Huy Le Duc, Tung Pham Thanh, Tra Dinh Thanh, Nhu Le Nguyen Quynh, Linh Nguyen Tuan, Tien Tran Xuan, Phuong Thao Nguyen Vu, Le Vy Trinh Thi, Hang Tran Thi, Hoang Huu Hai, Van Khoa Vo, Anh Phuong Nguyen Thi, Linh Bui Phuong
College of Health Sciences, VinUniversity, Hanoi, Vietnam.
Department of Epidemiology, Harvard T. H. Chan School of Public Health, Boston, Massachusetts, United States of America.
PLoS One. 2025 Apr 29;20(4):e0322505. doi: 10.1371/journal.pone.0322505. eCollection 2025.
Unintentional injury is the leading cause of death in adolescents especially in low-middle-income countries including Vietnam. However, there is limited evidence on first aid (FA) knowledge, attitude, and skills among Vietnamese adolescents. Our study aims to assess the knowledge, attitudes, and skills regarding FA; and evaluate how these domains improve after implementing FA training programs among high school students in Hue city. A single-group pre-post-intervention study was conducted on high school students between June and September 2020 in Hue City, Vietnam. The training materials were developed based on international guidance on FA and adjusted to a low-middle-income country context, particularly in Vietnam. The training program provided students with essential knowledge and skills focused on the management of common injuries in Vietnam to enhance a positive attitude toward FA. The students' responses on FA knowledge and attitude were collected using self-reported questionnaires and FA skills were evaluated by skill checklists. At baseline (n = 806), the average score of FA knowledge, attitude, and skills over a 100-point scale were 44.0 (95% CI: 38.6, 49.5), 59.4 (95% CI: 55.5, 63.4) and 39.2 (95% CI: 35.8, 42.6) respectively. Following the intervention phase (n = 106), which included a 3-hour FA training session, a significant increase in FA skill scores was observed, with a mean difference of 37.0 points (SE: 1.6). The findings demonstrated the feasibility and significant impact of a short course of FA training on improving FA skills among high school students. The results of the multivariable regression model showed baseline scores of FA attitude, FA knowledge or having previous FA training were not significantly associated with the improvement in FA skill scores in this pre-post intervention. The study findings highlighted the low level of FA knowledge, attitude, and skills; and provided evidence of the effectiveness of FA training in improving FA skills among high school students in Hue City, Vietnam.
意外伤害是青少年死亡的主要原因，在包括越南在内的中低收入国家尤为如此。然而，关于越南青少年急救知识、态度和技能的证据有限。我们的研究旨在评估急救知识、态度和技能；并评估在顺化市高中生中实施急救培训项目后，这些方面如何得到改善。2020年6月至9月在越南顺化市对高中生进行了一项单组干预前后研究。培训材料是根据国际急救指南编写的，并根据中低收入国家的情况进行了调整，特别是在越南。培训项目为学生提供了关于越南常见伤害处理的基本知识和技能，以增强对急救的积极态度。通过自我报告问卷收集学生对急救知识和态度的回答，并通过技能清单评估急救技能。在基线时（n = 806），急救知识、态度和技能在100分制下的平均得分分别为44.0（95%可信区间：38.6, 49.5）、59.4（95%可信区间：55.5, 63.4）和39.2（95%可信区间：35.8, 42.6）。在干预阶段（n = 106），包括3小时的急救培训课程后，观察到急救技能得分显著提高，平均差异为37.0分（标准误：1.6）。研究结果表明，短期急救培训课程对提高高中生急救技能具有可行性和显著影响。多变量回归模型的结果显示，在这项干预前后研究中，急救态度、急救知识的基线得分或之前接受过急救培训与急救技能得分的提高没有显著关联。研究结果突出了急救知识、态度和技能的低水平；并提供了急救培训在提高越南顺化市高中生急救技能方面有效性的证据。
