Knowledge, Attitude and Awareness of Basic Life Support Among Health Sciences University Students
Keywords:Basic life support, university students, knowledge, attitude, awareness
Objective: Basic life support (BLS) refers to the skills that require no or few equipment to save cardiac or respiratory arrest patients and it is a skill that required by all healthcare providers including medical-based students in order to save the life-threatening victims. This study determined the level of knowledge, attitude and awareness of BLS among students at International Islamic University Malaysia (IIUM) Kuantan campus. Methods: A quantitative cross-sectional study with convenience sampling study was conducted among 167 students at IIUM Kuantan Campus, from November to December 2020. Data were gathered by using Google Forms which available in English Language and distributed to year 3, 4 and 5 students. The questionnaire was adapted from three sets questionnaires, which two sets questionnaires were from American Heart Association in 2015, and another set questionnaire from European Resuscitation Council (ERC) 2010 Resuscitation Guidelines. Results: The majority of the respondents have high awareness and positive attitude towards BLS but having below average score for knowledge on BLS. There is a significantly association between courses and previous exposure of BLS training with BLS knowledge (p<0.05). Age, courses and previous exposure of BLS training are significantly associated with awareness level of BLS (p<0.05). A significant association also observed between previous exposure of BLS training with positive attitude towards BLS training (p<0.05). Conclusion: Health sciences university students was concluded to having positive attitude and high awareness towards BLS training despite having below average level of BLS knowledge score. Therefore, the university may provide more BLS educational programs and even practical to the students to promote their knowledge and improve their skills on BLS.
Benjamin EJ, Muntner P, Alonso A, Bittencourt MS, Callaway CW, Carson AP, et al. Heart Disease and Stroke Statistics - 2019 Update: A Report From the American Heart Association. Circulation. 2019;139(10):e56-e528.
Department of Statistics Malaysia. Statistic on Causes of Death, Malaysia. 2019. Retrieved from: https://www.dosm.gov.my/v1/index.php?r=column/cthemeByCat&cat=401&bul_id=RUxlSDNkcnRVazJnakNCNVN2VGgrdz09&menu_id=L0pheU43NWJwRWVSZklWdzQ4TlhUUT09
Lallukka, T., Millear, A., Pain, A., Cortinovis, M., & Giussani, G. (2017). GBD 2015 mortality and causes of death collaborators. Global, regional, and national life expectancy, all-cause mortality, and cause-specifi c mortality for 249 causes of death, 1980-2015: a systematic analysis for the global burden of disease study 2015 (vol 388, pg 1459, 2016). Lancet, 389(10064), E1-E1.
World Health Ranking. Lung Disease in Malaysia. Retrieved from https://www.worldlifeexpectancy.com/malaysia-lung-disease
Wissenberg, M., Lippert, F. K., Folke, F., Weeke, P., Hansen, C. M., Christensen, E. F., Jans, H., Hansen, P. A., Lang-Jensen, T., Olesen, J. B., Lindhardsen, J., Fosbol, E. L., Nielsen, S. L., Gislason, G. H., Kober, L., & Torp-Pedersen, C. (2013). Association of national initiatives to improve cardiac arrest management with rates of bystander intervention and patient survival after out-of-hospital cardiac arrest. JAMA, 310(13), 1377–1384. https://doi.org/10.1001/jama.2013.278483 DOI: https://doi.org/10.1001/jama.2013.278483
Kragholm, K., Wissenberg, M., Mortensen, R. N., Hansen, S. M., Malta Hansen, C., Thorsteinsson, K., Rajan, S., Lippert, F., Folke, F., Gislason, G., Køber, L., Fonager, K., Jensen, S. E., Gerds, T. A., Torp-Pedersen, C., & Rasmussen, B. S. (2017). Bystander Efforts and 1-Year Outcomes in Out-of-Hospital Cardiac Arrest. The New England journal of medicine, 376(18), 1737–1747. https://doi.org/10.1056/NEJMoa1601891 DOI: https://doi.org/10.1056/NEJMoa1601891
Czapla, M., Zieli?ska, M., Kubica-Cieli?ska, A., Diakowska, D., Quinn, T., & Karniej, P. (2020). Factors associated with return of spontaneous circulation after out-of-hospital cardiac arrest in Poland: a one-year retrospective study. BMC Cardiovascular Disorders, 20(1), 1-7. DOI: https://doi.org/10.1186/s12872-020-01571-5
Jarrah S, Judeh M, Aburuz ME. Evaluation of public awareness, knowledge and attitudes towards basic life support: a cross-sectional study. BMC Emergency Medicine. 2018; 18(1): 1–7. DOI: https://doi.org/10.1186/s12873-018-0190-5
Abbas A, Bukhari SI, Ahmad F. Knowledge of first aid and basic life support amongst medical students: a comparison between trained and un-trained students. The Journal of the Pakistan Medical Association. 2011; 61(6): 613–616.
