EVALUATION OF FEVER MANAGEMENT AND RATIONAL DRUG USE IN MOTHERS OF CHILDREN UNDER THE AGE OF FIVE

Year 2022, Volume: 85 Issue: 3, 404 - 415, 06.07.2022

Tuğba Yazıcı , Ruhuşen Kutlu

https://doi.org/10.26650/IUITFD.1000301

Abstract

Objective: The aim of this study was to evaluate the parental practices towards fever management and rational drug use in mothers with children under the age of five.
Materials and Method: This research was planned as a cross-sectional analytical study. The study was conducted on 342 mothers with children under five years of age who applied to family health centers (FHCs). The Parental Fever Management Scale (PFMS-TR) and Rational Drug Use Scale (RDUS) were applied to the participants.
Results: The average age of the mothers was 30.8±5.7 years, and 50.6% (n=173) had high school education or above. Of the participants, 89.5% (n=306) stated that they had a thermometer at home and 49.7% (n=170) first sensed that their children had a fever by touching them, while 38% (n=130) understood by their appearance, and 38.3% (n=126) applied to FHCs first for treatment. There was a significant correlation between the mothers’ PFMS scores and age, married, planned pregnancy, educational status and place of residence (p<0.05). There was a significant relationship between the RDUS scores age at marriage, age at first birth, employment status, kinship status with spouse, presence of caregivers, educational status, place of residence, family type, and economic situation (p<0.05).
Conclusion: Although almost all of the mothers had a thermometer at home, it was noteworthy that only one-tenth detected the fever using a thermometer. It was observed that mothers who have a high school education or above, are employees, marry at an advanced age, and give birth after the age of 22, use the drugs more rationally. As a family physician is mostly the first person to whom parents apply, informing the parents of a febrile child about how they should approach the situation will both relax the family and reduce unnecessary applications to health institutions.

Keywords

Child, fever, parental fever management, rational drug use.

BEŞ YAŞ ALTI ÇOCUKLARIN ANNELERİNDE ATEŞ YÖNETİMİ VE AKILCI İLAÇ KULLANIMININ DEĞERLENDİRİLMESİ

Abstract

Amaç: Bu çalışmada beş yaş altı çocukların annelerinde ateş yönetimi ve akılcı ilaç kullanımına yönelik tutumunun değerlendirilmesi amaçlanmıştır.
Gereç ve Yöntem: Bu araştırma, kesitsel tipte analitik bir çalışma olarak planlanmıştır. Araştırma, aile sağlığı merkezlerine (ASM) başvuran beş yaş altı çocuğu olan 342 anne üzerinde yapılmıştır. Katılımcılara Ebeveyn Ateşi Yönetim Ölçeği (EAYÖ) ve Akılcı İlaç Kullanımı Ölçeği (AİKÖ) uygulandı.
Bulgular: Annelerin yaş ortalaması 30,8±5,7 yıl olup, %50,6’sı (n=173) lise ve üstü eğitimli idi. Katılımcıların %89,5’i (n=306) evde ateş ölçer bulunduruyorlardı ve %49,7’si (n=170) çocuklarının ateşlendiğini ilk olarak dokunarak, %38’i (n=130) dış görünüşünden anlıyorlardı, %38,3’ü (n=126) ilk olarak aile sağlığı merkezlerine müracaat ediyorlardı. Annelerin EAYÖ puanı ile yaş, evli olmak, gebeliğin planlı olması, eğitim durumu ve yaşadığı yer arasında anlamlı bir korelasyon vardı (p<0,05). AİKÖ puanı ile evlenme yaşı, ilk doğum yaşı, çalışma durumu, eşi ile arasında akrabalık durumu, bakıcı varlığı, eğitim durumu, yaşadığı yer, aile yapısı ve ekonomik durumu arasında anlamlı (p<0,05) bir ilişki vardı.
Sonuç: Annelerin neredeyse hepsi evde ateş ölçer bulundurmasına rağmen, sadece onda birinin çocukları ateşlendiğinde ateş ölçer kullanarak ateşini tespit etmesi dikkat çekicidir. Lise ve üstü eğitimli olan annelerin, çalışanların, ileri yaşta evlenenlerin, ilk doğumunu 22 yaşından sonra yapanların ilaçları daha akılcı kullandıkları görülmüştür. Çoğunlukla ilk başvurulan yer olan aile hekimi olarak bizlerin ateşli çocuğa ebeveynin nasıl yaklaşması gerektiği konusunda bilgilendirme yapması hem aileyi rahatlatacak, hem de sağlık kuruluşlarına gereksiz başvuruyu azaltacaktır.

