Health  Vol.7 No.10 , October 2015
First Aid Knowledge and Attitude of Secondary School Students in Saudi Arabia
ABSTRACT
Background: Increasing the number of qualified people, including school students who can play a significant role in first-aid (FA) and basic life support (BLS) arena is a public health demand. Aim: To assess the awareness of Saudi secondary school students regarding FA and BLS. Methodology: 360 male secondary school children in Taif, Saudi Arabia were surveyed. Results: The mean students’ age was 17.4 ± 1.21 years. The mean participants’ FA knowledge score was 64.8% ± 11%. Generally, trained students reported both better FA knowledge and skills than untrained counter-parts; for 79.6% trained-compared to 53.7% untrained-students recorded such score > 70% [χ2 (df 1) = 11.60, p < 0.001]. The younger the age was, the higher opportunity to record a high score (>70%) [62.3% <17 y vs. 49.3% ≥17 y, χ2(df 1) = 5.90, p = 0.02] was. Trained students better deal with critical cases, bleeding and bodily injury compared to untrained peers [89.8% vs. 55.9%, χ2 (df 1) = 20.3, p < 0.001; 83.7% vs. 58.2%, χ2 (df 1) = 11.62, p = 0.04; 81.6% vs. 67.2%, χ2 (df 1) = 4.13, p = 0.04, respectively]. Only 37.2% of schools had FA incorporated in the education curriculum. Eventually, FA training and the presence of FA group were significant predictors for improved FA knowledge among students [odds ratio (OR) 3.35, 95% CI 1.60 - 7.06; OR 2.28, 95% CI 1.34 - 3.95, respectively). Conclusions: First-aid training is crucial to enhance school children’s FA skills and to thrust their contribution to health emergency control efforts. Incorporating FA training within the educational curriculum of Saudi schools is a step forward to disseminate FA message in the community.

Cite this paper
Mobarak, A. , Afifi, R. and Qulali, A. (2015) First Aid Knowledge and Attitude of Secondary School Students in Saudi Arabia. Health, 7, 1366-1378. doi: 10.4236/health.2015.710151.
References
[1]   St. John Ambulance (2006) First Aid Training: First on the Scene. Student Reference Guide Activity Book. St. John Ambu-lance, 23-25.

[2]   Ege, R. (1999) First Aid and Emergency in Accident, Disease and Injury 3rd Printing. Turkish Air Foundation Press, Ankara.

[3]   Spinks, A.B., McClure, R.J., Bain, C. and Macpherson, A.K. (2006) Quantifying the Association between Physical Activity and Injury in Primary School-Aged Children. Pediatrics, 118, 43-50.
http://dx.doi.org/10.1542/peds.2005-2275

[4]   Lester, C.A., Weston, C.F., Donnelly, P.D., Assar, D. and Morgan, M.J. (1994) The Need for wider Dissemination of CPR Skills: Are Schools the Answer? Resuscitation, 28, 233-237.
http://dx.doi.org/10.1016/0300-9572(94)90069-8

[5]   Davies, C.S., Colquhoun, M.C., Graham, S., Evans, T. and Chamberlain, D. (2002) Defibrillators in Public Places: The Introduction of a National Scheme for Public Access Defibrillation in England. Resuscitation, 52, 13-21.
http://dx.doi.org/10.1016/S0300-9572(01)00439-7

[6]   National Health Services, UK. First Aid. What Should I Keep in My First Aid Kit?
http://www.nhs.uk/chq/pages/990.aspx?CategoryID=72&SubCategoryID=725

[7]   Baser, M. (2007) Evaluating First Aid Knowledge and Attitude of a Sample of Turkish Primary School Teachers. Journal of Emergency Nursing, 33, 428-432.

