The effects of basic life support learning program on knowledge attitude and skill in basic life support in primary school students, Watduangkhae School


  • Apirom Lienkrua Police Nursing College, Police General Hospital, Royal Thai Police
  • Araya Throrungruang Police Nursing College, Police General Hospital, Royal Thai Police
  • Punyarat Huttakee Police Nursing College, Police General Hospital, Royal Thai Police
  • Pranee Sanee Police Nursing College, Police General Hospital, Royal Thai Police
  • Parinya Kaewsongk Police Nursing College, Police General Hospital, Royal Thai Police
  • Udomsak Sirinongwa Watduangkhae school


basic life support learning program, basic life support, primary school students


The purpose of this Quasi-Experimental Design was to study the effects of the basic life support learning program on knowledge, attitudes, and basic life support skills in primary school students. The eighty participants were studying in the 4th to 6th year of primary school at Watduangkhae School. These participants were recruited for the study using a purposive sampling method. The questionnaires consisted of data collection tools and experimental tools. Data collection tools included the basic life support knowledge test and the basic life support attitudes questionnaire. The experimental tools were the basic life support learning program, CPR training manikin, and documentation for teaching the basic life support. Data were analyzed by descriptive statistics, Wilcoxon Signed Ranks Test, and McNemar test.

Results revealed that 1) The basic life support knowledge scores in the participants after receiving the basic life support learning program (Mdn = 8, IQR = 1) were significantly higher than before receiving the intervention (Mdn = 6, IQR = 2) (p-value < 0.001), 2) The basic life support attitudes scores in the participants after receiving the basic life support learning program (Mdn = 15, IQR = 1) was significantly higher than before receiving the intervention (Mdn = 13, IQR = 3) (p-value < 0.001), and 3) The basic life support skills of the participants had significantly better after receiving the basic life support learning program (p-value < 0.001).

Findings suggest that this program should be integrated into the primary school curriculum for promoting the knowledge, right skills, and positive attitudes about basic life support.



Kumkong M. Chain of survival: Quality and safety in critical care. EAU Heritage Journal Science and Technology. 2018; 12(3):33-47. (In Thai).

Thai Resuscitation Council, The Heart Association of Thailand under the Royal Patronage H.M. The King. Basic Life Support manual and an automatic defibrillator (AED) for the public 2018. Bangkok: Phanyamit printng; 2018. (In Thai).

Shin J. Out-of-Hospital Cardiac Arrest Survival and the CARES Registry: The Alaska Experience, 2012-2016. [online] 2018 [cited 2021 February 22]. Available from bulletins/ docs/ rr2018_06.pdf.

Relief and Community Health Bureau the Thai Red Cross Society. Emergency First Aid and Basic CPR. Bangkok: Newthammada printing; 2020. (In Thai).

Hasselqvist-Ax I, Riva G, Herlitz J, Rosenqvist M, Hollenberg J, Nordberg P, et al. Early cardiopulmonary resuscitation in out-of-hospital cardiac arrest. N Engl J Med. 2015 Jun 11;372(24):2307-15. doi: 10.1056/ NEJM oa1405796. PMID: 26061835.

Ringh M, Jonsson M, Nordberg P, Fredman D, Hasselqvist-Ax L, Hakansson F, Hollemberg J. Survival after public access defibrillation in Stockholm, Sweden a striking success. Resuscitation. 2015 Jun; 91:1-7. doi: 10.1016/j.resuscitation.2015.02.032. Epub 2015 Mar 12. PMID: 25771499.

Sasson C, Rogers MA, Dahl J, Kellermann Al. Predictors of survival from out-of-hospital cardiac arrest. Circ Cardiovasc Qual Outcomes. 2010; 3(1): 63-81.

Chaisongmuang P, Pearkao C, Effects of first aid to sudden cardiac arrest program for high-school students in Northeast Thailand. Nursing Journal of Ministry of Public Health. 2018; 28(2): 118-32. (In Thai)

Abe T, Tokuda Y, Cook EF. Time-based partitioning model for predicting neurologically favorable outcome among adults with witnessed bystander out-of-hospital CPA. PloS ONE. 2011; 6(12):1-8.

Taniguchi T, Sato K, Fujita T, Okajima M, Takamura M. Attitudes to bystander cardiopulmonary resuscitation in Japan in 2010. Circulation. 2012; 76:1130-5.

Niklasson C, Bohm K. Attitudes towards bystander cardiopulmonary resuscitation (CPR) among laypersons with and without CPR training. Resuscitation. 2015; 96(4):59-102.

