Öz
Introduction: This study
was planned to determine the knowledge, thoughts, and attitudes of mothers with
0-7-years-old children and related factors about fever.
Methods: The study was conducted
with 112 mothers who applied to the Dumlupınar University Evliya Çelebi
Hospital Family Practice Policlinics. The data were collected by a
questionnaire consisting of multiple-choice questions.
Results: The mean age of the
mothers was 31 ± 5.3 years. According to the educational status, 68 (60.7%)
were primary school graduates, 30 (26.7%) were high school graduates, and 14
(12.5%) were university graduates. The mean number of children was 3 ± 1.7. Of
the parents surveyed, 65% stated that they owned a thermometer, but still 53
(47.3%) mothers were evaluating the child’s fever by touching and 13 by looking
at the general appearance. Thirty-three (29.4%) mothers were using
thermometers to measure fever. Although 75 (67%) mothers claimed to knowhow to
measure body temperature, only 18 (16%) were able to describe how to make a
complete and accurate measurement. Of the mothers who said they knew how to use
a thermometer, 17 (22.6%) guessed the required duration for measurement less
and 29(38.6%) unnecessarily higher than needed. Eighty-eight (78.5%) of the
mothers measured the body temperature from the axillary region, followed by
tympanic, oral, and in small children rectal routes.
Conclusion: Mothers often
have false or incomplete information about the location, duration, and method
of temperature measurement.
Anahtar Kelimeler
Kaynakça
- Husain MA, Coleman R. Should you treat a fewer. J Nursing. 2002;32(10):66-70. doi: https://doi.org/10.1097/00152193-200210000-00050
- Sullivan EJ, Farrar HC. Clinical report-fever and antipyretic use in children. Pediatrics. 2011;27(3):581-587. doi: https://doi.org/10.1542/peds.2010-3852
- Richardson M, Lakhanpaul M. et al. Assessment and initial management of feverish illness in children younger than 5 years: summary of NICE guidance. BMJ. 2007;334:1163-1164. doi: https://doi.org/10.1136/bmj.39218.495255.AE
- Purssell E, Collin J. Fever phobia: the İmpact of time and mortality a systematic review and meta-analysis. Int J Nurs Stud. 2016;56(1): 81-89. doi: https://doi.org/10.1016/j.ijnurstu.2015.11.001
- Crocetti, M, Moghbeli N, Serwint J. Fever phobia revisited have parental misconceptions about fever changed in 20 years. Pediatrics. 2001;7(6):1241-1246. doi: https://doi.org/10.1542/peds.107.6.1241
- Kılıç R, Kendir Ö, Gökay S et al. [Parents’ attitudes and behaviors related with feverish children] (in Turkish). J Pediatr Emerg Intensive Care Med. 2016;3:76-85. doi: https://doi.org/10.4274/cayd.59144
- Suluhan D, Taşal C, Yıldız D et al. [Determination of knowledge and attitudes of mothers who have children between 0-6 years of age] (in Turkish). F.N. Hem. Derg. 2016;24(2):90-96. doi: https://doi.org/10.17672/fnhd.34351
- May A, Bauchner H. Fever phobia: the pediatrician's contribution. Pediatrics. 1992;90:851-854.
- Rosti L. Fever phobia. Pediatrics. 2002;109:555-556. doi: https://doi.org/10.1542/peds.109.3.555
- Esenay F, İşler A, Kurugöl Z. et al. [Mothers' approach to the feverish child and fear of fever] (in Turkish). Türk Ped Arş. 2007;42:57-60.
- Hacımustafaoğlu M. [Antibiotics in a feverish child: when?] (in Turkish) Güncel Pediatri. 2006;3:88-91. http://www.guncelpediatri.com/article_478/Antibiotics-In-A-Fabrile-Child-When-Review.html
- Çoban B, Dolgun A. [Comparison of body temperature measurements with the tympanic infrared and non-contact infrared thermometers]. J Pediatr Inf . 2016;10:82-85.
- Huffman GB. Parental misconceptions about fever in children. Am Fam Physician. 2002;65:482-483. https://www.aafp.org/afp/2002/0201/p482.html
- Casey R, McMahon F, Cormick MC, et all. Fever therapy: an educational intervention for parents. Pediatrics. 1984;73:600-605.
- Kramer MS, Naimark L, Leduc DG. Parental fever phobia and its correlates. Pediatrics. 1985;75:1110-1113.
- Singhi S, Padmini P, Sood V. Urban parents' understanding of fever in children: its danger and treatment practices. Indian Pediatrics. 1991;28:501-505. PMid:1752678
- Blumenthal I. What parents think of fever. Fam Pract. 1998;15:513-518. doi: https://doi.org/10.1093/fampra/15.6.513
Öz
Giriş: Bu çalışmanın amacı, Aile
Hekimliği polikliniğine farklı nedenlerle başvuran, 0-7 yaş arası çocuğa sahip
annelerinin ateş konusundaki bilgilerinin ve ateş karşısındaki tutumlarının
belirlenmesi, bunları etkileyen faktörlerin incelenmesidir.
Yöntem: Çalışma, Dumlupınar
Üniversitesi Evliya Çelebi Hastanesi Aile Hekimliği Polikliniği’ne başvuran 112
anne ile yapıldı. Veriler çoktan seçmeli sorulardan oluşan anket formu ile
toplandı ve değerlendirildi.
