ผลของโปรแกรมการเรียนรู้การช่วยฟื้นคืนชีพขั้นพื้นฐานต่อความรู้ ทักษะ และความมั่นใจ ของนักเรียนระดับประถมศึกษาตอนปลาย จังหวัดอุตรดิตถ์

Seubtrakul Tantalanukul; Pornkamon Wiswisut

Authors

Seubtrakul Tantalanukul Boromarajjonani College of Nursing, Uttaradit Faculty of Nursing, Praboromarajchanok Institute
Pornkamon Wiswisut Boromarajjonani College of Nursing, Uttaradit Faculty of Nursing, Praboromarajchanok Institute

Keywords:

Basic life support, Chest compression skills, Confidence, Primary school students, Skill retention

Abstract

Out-of-hospital cardiac arrest in Thailand has a low survival rate of only 2.00–8.00%, whereas bystander cardiopulmonary resuscitation (CPR) can increase the chance of survival by two to three times. This one-group repeated-measures quasi-experimental study aimed to examine the effects of a compression-only basic life support learning program on knowledge, skills, confidence, and the retention of knowledge, skills, and confidence among upper primary school students in Uttaradit Province. A total of 60 participants joined the 90–120-minute program, which consisted of lectures, demonstrations, and small-group practice. Outcomes were assessed at four time points: before training (T0), immediately after training (T1), one month (T2), and three months after training (T3). Data were analyzed using a Linear Mixed-Effects Model.
The results showed that knowledge scores increased significantly (from 5.80 ± 2.10 to 12.40 ± 1.80, p < 0.001), with retention rates of 87.90% at one month and 74.20% at three months. Chest compression skills improved across all indicators: correct depth increased from 12.30% to 68.50%, correct rate from 22.50% to 76.80%, and full chest recoil from 35.20% to 82.30% (p < 0.001). Retention at one month was 76.50%, 83.70%, and 86.90% respectively. At three months, correct compression depth declined to 60.10%. Confidence increased from 18.30 ± 5.20 to 39.70 ± 4.60 (p < 0.001), with retention rates of 91.20% at one month and 81.90% at three months. In conclusion, the program was effective in improving knowledge, skills, and confidence, as well as maintaining good retention. Regular refresher training every three months is recommended to sustain the quality of chest compressions.

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