Shimony-Kanat Sarit, Gofin Rosa, Nator Nidaa, Solt Ido, Abu Ahmad Wiessam, Liebergall Wischnitzer Michal, Lawen Heba, Kopitman Alina, Crassac Violaine, Kerem Eitan
Faculty of Medicine, Hadassah Hebrew University School of Nursing, POB 12000, 91120, Jerusalem, Israel.
School of Public Health and Community Medicine Hadassah, Hebrew University, in the Faculty of Medicine, Jerusalem, Israel.
Matern Child Health J. 2023 May;27(5):815-823. doi: 10.1007/s10995-023-03593-9. Epub 2023 Mar 4.
The aim of this study was to describe mothers' knowledge of infant fever management after birth and six months later and its association with sociodemographic characteristics, perceived support, sources of consultation and health education; and to assess determinants of change in mother's knowledge from birth to six months.
Mothers (n = 2804) answered a self-reporting questionnaire after giving birth in maternity wards in six hospitals in Israel; six months later follow- up interviews were conducted by telephone.
The mothers' knowledge level of infant fever management was low after birth (mean = 50.5, range 0-100, SD = 16.1), and rose to a moderate level six months later (mean = 65.2, SD = 15.0). Mothers having their first born, with lower household income or education were less knowledgeable about infant fever management after birth. However, these mothers showed the largest improvement after six months. Mothers' perceived support or sources of consultation and health education (partner, family, friends, nurses, and physicians) were not associated with their knowledge at either time. Moreover, mothers stated self-learning from internet and other media as often as receiving health education by health professionals.
Public health policy for health professionals in hospitals and community clinics is essential to promote clinical interventions promoting mothers' knowledge of infant fever management. Efforts should focus at first time mothers, those with non-academic education, and those with a moderate or low household income. Public health policy enhancing communication with mothers regarding fever management in hospitals and community health settings, as well as accessible means of self-learning is warranted.
本研究旨在描述母亲在产后及六个月后对婴儿发热处理的知识情况，及其与社会人口学特征、感知到的支持、咨询来源和健康教育的关联；并评估母亲从产后到六个月知识变化的决定因素。
母亲们（n = 2804）在以色列六家医院的产科病房分娩后回答了一份自我报告问卷；六个月后通过电话进行随访访谈。
母亲们在产后对婴儿发热处理的知识水平较低（平均 = 50.5，范围0 - 100，标准差 = 16.1），六个月后升至中等水平（平均 = 65.2，标准差 = 15.0）。初产妇、家庭收入或教育程度较低的母亲在产后对婴儿发热处理的知识较少。然而，这些母亲在六个月后显示出最大的进步。母亲们感知到的支持或咨询及健康教育来源（伴侣、家人、朋友、护士和医生）在两个时间点均与她们的知识无关。此外，母亲们表示通过互联网和其他媒体自学的频率与接受卫生专业人员健康教育的频率一样高。
医院和社区诊所针对卫生专业人员的公共卫生政策对于促进临床干预以提高母亲对婴儿发热处理的知识至关重要。应首先关注初产妇、非受过高等教育的母亲以及家庭收入中等或较低的母亲。加强医院和社区卫生环境中与母亲关于发热处理的沟通以及提供易于获取的自学方式的公共卫生政策是有必要的。