[8]   Eisenburger, P. and Safar, P. (1999) Life Supporting First Aid Training of the Public-Review and Recommendations. Resuscitation, 41, 3-18.
http://dx.doi.org/10.1016/S0300-9572(99)00034-9

[9]   Afifi, R., Shata, S.Z., Raggal, A., Ayoub, H. and Qulali, A. (2015) Involvement of Male Youth into Accidents in Upper Egypt: Pattern and Risk Analysis. Health, 7, 965-975.
http://dx.doi.org/10.4236/health.2015.78114

[10]   Tursz, A. (1986) Epidemiological Studies of Accident Morbidity in Children and Young People. World Health Statistics Quarterly, 39, 257-267.

[11]   Orzel, M.N. (1996) Injury Minimization Programme for Schools. Accident and Emergency Nursing, 4, 139-144.
http://dx.doi.org/10.1016/S0965-2302(96)90061-2

[12]   Pearn, J. (1994) The Earliest Days of First Aid. BMJ, 309, 1718-1720.
http://dx.doi.org/10.1136/bmj.309.6970.1718

[13]   Glendon, A.I. and McKenna, S.P. (1995) Using Accident Injury Data to Assess the Impact of Community First Aid Training. Public Health, 99, 98-109.
http://dx.doi.org/10.1016/S0033-3506(85)80006-8

[14]   Peterson, T.D., Noland, S., Russell, D.W. and Paradise, N.F. (1999) Bystander Trauma Care Training in Iowa. Pre-Hospital Emergency Care, 3, 225-230.
http://dx.doi.org/10.1080/10903129908958941

[15]   Hussain, L.M. and Red Mound, A.D. (1997) Are Pre-Hospital Deaths from Accidental Injury Preventable? BMJ, 308, 1077-1080.
http://dx.doi.org/10.1136/bmj.308.6936.1077

[16]   Henriksson, M., Ostrom, M. and Eriksson, A. (2001) Preventability of Vehicle-Related Fatalities. Accidents Analysis and Prevention, 33, 467-475.
http://dx.doi.org/10.1016/S0001-4575(00)00060-9

[17]   Larsson, E.M., Mártensson, N.L. and Alexanderson, K.A. (2003) First-Aid Training and Bystander Actions at Traffic Crashes—A Population Study. Resuscitation, 17, 134-141.

[18]   Shibata, K., Taniguchi, T., Yoshida, M. and Yamamoto, K. (2000) Obstacles to Bystander Cardiopulmonary Resuscitation in Japan. Resuscitation, 44, 187-193.
http://dx.doi.org/10.1016/S0300-9572(00)00143-X

[19]   Goniewicz, M., Chemperek, E. and Mikula, A. (2002) Attitude of Students of High Schools in Lublin towards the Problem of First Aid. Wiadomosci Lekarskie, 55, 679-685.

[20]   Eisenberg, M.S. and Mengert, T.J. (2001) Cardiac Resuscitation. New England Journal of Medicine, 344, 1304-1313.
http://dx.doi.org/10.1056/nejm200104263441707

[21]   Sosada, K., Zurawinski, W., Stepien, T., Makarska, J. and Myrcik, D. (2002) Evaluation of the Knowledge of Teachers and High School Students in Silesia on the Principles of First Aid. Wiadomosci Lekarskie, 55, 883-889.

[22]   Uray, T., Lunzer, A., Ochsenhofer, A., Thanikkel, L., Zingerle, R., Lillie, P., et al. (2003) Feasibility of Life-Supporting First-Aid (LSFA) Training as a Mandatory Subject in Primary Schools. Resuscitation, 59, 211-220.
http://dx.doi.org/10.1016/S0300-9572(03)00233-8

[23]   Federal Emergency Management Agency (FEMA) A Whole Community Approach to Emergency Management: Principles, Themes, and Pathways for Action FDOC 104-008-1/December 2011.
http://www.fema.gov/media-library-data/20130726-1813-25045-0649/whole_community_dec2011__2_.pdf

[24]   Parnell, M.M., Pearson, J., Galletly, D.C. and Larsen, P.D. (2006) Knowledge of and Attitudes towards Resuscitation in New Zealand High-School Students. Emergency Medicine Journal, 23, 899-902.
http://dx.doi.org/10.1136/emj.2006.041160