Prasad, S. D., Shashi, K., Smita, S., & Prasad, G. P. (2019). Knowledge, Attitude and Practice of Basic Life Support among Postgraduate Dental residents and Dental Faculties at a Tertiary Hospital in Eastern Nepal. Journal of Advanced Medical and Dental Sciences Research, 7(12).
Aroor AR, Saya RP, Attar NR, Saya GK, Ravinanthanan, M. Awareness about basic life support and emergency medical services and its associated factors among students in a tertiary care hospital in South India. Journal of emergencies, trauma and shock. 2014; 7(3): 166-169. DOI: https://doi.org/10.4103/0974-2700.136857
Kumari KM, Amberkar MB, Alur SS, Bhat PM, Bansal S. Clinical awareness of do’s and don’ts of cardiopulmonary resuscitation (CPR) among university medical students - a questionnaire study. Journal of Clinical and Diagnostic Research. 2014; 8(7):8-11. DOI: https://doi.org/10.7860/JCDR/2014/8541.4567
Özbilgin ?, Akan M, Hanc? V, Aygün C, Kuvaki B. Evaluation of public awareness, knowledge and attitudes about cardiopulmonary resuscitation: report of ?zmir. Turkish journal of anaesthesiology and reanimation. 2015; 43(6): 396–405. DOI: https://doi.org/10.5152/TJAR.2015.61587
Saquib SA, Al-Harthi HM, Khoshhal AA, Shaher AA, Al-Shammari AB, Khan A, et al. Knowledge and attitude about basic life support and emergency medical services amongst healthcare interns in university hospitals: a cross-sectional study. Emergency Medicine International. 2019; 1–8. DOI: https://doi.org/10.1155/2019/9342892
Chandrasekaran S, Kumar S, Bhat SA, Saravanakumar, Shabbir PM, Chandrasekaran V. Awareness of basic life support among medical, dental, nursing students and doctors. Indian journal of anaesthesia. 2010; 54(2): 121-126. DOI: https://doi.org/10.4103/0019-5049.63650
Devishree RA, Mahesh R, Jain AR. Knowledge about Basic Life Support (BLS) in Pediatric Patient among Dental Students. Journal of Pharmaceutical Sciences and Research. 2018; 10(2): 278-281.
Forouzan A, Verki M, Khabazipour A, Ahmadi K. Basic life support awareness among resident doctors, medical students, nursing experts, health care providers and their assistants in Southwest Iran. Studia Medyczne. 2018; 34(3): 203–210. DOI: https://doi.org/10.5114/ms.2018.78683
Karuthan, S. R., binti Firdaus, P. J. F., Angampun, A. D. A. G., Chai, X. J., Sagan, C. D., Ramachandran, M., ... & Chinna, K. (2019). Knowledge of and willingness to perform Hands-Only cardiopulmonary resuscitation among college students in Malaysia. Medicine, 98(51). DOI: https://doi.org/10.1097/MD.0000000000018466
Chew, K. S., Hashairi, F. M., Zarina, Z. I., Farid, A. S., Yazid, M. A., & Hisamudddin, N. A. (2011). A survey on the knowledge, attitude and confidence level of adult cardiopulmonary resuscitation among junior doctors in Hospital Universiti Sains Malaysia and Hospital Raja Perempuan Zainab II, Kota Bharu, Kelantan, Malaysia. Med J Malaysia, 66(1), 56-9.
Somaraj V, Shenoy RP, Panchmal GS, Jodalli PS, Sonde L, Karkal R. Knowledge, attitude and anxiety pertaining to basic life support and medical emergencies among dental interns in Mangalore City, India. World journal of emergency medicine. 2017; 8(2): 131–135. DOI: https://doi.org/10.5847/wjem.j.1920-8642.2017.02.009
Al-Mohaissen MA. Knowledge and attitudes towards basic life support among health students at a Saudi women’s university. Sultan Qaboos University Medical Journal. 2017; 17(1): e59–e65. DOI: https://doi.org/10.18295/squmj.2016.17.01.011
Ahmad A, Akhter N, Mandal RK, Areeshi, MY, Lohani M, Irshad M, et al. Knowledge of basic life support among the students of Jazan University, Saudi Arabia: Is it adequate to save a life? Alexandria Journal of Medicine. 2018; 54(4): 555–559. DOI: https://doi.org/10.1016/j.ajme.2018.04.001
Alotaibi O, Alamri F, Almufleh L, Alsougi W. Basic life support: Knowledge and attitude among dental students and staff in the College of Dentistry, King Saud University. The Saudi Journal for Dental Research. 2016; 7(1); 51-56. DOI: https://doi.org/10.1016/j.sjdr.2015.06.001
Sangamesh NC, Vidya KC, Pathi J, Singh A. Awareness, attitude and knowledge of basic life support among medical, dental and nursing faculties and students in the university hospital. Journal of International Society of Preventive and Community Dentistry. 2017; 7(4):161-167.
Khedher YZ, Shawwa L, Alamri AA. Knowledge and attitude of basic life support among medical students at King Abdul-Aziz University. The Egyptian Journal of Hospital Medicine. 2017; 69(8):3066–3076. DOI: https://doi.org/10.12816/0042857