Article Data

  • Views 98
  • Dowloads 14

Original Research

Open Access

Evaluation of Knowledge, Attitudes and Practices of Parents Presenting to a Hospital Emergency Department with a Complaint of Fever in a Child

  • Adnan Barutcu1
  • Saliha Barutcu2

1Halfeti State Hospital, Department of Pediatrics, Sanliurfa, Turkey

2Halfeti State Hospital, Department of Family Medicine, Sanliurfa, Turkey

DOI: 10.22514/sv.2020.16.0016 Vol.16,Issue 1,June 2020 pp.123-129

Published: 30 June 2020

*Corresponding Author(s): Adnan Barutcu E-mail: adnan_barutcu@hotmail.com

PDF (172.76 kB)

Abstract

Objective: This study aimed to investigate the knowledge, attitudes and practices of parents presenting to a hospital emergency department with a complaint of fever in a child. Methods: A total of 504 pediatric admissions for fever were included in this study. A 21-item questionnaire form was applied to caregivers via face-to-face interview method. Results: Overall, 37.1% of the mothers were primary school graduates and 81.5% were housewives. Only 11.7% of parents reported that they use a thermometer in measuring fever, 41.3%reported that they check fever with less than 30-min intervals and 85.7% stated the risk of seizure as the most fearful condition related to high fever. Mothers with higher vs. lower educational level were more likely to use thermometer in fever measurement (p = 0.046), use a 30-min interval between subsequent fever measurements (p = 0.041), and use antipyretic drugs (p = 0.045) rather than warm shower (p = 0.027) for the management of fever. Fathers with higher vs. lower educational level were more likely to accompany their wife in hospital admission (p = 0.008), to use thermometer in fever measurement (p = 0.045), use a 30-min interval between subsequent fever measurements (p = 0.002) and use antipyretic drugs (p < 0.001) rather than warm shower (p = 0.003) or emergency admission (p = 0.003) in the management of fever. Conclusion: In conclusion, our findings indicate a need for improved practice among caregivers regarding the approach to febrile child in terms of objective measurement and better management of high fever. Given the direct association of educational attainment with caregivers’ approach to febrile child, healthcare professionals should be able to carry out more effective training activities to improve the approach of parents to a febrile child to prevent inappropriate practices by reducing the unnecessary fear and to ensure better practice regarding identification, interpretation and management of fever in a child.

Key words

Febrile child, Emergency admission, Parents, Knowledge, Practice

Cite And Share

Adnan Barutcu,Saliha Barutcu. Evaluation of Knowledge, Attitudes and Practices of Parents Presenting to a Hospital Emergency Department with a Complaint of Fever in a Child. Signa Vitae. 2020. 16(1);123-129.

References

[1] Özkan H, Öztürk S. The applications made by mothers applying to two family health centres in Eastern Anatolia region when their children had fever. Journal of Dr. Behçet Uz Children’s Hospital. 2013;3:121-126.

[2] Araz NÇ. Parents’ approach to fever in childhood: Knowledge, attitudes and applications. Turkish Journal of Pediatric Disease. 2013;1:27-32.

[3] Luszczak M. Evaluation and management of ınfants and young children with fewer. American Family Physican. 2001;64:1219-1226.

[4] Saz EU, Koturoğlu G, Duyu M, et al. Fears of fever and fever management in Turkish families. J Pediatr Inf. 2009;3:161-164.

[5] Işık Esenay F, İşler A, Kurugöl Z, et al. Mothers’ approach to feverish child and fever phobia. Turk Arch Ped. 2007;42:57-60.

[6] Betz MG, Grunfeld AF. “Fever phobia” in the emergency department: A survey of childrens’ caregivers. Eur J Emerg Med. 2006;13:129-33.

[7] McErlean M, Bartfield J, Kennedy D, et al. Home antypiretic use in children brought to emergency department. Ped Emerg Care. 2001;17: 249-51.

[8] Demir M, Bayat M. 0-5 Age Group Infants Brought in to Tokat Karşıyaka Maternity and Infant Hospital Emergency Service Owing to High Temperature Ailments and Their Mothers’ Attitude and Knowledge About High Temperature. Journal of Health Sciences (Nursing Special Issue). 2005;14:22-9.

[9] Kara B. Review of information about fever in childhood. Sted. 2003;12:10-4.

[10] Dalkıran YA. Knowledge levels of mothers related to fever and febrile seizures. Family Medicine Specialization Thesis, 2007, Istanbul.

[11] Özer A, Darendeli R, Ekerbiçer HÇ. Knowledge and behavior of mothers about body temperatures of their children and associated factors. Turkish Journal of Public Health. 2009;7:45-52.

[12] Halıcıoğlu O, Koc F, Akman AS, et al. In feverish children, mothers’ knowledge and home management about fever and its relationship with sociodemographical characteristics. Journal of Dr. Behçet Uz Children’s Hospital. 2011;1:13-19.

[13] Karwowska A, Nijssen-Jordan C, Johnson D, et al. Parental and health care provider understanding of childhood fever: a Canadian perspective. CJEM. 2002;4:394-400.

[14] Baysoy G, Aydoğmuş T, Akın D, et al. Knowledge, attitudes and behaviors of mothers about fever in their children. Turk Pediatri Ars. 2005;40:282-287.

[15] Betz MG, Grunfeld AF. “Fever phobia” in the emergency depart-ment: A survey of childrens’caregivers. EUR J EMERG MED. 2006;13:129-133.

[16] Luszczak M. Evaluation and management of infants and young children with fever. Am Fam Physician. 2001;64: 1219-1226.

[17] Yaman Ş. High fever and its treatment in children. Medical Network Actuel Medicine. 2000;8:40-42.

