Evaluation of the Effectiveness of First Aid Training in Respiratory Tract Obstruction Due to Aspiration of Foreign Body in Children Given to Child Development Students

Yıl 2025, Cilt: 34 Sayı: 1, 22 - 32, 18.03.2025

Şeyma Zeyrek Kurtoğlu , Melike Pehlivan , Filiz Levent , Eda Erdal , Hümeyra Gürçay

Öz

Objective: This study aimed to evaluate the effect of the “First Aid in Respiratory Tract Obstruction Due to Aspiration of Foreign Body in Children” training given to Child Development Program students on their knowledge levels.
Method: In the data collection process, a questionnaire form, which was prepared based on the literature and finalized in line with expert opinions, was used to measure students' sociodemographic information and their knowledge levels of first aid in airway obstructions due to foreign body aspiration in children. The data was analyzed using SPSS (Statistical Package for the Social Sciences) 27.0 software. Before the analysis, the conformity of numerical data to normal distribution was evaluated using Kolmogorov-Smirnov, Shapiro-Wilk, Skewness, Kurtosis tests, as well as Histogram and Q-Q Plot graphs. In data analysis, the "Independent Sample t-test" was used for comparisons between two independent groups, and the "Paired Sample t-test" was used for intra-group comparisons. The statistical significance level was accepted as p<0.05 in all tests.
Results: Before the training, the students' mean knowledge score was determined to be 7.18±3.25; after the training, this score increased to 10.55±4.51. The mean difference was calculated as 3.37, and this difference was found to be statistically significant. Additionally, among the participants (n=66) who stated that they would intervene in cases of foreign body aspiration in children during their professional lives, the pre-test mean score was 7.31±3.32, while this score increased to 10.78±4.47 in the post-test. The results of the paired t-test showed that this increase was statistically significant.
Conclusion: Our study determined that first aid knowledge levels regarding airway obstruction due to foreign body aspiration significantly increased among students after the training. Additionally, a significant increase was observed in the students' motivation to intervene in a victim experiencing foreign body aspiration after the training.

Anahtar Kelimeler

airway obstruction, first aid, foreign bodies, health education, respiratory aspiration

Proje Numarası

1919B012315150

Çocuk Gelişimi Öğrencilerine Verilen Çocukta Yabancı Cisim Aspirasyonuna Bağlı Solunum Yolu Tıkanıklığında İlk Yardım Eğitiminin Etkinliğinin Değerlendirilmesi

Öz

Amaç: Bu çalışmanın amacı, Çocuk Gelişimi Programı öğrencilerine verilen “Çocuklarda Yabancı Cisim Aspirasyonuna Bağlı Solunum Yolu Tıkanıklığında İlk Yardım” eğitiminin, öğrencilerin bilgi düzeyleri üzerindeki etkisini değerlendirmektir.
Yöntem: Veri toplama sürecinde, literatüre dayalı olarak hazırlanan ve uzman görüşü doğrultusunda son şekli verilen, öğrencilerin sosyodemografik bilgilerini ve çocuklarda yabancı cisim aspirasyonuna bağlı hava yolu tıkanıklıklarında ilk yardım bilgi düzeylerini ölçen bir anket formu kullanılmıştır. Verilerin analizi, SPSS (Statistical Package for the Social Sciences) 27.0 programı ile gerçekleştirilmiştir. Analiz öncesinde, sayısal verilerin normal dağılıma uygunluğu Kolmogorov-Smirnov, Shapiro-Wilk, Skewness (çarpıklık) ve Kurtosis (basıklık) testleri ile birlikte Histogram ve Q-Q Plot grafiklerinden faydalanılarak değerlendirilmiştir. Veri analizinde, iki bağımsız grup karşılaştırmalarında “Independent Sample t testi” ve grup içi karşılaştırmalarda “Paired Sample t testi” kullanılmıştır. Tüm testlerde istatistiksel anlamlılık düzeyi p<0,05 olarak kabul edilmiştir.
Bulgular: Eğitim öncesinde öğrencilerin ortalama bilgi düzeyi skoru 7,18±3,25 olarak belirlenmiştir; eğitim sonrasında ise bu skor 10,55±4,51'e yükselmiştir. Ortalama farkın 3,37 olduğu hesaplanmış ve bu farkın istatistiksel olarak anlamlı olduğu saptanmıştır. Ayrıca, iş hayatında çocuklarda yabancı cisim aspirasyonu geliştiğinde müdahale etmek istediğini belirten katılımcıların (n=66) ön test ortalama skoru 7,31±3,32 iken, son testte bu skorun 10,78±4,47'ye yükseldiği belirlenmiştir. Paired t-testi sonuçları, bu artışın istatistiksel olarak anlamlı olduğunu ortaya koymaktadır.
Sonuç: Araştırmamızda, yabancı cisim aspirasyonuna bağlı hava yolu tıkanıklığına yönelik ilk yardım bilgi düzeylerinin, verilen eğitim sonrasında öğrenciler arasında belirgin bir artış gösterdiği belirlenmiştir. Bunun yanı sıra, eğitim sonrasında öğrencilerin yabancı cisim aspirasyonu yaşayan bir kazazedeye müdahale etme motivasyonlarında da anlamlı bir artış saptanmıştır.

