Abstract
Aim: The
aim was to evaluate the knowledge, concerns and thoughts about febrile
convulsions of patient relatives attending our hospital for any reason.
Material
and Methods: The study included 600
participants aged from 18-70 years. The participants were questioned about age,
educational and income levels, knowledge and sources of knowledge about febrile
convulsions (FC) and level of concern.
Results: While 382 participants (63.6%) stated they knew what FC
was, only 101 participants (16.8%) gave an accurate description. Similarly, 337
people (56.2%) said they knew how to intervene with a child experiencing FC,
but only 31 (5.1%) had accurate information. As education and income levels
increased, knowledge about FC and how to intervene increased. For 227 participants
(37.8%), a member of their family had experienced FC, while 211 (35.2%) of
participants had witnessed FC and 80% of those who witnessed it were concerned.
There was a positive correlation between witnessing FC and accuracy of
information about intervention. Again, if a relative of the participant had
experienced FC, knowledge about how to intervene increased. A total of 449
participants (74.8%) thought that FC involved permanent injury.
Conclusion:
Though FC is a commonly encountered benign
tableau for health workers, it may be very frightening for a patient relative
witnessing it for the first time. Participants were identified to have clearly
low levels of knowledge about FC and high levels of concern. It will be
beneficial for health workers to educate patient relatives.
Keywords
References
- 1. Guidelines for epidemiologic studies on epilepsy. Commission on epidemiology and prognosis, international league against epilepsy. Epilepsia 1993;34:592–6.
- 2. Steering Committee on Quality Improvement and Management, Subcommittee on Febrile Seizures American Academy of Pediatrics. Febrile seizures: clinical practice guideline for the long-term management of the child with simple febrile seizures. Pediatrics 2008;121:1281–6.
- 3. Joshi C, Wawrykow T, Patrick J, Prasad A. Do clinical variables predict an abnormal EEG in patients with complex febrile seizures? Seizure. 2005 Sep;14(6):429-34.
- 4. Mikati MA. Febrile seizures. In: Kliegman RM, Stanton BF, St Geme JW, Schor NF, Behrman RE, editors. Nelson textbook of pediatrics. 19th ed.Philadelphia: Elsevier; 2011.
- 5. Whelan H, Harmelink M, Chou E, Sallowm D. et al. Complex febrile seizures-A systematic review. Dis Mon. 2017 Jan;63:5-23.
- 6. Balslev T. Parental reactions to a child's first febrile convulsion: A follow-up investigation. Acta Paediatr Scand 1991;80:446-9.
- 7. Kolahi AA, Tahmooreszadeh S. First febrile convulsions: inquiry about the knowledge, attitudes and concerns of the patients' mothers. Eur J Pediatr. 2009 Feb;168(2):167-71.
- 8. Sajadi M, Khosravi S. Mothers' Experiences about Febrile Convulsions in Their Children: A Qualitative Study. Int J Community Based Nurs Midwifery. 2017 Jul;5(3):284-291.
- 9. E. Tamvaki, E. Papathanassoglou, V. Matziou, M. Galetseli, M. GiannakopoulouThe assessment of knowledge and attitudes of parents of hospitalized children about febrile convulsions: A pilot study. Nosileftiki, 50 (1) (2011), pp. 72-84
- 10. Clericetti CM, Milani GP, Bianchetti MG, Simonetti GD, Fossali EF. Systematic review finds that fever phobia is a worldwide issue among caregivers and healthcare providers. Acta Paediatr. 2019 Aug;108(8):1393-1397.
- 11. Freeman JM. The best medicine for febrile seizures. N Eng J Med 1992;327:1161-3.
- 12. Ju HO, McElmurry BJ, Park CG, McCreary L, Kim M, Kim EJ, et al. Anxiety and uncertainty in Korean mothers of children with febrile convulsion: cross-sectional survey. J Clin Nurs. 2011 May;20(9-10):1490-7.
- 13. Westin E, Sund Levander M. Parent's Experiences of Their Children Suffering Febrile Seizures. J Pediatr Nurs. 2018 Jan - Feb;38:68-73.
- 14. Flury T, Aebi C, Donati F. Febrile seizures and parental anxiety: does information help? Swiss Med Wkly. 2001 Sep 22;131(37-38):556-60.
