Deng C T, Zulkifli H I, Azizi B H
Department of Paediatrics, Faculty of Medicine, Universiti Kebangsaan Malaysia, Kuala Lumpur.
Med J Malaysia. 1996 Dec;51(4):462-8.
The reactions of 117 parents to the febrile seizure experienced by their children; and their fears and worries were investigated. A standard questionnaire was used and clinical information was abstracted from the notes. In 88.9% of the cases, the adult present at the seizure was one of the parents usually the mother. Most of the parents (66.7%) did tepid sponging to bring the fever down but a third tried to open the clenched teeth of the child. The adults present placed the child supine in 62.9%, on the side in 9.5% and prone in 6.0%. Over half of the parents brought the child to a private clinic first before bringing to hospital. A fifth of the children were given antipyretics by the parent or the doctor and an anticonvulsant was given in 7.7% of cases. Interestingly, in 12% of children traditional treatment was given for the seizure. Three quarters of the parents knew that the febrile seizure was caused by high fever (which we have taken as the correct knowledge of febrile seizure). However "ghosts" and "spirits" were blamed as the cause of the seizure by 7% of parents. Factors significantly associated with correct knowledge were higher parental education and higher family income. The most common fear expressed was that the child might be dead or might die from the seizure (70.9%). Fear of death was associated with low paternal education. We concluded that the majority of our parents had reacted appropriately to a febrile seizure and their knowledge of the cause of febrile seizure was generally correct. Their fears and worries were similar to those elsewhere. However, traditional beliefs and practices may have to be taken into consideration during counselling.
对117名家长关于其孩子热性惊厥的反应、恐惧和担忧进行了调查。使用了标准问卷，并从病历中提取临床信息。在88.9%的病例中，惊厥发作时在场的成年人是家长之一，通常是母亲。大多数家长（66.7%）进行温水擦浴来降温，但三分之一的家长试图撬开孩子紧闭的牙关。在场的成年人将孩子仰卧放置的占62.9%，侧卧的占9.5%，俯卧的占6.0%。超过一半的家长在送孩子去医院之前先带到私人诊所。五分之一的孩子由家长或医生给予退烧药，7.7%的病例给予了抗惊厥药。有趣的是，12%的孩子接受了针对惊厥的传统治疗。四分之三的家长知道热性惊厥是由高烧引起的（我们将此视为对热性惊厥的正确认知）。然而，7%的家长将惊厥归咎于“鬼魂”和“幽灵”。与正确认知显著相关的因素是家长教育程度较高和家庭收入较高。最常见的恐惧是孩子可能已经死亡或可能死于惊厥（70.9%）。对死亡的恐惧与父亲教育程度低有关。我们得出结论，大多数家长对热性惊厥的反应是恰当的，他们对热性惊厥病因所了解的情况总体上是正确的。他们的恐惧和担忧与其他地方的人相似。然而，在咨询过程中可能需要考虑传统观念和做法。
