教育部自八十九學年起明定全國高中職學生必須修習心肺復甦術（Cardio-Pulmonary Resuscitation﹝CPR﹞）課程，期使學生們能具備此項技能，在進行一年半後，推行成效如何，值得探討。本研究目的為: 1.描述CPR課程施行的情形，2.瞭解學生學習CPR後的成效，3.確認影響CPR學習成效的因素。本研究採描述性相關性研究設計，使用結構式問卷調查法及查核表式觀察法進行資料收集。使用工具為「簡易CPR技術查核表」及「CPR主觀整體評分表」。以台中縣高中職二、三年級已上過四小時CPR課程學生為可及母群體，採叢聚及系統隨機取樣，共有1071名學生參與本研究。資料以SPSS lO.0軟體進行統計分析，統計方法包括描述性統計、t檢定、變異數分析、Scheff''s事後比較、逐步多元迴歸。研究結果為（1）課程施行情形：擔任CPR課程教學及指導模型練習的教授人員以護理教師居多，各占51.8%、67.7%；教師教學方法中又以只採用講述及示範法的為最多（42.3%）；大部分學生表示未能充分練習CPR技術（72.8%）；有67.2%學生對CPR學習表示學習興趣普通；88.3%學生表示施救信心不足，88%的學生尚不具有CPR合格證照。（2）學生學習成效：有85.1%的學生其技術是有效的，且對患者不會有嚴重的傷害。（3）「性別」及「 距離最後一次上課時間的間隔」是預測學習成效的主要因素。本研究結果可作為授課教師改進教學方法時的參考，也可以使教育主管單位了解實施的現況及問題，找出改進的方法。

Students in senior high school have been requested to complete a Cardio-Pulmonary Resuscitation （CPR）training since September 2000 by the Ministry of Education. The purpose of this curriculum is to make students obtain CPR skills. This program has been administrated for one and half year. However it is unknown about outcomes of such a program. The purposes of this study were to（1）describe the status of CPR training program,（2）understand outcomes of administrating CPR training,（3）identifying factors contributing to the outcomes. A descriptive correlational research design was used. Data were collected using structured questionnaires and an observational checklist. The instruments used to collect data were 「simplified CPR skill checklist」and 「CPR subjective overall rating」. Eligible criteria to participate in the study were 2nd or 3rd grade students in senior high school and attended CPR training for at least four hours. Cluster and systemetic random sampling methods were used and 1,071 students were recruited. Statistical methods including descriptive analysis, t test, analysis of variance, Scheffe’s test and multiple regression were used to answer the questions. The results of the study revealed that（1）The majority of the teachers and instructors both was nursing teachers（51.8% vs. 67.7%）. The teaching methods used were lecture and skill demonstration（43.9%）. Most students expressed that they did not practice sufficiently（72.8%）, and were not interested in learning CPR（67.2%）;88.3% of the students were not confident in using the skill to save life; 88.1﹪students had not got CPR certification yet.（2）More than 80﹪(85.1%) of the students demonstrated effective CPR skills with no serious harms to victim.（3）The predictors of CPR outcomes were gender and the duration after the last lecture. The findings of this study provide guidance to improve teaching methods. Also, education policy makers could understand the status of administrating CPR curriculum and thus seek problem-solving strategies.

目錄．．．．．．．．．．．．．．．．．．．．．．．．．．．．Ⅰ
圖表目錄．．．．．．．．．．．．．．．．．．．．．．．．．．Ⅲ
中文摘要．．．．．．．．．．．．．．．．．．．．．．．．．．Ⅳ
英文摘要．．．．．．．．．．．．．．．．．．．．．．．．．．Ⅴ
第一章 緒論．．．．．．．．．．．．．．．．．．．．．．．．1
第一節 研究背景．．．．．．．．．．．．．．．．．．．．．．1
第二節 研究目的及研究問題．．．．．．．．．．．．．．．．．4
第三節 研究的重要性．．．．．．．．．．．．．．．．．．．．5
第四節 名詞解釋．．．．．．．．．．．．．．．．．．．．．．7
第二章 文獻查證．．．．．．．．．．．．．．．．．．．．．．9
第一節 心肺復甦術．．．．．．．．．．．．．．．．．．．．．9
第二節 CPR學習成效．．．．．．．．．．．．．．．．．．．．11
第三節 影響CPR學習成效的因素．．．．．．．．．．．．．．．17
第四節 研究架構．．．．．．．．．．．．．．．．．．．．．．22
第三章 研究方法．．．．．．．．．．．．．．．．．．．．．．25
第一節 研究設計．．．．．．．．．．．．．．．．．．．．．．25
第二節 研究對象．．．．．．．．．．．．．．．．．．．．．．26
第三節 研究工具．．．．．．．．．．．．．．．．．．．．．．27
第四節 研究步驟．．．．．．．．．．．．．．．．．．．．．．31
第五節　統計分析．．．．．．．．．．．．．．．．．．．．．．34
第四章 研究結果．．．．．．．．．．．．．．．．．．．．．．35
第一節 描述性統計．．．．．．．．．．．．．．．．．．．．．35
第二節 推論性統計．．．．．．．．．．．．．．．．．．．．．44
第五章 討論．．．．．．．．．．．．．．．．．．．．．．．．53
第六章 結論與建議．．．．．．．．．．．．．．．．．．．．．60
參考文獻．．．．．．．．．．．．．．．．．．．．．．．．．．64
附錄
附錄一 教育部中部辦公室八九教中（六）字第八九五一六八五二號　　　　　書函．．．．．．．．．．．．．．．．．．．．．．．72
附錄二 教育部中部辦公室九0教中（四）字第九0五七二六三八號書　　　　　函．．．．．．．．．．．．．．．．．．．．．．．．75
附錄三 教育部台中縣聯絡處九十一年心肺復甦術各項統計　　　　　　　　　表．．．．．．．．．．．．．．．．．．．．．．．．77
附錄四 台中縣高中職學生心肺復甦術課程調查表．．．．．．．78
　附錄五 「Simplify CPR skill checklist」&「Subjective verall 　　　　　　rating definitions」．．．．．．．．．．．．．．79
附錄六 心肺復甦術技術測量表．．．．．．．．．．．．．．．80
　附錄七　教育部台中縣聯絡處同意書．．．．．．．．．．．．．82
附錄八 通報各校教官室．．．．．．．．．．．．．．．．．．83
附錄九 觀察員注意事項．．．．．．．．．．．．．．．．．．84
附錄十 研究對象同意書．．．．．．．．．．．．．．．．．．85
附錄十一 CPR情況題．．．．．．．．．．．．．．．．．．．．86
附錄十二 學生個人特質及教學施行方式與CPR學習成效之相關．．87

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