cardiopulmonary resuscitation of general ward patients and provide basic data on how to activate the rapid response team.
Data was collected from electronic medical records and in-hospital cardiopulmonary resuscitation data registry that involved 122 cases aged 19 and over who received cardiopulmonary resuscitation during the implementation hours of the rapid response team (Monday∼Friday, excluding legal holidays, from 8AM∼8PM) in general ward, located A university hospital in Gyeonggi Province, Korea, from July 1, 2015 to December 31, 2019.
Collected data included patient's general characteristics, cardiopulmonary resuscitation characteristics, and clinical outcomes. We classified cardiopulmonary resuscitation patients of general ward 3 groups
by pre implementation period, restricted implementation period, extended implementation period. The collected data was analyzed using the SPSS/WIN 25 program in terms of frequency and percentage, mean and standard deviation, Chi-squared test and ANOVA.
The results of this research is summarized as following:
1. The difference in chronic lung disease according to the rapid response team was statistically significant with 20.6% during pre implementation period, 13.3% during the restricted implementation period, 2.3% during extended implementation period (=6.47, p=.033).
2. Among the cardiopulmonary resuscitation characteristics, the initial respondents to cardiac arrest was significantly different with nurses 41.2% and doctors 58.8% during pre implementation period, nurses 42.2%
and doctors 57.8% during restricted implementation period, and nurses 79.1% and doctors 20.9% during extended implementation period (
=15.65, p<.001).
3. There was no significant difference in recovery of spontaneous circulation for more than 20 minutes with 67.6% during pre implementation period, 75.6% during restricted implementation period, and 67.4% during extended implementation period (=0.88, p=.644).
4. There was no statistically significant difference in survival of more than 24 hours with 29.4% during pre implementation period, 46.7% during restricted implementation period, and 41.9% during extended implementation period (=2.48, p=.290).
5. There was no significant difference between groups in survival to discharge with 11.8% during pre implementation period, 24.4% during