Tavan Asghar, Monemi Elnaz, Keshavarz Fateme, Kazemi Behrooz, Nematollahi Monirsadat
Health in Disasters and Emergencies Research Center, Institue for futures Studies in Health, Kerman University of Medical science, Kerman, Iran.
Pediatric and neonatal intensive care nursing department, Razi school of nursing and midwifery, Kerman University of Medical Sciences, Kerman, Iran.
BMC Nurs. 2022 Jun 28;21(1):168. doi: 10.1186/s12912-022-00938-7.
Fever is a sign of illness in children and parents should receive educational interventions based on their needs to provide effective care for children. Simulation-based education provided by nurses for managing children's fever can help improve the quality of parental care. Accordingly, this study aimed to explore the effectiveness of simulation-based education in the management of children's fever by parents.
This quasi-experimental study was conducted using a pretest-posttest design with two groups on 90 parents of children with fever who visited Afzalipour Teaching Hospital in Kerman, Iran. The participants were randomly divided into two groups. The members of the intervention group received simulation-based fever management education and the parents in the control group received routine interventions. A demographic information form and the Parental Fever Management Knowledge and Practice Scale were completed by the participants in both groups before and after the intervention. The collected data were analyzed with SPSS 21 at a significant level of 0.05 (P = 0.05).
The results of the study showed that there was a statistically significant difference between the mean scores of fever management knowledge in the intervention group before and after the intervention (30.51 ± 1.50 vs. 54.79 ± 2.55) (p < 0.05), while the control group showed no statistically significant difference before and after the intervention (29.81 ± 4.1 vs. 29.95 ± 2.80) (p > 0.05). Furthermore, there was a significant difference between the mean scores of fever management practice in the intervention group before and after the intervention (24.32 ± 0.89 vs. 37.51 ± 1.09) (p < 0.05). In contrast, the control group showed no statistically significant difference before and after the intervention (23.03 ± 0.90 vs. 21.98 ± 0.02) in terms of fever management practice (p > 0.05). The results of the independent samples t-test also showed that the mean scores of fever management knowledge and practice were not significantly different between the two groups before the intervention (p > 0.05) while there were significant intergroup differences after the intervention (p < 0.05).
The results of the study showed that simulation-based education was effective in improving the parents' child fever management knowledge and practice. Accordingly, professional care teams can prepare simulation-based education packages to improve parental care at home for children's fever management.
发热是儿童患病的一个迹象,家长应根据自身需求接受教育干预措施,以便为孩子提供有效的护理。护士提供的基于模拟的儿童发热管理教育有助于提高家长护理的质量。因此,本研究旨在探讨基于模拟的教育对家长管理儿童发热的有效性。
本准实验研究采用前测-后测设计,将90名带发热儿童前往伊朗克尔曼省阿夫扎利普尔教学医院就诊的家长分为两组。参与者被随机分为两组。干预组的成员接受基于模拟的发热管理教育,对照组的家长接受常规干预措施。两组参与者在干预前后均填写了一份人口统计学信息表以及家长发热管理知识与实践量表。收集到的数据使用SPSS 21进行分析,显著性水平为0.05(P = 0.05)。
研究结果显示,干预组干预前后发热管理知识的平均得分存在统计学显著差异(30.51 ± 1.50对54.79 ± 2.55)(p < 0.05),而对照组干预前后无统计学显著差异(29.81 ± 4.1对29.95 ± 2.80)(p > 0.05)。此外,干预组干预前后发热管理实践的平均得分也存在显著差异(24.32 ± 0.89对37.51 ± 1.09)(p < 0.05)。相比之下,对照组在发热管理实践方面干预前后无统计学显著差异(23.03 ± 0.90对21.98 ± 0.02)(p > 0.05)。独立样本t检验的结果还显示,两组在干预前发热管理知识和实践的平均得分无显著差异(p > 0.05),而干预后组间存在显著差异(p < 0.05)。
研究结果表明,基于模拟的教育在提高家长对儿童发热的管理知识和实践方面是有效的。因此,专业护理团队可以准备基于模拟的教育包,以改善家长在家中对儿童发热的护理。