Anahtar Kelimeler

havayolu tıkanıklığı, ilk yardım, yabancı cisimler, sağlık eğitimi, respiratuar aspirasyon

Destekleyen Kurum

TÜBİTAK

Proje Numarası

1919B012315150

Kaynakça

• Salih AM, Alfaki M, Alam-Elhuda DM. Airway foreign bodies: A critical review for a common pediatric emergency. World J Emerg Med. 2016;7(1):5-12. doi:10.5847/when.j.1920-8642.2016.01.001
• Brkic F, Umihanic S, Altumbabic H, et al. Death as a consequence of foreign body aspiration in children. Med Arch. 2018;72(3):220-3. doi:10.5455/medarh.2018.72.220-223
• Montana A, Salerno M, Feola A, et al. Risk management and recommendations for the prevention of fatal foreign body aspiration: Four cases aged 1.5 to 3 years and mini-review of the literature. Int J Environ Res Public Health. 2020;17(13):4700. doi:10.3390/ijerph17134700
• Rose D, Dubensky L. Airway foreign bodies. In: StatPearls. Treasure Island (FL): StatPearls Publishing; August 7, 2023.
• Gendeh BS, Gendeh HS, Purnima S, Comoretto RI, Gregori D, Gulati A. Inhaled foreign body impaction: A literature review in Malaysian children. Indian J Pediatr. 2019;86(Suppl 1):20-4. doi:10.1007/s12098-018-2824-8
• Al Gharsan M, Alarfaj I. Knowledge and practice of secondary school teachers about first aid. J Family Med Prim Care. 2019;8(5):1587-93. doi:10.4103/jfmpc.jfmpc_76_19
• Ojeda Rodriguez JA, Ladd M, Brandis D. Abdominal Thrust Maneuver. In: StatPearls. Treasure Island (FL): StatPearls Publishing; May 23, 2023. Available at: https://www.ncbi.nlm.nih.gov/books/NBK531467/. 30.08.2024. Accessed September 2, 2024
• Onganlar YH, Şahin M, Pak Onganlar F, Keser Şahin HH. Pediatride Temel Yaşam Desteği. [Basic Life Support in Pediatrics]. J Health Sci Med /JHSM /jhsm. Eylül 2019;2(4):139-45. doi:10.32322/jhsm.612400
• Madigan-McCown L. Withholding the Heimlich Maneuver: Ethical considerations. J Clin Ethics. 2021;32(3):241-6.
• Republic of Turkey Official Gazette. Available at: https://www.resmigazete.gov.tr/eskiler/2015/07/20150729-2.htm. Accessed February 3, 2025.
• Topjian AA, Raymond TT, Atkins D, et al. Part 4: Pediatric Basic and Advanced Life Support: 2020 American Heart Association Guidelines for Cardiopulmonary Resuscitation and Emergency Cardiovascular Care. Circulation. 2020;142(16_suppl_2):S469-S523. doi:10.1161/CIR.0000000000000901
• Atkins DL, Berger S, Duff JP, et al. Part 11: Pediatric Basic Life Support and Cardiopulmonary Resuscitation Quality: 2015 American Heart Association Guidelines Update for Cardiopulmonary Resuscitation and Emergency Cardiovascular Care (Reprint). Pediatrics. 2015;136 Suppl 2:S167-S75. doi:10.1542/peds.2015-3373E