Mani G, Annadurai K, Danasekaran R, Ramasamy JD. A cross-sectional study to assess knowledge and attitudes related to Basic Life Support among undergraduate medical students in Tamil Nadu, India. Prog Health Sci. 2014; 4(1):47-52.

Apiratanawong S, Piyakong D, Pongrangsan P, Piyasiripan N, Khamboon T, Pothimas N, Inkaew T. The effects of a basic life support program on knowledge and attitude toward basic life support among high school students. Journal of Nursing and Health Sceince. 2018; 12(3):146-57. (In Thai)

Roh YS, Issenberg SB. Association of cardiopulmonary resuscitation psychomotor skulls with knowledge and self-efficacy in nursing students. Int J Nurs Pract. 2014; 20:674-9.

Cave DM, Aufderheide TP, Beeson J, Gregory A, Hazinski MF, Hiratzka LF, et al. Importance and implementation of training in cardiopulmonary resuscitation and automated external defibrillation in schools. Circulation. 2011; 23(6):691-706.

Banfai B, Pek E, Pandur A, Csonka H, Betlehem J. The year of first aid: Effectiveness of a 3-day first aid programme for 7-14-year-old primary school children. Emerg Med J. 2017; 1-7. Doi:10.1136/emermed-2016-206284.

Naqvi S, Siddiqi R, Hussain SA, Batool H, Arshad H. School children training for basic life support. J Coll Physicians Surg Pak. 2011 Oct;21(10):611-5. doi: 10.2011/JCPSP. 611615.PMID: 22015122.

Aramvanitch K, Sittichanbuncha Y, Tangkulpanich P, Tuangsirisup J. Learning outcome of basic life support in primary school children (RAMAkids Club) Ramathibodi Medical Journal. 2019; 42(1):29-35. (In Thai)

Wannasri S, Tantalanukul S, Nawsuwan K. The effect of coaching program on basic cardiopulmonary resuscitation education for elementary school students, Nitiwit school, Nan province. Boromarajonani College of Nursing, Uttaradit Journal. 2018; special:111-23. (In Thai)

Bloom BS, Engelhart MD, Furst EJ, Hill WH, Krathwohl DR. Taxonomy of educational objectives: The classification of educational goals. Handbook 1: Cognitive domain. Michigan: David McKay; 1965.

Thai Resuscitation Council. Thai CPR Algorithms 2017. [online] 2017 [cited 2021 February 24]. Available from =view &knowledge_id=10. (In Thai).

American Heart Association. CPR & ECC Guidelines. [online] 2020 [cited 2021 February 24]. Available from https// es-Files/Highlights/Hghlghts_2020ECCGuidelines_ Thai.pdf. (In Thai).

Ninwatcharamanee C, Dhabdhimsri V, Somboon P. Effects of providing knowledge and skills for cardiopulmonary resuscitation of nursing students, Boromarajonani College of Nursing, Bangkok. Journal of Health and Nursing Research. 2021; 37(1):180-92. (In Thai).

Ruangrit R, Keawpimon P, Sengloiluean K. Knowledge, skills and self-confidence in basic life support and automated external defibrillator (AED) using among under graduated nursing students. Princess of Naradhiwas University Journal. 2021; 13(2):125-41. (In Thai).

Chunggis J, Prammanee N. The development of instructional video on physical examination in health assessment course based on flipped classroom concept. EAU Heritage Journal Social Science and Humanities. 2017; 7(3):70-80. (In Thai).

Tippayanate N, Chaiyaprom K, Chanabutr W. Comparison of the effectiveness of CPR training between the brief VDO training and traditional training in the group of secondary school student in Mahasarakham province. Journal of Science and Technology Mahasarakham University. 2018; 37(4):470-7. (In Thai).

Chaiyasatarn E, Julladit A. The effect of teaching program in cardiopulmonary resuscitation (CPR) through video toward the knowledge level of mathayomsuksa III students of Sirirattanathon school. Research and Development journal Suan SunandhaRajabhat University. 2020; 12(2):211-8. (In Thai)

Kuvaki B, Ozbilgin S. School children save lives. Turk. J. Anaesthesiol. Reanim. 2018; 46: 170-5.

Baunoo W. Effectiveness of telephone cardiopulmonary resuscitation program for out-of- hospital cardiac arrest of senior high school students. Journal of Professional Routine to Research. 2019; 6:37-47. (In Thai).




How to Cite

Lienkrua A, Throrungruang A, Huttakee P, Sanee P, Kaewsongk P, Sirinongwa U. The effects of basic life support learning program on knowledge attitude and skill in basic life support in primary school students, Watduangkhae School. Thai J Cardio-Thorac Nurs. [Internet]. 2022 Sep. 24 [cited 2024 Jun. 13];33(1):149-66. Available from:



Research Articles