Bulgular: Annelerin yaş ortalaması
31 ± 5,3 yıl idi. Eğitim durumuna göre 68’i (%60,7) ilköğretim, 30’u (%26,7)
lise ve 14’ü (%12,5) ise üniversite mezunu idi. Annelerin sahip olduğu çocuk
sayısı ortalama 3±1,7 idi. Katılımcıların, 73’ünün evinde ısıölçer vardı, fakat
ısıölçeri bulunsa da annelerin 53’ü (%47,3) ateşi dokunarak, 13’ü genel
durumuna bakarak anlamaktaydı. Otuz üç anne (%29,4) derece kullanarak ateş
ölçtüğünü ifade etti. Yetmiş beş (%67) anne vücut sıcaklığını ölçmeyi bildiğini
söylese de, nasıl ölçüm yaptıkları sorulduğunda yalnızca 18’i (%16) tam ve
doğru ölçümün nasıl yapıldığını anlatabildi. Termometre kullanmayı bildiğini
söyleyen annelerin 17’si (%22,6) termometrenin ölçüm alanında tutulması gereken
süreden daha az, 29’u (%38,6) ise daha fazla bir sürede tutulması gerektiğini söylemişlerdir.
Ölçüm yerlerine göre, annelerin 88’i (%78,5) vücut sıcaklığını koltuk altı
bölgesinden ölçmekteydi. Bunu sırasıyla timpanik, oral ve daha küçük çocuklarda
rektal ölçümler izliyordu.
Sonuç: Sonuç olarak; annelerin
genellikle ateş ölçüm yeri, süresi ve şekli ile ilgili yanlış veya eksik
bilgiye sahip olduğu gözlenmiştir. Ayrıca, annelerin eğitim düzeyi yükseldikçe
ateş korkusunun azaldığı da tespit edildi.
Anahtar Kelimeler
Kaynakça
- Husain MA, Coleman R. Should you treat a fewer. J Nursing. 2002;32(10):66-70. doi: https://doi.org/10.1097/00152193-200210000-00050
- Sullivan EJ, Farrar HC. Clinical report-fever and antipyretic use in children. Pediatrics. 2011;27(3):581-587. doi: https://doi.org/10.1542/peds.2010-3852
- Richardson M, Lakhanpaul M. et al. Assessment and initial management of feverish illness in children younger than 5 years: summary of NICE guidance. BMJ. 2007;334:1163-1164. doi: https://doi.org/10.1136/bmj.39218.495255.AE
- Purssell E, Collin J. Fever phobia: the İmpact of time and mortality a systematic review and meta-analysis. Int J Nurs Stud. 2016;56(1): 81-89. doi: https://doi.org/10.1016/j.ijnurstu.2015.11.001
- Crocetti, M, Moghbeli N, Serwint J. Fever phobia revisited have parental misconceptions about fever changed in 20 years. Pediatrics. 2001;7(6):1241-1246. doi: https://doi.org/10.1542/peds.107.6.1241
- Kılıç R, Kendir Ö, Gökay S et al. [Parents’ attitudes and behaviors related with feverish children] (in Turkish). J Pediatr Emerg Intensive Care Med. 2016;3:76-85. doi: https://doi.org/10.4274/cayd.59144
- Suluhan D, Taşal C, Yıldız D et al. [Determination of knowledge and attitudes of mothers who have children between 0-6 years of age] (in Turkish). F.N. Hem. Derg. 2016;24(2):90-96. doi: https://doi.org/10.17672/fnhd.34351
- May A, Bauchner H. Fever phobia: the pediatrician's contribution. Pediatrics. 1992;90:851-854.
- Rosti L. Fever phobia. Pediatrics. 2002;109:555-556. doi: https://doi.org/10.1542/peds.109.3.555
- Esenay F, İşler A, Kurugöl Z. et al. [Mothers' approach to the feverish child and fear of fever] (in Turkish). Türk Ped Arş. 2007;42:57-60.
- Hacımustafaoğlu M. [Antibiotics in a feverish child: when?] (in Turkish) Güncel Pediatri. 2006;3:88-91. http://www.guncelpediatri.com/article_478/Antibiotics-In-A-Fabrile-Child-When-Review.html
- Çoban B, Dolgun A. [Comparison of body temperature measurements with the tympanic infrared and non-contact infrared thermometers]. J Pediatr Inf . 2016;10:82-85.
- Huffman GB. Parental misconceptions about fever in children. Am Fam Physician. 2002;65:482-483. https://www.aafp.org/afp/2002/0201/p482.html
- Casey R, McMahon F, Cormick MC, et all. Fever therapy: an educational intervention for parents. Pediatrics. 1984;73:600-605.
- Kramer MS, Naimark L, Leduc DG. Parental fever phobia and its correlates. Pediatrics. 1985;75:1110-1113.
- Singhi S, Padmini P, Sood V. Urban parents' understanding of fever in children: its danger and treatment practices. Indian Pediatrics. 1991;28:501-505. PMid:1752678
- Blumenthal I. What parents think of fever. Fam Pract. 1998;15:513-518. doi: https://doi.org/10.1093/fampra/15.6.513
Ayrıntılar
| Birincil Dil | İngilizce |
|---|---|
| Konular | Sağlık Kurumları Yönetimi |
| Bölüm | Araştırma Makalesi (Original Article) |
| Yazarlar | |
| Yayımlanma Tarihi | 4 Ekim 2018 |
| Gönderilme Tarihi | 25 Aralık 2017 |
| Kabul Tarihi | 25 Eylül 2018 |
| Yayımlandığı Sayı | Yıl 2018 Cilt: 3 Sayı: 3 |