[25]   Lubrano, R., Romero, S., Scoppi, P., Cocchi, G., Baroncini, S., Elli, M., et al. (2005) How to Become an under 11 Rescuer: A Practical Method to Teach First Aid to Primary Schoolchildren. Resuscitation, 64, 303-307.
http://dx.doi.org/10.1016/j.resuscitation.2004.09.004

[26]   Lewis, R.M., Fulstow, R. and Smith, G.B. (1997) The Teaching of Cardiopulmonary Resuscitation in Schools in Hampshire. Resuscitation, 35, 27-31.
http://dx.doi.org/10.1016/S0300-9572(97)00027-0

[27]   Lafferty, C., Larsen, P.D. and Galletly, D. (2003) Resuscitation Teaching in New Zealand Schools. New Zealand Medical Journal, 116, U582.

[28]   Liberman, M., Golberg, N., Mulder, D. and Sampalis, J. (2000) Teaching Cardiopulmonary Resuscitation to CEGEP Students in Quebec—A Pilot Project. Resuscitation, 47, 249-257.
http://dx.doi.org/10.1016/S0300-9572(00)00236-7

[29]   Baser, M., Coban, S., Tasci, S., Sungur, G. and Bayat, M. (2007) Evaluating First-Aid Knowledge and Attitudes of a Sample of Turkish Primary School Teachers. Journal of Emergency Nursing, 33, 428-432.
http://dx.doi.org/10.1016/j.jen.2006.11.003

[30]   Toner, P., Connolly, M., Laverty, L., McGrath, P., Connolly, D. and McCluskey, D.R. (2009) Teaching Basic Life Support to School Children Using Medical Students and Teachers in a “Peer-Training” Model—Results of the “ABC for Life” Programme. Resuscitation, 75, 169-175.
http://dx.doi.org/10.1016/j.resuscitation.2007.03.009

[31]   Wisniewski, J. and Majewski, W.D. (2007) Assessment of Knowledge about First Aid among the Teachers of Chosen High Schools in the Western Pomerania Region. Annales Academiae Medicae Stetinensis, 53, 114-123.

[32]   Hsiao, M., Tsai, B., Uk, P., Jo, H., Gomez, M., Gollogly, J.G., et al. (2007) “What Do Kids Know”: A Survey of 420 Grade 5 Students in Cambodia on Their Knowledge of Burn Prevention and First-Aid Treatment. Burns, 33, 347-351.
http://dx.doi.org/10.1016/j.burns.2006.08.002

[33]   Al-Nozha, M.M., Abdullah, M., Arafah, M.R., Khalil, M.Z., Khan, N.B., Al-Mazrou, Y.Y., Al-Maatouq, M.A., Al-Marzouki, K., Al-Khadra, A., Nouh, M.S., Al-Harthi, S., Al-Shahid, M.S. and Al-Mobeireek, A. (2007) Hypertension in Saudi Arabia. Saudi Medical Journal, 28, 77-84.

[34]   European Resuscitation Council (2000) Part 1: Introduction to the International Guidelines 2000 for CPR and ECC. Resuscitation, 46, 3-15.
http://dx.doi.org/10.1016/S0300-9572(00)00269-0

[35]   St. John Ambulance. Student First Aid Pro-gramme.
http://www.sja.org.uk/sja/training-courses/school-student-training/student-first-aid-programme.aspx

[36]   England, A., Roysamb, E., Smedslund, G. and Sogaard, A.J. (2002) Effects of First-Aid Training in Junior High Schools. Injury Control and Safety Promotion, 9, 99-106.
http://dx.doi.org/10.1076/icsp.9.2.99.8702

[37]   House, K.E. (2012) On Saudi Arabia: It’s People, Past, Religion, Fault Lines and Future. Vintage Books, New York, 221.

[38]   Ltintas, K.H., Aslan, D., Yildiz, A.N., Subasi, N., Elcin, M., Odabasi, O., et al. (2005) The Evaluation of First Aid and Basic Life Support Training for the First Year University Students. The Tohoku Journal of Experimental Medicine, 205, 157-169.
http://dx.doi.org/10.1620/tjem.205.157

 
 
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