Keywords

Çocuk, ateş, ebeveyn ateşi yönetimi, akılcı ilaç kullanımı.

References

• 1. Roth AR, Basello GM. Fever. In:Rakel D, Kellerman RD, editors. Conn’s Current Therapy 2019: Wichita, Kansas: Elsevier Health Sciences p.13-5. google scholar
• 2. Rational drug use, Rational use of antibiotics. T.R. Ministry of Health, Turkey Pharmaceuticals and Medical Devices Agency. Available from: http://www.akilciilac.gov.tr/?page_ id=1068 Updated: 08.09.2019. google scholar
• 3. Hu F, Zhang J, Shi S, Zhou Z. Fever management in the emergency department of the Children’s Hospital of Fudan University: a best practice implementation project. JBI Database System Rev Implement Rep 2016;14(9):358-66. [CrossRef] google scholar
• 4. Long SS. Diagnosis and management of undifferentiated fever in children. Infect 2016;72(Suppl):S68-76. [CrossRef] google scholar
• 5. Soon GS, Laxer RM. Approach to recurrent fever in childhood. Can Fam Physician 2017;63(10):756-62. google scholar
• 6. Bertille N, Fournier-Charriere E, Pons G, Chalumeau M. Managing fever in children: a national survey of parents’ knowledge and practices in France. PLoS ONE 2013;8(12):83469. [CrossRef] google scholar
• 7. Green R, Jeena P, Kotze S, Lewis H, Webb D, Wells M. Management of acute fever in children: guideline for community healthcare providers and pharmacists. South African Medical Journal 2013;103(12):948-54. [CrossRef] google scholar
• 8. Yavuz E, Yayla E, Cebeci S, Kırımlı E, Gümüştakım RS, Çakır L, et al. Parental beliefs and practices regarding childhood fever in Turkish primary care. Niger J Clin Pract 2017;20(1):93-8. [CrossRef] google scholar
• 9. Col-Araz N. Parents’ Approach to Fever in Childhood: Knowledge, Attitudes and Applications. Turkish Journal of Pediatric Disease 2013;7(1):27-32. [CrossRef] google scholar
• 10. Poirier MP, Collins EP, McGuire E. Fever phobia: A survey of caregivers of children seen in a pediatric emergency department. Clin Pediatr (Phila) 2010;49(6):530-4. [CrossRef] google scholar
• 11. Beggi B, Aşık Z. Evaluation of Rational Drug Use in Patients Applying to Family Medicine Outpatient Clinic. Ankara Med J 2019;19(2):251-60. [CrossRef] google scholar
• 12. Holloway K, Dijk LV. World Health Organization. GENEVA The World medicines situation 2011, Rational use of medicines. 3rd ed. p.1-19. Available from: https://www.who. int/medicines/areas/policy/world_medicines_situation/ WMS_ch14_wRational.pdf Updated: 08.11.2019. google scholar
• 13. Non-prescription drug use policy 15.05.2013, Ministry of Health, Republic of Turkey. Available from: https://www. titck.gov.tr/haber/recetesiz-ilac-satisi-genelgesi-hakkin da-15-05-13-27122018173942 Updated: 08.11.2021 (in Turkish). google scholar
• 14. World Health Organization Geneva-1987. The Rational Use of Drugs - Report of the Conference of Experts, Nairobi 2529 November 1985. Available from: https://apps.who.int/ medicinedocs/documents/s17054e/s17054e.pdf Updated: 29.09.2019 google scholar
• 15. Karakas NM, Ozdemir B, Kılıc S, Akbulut O. Causes of Pediatric Emergency Department Applications of Parents: 4 Years Follow-Up. Osmangazi Med J 2020;42(1):67-74. google scholar
