Animated Heimlich maneuver education and mothers’ preparedness for toddler choking first aid
DOI:
https://doi.org/10.12928/jcp.v8i1.15666Keywords:
Animated education, Choking first aid, Heimlich maneuver, Mothers’ preparedness, ToddlersAbstract
Choking is a life-threatening emergency in toddlers that can lead to hypoxia and death if not promptly managed. Mothers often serve as first responders at home, yet many lack adequate knowledge and appropriate attitudes toward choking first aid. This study evaluated the effect of animated Heimlich maneuver education on mothers’ preparedness to manage choking in toddlers. A pre-experimental one-group pretest–posttest design was conducted among 86 mothers of children aged 1–3 years at Pamulang Community Health Center, recruited through consecutive sampling. Knowledge and attitudes were assessed using structured questionnaires before and after a 6-minute animated video intervention demonstrating choking risks, signs, and the Heimlich maneuver. Data were analyzed using the Wilcoxon signed-rank test. Results showed significant improvements in both knowledge and attitudes. The proportion of mothers with good knowledge increased from 18.6% to 72.1%, and positive attitudes increased from 30.2% to 90.7%. These changes were statistically significant (knowledge: Z = −8.214, p < 0.001; attitudes: Z = −8.342, p < 0.001). Animated education on the Heimlich maneuver effectively improves mothers’ knowledge and attitudes toward choking first aid and offers a practical strategy to enhance caregiver preparedness.
References
Harigustian Y. Tingkat pengetahuan penanganan tersedak pada ibu yang memiliki balita di Perumahan Graha Sedayu Sejahtera. J Keperawatan Akad Keperawatan YKY Yogyakarta. 2020;12:162–9. https://doi.org/10.61758/nursing.v12i3.31
Suartini E, Kusniawati K. Pengaruh pendidikan kesehatan pertolongan pertama tersedak menggunakan google form dan phantom terhadap kemampuan keluarga dalam penanganan kasus tersedak pada orang tua di TK Taman Sukaria. Med (Media Inf Kesehatan). 2020;7:411–22. https://doi.org/10.36743/medikes.v7i2.231
Khayudin BA, Hariastuti F, Wicaksana DP. Pertolongan pertama kondisi kegawatdaruratan prehospital. Bogor: Guepedia; 2022.
World Health Organization. Emergency care systems for universal health coverage: Ensuring timely care for the acutely ill and injured [Internet]. World Heal. Organ. 2023 [cited 2026 Jan 1]. Available from: https://apps.who.int/gb/ebwha/pdf_files/WHA74/A74_39-en.pdf
American Academy of Pediatrics. Policy Statement—prevention of choking among children. Pediatrics. 2010;125:601–7. https://doi.org/10.1542/peds.2009-2862
Sarabi N, Nosratabadi M. Effectiveness of video education on mothers’ knowledge of hazard factors and first aid administration in choking incidents. J Compr Pediatr. 2022;13:1-7. https://doi.org/10.5812/compreped-121420
Manurung MEM, Lestari MD, Siagian D, Siagian JA. Edukasi kesehatan penerapan upaya pencegahan dan penanganan kejang demam pada anak. SIGDIMAS Publ Kegiat Pengabdi Masy [Internet]. 2023;1:72–7. Available from: https://jurnalpkm.akperrscikini.ac.id/index.php/sigdimas/article/view/11
S CH, S RD, Fahmi I Al, Rafa T. Edukasi penanganan tersedak pada bayi dan anak di Dusun 1 Desa Kismoyoso. J Pengabdi Teknol Tepat Guna. 2024;5:17–23. https://doi.org/10.47942/jpttg.v5i1.1463
Yang J, Ling Z, Chen Y, Wang X, Pan H. Public awareness and application of the heimlich maneuver: a survey of Shenzhen Residents. Cureus. 2025;17:1–9. https://doi.org/10.7759/cureus.88957
Prasetyo A, Suciati, Surtini, Suharyoto. Pengaruh pendidikan kesehatan dengan metode demonstrasi dan video teknik heimlich maneuver terhadap sikap ibu dalam penanganan tersedak pada balita usia 1–5 tahun di Posyandu Desa Kauman, Kecamatan Kauman, Tahun 2023. J Med Heal Sci. 2023;1:39–46. https://doi.org/10.21070/anamnetic.v1i2.1590