• Van de Voorde P, Turner NM, Djakow J, et al. European Resuscitation Council Guidelines 2021: Paediatric Life Support. Resuscitation. 2021;161:327-87. doi:10.1016/j.resuscitation.2021.02.015
• Olasveengen TM, Semeraro F, Ristagno G, et al. European Resuscitation Council Guidelines 2021: Basic Life Support. Resuscitation. 2021;161:98-114. doi:10.1016/j.resuscitation.2021.02.009
• Torsello M, Sicuranza L, Meucci D, et al. Foreign body aspiration in children: Our pediatric tertiary care experience. Pediatr Surg Int. 2024;40(1):93. doi:10.1007/s00383-024-05679-z
• Mohammad M, Saleem M, Mahseeri M, et al. Foreign body aspiration in children: A study of children who lived or died following aspiration. Int J Pediatr Otorhinolaryngol. 2017;98:29-31. doi:10.1016/j.ijporl.2017.04.029
• Maalim Issack A, Jiru T, Wubetie Aniley A. Assessment of knowledge, attitude, and practice on first aid management of choking and associated factors among kindergarten teachers in Addis Ababa Governmental Schools, Addis Ababa, Ethiopia. A cross-sectional institution-based study. PLoS One. 2021;16(7):e0255331. doi:10.1371/journal.pone.0255331
• Ojifinni K, Motara F, Laher AE. Knowledge, attitudes, and perceptions regarding basic life support among teachers in training. Cureus. 2019;11(12):e6302. Published 2019 December 6. doi:10.7759/cureus.6302
• Kinoshita K, Azuhata T, Kawano D, Kawahara Y. Relationships between pre-hospital characteristics and outcome in victims of foreign body airway obstruction during meals. Resuscitation. 2015;88:63-7. doi:10.1016/j.resuscitation.2014.12.018
• Martínez-Isasi S, Carballo-Fazanes A, Jorge-Soto C, et al. School children brief training to save foreign body airway obstruction. Eur J Pediatr. 2023;182(12):5483-91. doi:10.1007/s00431-023-05202-x
• Higuchi O, Adachi Y, Adachi YS, Taneichi H, Ichimaru T, Kawasaki K. Mothers’ knowledge about foreign body aspiration in young children. Int J Pediatr Otorhinolaryngol. 2013;77(1):41-4. doi:10.1016/j.ijporl.2012.09.026
• Behboudi F, Pouralizadeh M, Yeganeh MR, Roushan ZA. The effect of education using a mobile application on knowledge and decision of Iranian mothers about prevention of foreign body aspiration and to relieve choking in children: A quasi-experimental study. J Pediatr Nurs. 2022;62:e77-e83. doi:10.1016/j.pedn.2021.07.007
• Camilo BHN, Freitas LB, Okido ACC. Contributions of telesimulation to the knowledge of mothers about foreign body airway obstruction. Rev Gaucha Enferm. 2023;44:e20220241. doi:10.1590/1983-1447.2023.20220241.en
• Dursun A, Özsoylu S, Emeklioğlu B, Akyıldız BN. Evaluating the basic life support knowledge among schoolteachers: A cross-sectional survey in Kayseri, Turkey. Turk J Pediatr. 2018;60:702-8. https://doi.org/10.24953/turkjped.2018.06.011