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系统评价发现,发热恐惧症是 caregivers 和医疗保健提供者在全球范围内面临的问题。

Systematic review finds that fever phobia is a worldwide issue among caregivers and healthcare providers.

机构信息

Pediatric Department of Southern Switzerland, Bellinzona, Switzerland.

Pediatric Unit, Foundation IRCCS Ca' Granda, Ospedale Maggiore Policlinico, Milan, Italy.

出版信息

Acta Paediatr. 2019 Aug;108(8):1393-1397. doi: 10.1111/apa.14739. Epub 2019 Feb 27.

DOI:10.1111/apa.14739
PMID:30716166
Abstract

AIM

Fever phobia describes exaggerated concerns about the consequences of childhood fever and broader awareness is needed in everyday clinical practice. We investigated the factors associated with fever phobia in caregivers and healthcare providers and the geographical distribution of the issue.

METHODS

The National Library of Medicine, Excerpta Medica and Google Scholar databases were searched.

RESULTS

We retrieved 76 papers, published in English from 1985 to 2018, which covered wide areas of Asia, Europe, America, Africa and Australia. The occurrence of fever phobia was confirmed in 65 papers covering 26 521 caregivers. A number of factors were significantly associated with fever phobia, including low educational or socioeconomic levels, a history of febrile seizures in the child and young maternal age. Fever phobia was also more common in Bedouins and in people from Latin America, Southern Italy and Turkey. There were also 15 papers that addressed fever phobia among 4566 healthcare providers. All the reports suggested that a fear of fever and a tendency to over treat was common among physicians and nurses.

CONCLUSION

Fever phobia was a common world phenomena that affected caregivers and healthcare providers.

摘要

目的

发热恐惧症描述了对儿童发热后果的过度担忧,在日常临床实践中需要提高认识。我们调查了照顾者和医疗保健提供者中发热恐惧症相关的因素,以及该问题的地理分布。

方法

检索美国国立医学图书馆、荷兰爱思唯尔公司的 Excerpta Medica 数据库和谷歌学术数据库。

结果

我们检索到 1985 年至 2018 年发表的 76 篇英文文献,涵盖了亚洲、欧洲、美洲、非洲和澳大利亚的广泛领域。65 篇文献确认了发热恐惧症的发生,共涉及 26521 名照顾者。一些因素与发热恐惧症显著相关,包括教育或社会经济水平低、儿童有热性惊厥史和母亲年龄较小。发热恐惧症在贝都因人、拉丁美洲人、意大利南部人和土耳其人中也更为常见。还有 15 篇文献涉及 4566 名医疗保健提供者中的发热恐惧症。所有报告都表明,医生和护士普遍害怕发热,并且倾向于过度治疗。

结论

发热恐惧症是一种常见的世界性现象,影响着照顾者和医疗保健提供者。

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