- 15. Miller R, The effect on parents of febrile convulsions. Paediatr Nurs. 1996 Nov;8(9):28-31.
- 16. Huang MC, Liu CC, Huang CC. Effects of an Educational Program on Parents With Febrile Convulsive Children. Pediatr Neurol. 1998 Feb;18(2):150-5.
- 17. Annegers JF, Hauser WA, Elveback LR, Kurland LT. The risk of epilepsy following febrile convulsions. Neurology.1979;29(3):297–303.
- 18. Berg AT, Shinnar S. Unprovoked seizures in children with febrile seizures: short-term outcome. Neurology. 1996;47(2):562–568.
- 19. MacDonald BK, Johnson AL, Sander JW, Shorvon SD. Febrile convulsions in 220 children—neurological sequelae at 12years follow-up. Eur Neurol. 1999;41(4):179–186.
- 20. Canpolat M, Per H, Gumus H, Elmali F, Kumandas S. Investigating the prevalence of febrile convulsion in Kayseri, Turkey: An assessment of the risk factors for recurrence of febrile convulsion and for development of epilepsy. Seizure. 2018 Feb;55:36-47.
- 21. Smith DK, Sadler KP, Benedum M. Febrile Seizures: Risks, Evaluation, and Prognosis. Am Fam Physician. 2019 Apr 1;99(7):445-450.
- 22. Chang YC, Guo NW, Huang CC, Wang ST, Tsai JJ. Neurocognitive attention and behavior outcome of school-age children with a history of febrile convulsions: a population study. . Epilepsia. 2000 Apr;41(4):412-20.
Abstract
Amaç: Hastanemize
herhangi bir nedenle başvuran hastaların yakınlarının febril konvülziyon
hakkındaki bilgi, kaygı ve düşünceleri değerlendirilmesi amaçlanmıştır.
Gereç ve Yöntemler: Çalışmaya
18-70 yaş arası 600 katılımcı alındı. Katılımcıların yaş, eğitim ve gelir
seviyesi, febril konvülziyon hakkındaki
bilgileri ve bilgi kaynakları, kaygı durumları sorgulandı.
Bulgular: 382
katılımcı (%63,6) FK’nın ne olduğunu bildiğini beyan etmekle beraber sadece 101
(%16,8) katılımcının tanımlaması doğruydu. Benzer şekilde FK geçiren çocuğa
nasıl müdahale edeceğini bildiğini söyleyen 337(%56,2) kişinin ancak 31’inin
(%5,1) bilgisi doğruydu. Eğitim ve gelir düzeyi arttıkça FK ve FK’ya nasıl müdahale
edileceği hakkındaki bilgi de artmaktaydı. 227 (%37,8) katılımcının bir yakını
FK geçirmişti, 211 (%35,2) katılımcı ise bizzat FK’ya tanıklık etmişti ve tanıklık
edenlerin %80’i kaygılanmıştı. FK’ya tanıklık etmek ve müdahale konusundaki
bilginin doğruluğu arasında pozitif korelasyon mevcuttu. Yine katılımcının bir
yakını FK geçirdi ise nasıl müdahale edeceği ile ilgili bilgisi artmıştı. 449
(%74,8) katılımcı FK’nın kalıcı bir hasar bıraktığını düşünüyordu.
Sonuç: FK sağlık çalışanları için sık karşılaşılan
benign bir klinik tablo olsa da ilk defa şahit olan hasta yakınları için çok
ürkütücü olabilir. Katılımcıların FK hakkındaki bilgi düzeyi belirgin düşük,
kaygıları ise yüksek saptandı. Hasta yakınlarının sağlık çalışanları tarafından
eğitimi faydalı olacaktır.
Keywords
References
- 1. Guidelines for epidemiologic studies on epilepsy. Commission on epidemiology and prognosis, international league against epilepsy. Epilepsia 1993;34:592–6.
- 2. Steering Committee on Quality Improvement and Management, Subcommittee on Febrile Seizures American Academy of Pediatrics. Febrile seizures: clinical practice guideline for the long-term management of the child with simple febrile seizures. Pediatrics 2008;121:1281–6.
- 3. Joshi C, Wawrykow T, Patrick J, Prasad A. Do clinical variables predict an abnormal EEG in patients with complex febrile seizures? Seizure. 2005 Sep;14(6):429-34.
