The Impact of Animation Videos Demonstrating the Heimlich Manoeuvre on Mothers’ Proficiency in Assisting Choking Toddlers: A Preliminary Study

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DOI:

https://doi.org/10.58545/jrcnp.v4i2.986

Abstract

Background: Choking caused by a foreign object entering the mouth is a critical emergency requiring immediate intervention; a delay in providing aid risks airway obstruction, leading to oxygen deprivation that can result in permanent brain damage, disability, or death. Choking incidents frequently affect children aged 1 to 2 years. Many mothers are unaware of the correct way to handle a choking, such as performing the Heimlich manoeuvre. Purpose: To evaluate the effect of animation videos demonstrating the Heimlich manoeuvre on mothers' proficiency in assisting choking toddlers. Methods: Utilizing a quasi-experimental research design, based on the G*Power formula, a sample size of 40 respondents was determined using simple random sampling, divided into a treatment group of 20 respondents and a control group of 20 respondents mothers with toddlers. Maternal proficiency was measured using validated and reliable questionnaires and observation sheets. The intervention involved watching the video twice daily over four consecutive days, with each session lasting two minutes and seventeen seconds. Results: A significant difference in proficiency (knowledge, attitudes, and skills) (p < 0.001). A difference in proficiency between the treatment and control groups (p < 0.001), with a mean rank for the treatment groups (30.50) and the control groups (10.50). Conclusions: The animated videos are a valuable tool for enhancing mothers' proficiency in managing choking incidents, offering a practical alternative for improving prevention and intervention skills.

Keywords:

Chocking, Heimlich manoeuvre, Animation videos, Toddlers

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Author Biographies

Moch. Maftuchul Huda, STIKES KARYA HUSADA, Kediri, Indonesia

Bachelor of Nursing and Nursing Professional Education Programs

Rashidi Ahmad, KPJ University, Negeri Sembilan, Malaysia

Graduate School of Medicine

Wahyu Sri Astutik, Bhakti Wiyata Institute of Health Sciences, Kediri, Indonesia

Department of Nursing

Kushariyadi, Faculty of Nursing, Universitas Jember, Indonesia

Department of Nursing

References

American Heart Association. (2015). 2015 American Heart Association guidelines update for cardiopulmonary resuscitation and emergency cardiovascular care. Circulation, 132(18 Suppl 2). https://doi.org/10.1161/CIR.0000000000000252

American National Red Cross. (2026). Adult and child choking: Symptoms and first aid. Retrieved from https://www.redcross.org/take-a-class/resources/learn-first-aid/adult-child-choking

Aribowo, L. (2018). Neurolinguistics: Applying concepts and linguistic theories. Language Description, 1(1), 44–49. https://doi.org/10.22146/db.v1i1.315

Basniati, A., Ramadany, S., Tamar, M., Nurhikmah, N., & Astuti, F. (2020). Pengaruh video learning multimedia terhadap pengetahuan, sikap dan perilaku menstrual hygiene pada remaja putri. Oksitosin: Jurnal Ilmiah Kebidanan, 7(2), 108–119. https://doi.org/10.35316/oksitosin.v7i2.657

Denny, S. A., Hodges, N. L., & Smith, G. A. (2015). Choking in the pediatric population. American Journal of Lifestyle Medicine, 9(6), 438–441. https://doi.org/10.1177/1559827614554901

Endang, S. (2020). Effect of first aid health education in character with google form and phantom in children's pre-school. Jurnal Poltekkes Banten. https://jurnal.poltekkesbanten.ac.id/Medikes/article/download/231/200/

Ertl, L., & Christ, F. (2007). Significant improvement of the quality of bystander first aid using an expert system with a mobile multimedia device. Resuscitation, 74(2), 286–295. https://doi.org/10.1016/j.resuscitation.2007.01.006

Fatmawati, K. (2020). The effect of modelling animation videos on mothers' readiness for toilet training implementation in toddlers in the Kenjeran community health center work area Surabaya [Unpublished master's thesis]. Airlangga University. https://repository.unair.ac.id/105573/

Govender, R., Taylor, S. A., Smith, C. H., & Gardner, B. (2019). Helping patients with head and neck cancer understand dysphagia: Exploring the use of video-animation. American Journal of Speech-Language Pathology, 28(2), 697–705. https://doi.org/10.1044/2018_ AJSLP-18-0184

Imamah, N. (2012). Peningkatan hasil belajar IPA melalui pembelajaran kooperatif berbasis konstruktivisme dipadukan dengan video animasi materi sistem kehidupan tumbuhan. Jurnal Pendidikan IPA Indonesia, 1(1), 32–36. https://doi.org/10.15294/jpii.v1i1.2010

Kementerian Kesehatan RI (Indonesian Ministry of Health). (2022). Jangan panik, ini yang harus dilakukan jika anak tersedak. https://keslan.kemkes.go.id/view_artikel/85/jangan-panik-ini-yang-harus-dilakukan-jika-anak-terse dak

Maria, Y., & Deran, M. K. (2021). Literature review: Education on choking management in children. Bima Nursing Journal, 2(2), 82–89. https://doi.org/10.32807/bnj.v2i2.658

Norii, T., Igarashi, Y., Akaiwa, M., Yoshino, Y., Kamimura, H., Albright, D., Sklar, D. P., & Crandall, C. (2023). Food choking incidents in the hospital: Incidents, characteristics, effectiveness of interventions, and mortality and morbidity outcomes. Resuscitation, 188, 109806. https://doi.org/10.1016/j.resuscitation.2023.109806

Notoatmodjo, S. (2012). Promosi kesehatan dan ilmu perilaku. Jakarta: Rineka Cipta.

