Huang M C, Liu C C, Huang C C
School of Nursing, College of Medicine; National Cheng Kung University; Tainan, Taiwan.
Pediatr Neurol. 1998 Feb;18(2):150-5. doi: 10.1016/s0887-8994(97)00171-9.
The purpose of this study was to characterize the effects of an educational program on knowledge, attitude, concern, and first-aid measures among parents with febrile convulsive children. All parents completed a pretest questionnaire 3 weeks before the meeting. The parents were assigned randomly into experimental (n = 65) and control (n = 64) groups on the day they attended the program. The control group completed the identical questionnaire (posttest) before the program, whereas the experimental group completed the same posttest after the program. In pretest, most parents considered electroencephalogram or computed tomography necessary in evaluating their children, suggested that immunization be postponed, and rated the risk of subsequent epilepsy as high for their children. Most of them favored frequent body temperature measurement, were very anxious about further febrile convulsion episodes during the night, and were fever phobic. After education, although only a slight change in fever anxiety was found, the experimental group showed significant improvement in knowledge, attitude, concerns, and anticipatory practice of febrile convulsion compared with the control group. In conclusion the parents' poor knowledge, negative attitudes, anxiety, and inadequate first-aid measures toward febrile convulsion can be effectively improved by an educational intervention program.
本研究的目的是描述一项教育计划对有高热惊厥儿童的家长在知识、态度、关注度及急救措施方面的影响。所有家长在会议前3周完成了一份预测试问卷。家长们在参加该计划当天被随机分为实验组（n = 65）和对照组（n = 64）。对照组在计划前完成相同问卷（后测），而实验组在计划后完成相同的后测。在预测试中，大多数家长认为在评估孩子时脑电图或计算机断层扫描是必要的，建议推迟免疫接种，并认为自己孩子后续患癫痫的风险很高。他们中的大多数人赞成频繁测量体温，非常担心孩子夜间再次发生高热惊厥，并且害怕发烧。教育后，虽然仅发现发烧焦虑有轻微变化，但与对照组相比，实验组在高热惊厥的知识、态度、关注度及预期实践方面有显著改善。总之，通过教育干预计划可以有效改善家长对高热惊厥的知识匮乏、消极态度、焦虑及急救措施不足的状况。