- 4. Mikati MA. Febrile seizures. In: Kliegman RM, Stanton BF, St Geme JW, Schor NF, Behrman RE, editors. Nelson textbook of pediatrics. 19th ed.Philadelphia: Elsevier; 2011.
- 5. Whelan H, Harmelink M, Chou E, Sallowm D. et al. Complex febrile seizures-A systematic review. Dis Mon. 2017 Jan;63:5-23.
- 6. Balslev T. Parental reactions to a child's first febrile convulsion: A follow-up investigation. Acta Paediatr Scand 1991;80:446-9.
- 7. Kolahi AA, Tahmooreszadeh S. First febrile convulsions: inquiry about the knowledge, attitudes and concerns of the patients' mothers. Eur J Pediatr. 2009 Feb;168(2):167-71.
- 8. Sajadi M, Khosravi S. Mothers' Experiences about Febrile Convulsions in Their Children: A Qualitative Study. Int J Community Based Nurs Midwifery. 2017 Jul;5(3):284-291.
- 9. E. Tamvaki, E. Papathanassoglou, V. Matziou, M. Galetseli, M. GiannakopoulouThe assessment of knowledge and attitudes of parents of hospitalized children about febrile convulsions: A pilot study. Nosileftiki, 50 (1) (2011), pp. 72-84
- 10. Clericetti CM, Milani GP, Bianchetti MG, Simonetti GD, Fossali EF. Systematic review finds that fever phobia is a worldwide issue among caregivers and healthcare providers. Acta Paediatr. 2019 Aug;108(8):1393-1397.
- 11. Freeman JM. The best medicine for febrile seizures. N Eng J Med 1992;327:1161-3.
- 12. Ju HO, McElmurry BJ, Park CG, McCreary L, Kim M, Kim EJ, et al. Anxiety and uncertainty in Korean mothers of children with febrile convulsion: cross-sectional survey. J Clin Nurs. 2011 May;20(9-10):1490-7.
- 13. Westin E, Sund Levander M. Parent's Experiences of Their Children Suffering Febrile Seizures. J Pediatr Nurs. 2018 Jan - Feb;38:68-73.
- 14. Flury T, Aebi C, Donati F. Febrile seizures and parental anxiety: does information help? Swiss Med Wkly. 2001 Sep 22;131(37-38):556-60.
- 15. Miller R, The effect on parents of febrile convulsions. Paediatr Nurs. 1996 Nov;8(9):28-31.
- 16. Huang MC, Liu CC, Huang CC. Effects of an Educational Program on Parents With Febrile Convulsive Children. Pediatr Neurol. 1998 Feb;18(2):150-5.
- 17. Annegers JF, Hauser WA, Elveback LR, Kurland LT. The risk of epilepsy following febrile convulsions. Neurology.1979;29(3):297–303.
- 18. Berg AT, Shinnar S. Unprovoked seizures in children with febrile seizures: short-term outcome. Neurology. 1996;47(2):562–568.
- 19. MacDonald BK, Johnson AL, Sander JW, Shorvon SD. Febrile convulsions in 220 children—neurological sequelae at 12years follow-up. Eur Neurol. 1999;41(4):179–186.
- 20. Canpolat M, Per H, Gumus H, Elmali F, Kumandas S. Investigating the prevalence of febrile convulsion in Kayseri, Turkey: An assessment of the risk factors for recurrence of febrile convulsion and for development of epilepsy. Seizure. 2018 Feb;55:36-47.
- 21. Smith DK, Sadler KP, Benedum M. Febrile Seizures: Risks, Evaluation, and Prognosis. Am Fam Physician. 2019 Apr 1;99(7):445-450.
- 22. Chang YC, Guo NW, Huang CC, Wang ST, Tsai JJ. Neurocognitive attention and behavior outcome of school-age children with a history of febrile convulsions: a population study. . Epilepsia. 2000 Apr;41(4):412-20.
Details
| Primary Language | Turkish |
|---|---|
| Subjects | Internal Diseases |
| Journal Section | ORIGINAL ARTICLES |
| Authors | |
| Publication Date | January 22, 2021 |
| Submission Date | August 2, 2019 |
| Published in Issue | Year 2021 Volume: 15 Issue: 1 |
Cited By
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