Saelan S, Suparmanto G, Teguh Kurniawan S, Lestari M. Pengaruh edukasi teknik hemlich manuver terhadap tingkat pengetahuan ibu dalam penanganan tersedak pada anak di Desa Ketro Pacitan. J Kesehat Kusuma Husada. 2023;14:51–7. https://doi.org/10.34035/jk.v14i1.953
Syah AA, Achwandi M, Haryanto A. Keterampilan ibu dalam melakukan pertolongan pertama pada anak tersedak di Posyandu Dusun Sumbersono Desa Sumbersono Kecamatan Dlanggu [Internet]. Universitas Bina Sehat; 2022. Available from: https://repositori.ubs-ppni.ac.id/xmlui/handle/123456789/1278
Korycka K, Mormul A, Korab M, Smalira J. Choking in children: causes, prevention and intervention strategies. Wiadomości Lek Med Adv. 2024;77:1802–7. https://doi.org/10.36740/WLek202409123
Alenezi MM, Bohulaigah ZH, Aldajani NF, Alotaibi LG, Alshammari MF. Assessment of knowledge, attitude, and practice of first aid management of choking among primary school teachers in Riyadh, Saudi Arabia: A Cross-Sectional Study. Cureus. 2024;16:1–11. https://doi.org/10.7759/cureus.51519
IP A, Budi R. Pengaruh pemberian edukasi penanganan gawat darurat tersedak pada anak menggunakan teknik Heimlich maneuver terhadap pengetahuan ibu di TAAM Asyima Nusantara tahun 2025. J Ris Ilm [Internet]. 2025;2:2067–77. https://doi.org/10.62335/sinergi.v2i6.1409
Ningsih MU, Kitna Yusarti BK. Peningkatan keterampilan ibu dalam penanganan tersedak pada bayi dan anak. J Pengabdi Masy Sasambo. 2020;1:95-102. https://doi.org/10.32807/jpms.v1i2.482
Hakim AN, Lestari TR, Rahmatulloh G, Fasimi H, Chasani S, Dewiasih S. Edukasi berbasis demonstrasi video terhadap keterampilan ibu dalam penanganan kegawatdaruratan tersedak anak usia 0-5 tahun. J Pembelajaran Pemberdaya Masy. 2026;7:364–73. https://doi.org/10.33474/jp2m.v7i1.24467
Wijaya DE, Furqoni PD, Hermawan D. Asuhan keperawatan masalah kurangnya pengetahuan pada ibu yang memiliki anak usia toddler dengan masalah resiko tersedak melalui pemberian edukasi video di Desa Langkapura Kota Bandar Lampung. J Kreat Pengabdi Kpd Masy. 2023;6:2095–105. https://doi.org/10.33024/jkpm.v6i5.9822
Nuraidah, Novianty T. Pengaruh edukasi penanganan tersedak pada anak usia di bawah lima tahun (balita) terhadap pengetahuan orang tua. J Ilm Wijaya. 2022;14:74–82. Available from: https://jurnalwijaya.com/index.php/jurnal/article/view/174
Sutrisno S, Herawati VD, Putra FA. Pengembangan video edukasi tersedak (viedak) untuk meningkatkan pengetahuan, sikap, dan keterampilan penanganan tersedak. Holistik J Kesehat. 2023;17:538–46. https://doi.org/10.33024/hjk.v17i6.12848
Juliantari NMDL, Saraswati NLGI, Laksmi IGAPS. Gambaran tingkat pengetahuan orang tua tentang penanganan tersedak (choking) pada balita. J keperawatan Widya Gentari Indones. 2025;9:79–85. https://doi.org/10.52020/jkwgi.v9i1.10605
Downloads
Published
Issue
Section
License
Copyright (c) 2026 Amelia Nurul Hakim, Al Amin

This work is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.
Authors who publish with JCP: Jurnal Cakrawala Promkes agree to the following terms:
- Authors retain copyright and grant the journal the right of first publication with the work simultaneously licensed under a Creative Commons Attribution License (CC BY-SA 4.0) that allows others to share the work with an acknowledgement of the work's authorship and initial publication in this journal.
- Authors are able to enter into separate, additional contractual arrangements for the non-exclusive distribution of the journal's published version of the work (e.g., post it to an institutional repository or publish it in a book), with an acknowledgement of its initial publication in this journal.
- Authors are permitted and encouraged to post their work online (e.g., in institutional repositories or on their website) prior to and during the submission process, as it can lead to productive exchanges, as well as earlier and greater citation of published work.

This work is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License






