Tse Eleana, Plakitsi Katerina, Voulgaris Spyridon, Alexiou George A
Department of Neurosurgery, School of Medicine, University of Ioannina, 45500 Ioannina, Greece.
Department of Early Childhood Education, School of Education, University of Ioannina, 45500 Ioannina, Greece.
Children (Basel). 2023 Feb 23;10(3):431. doi: 10.3390/children10030431.
Many first aid programs have been conducted in schools, and researchers have identified that interventions improved students' knowledge, skills, and attitude. This study examines the content, practices, and assessment of first aid interventions at primary schools and evaluates their effectiveness.
A systematic review was undertaken. We searched MEDLINE and Cochrane library databases from January 1990 to December 2021 using the search terms: ''first aid'' AND ''primary school children''. School-based first aid training targeting 6 to 10 years old studies in English were eligible for inclusion.
We included 11 studies that were approached by experimental (n = 6) and by observational studies (n = 5). Researchers conducted interventions in Europe (n = 9) and America (n = 2). An essential part of the teaching was hands-on practice. Most studies included in their program cardiopulmonary resuscitation (n = 8) and basic life support (n = 7). The main findings showed that trained children have significantly better knowledge of and skills in first aid than those before or without training. Children under 11 years old were not strong enough to achieve the proper depth of chest compressions. Depth of chest compressions correlates with children's age, weight, height (n = 2), and body mass index (n = 3). Conclusions The effectiveness of resuscitative or non-resuscitative first-aid training for primary school children improved students' knowledge and skills. Subsequent research could investigate children's reactions in actual first aid conditions.
许多学校都开展了急救项目，研究人员发现这些干预措施提高了学生的知识、技能和态度。本研究考察了小学急救干预措施的内容、实践和评估，并评估了其有效性。
进行了一项系统综述。我们使用检索词“急救”和“小学生”在1990年1月至2021年12月期间检索了MEDLINE和Cochrane图书馆数据库。以6至10岁儿童为对象的英语学校急救培训研究符合纳入条件。
我们纳入了11项研究，其中实验性研究6项，观察性研究5项。研究人员在欧洲开展了9项干预措施，在美国开展了2项。教学的一个重要部分是实践操作。大多数研究项目包括心肺复苏（8项）和基本生命支持（7项）。主要研究结果表明，接受培训的儿童在急救知识和技能方面明显优于培训前或未接受培训的儿童。11岁以下的儿童力量不足以达到适当的胸外按压深度。胸外按压深度与儿童的年龄、体重、身高（2项研究）和体重指数（3项研究）相关。结论对小学生进行复苏或非复苏急救培训的有效性提高了学生的知识和技能。后续研究可以调查儿童在实际急救情况下的反应。
