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5岁以下儿童发热:加纳北部地区照顾者的知识与家庭管理实践——一项多机构研究

Fever in Children Under 5 years: Caregivers' Knowledge and Home Management Practices in the Northern Region of Ghana - A Multi-Facility Study.

作者信息

Wuni Abubakari, Mohammed Iddrisu Sisala, Salisu Waliu Jawula, Nyarko Brenda Abena, Ibrahim Mudasir Mohammed, Seidu Abdul-Malik, Abdul-Rahman Rahmatullah, Abdul Rahaman Abdul Latif, Abdulai Abdul-Fataw, Zakaria Yaskuru, Buasilenu Hannah

机构信息

College of Nursing, University of Kentucky, Lexington, USA.

Department of Nursing, Nurses' and Midwives' Training College, Tamale, Ghana.

出版信息

Sage Open Pediatr. 2025 Sep 6;12:30502225251364932. doi: 10.1177/30502225251364932. eCollection 2025 Jan-Dec.

Abstract

BACKGROUND

Fever is a common condition in children under 5. Misconceptions surrounding its management can result in poor health outcomes.

OBJECTIVES

To assess caregivers' knowledge and home management practices regarding fever in children under 5 in the Northern Region of Ghana.

METHODS

A cross-sectional study design was employed in this study. Data was collected via structured questionnaires and analyzed with JMP Pro 17.1.

RESULTS

Among 384 caregivers, 57% had good fever knowledge, and 57.3% practiced proper home management. While 66.7% correctly defined fever (>38°C), 76.8% mistakenly believed teething could cause fever. Most caregivers reported that they would visit a hospital if the child exhibited additional symptoms (93.0%), or if the fever had no apparent cause (78.9%). Predictors of knowledge included occupation, education, income, and health insurance. Fever management practices were influenced by maternal age, religion, health insurance, and child's age.

CONCLUSION

Most caregivers demonstrated good fever knowledge and management, but misconceptions persist, particularly on teething and medication use. Targeted education is needed to correct these gaps and improve first-aid practices.

摘要

背景

发热是5岁以下儿童的常见病症。围绕其治疗的误解可能导致不良健康后果。

目的

评估加纳北部地区5岁以下儿童看护者对发热的知识及家庭管理做法。

方法

本研究采用横断面研究设计。通过结构化问卷收集数据,并使用JMP Pro 17.1进行分析。

结果

在384名看护者中,57%具备良好的发热知识,57.3%采取了正确的家庭管理措施。虽然66.7%正确定义了发热(>38°C),但76.8%错误地认为出牙会导致发热。大多数看护者报告说,如果孩子出现其他症状(93.0%),或者发热无明显原因(78.9%),他们会带孩子去医院。知识的预测因素包括职业、教育程度、收入和健康保险。发热管理做法受母亲年龄、宗教信仰、健康保险和孩子年龄的影响。

结论

大多数看护者表现出良好的发热知识和管理能力,但误解仍然存在,尤其是在出牙和用药方面。需要有针对性的教育来纠正这些差距并改善急救做法。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/23cb/12414124/90d21eb324fa/10.1177_30502225251364932-fig1.jpg

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