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[儿童发热时家长知识与护理情况分析]

[Analysis of parental knowledge and care in childhood fever].

作者信息

Pérez-Conesa Maria-Cristina, Sánchez Pina Inés, Ridao Manonellas Saida, Tormo Esparza Antoni, García Hernando Verónica, López Fernández Marta

机构信息

Enfermería Pediátrica, Área Maternoinfantil, Hospital Universitari Vall d'Hebron, Barcelona, España.

Enfermería Pediátrica, Área Maternoinfantil, Hospital Universitari Vall d'Hebron, Barcelona, España.

出版信息

Aten Primaria. 2017 Oct;49(8):484-491. doi: 10.1016/j.aprim.2016.11.011. Epub 2017 Mar 11.

DOI:10.1016/j.aprim.2016.11.011
PMID:28292580
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6875997/
Abstract

OBJECTIVE

To describe the parental knowledge and care of fever in children under 2years. Relate this data with socio-demographic with characteristics.

DESIGN

Cross-sectional and correlation multicenter study.

LOCATION

Five teams of Primary Care in Barcelona.

PARTICIPANTS

Parents of children under 2years attended to administer a vaccine included in the pediatric systematic calendar. A total of 311 subjects participated.

MAIN MEASUREMENTS

The main variables are 9 items of knowledge and 8 of care or management of fever obtained with the adaptation of the questionnaire by Chiappini et al. (2012).

RESULTS

69.8% had a correct care/management of fever. 3.9% matched all items of knowledge. The knowledge score is lower in people with no education (p=0.03); higher in Europe and South America and lowest in Asia and Africa (P<.001). 100% of patients that had chronic problems answered correctly all items of fever care (P=.03). It is important to note that the correlation between the scores of knowledge and management is positive (rho=0.15, P=.008).

CONCLUSIONS

A correct care of fever is observed despite the low knowledge. A good strategy to promote a correct care of febrile child is to do sanitary education with update information and adapted it to parents, focusing on the differences between ethnic groups because they seem to have inaccurate beliefs about fever.

摘要

目的

描述2岁以下儿童家长对发热的认知及护理情况,并将这些数据与社会人口学特征相关联。

设计

横断面相关性多中心研究。

地点

巴塞罗那的五支初级保健团队。

参与者

前来为其2岁以下儿童接种儿科系统疫苗接种计划中包含疫苗的家长。共有311名受试者参与。

主要测量指标

主要变量是通过改编Chiappini等人(2012年)的问卷获得的9项关于发热的知识以及8项关于发热护理或处理的内容。

结果

69.8%的家长对发热有正确的护理/处理方法。3.9%的家长所有知识项目回答正确。未受过教育的人知识得分较低(p = 0.03);欧洲和南美洲的得分较高,亚洲和非洲的得分最低(P <.001)。患有慢性疾病的患者中100%正确回答了所有发热护理项目(P =.03)。需要注意的是,知识得分与处理得分之间的相关性为正(rho = 0.15,P =.008)。

结论

尽管知识水平较低,但仍观察到对发热有正确的护理。促进对发热儿童进行正确护理的一个好策略是开展卫生教育,提供最新信息并使其适合家长,关注不同种族群体之间的差异,因为他们似乎对发热存在错误认知。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/164f/6875997/adf61fc51680/fx1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/164f/6875997/adf61fc51680/fx1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/164f/6875997/adf61fc51680/fx1.jpg

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本文引用的文献

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Fever phobia: The impact of time and mortality--a systematic review and meta-analysis.发热恐惧症:时间和死亡率的影响——一项系统评价与荟萃分析
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S Afr Med J. 2013 Sep 3;103(12):948-54. doi: 10.7196/samj.7207.
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Parental knowledge, concerns, and management of childhood fever in Taiwan.台湾地区父母对儿童发热的认知、担忧和管理
J Nurs Res. 2013 Dec;21(4):252-60. doi: 10.1097/jnr.0000000000000007.
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Fever in the pediatric patient.小儿患者发热
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Beliefs and practices regarding childhood fever among parents: a cross-sectional study from Palestine.父母对儿童发热的信念和做法:来自巴勒斯坦的一项横断面研究。
BMC Pediatr. 2013 Apr 28;13:66. doi: 10.1186/1471-2431-13-66.
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Therapeutic procedures and use of alternating antipyretic drugs for fever management in children.治疗程序和交替使用退热药物治疗儿童发热管理。
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Parental and medical knowledge and management of fever in Italian pre-school children.意大利用于学前儿童发热的父母和医疗知识与管理。
BMC Pediatr. 2012 Jul 13;12:97. doi: 10.1186/1471-2431-12-97.