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黎巴嫩两个医疗中心的家长对小儿发热的看法。

Parental Perceptions of Pediatric Fever From Two Medical Centers in Lebanon.

作者信息

Eid Reem, Sawaya Ramy Touma, Farhat Andrew, Salameh Pascale, El Yaman Sarah, Matar Maroun

机构信息

Department of Pediatrics, Lebanese American University Medical Center-Rizk Hospital, Beirut, Beirut Governate, Lebanon.

Gilbert & Rose-Marie Chagoury School of Medicine, Lebanese American University, Byblos, Lebanon.

出版信息

Int J Pediatr. 2025 Jul 24;2025:1336810. doi: 10.1155/ijpe/1336810. eCollection 2025.

Abstract

Pediatric fever is considered one of the most common reasons for parents presenting to the emergency department (ED). As there is little information involving parental knowledge, management techniques, and consultation of medical professionals regarding complaints of pediatric fever in Lebanon, it is important to investigate whether the parents know how to deal with a febrile fever in child before bringing them to the ED in order to determine the need for parental educational programs for fever management and to possibly limit unnecessary hospital visits. This study recruited 191 participants to fill a questionnaire of 21 questions divided into three sections assessing parental sociodemographic characteristics, knowledge, and attitudes towards pediatric fever during presentation to the ED in two medical centers in Lebanon. The participant population was then stratified and compared on the basis of gender and knowledge level. When assessing participants' knowledge, 119 (62.3%) of participants had a high level of knowledge, and 72 (37.7%) had a low level of knowledge on pediatric fever. The two groups showed different approaches towards low-grade fevers with the high knowledge group presenting to the ED mostly during high-grade fevers of 39°C or more. While the population of the current study showed similar levels of knowledge as those in studies from different parts of the world, around 50% of the participants showed higher levels of knowledge, thus proving that there is still a need for parental awareness and education regarding the causes of fever, its risks and benefits during disease progression, and appropriate ways of management.

摘要

小儿发热被认为是家长前往急诊科(ED)就诊的最常见原因之一。由于在黎巴嫩,关于家长对小儿发热的了解、处理技巧以及向医疗专业人员咨询相关问题的信息很少,因此在家长带孩子前往急诊科之前,调查他们是否知道如何应对小儿发热很重要,以便确定是否需要开展家长发热管理教育项目,并可能减少不必要的医院就诊。本研究招募了191名参与者,让他们填写一份包含21个问题的问卷,问卷分为三个部分,评估黎巴嫩两个医疗中心的家长在前往急诊科就诊时的社会人口学特征、对小儿发热的了解以及态度。然后根据性别和知识水平对参与人群进行分层和比较。在评估参与者的知识水平时,119名(62.3%)参与者对小儿发热有较高的了解程度,72名(37.7%)参与者对小儿发热的了解程度较低。两组在处理低热方面表现出不同的方式,知识水平高的组大多在体温达到39°C及以上的高热时才前往急诊科。虽然本研究人群的知识水平与世界不同地区的研究结果相似,约50%的参与者表现出较高的知识水平,但仍有必要提高家长对发热原因、疾病进展过程中的风险和益处以及适当处理方法的认识和教育。

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