[18] Celasin NŞ, Ergin D, Atman Ü. Attitudes and Knowledge Concerning High Temperature of Mothers Have 0-6 Age Group Infants Who Are Hospitalized Due To High Temperature Ailments. Fırat University Medical Journal of Health Sciences. 2008;22:315-322.

[19] Gunduz S, Usak E, Koksal T, et al. Why Fever Phobia Is Still Common? Iran Red Crescent Med J. 2016;18:e23827.

[20] Yiğit R, Esenay F, Şen E, et al. Mothers’ Information and Applications About High Fever. Journal of Anatolia Nursing and Health Sciences. 2003; 6:48-56.

[21] Araz NC. Parents’ Approach to Fever in Childhood: Knowledge, Attitudes and Applications. Turkısh Journal of pediatric disases. 2013; 1:27-32.

[22] Yaramış N, Arıtan S, Işık H ve ark. Applications of mothers with children of 0-6 age group related to high fever. 29th UMEMPS Congress Union of Middle Eastern and Meditterranean Pediatric Societies, 49th Turkish National Pediatrics Congress, Istanbul. 5. National Child Nursing Congress Abstract Book. 2005;431-432.

[23] Ulukanligil M, Seyrek A. Anthropometric status, anaemia and intesti-nal helminthic infections in shantytown and apartment schoolchildren in the Sanliurfa province of Turkey. Eur J Clin Nutr. 2004;58,1056-1061.

[24] Taştan Y, Yapıcı G, Alikaşifoğlu M ve ark. Fever and its Treatment: What Do the Mothers Know and How They Behave? Turk Arch Ped. 1998;33:85-91.

[25] Rosti L. Fever phobia. Pediatrics. 2002;109:555-556.

[26] Casey R, McMahon F, McCormick MC, et al. Fever therapy an educational intervention for parents. Pediatrics. 1984;73:600-5.

[27] Stuijvenberg M, Vos S, Tjiang GCH, et al. Parents’ fear regar¬ding fever and febril seizures. Acta Paediatr. 1999;88:618-22.

[28] Kramer MS, Naimark L, Leduc DG. Parental fever phobia and its corelates. Pediatrics. 1985;75:1110-3. PMid:4000786.

[29] Blumenthal I. What parents think of fever. Fam Pract. 1998;15:513-8.

[30] Yakut A. Febrile Convulsion. Turkiye Klinikleri J Pediatr-Special Topics. 2003;1:119-27.

[31] Çavuşoğlu H. Child Health Nursing. Volume 1, Extended 5th Edition. 2001;5-11,323-325.

[32] Westin E, Sund Levander M. Parent’s Experiences of Their Children Suffering Febrile Seizures. J Pediatr Nurs. 2018;38:68‐73.

[33] Crocetti M, Moghbeli N, Serwint J. Fever phobia revisited: have parental isconceptions about fever changed in 20 years? Pediatrics. 2001;107:1240-1247.

[34] Walsh A, Edwards H. Management of childhood fever by parents: review. Journal of Advanced Nursing. 2006;54:217-227.

[35] Sünter AT, Ağaç R, Uysal S, et al. Knowledge and Behaviours of Mothers About Fever. Journal of Experimental and Clinical Medicine. 1997;14:106-111.

[36] Temel BA, Arabacı Z, Kahveci T. Mothers’ Knowledge, Attitudes and Practices in the Management of Fever in Their Children. Health Academy Kastamonu. 2016.

Abstracted / indexed in

Science Citation Index Expanded (SciSearch) The Science Citation Index (SCI) is a citation index originally produced by the Institute for Scientific Information (ISI) and created by Eugene Garfield. It (Science Citation Index Expanded) covers more than 8,500 notable and significant journals, across 150 disciplines in science and technology, from 1900 to the present.

Journal Citation Reports/Science Edition Journal Citation Reports/Science Edition aims to evaluate a journal’s value from multiple perspectives including the journal impact factor, descriptive data about a journal’s open access content as well as contributing authors, and provide readers a transparent and publisher-neutral data & statistics information about the journal.

Chemical Abstracts Service Source Index The CAS Source Index (CASSI) Search Tool is an online resource that can quickly identify or confirm journal titles and abbreviations for publications indexed by CAS since 1907, including serial and non-serial scientific and technical publications.

IndexCopernicus The Index Copernicus International (ICI) Journals database’s is an international indexation database of scientific journals. It covered international scientific journals which divided into general information, contents of individual issues, detailed bibliography (references) sections for every publication, as well as full texts of publications in the form of attached files (optional). For now, there are more than 58,000 scientific journals registered at ICI.

Geneva Foundation for Medical Education and Research The Geneva Foundation for Medical Education and Research (GFMER) is a non-profit organization established in 2002 and it works in close collaboration with the World Health Organization (WHO). The overall objectives of the Foundation are to promote and develop health education and research programs.

Scopus Scopus is Elsevier's abstract and citation database launched in 2004. Scopus covers nearly 36,377 titles (22,794 active titles and 13,583 Inactive titles) from approximately 11,678 publishers, of which 34,346 are peer-reviewed journals in top-level subject fields: life sciences, social sciences, physical sciences and health sciences.

Embase Embase (often styled EMBASE for Excerpta Medica dataBASE), produced by Elsevier, is a biomedical and pharmacological database of published literature designed to support information managers and pharmacovigilance in complying with the regulatory requirements of a licensed drug.

Submission Turnaround Time

Editorial review: 1 - 2 days

Peer review: 1 - 2 months

Ahead of Print: within 2 months after being accepted

Notes: Your information is kept confide-ntial throughout the review process.

Conferences

    Top