Shuper A, Gabbay U, Mimouni M
Department of Pediatrics B, Schneider Children's Medical Center of Israel, Petah Tikva.
Isr J Med Sci. 1996 Dec;32(12):1282-5.
Febrile convulsions can cause extreme anxiety to parents. Factors associated with parental anxiety and its relief during and after admission of their child for simple febrile convulsions were studied by questionnaire. Of the 70 parents approached 46 responded (66%), all of whom reported feeling anxiety. Factors directly associated with parental anxiety were lack of knowledge regarding the management of seizures and the performance of a spinal tap or EEG. There was no correlation between a previous seizure in the same child or in a first-degree relative and a decrease in anxiety in the present seizure. Hospital admission of the child yielded no relief of anxiety in 27.3% and some relief in 34.1%. Staff activity was insufficient regarding parental instruction in handling the child in the event of a recurrence. About two-thirds of the parents wished to continue neurologic follow-up after discharge, and about one-half preferred that the child be treated with anticonvulsants. Our findings show that a very intensive effort is required to relieve parental anxiety after febrile convulsions. It is suggested that routine parental preventive education in this area be conducted in well-baby clinics.
热性惊厥会让家长极度焦虑。通过问卷调查研究了与家长焦虑及其在孩子因单纯热性惊厥入院期间和之后焦虑缓解相关的因素。在接触的70位家长中，46位做出了回应（66%），他们均表示感到焦虑。与家长焦虑直接相关的因素是缺乏关于癫痫发作处理以及腰椎穿刺或脑电图检查的知识。同一个孩子或一级亲属之前有过惊厥发作与此次惊厥发作时焦虑减轻之间没有相关性。孩子住院后，27.3%的家长焦虑未缓解，34.1%的家长焦虑有所缓解。工作人员在指导家长如何在孩子复发时处理孩子方面做得不够。约三分之二的家长希望出院后继续进行神经学随访，约一半的家长更倾向于让孩子接受抗惊厥药物治疗。我们的研究结果表明，热性惊厥后需要付出极大努力来缓解家长的焦虑。建议在健康婴儿诊所开展该领域的常规家长预防教育。