• 16. Walsh A, Edwards H, Fraser J. Parents’ childhood fever management: community survey and instrument development. J Adv Nurs 2008;63(4):376-88. [CrossRef] google scholar
• 17. Cinar ND, Altun I, Altınkaynak S, Walsh A. Turkish parents’ management of childhood fever: a cross-sectional survey using the PFMS-TR. Australas Emerg Nurs J 2014;17(1):3-10. [CrossRef] google scholar
• 18. Demirtas Z, Dagtekın G, Saglan R, Alaiye M, Onsuz MF, Isıklı B. Validity and reliability of rational drug use scale. ESTUDAM 2018;3(3):37-46. google scholar
• 19. Marriage and Divorce Statistics according to Turkish Statistical Institute, 2020 https://data.tuik.gov.tr/Bulten/ Index?p=Evlenme-ve-Bosanma-Istatistikleri-2020-37211. Updated: 29.12.2021 (in Turkish). google scholar
• 20. Chang LC, Liu CC, Huang MC. Parental knowledge, concerns, and management of childhood fever in Taiwan. J Nurs Res 2013;21(4):252-60. [CrossRef] google scholar
• 21. Chaturvedi D, Vilhekar KY, Chaturvedi P, Bharambe MS. Reliability of perception of fever by touch. Indian J Pediatr 2003;70(11):871-3. [CrossRef] google scholar
• 22. Turker Y, Baltaci D, Yildirim FB, Arslan B, Kara IH. Determination of the Knowledge and Practice of Mothers with Children Aged 0-6 Years About High Fever. Journal of Duzce Medical Faculty 2015;17(1):16-8. google scholar
• 23. Hiller MG, Caffery MS, Begue RE. A survey about fever knowledge, attitudes, and practices among parents. Clin Pediatr 2019;58(6):677-80. [CrossRef] google scholar
• 24. Chiappini E, Principi N, Longhi R, Tovo PA, Becherucci P, Bonsignori F, et al. Management of fever in children: summary of the Italian Pediatric Society guidelines. Clinical Therapeutics 2009;31(8):1826-43. [CrossRef] google scholar
• 25. Karatas Y, Dinler B, Erdogdu T, Ertug P, Seydaoglu G. Evaluation of Drug Use Attitudes of Patient and Its Relatives Attending to Çukurova University Medical Faculty Balcalı Hospital. Cukurova Medical Journal 2012;37(1):1-8. google scholar
• 26. Hew YH, Blebil AQ, Dujaili JA, Khan TM. Assessment of knowledge and practices of parents regarding childhood fever management in Kuala Lumpur, Malaysia. Drugs & Therapy Perspectives 2019;35:29-35. [CrossRef] google scholar
• 27. Zyoud HS, Al-Jabi SW, Nabulsi MM, Tubaila MF, Sweileh WM, Awang R, et al. The validity and reliability of the parent fever management scale: A study from Palestine. Matern Child Health J 2015;19(8):1890-7. [CrossRef] google scholar
• 28. Alqudah M, Cowin L, George A, Johnson M. Child fever management: A comparative study of Australian parents with limited and functional health literacy. Nurs Health Science 2019;21(2):157-63. [CrossRef] google scholar
• 29. Hew YH, Blebil AQ, Dujaili JA, Khan TM. Assessment of knowledge and practices of parents regarding childhood fever management in Kuala Lumpur, Malaysia. Drugs & Therapy Perspectives 2019;35:29-35. [CrossRef] google scholar
• 30. Ozatik FY, Babaoglu UT, Sen M, Yurter K, Cevik B, Ozturk IC. Effect of peer group training on popularizing of rational drug use among university Students. Med J SDU 2018;25(3):25. google scholar
• 31. Anokye R, Amihere R, Abbiaw P, Acheampong E, Gyamfi N, Budu-Ainooson A. Childhood Fever Knowledge and Management: A Case of Mothers with Children under Five Years. Int J Pediatr Res 2018;4:044. [CrossRef] google scholar