Assessment of Fever Phobia and Fever Management in Mothers of Febrile Children Admitted to Hospitals in Northwestern Syria: A Fever Phobia Survey Study

Yıl 2025, Cilt: 6 Sayı: 2, 77 - 87, 20.05.2025

Bahadır Karaca , Burak Çelik , Nazlı Çelik

https://doi.org/10.47482/acmr.1594857

Öz

Background: Childhood fever is a natural, positive biological strategy developed by the body to protect the child from potentially harmful foreign agents. Complaint of fever that worries families because it causes discomfort to children and is externally recognizable, and it is one of the most common reasons for presentation to pediatric emergency departments.
Methods: This study was conducted on the mothers of children aged 0-6 years admitted to the emergency departments of Cobanbey and Azaz Homeland Hospitals using the face-to-face interview technique.
Results: Over half of the mothers chose to administer antipyretic syrup as a first line of treatment, while one-third of the mothers initiated antibiotic therapy without seeking medical advice when their children had a fever. In addition, the decision to lower the body temperature was based on concerns that the child might have a seizure and/or be harmed due to high temperatures.
Conclusion: Education for mothers can improve care for children with fever and reduce unnecessary emergency room visits and the use of antibiotics and antipyretics. It may be useful for civil society organizations and state-based institutions to create opportunities for access to education and information in humanitarian aid activities in these and similar regions.

Anahtar Kelimeler

emergency medicine, febril children mother, fever phobia

Etik Beyan

This study was approved by the Non-Interventional Clinical Trials Ethics Committee of Hatay Mustafa Kemal University Tayfur Ata Sökmen Faculty of Medicine on 06.05.2021 with decision number 16.

Destekleyen Kurum

All financial expenses are covered by the authors. There is no financial support.

Teşekkür

The authors would like to thank Prof. Dr. Özkan Görgülü (Kırşehir Ahi Evran University, Faculty of Medicine, Biostatistics and Medical Informatics Department) for his assistance in the statistical analysis of the study.

Suriye’nin Kuzeybatısında Hastanelere Başvuran Ateşli Çocukların Annelerinde Ateş Korkusu ve Yönetiminin Değerlendirilmesi: Bir Ateş Fobisi Anket Çalışması

Öz

Çocukluk ateşi, çocuğu potansiyel olarak zararlı yabancı etkenlerden korumak için vücudun geliştirdiği doğal, pozitif bir biyolojik stratejidir. Çocuklarda rahatsızlık yarattığı ve dışarıdan fark edilebilir olduğu için aileleri endişelendiren ateş şikayeti, çocuk acil servislerine başvurunun en yaygın nedenlerinden biridir. Düşük gelir ve çatışma sonrası bir ortamla karakterize edilen, on yıldan fazla süredir devam eden iç karışıklık ve çatışmalarla karakterize olan Suriye kuzey bölgesinde, erken evlilik ve sınırlı eğitim olanakları, çocuk ateşi bakımı rollerini üstlenen anneler için önemli zorluklar oluşturmaktadır. Bu çalışmanın amacı, bölgedeki annelerin ateşli çocuklarına yaklaşımını, ateşle ilgili bilgi düzeylerini, ateş korkularını ve ateş oluştuğunda yönetim yöntemlerini tespit etmektir. Bu çalışma, XXX ve YYY Hastaneleri acil servislerine yatırılan 0-6 yaş arası çocukların anneleri üzerinde yüz yüze görüşme tekniği kullanılarak yürütülmüştür. Çalışma, annelerin yaklaşık üçte birinin ateş eşiğinden habersiz olduğunu ve çoğunluğunun ateşi düşürmeye çalıştığını ortaya koymuştur. Annelerin yarısından fazlası ilk tedavi yöntemi olarak ateş düşürücü şurup vermeyi seçerken, annelerin üçte biri çocuklarının ateşi olduğunda tıbbi yardım almadan antibiyotik tedavisine başlamayı tercih etmektedir. Ayrıca, vücut sıcaklığını düşürme kararının arkasındaki gerekçe, çocuğun yüksek ateş nedeniyle nöbet geçirmesi ve/veya zarar görmesi endişesine bağlandı. Annelerin yarısından fazlasının bu tutum ve davranışların temelini oluşturan bilgileri ailelerinden edindiği, kalan daha az kısmının ise bilgileri doktorlardan, hemşirelerden, ebelerden ve kitlesel yayınlardan veya sosyal medyadan edindiği gözlemlendi.

Anahtar Kelimeler

Acil tıp, ateşli çocuk annesi, ateş fobisi

Kaynakça

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