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希腊母亲对儿童发热评估与治疗的了解:一项访谈研究

What Greek mothers know about evaluation and treatment of fever in children: an interview study.

作者信息

Matziou Vasiliki, Brokalaki Hero, Kyritsi Helen, Perdikaris Pantelis, Gymnopoulou Elpida, Merkouris Anastasios

机构信息

School of Nursing, National and Capodistrian University of Athens, 123 Papadiamantopoulou St., Athens 11527, Greece.

出版信息

Int J Nurs Stud. 2008 Jun;45(6):829-36. doi: 10.1016/j.ijnurstu.2006.04.021. Epub 2007 May 23.

DOI:10.1016/j.ijnurstu.2006.04.021
PMID:17524405
Abstract

BACKGROUND

Fever is one of the most common symptoms in childhood. Mothers' insufficient knowledge about its evaluation and treatment frequently leads to excessive fear and anxiety.

OBJECTIVES

To explore mothers' knowledge concerning management of fever in their children, at home.

DESIGN

Descriptive, correlational.

SETTINGS

An emergency department of a pediatric hospital.

PARTICIPANTS

A total of 327 mothers with febrile children randomly selected in the waiting room.

METHODS

Data collection was based on interviews by using a questionnaire which was specifically developed for this study.

RESULTS

Almost one out of three mothers (32.4%) evaluated fever as a temperature between 37-38 degrees C and the 38.1% of them considered that side effects could be a result of these temperatures. The majority of the mothers (73.7%) administered antipyretics at body temperatures of 37-38.5 degrees C, usually without a medical instruction (49.2%). Younger mothers with lower education levels and those who admitted to hospital for the first time with children less than 12 months of age showed the poorest level of Knowledge about fever evaluation and treatment.

CONCLUSIONS

Educational interventions by health care professionals aiming at educating young mothers with a low educational level and those with a child younger than 12 months old who seek medical attention at hospital, for the first time, are needed to dispel misconceptions about fever and to promote the appropriate management of the febrile child.

摘要

背景

发热是儿童期最常见的症状之一。母亲们对发热评估和治疗的知识不足常常导致过度恐惧和焦虑。

目的

探讨母亲们关于在家中处理孩子发热的知识。

设计

描述性、相关性研究。

地点

一家儿童医院的急诊科。

参与者

在候诊室随机选取327名孩子发热的母亲。

方法

通过使用专门为本研究编制的问卷进行访谈来收集数据。

结果

近三分之一的母亲(32.4%)将发热评估为体温在37至38摄氏度之间,其中38.1%的母亲认为这些体温可能会产生副作用。大多数母亲(73.7%)在体温37至38.5摄氏度时给孩子服用退烧药,通常没有医嘱(49.2%)。教育程度较低的年轻母亲以及首次带着12个月以下孩子住院的母亲对发热评估和治疗的知识水平最差。

结论

医疗保健专业人员需要进行教育干预,针对教育程度低的年轻母亲以及首次带12个月以下孩子到医院就医的母亲,以消除对发热的误解,并促进对发热儿童的适当处理。

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