Nurhayati, S., & Mariyam. (2013). Pengetahuan dan kemampuan ibu dalam perawatan perineal bayi usia 0-12 bulan di Desa Surokonto Wetan Kecamatan Pageruyung Kabupaten Kendal. Jurnal Keperawatan Anak, 1(1), 37–43. https://jurnal.unimus.ac.id/index.php/JKA/article/view/904

Onan, A., Simsek, N., Elcin, M., Akpinar, E., Kaya, S., & Palabiyikoglu, M. (2017). A review of simulation-enhanced, team-based cardiopulmonary resuscitation training for undergraduate students. Nurse Education in Practice, 27, 134–143. https://doi.org/10.1016/j.nepr.2017.08.023

Palimbunga, A. P. S., Palendeng, O. E. L., & Bidjuni, H. (2017). Hubungan posisi menyusui dengan kejadian tersedak pada bayi di Puskesmas Bahu Kota Manado. Jurnal Keperawatan, 5(1). https://doi.org/10.35790/jkp.v5i1.14890

Pusponegoro, A. (2009). Basic trauma life support & basic cardiac life support. Jakarta: Yayasan Ambulans Gawat Darurat 118.

Rifai, A., & Sugiyarto, S. (2019). Pengaruh pendidikan kesehatan dengan metode simulasi pertolongan pertama (tatalaksana airway) pada penyintas dengan masalah obstruksi airway di masyarakat di Kecamatan Sawit Kabupaten Boyolali. Global Nursing Journal, 4(2), 81–88. https://doi.org/10.37341/jkg.v4i2.76

Roehr, B. (2017). Henry Heimlich. BMJ, 356, j118. https://doi.org/10.1136/bmj.j118

Rosidawati, I. (2020). Community-based emergency management. Edu Publisher.

Salih, A. M., Alfaki, M., & Alam-Elhuda, D. M. (2016). Airway foreign bodies: A critical review for a common pediatric emergency. World Journal of Emergency Medicine, 7(1), 5–12. https://doi.org/10.5847/wjem.j.1920-8642.2016.01.001

Saputro, Y. A. (2018). Pengaruh pendidikan keluarga tentang pencegahan dan penanganan cedera tersedak pada anak terhadap pengetahuan dan keterampilan keluarga. Journal of Physical Education, 2(2), 89–96.

Siahaan, E. R. (2019). Hubungan pengetahuan heimlich manoeuvre dengan keterampilan dalam menangani balita tersedak. Nursing Scholarly Journal, 5(2), 165–176.

Suartini, E. (2020). Effect of first aid health education in character with google form and phantom in children's pre-school. Medikes Banten. https://jurnal.poltekkesbanten.ac.id/Medikes/article/download/231/200/

Suartini, E., & Supardi, K. (2020). Pengaruh pendidikan pertolongan pertama tersedak menggunakan aplikasi mobile dan phantom terhadap kemampuan orang tua di TK Taman Sukaria. Jurnal Medikes (Media Informasi Kesehatan), 7(2), 411–422. https://doi.org/10.36743/medikes.v7i2.231

Sumarningsih, D. (2015). Pengaruh pendidikan keluarga tentang pencegahan dan penanganan tersedak pada anak terhadap pengetahuan dan keterampilan keluarga di Desa Ngebel Kelurahan Tamantirto Kecamatan Kasihan Kabupaten Bantul [Unpublished master's thesis]. STIKES 'Aisyiyah Yogyakarta. http://digilib.unisayogya.ac.id/id/eprint/201

Taniguchi, Y., Iwagami, M., Sakata, N., Watanabe, T., Abe, K., & Tamiya, N. (2021). Epidemiology of food choking deaths in Japan: Time trends and regional variations. Journal of Epidemiology, 31(5), 356–360. https://doi.org/10.2188/jea.JE20200057

Wang, C., Huang, C. C., Lin, S. J., & Chen, J. W. (2016). Using multimedia tools and high-fidelity simulations to improve medical students' resuscitation performance: An observational study. BMJ Open, 6(9), e012195. https://doi.org/10.1136/bmjopen-2016-012195

Wilson, E. A. H., Makoul, G., Bojarski, E. A., Bailey, S. C., Rapp, D. N., & Wolf, M. S. (2012). Comparative analysis of print and multimedia health materials: A review of the literature. Patient Education and Counseling, 89(1), 7–14. https://doi.org/10.1016/j.pec.2012.06.007

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Published

2026-09-16

How to Cite

Huda, M. M., Ahmad, R., Astutik, W. S., & Kushariyadi. (2026). The Impact of Animation Videos Demonstrating the Heimlich Manoeuvre on Mothers’ Proficiency in Assisting Choking Toddlers: A Preliminary Study. Journal of Rural Community Nursing Practice, 4(2), 264–282. https://doi.org/10.58545/jrcnp.v4i2.986

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