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发热恐惧症:家长们对发热的误解

Fever phobia: misconceptions of parents about fevers.

作者信息

Schmitt B D

出版信息

Am J Dis Child. 1980 Feb;134(2):176-81.

PMID:7352443
Abstract

Eighty-one parents bringing their children to a hospital-based pediatric clinic were surveyed about their understanding of fever. Most parents were unduly worried about low-grade fever, with temperatures of 38.9 degrees C or less. Their overconcern was designated "fever phobia." Most parents (52%) believed that moderate fever with a temperature of 40 degrees C or less can cause serious neurological side-effects. Hence, most parents treated fever aggressively: 85% gave antipyretic medication before the temperature reached 38.9 degrees C and 68% sponged the child before the temperature reached 39.5 degrees C. A review of the literature showed that the only serious complications of fever were febrile status epilepticus and heat stroke, two rare entities. The great concern of parents about fever is not justified. Health education to counteract "fever phobia" should be a part of routine pediatric care.

摘要

对81位带孩子前往一家医院儿科诊所的家长进行了关于他们对发烧理解的调查。大多数家长对体温在38.9摄氏度及以下的低热过度担忧。他们的过度担忧被认定为“发烧恐惧症”。大多数家长(52%)认为体温在40摄氏度及以下的中度发烧会导致严重的神经方面副作用。因此,大多数家长积极治疗发烧:85%在体温达到38.9摄氏度之前就给孩子服用退烧药,68%在体温达到39.5摄氏度之前就给孩子擦身。文献回顾显示,发烧唯一严重的并发症是热性惊厥持续状态和中暑,这两种情况都很罕见。家长对发烧的高度担忧是没有道理的。应对“发烧恐惧症”的健康教育应成为常规儿科护理的一部分。

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