Earticle

초록

영어

Purpose: This study aimed to analyze changes in the quality of cardiopulmonary resuscitation (CPR) performed by lifeguards before and after high-intensity rescue swimming and to identify associated physiological and subjective fatigue responses. The findings provide evidence to enhance practical, field-oriented lifeguard training and education. Methods: A single-group pretest–posttest design was conducted with 19 certified lifeguards between June 15 and July 25, 2025. Participants performed CPR for five minutes both before and after a standardized rescue swimming task. CPR quality indicators and physiological responses were compared using paired t-tests and repeated-measures ANOVA. Results: After rescue swimming, the total number of chest compressions increased significantly (p = .024), while the number of correct compressions (p < .01), compression accuracy ratio (p < .05), and full chest recoil ratio (p < .001) decreased. The overall compression score also declined (p < .05). Although ventilation quality did not significantly change, correct ventilations decreased from 61.1% to 48.7%. Mean tidal volume exceeded the American Heart Association guideline (500-600 ㎖) both before and after swimming, indicating hyperventilation. Physiological indicators showed significant increases in heart rate, end-tidal CO₂, and systolic blood pressure, whereas oxygen saturation (SpO₂) and diastolic blood pressure decreased. Subjective fatigue scores were significantly higher immediately after the rescue swimming compared to those recorded after performing CPR following the rescue swimming (p < .001). Conclusion: Rescue swimming induced acute physiological stress and fatigue, leading to a decline in CPR quality, particularly in compression accuracy and chest recoil. The presence of hyperventilation suggests the need for enhanced ventilation control training. Integrating high-intensity, field-simulated practice into lifeguard education is essential to sustain optimal CPR performance in real-life rescue scenarios.

목차

= Abstract =
Ⅰ. 서론
1. 연구의 필요성
2. 연구의 목적
Ⅱ. 연구방법
1. 연구설계
2. 연구대상
3. 연구도구
4. 연구 절차
5. 자료수집 방법
6. 분석방법
7. 연구 윤리
Ⅲ. 연구결과
1. 대상자의 일반적 특성
2. 구조수영 전과 후 가슴압박의 품질차이
3. 구조수영 전과 후 인공호흡의 품질차이
4. 구조수영 전과 후 심폐소생술 품질의 총점 차이
5. 안정 시 생리학적 지표와 구조수영전과 후 심폐소생술 시 생리학적 지표의 차이
6. 연구대상자의 주관적인 피로도
Ⅳ. 고찰
Ⅴ. 결론 및 제언
1. 결론
2. 제언
ORCID ID
References

키워드

저자

• 마영빈 [ Yeong-bin Ma | 국립공주대학교 응급구조학과 학부생 ]
• 박제민 [ Jea-min Park | 국립공주대학교 응급구조학과 학부생 ]
• 이준엽 [ Jun-yeop Lee | 국립공주대학교 응급구조학과 학부생 ]
• 임기택 [ Gi-taek Lim | 국립공주대학교 응급구조학과 학부생 ]
• 조근자 [ Keun-Ja Cho | 국립공주대학교 응급구조학과 교수 ] Corresponding Author

참고문헌

발행기관

간행물

표지보기 관심저널 등록

• 간행물명

  한국응급구조학회지(구 한국응급구조학회논문지) [The Korean Journal of Emergency Medical Services ]

• 간기

  연3회

• pISSN

  1738-1606

• eISSN

  2384-2091

• 수록기간

  1997~2025

• 등재여부

  KCI 등재

• 십진분류

  KDC 514 DDC 616