The Effect of Nurse-Led Home Visits to 3-Year-old Children Presenting with Fever on Their Development and Repeat Visits Emergency Department

Abstract

Objective: The aim of this study was to examine the effect of nurse-led home visits for 3-year-old children presenting to the emergency departments in with complaints of fever on their development and repeat emergency department visits. Methods: This study adopted a quasi-experimental design in accordance with the Transparent Reporting of Evaluations with Nonrandomized Designs (TREND) checklist. The sample of the study consisted of a total of 62 3-year-old children, 31 in the intervention group (IG) and 31 in the control group (CG). Results: The general development scores of the children in the intervention and control groups were nearly identical in the first month (IG: 122.42±4.5, CG: 123.45±4.0, p>0.05). However, in the third month, development scores were significantly higher in the IG (131.74±4.1) compared to the CG (124.19±3.8) (p<0.05). Conslusion: The results obtained in the present study demonstrated the effectiveness of nurse-led home visits in reducing repeat emergency visits for children with fever complaints and in promoting the healthy development of children. To ensure a more robust evidence base, more research is warranted.

Keywords

• Child
• Development
• Fever
• Home Visit
• Nurse

Ateşle Başvuran 3 Yaşındaki Çocuklara Hemşire Eşliğinde Yapılan Ev Ziyaretlerinin Gelişimleri ve Acil Servise Tekrar Başvurmaları Üzerindeki Etkisi

Abstract

Amaç: Bu çalışmanın amacı, acil servislere ateş şikayetiyle başvuran üç yaşındaki çocuklara hemşire eşliğinde yapılan ev ziyaretlerinin çocukların gelişimi ve acil servis ziyaretlerinin tekrarı üzerindeki etkisini incelemektir. Yöntem: Bu çalışmada, TREND (Transparent Reporting of Evaluations with Nonrandomized Designs) kontrol listesine uygun olarak yarı deneysel bir tasarım benimsenmiştir. Çalışmanın örneklemi, 31'i müdahale grubunda (GG) ve 31'i kontrol grubunda (KG) olmak üzere toplam 62 üç yaşındaki çocuktan oluşmaktadır. Bulgular: Müdahale ve kontrol gruplarındaki çocukların genel gelişim puanları ilk ayda neredeyse aynıydı (IG: 122,42±4,5, KG: 123,45±4,0, p>0,05). Bununla birlikte, üçüncü ayda gelişim skorları IG'de (131,74±4,1) KG'ye (124,19±3,8) kıyasla anlamlı derecede daha yüksekti (p<0,05). Sonuç: Bu çalışmada elde edilen sonuçlar, ateş şikayeti olan çocukların acil servise tekrar başvurmalarını azaltmada ve çocukların sağlıklı gelişimini desteklemede hemşire liderliğindeki ev ziyaretlerinin etkinliğini göstermiştir. Daha sağlam bir kanıt temeli sağlamak için daha fazla araştırma yapılması gerekmektedir.

Keywords

• Ateş
• Çocuk
• Ev Ziyaretleri
• Gelişim
• Hemşire

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