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6 Ay – 6 Yaş Arası Yüksek Ateşli Çocukların Annelerinin Ateş Bilinç Seviyesinin Değerlendirilmesi

Year 2014, Volume: 8 Issue: 4, 201 - 207, 01.04.2014

Abstract

Amaç: Çocuk acil servisine en sık başvuru nedenlerinden biri ateştir ve enfeksiyonlar ateşin en sık nedenidir. Çalışmadaki amacımız annelerin ateş bilinç düzeylerinin belirlenmesi ve eksikliklerin tespit edilmesidir.Gereç ve Yöntemler: Zeynep Kamil Eğitim ve Araştırma Hastanesi Çocuk Sağlığı ve Hastalıkları Çocuk Acil Servisine veya polikliniklerine ateş şikâyeti ile başvuran 1099 anne ile görüşülerek gerçekleştirilmiştir. Annelerin ateş bilinç durumunu ölçen 13 soru sorulmuştur. Cevaplar değerlendirilerek ateş bilinci kötü (0-3 puan) ve iyi (4-5 puan) olarak gruplandırılmıştır.Bulgular: Annelerin 594’ü (%54) 26-35 yaş arasında, 893’ü (%81.3) ev hanımı, 660’ı (%60.2) ilkokul mezunuydu. Annelerin 799’unun (%72.7) 1-2 çocuğu, 616’sının (%56.5) 1000 TL ve altında geliri vardı. Ateş bilinç düzeyi ile anne yaş dağılımları arasında istatistiksel olarak anlamlı fark gözlenmiştir (p=0,0001). İleri yaştaki annelerde bilinç varlığının düşük olduğu gözlenmiştir. Ateş bilinç düzeyi ile anne meslek dağılımları arasında istatistiksel olarak anlamlı fark gözlenmiştir (p=0,0001). Ev hanımlarında bilinç varlığının düşük olduğu, memurlarda yüksek olduğu gözlenmiştir. Ateş bilinç düzeyi ile anne eğitim dağılımları arasında istatistiksel olarak anlamlı fark gözlenmiştir (p=0,0001). Üniversite mezunu annelerde bilinç varlığının yüksek olduğu gözlenmiştir. Ateş bilinç düzeyi ile anne gelir düzeyi dağılımları arasında istatistiksel olarak anlamlı fark gözlenmiştir (p=0,002). >2000TL gelirli annelerde bilinç varlığının yüksek olduğu gözlenmiştir.Sonuç: Anne yaşı ilerledikçe özellikle ev hanımlarında ateş bilinç seviyesinin azaldığı, eğitim ve sosyokültürel düzey yükseldikçe özellikle yükseköğrenimli annelerde bilinç seviyesinin arttığı tespit edildi.

References

  • Romanowsky AA, Almeida MC, Aronoff DM, Ivanov AI, Konsman JP, Steiner AA, et al. Fever and hypothermia in systemic infl ammation: Recent discoveries and revisions. Front Biosci 2005;10:2193-216.
  • Finkelstein JA, Christiansen CL, Platt R. Fever in pediatric primary care: Occurrence, management, and outcomes. Pediatrics 2000;105:260–6.
  • Schmitt BD. Fever phobia: Misconceptions of parents about fevers. Am J Dis Child 1980;134:176–81.
  • Crocetti M, Moghbeli N, Serwint J. Fever phobia revisited: Have parental misconceptions about fever changed in 20 years? Pediatrics 2001;107:1241-6.

Assessment of the Level of Awareness on High-Fever Among the Mothers of Children Between 6 Months and 6 Years of Age Presenting with High Fever

Year 2014, Volume: 8 Issue: 4, 201 - 207, 01.04.2014

Abstract

Objective: High fever is one of the most common reasons for emergency room visits in paediatric populations and the most important cause of high fever is infectious diseases. In this study, our aim was to assess the level of awareness on high-fever among mothers of children presenting to emergency room with high fever and to determine areas of low awareness.Material and Methods: A total of 1099 mothers of children presenting to the emergency or outpatient units of the Department of Paediatrics, Zeynep Kamil Research and Training Hospital were interviewed for the study purposes. A total of 13 questions were directed to mothers. Two levels of awareness were defi ned on the basis of total scores, i.e. low awareness (0 to 3 points) and good awareness (4 to 5 points).Results: Of all the mothers, 594 (%54) were between 26 and 35 years of age, 893 (%81.3) were housewives, and 660 (%60.2) had a primary school education. A total of 799 mothers (%72.7) had 1 to 2 children, and 616 (%56.5) had a monthly income level below 1000 Turkish Liras (TRY). A statistically signifi cant inverse association between level of awareness on high-fever and age was observed (p=0.0001), with older mothers having signifi cantly lower levels of awareness. Also, there was a signifi cant association between occupational status and awareness level (p=0.0001), housewives having a statically lower awareness as compared to those mothers offi cially employed. Similarly, mothers with a university degree had signifi cantly higher levels of awareness regarding the high-fever as compared to mothers with a lower educational background (p=0.0001). Also mothers with a monthly income exceeding TRY 2,000 had higher level of awareness in comparison with those with lower monthly income (p=0.002).Conclusion: While ageing was associated with a continuously decreasing level of awareness, particularly among housewives, higher levels of education and socio-cultural status were associated with higher levels of awareness

References

  • Romanowsky AA, Almeida MC, Aronoff DM, Ivanov AI, Konsman JP, Steiner AA, et al. Fever and hypothermia in systemic infl ammation: Recent discoveries and revisions. Front Biosci 2005;10:2193-216.
  • Finkelstein JA, Christiansen CL, Platt R. Fever in pediatric primary care: Occurrence, management, and outcomes. Pediatrics 2000;105:260–6.
  • Schmitt BD. Fever phobia: Misconceptions of parents about fevers. Am J Dis Child 1980;134:176–81.
  • Crocetti M, Moghbeli N, Serwint J. Fever phobia revisited: Have parental misconceptions about fever changed in 20 years? Pediatrics 2001;107:1241-6.
There are 4 citations in total.

Details

Other ID JA68UM27JH
Journal Section Research Article
Authors

Ali Yıldırım This is me

Abdülkadir Bozaykut This is me

Ceyhun Dalkan This is me

Publication Date April 1, 2014
Submission Date April 1, 2014
Published in Issue Year 2014 Volume: 8 Issue: 4

Cite

Vancouver Yıldırım A, Bozaykut A, Dalkan C. Assessment of the Level of Awareness on High-Fever Among the Mothers of Children Between 6 Months and 6 Years of Age Presenting with High Fever. Türkiye Çocuk Hast Derg. 2014;8(4):201-7.


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