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家长对儿童发热的认知、看法及发热管理措施:有热性惊厥病史儿童的家长与无热性惊厥病史儿童的家长之间的差异

Parental knowledge and perceptions of fever in children and fever management practices: differences between parents of children with and without a history of febrile seizures.

作者信息

Sakai Rie, Niijima Shinichi, Marui Eiji

机构信息

Department of Public Health, Juntendo University School of Medicine, Juntendo University Nerima Hospital, Tokyo, Japan.

出版信息

Pediatr Emerg Care. 2009 Apr;25(4):231-37. doi: 10.1097/pec.0b013e31819e353a.

Abstract

OBJECTIVES

The aim of this study was to compare maternal knowledge and perceptions of fever, fever management practices, and information sources of mothers of children with and without a history of febrile seizures.

METHODS

A questionnaire was used to survey mothers of children who visited health departments for a routine 18-month-old well baby check-up.

RESULTS

A total of 386 responses were analyzed. More mothers of children with a history of febrile seizures than mothers of children without it stated that high fever caused febrile seizures and antipyretics prevented it. Fewer mothers of children with a history of febrile seizures than mothers in the other group thought that high fever caused brain damage and antipyretics prevented the disease from worsening and warmed the child's body during fever episode. Many mothers in both groups stated that they considered physicians to be their primary information source. Spouse and own parents were named as information sources among mothers of children with a history of febrile seizures, whereas books and the Internet were named in the other group.

CONCLUSIONS

Mothers of children with a history of febrile seizures demonstrated a higher rate of accuracy in their knowledge of fever than those in the other group. Mothers of children with a history of febrile seizures used personal communication, whereas those in the other group relied on mass communication for health information. Providing accurate information to family members is essential to provide mothers with both accurate information and emotional support.

摘要

目的

本研究旨在比较有热性惊厥病史和无热性惊厥病史儿童的母亲对发热的认知和看法、发热管理措施以及信息来源。

方法

采用问卷调查法,对前往卫生部门进行常规18个月龄健康婴儿检查的儿童母亲进行调查。

结果

共分析了386份问卷回复。有热性惊厥病史儿童的母亲比无热性惊厥病史儿童的母亲更倾向于认为高热会引发热性惊厥且退烧药可预防。有热性惊厥病史儿童的母亲中,认为高热会导致脑损伤以及退烧药能防止病情恶化并在发热期间温暖孩子身体的比例低于另一组母亲。两组中的许多母亲均表示,她们将医生视为主要信息来源。有热性惊厥病史儿童的母亲将配偶和自己的父母列为信息来源,而另一组则提到了书籍和互联网。

结论

有热性惊厥病史儿童的母亲对发热的认知准确率高于另一组。有热性惊厥病史儿童的母亲通过人际交流获取信息,而另一组则依赖大众传播获取健康信息。向家庭成员提供准确信息对于为母亲提供准确信息和情感支持至关重要。

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