Animated Heimlich maneuver education and mothers’ preparedness for toddler choking first aid

Authors

  • Amelia Nurul Hakim STIkes Widya Dharma Husada Tangerang
  • Al Amin Sultan Agung Islamic University

DOI:

https://doi.org/10.12928/jcp.v8i1.15666

Keywords:

Animated education, Choking first aid, Heimlich maneuver, Mothers’ preparedness, Toddlers

Abstract

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

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Published

2026-04-05

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