Ateş şikayeti ile acile başvuran ailelerin ateşli çocuğa yaklaşımı

Yıl 2024, , 36 - 41, 30.04.2024

Emel Odabaşoğlu , Merve Koyun , Hatice Uzşen , Esra Tural Büyük

https://doi.org/10.61534/anatoljhr.1408658

Öz

Amaç: Bu çalışmada çocuğunda ateş şikâyeti ile acil servise başvuran ebeveynlerin ateşli çocuğa yaklaşımının incelenmesi amaçlanmıştır.
Yöntem: Çalışma kesitsel ve tanımlayıcı araştırma olarak Mart-Mayıs, 2022 tarihleri arasında Karadeniz’de yer alan bir ilde 451 ebeveyn ile yapılmıştır. Veriler, Tanıtıcı Bilgi Formu, Ebeveyn Ateş Yönetim Ölçeği ve Ateş ile İlgili Bilgi, Tutum ve Davranış Değerlendirme Formu ile toplanmış olup SPSS 22.00 paket programında analiz edilmiştir.
Bulgular: Çalışmaya katılan annelerin yaş ortalaması 33.22±6.08, çocuklarının yaş ortalaması ise 2.63±1.72’dir. Annelerin %89.1’inin çocuğunu ateş nedeniyle hastaneye ya da doktora götürüldüğü belirlenmiştir. Annelerin Ebeveyn Ateş Yönetim Ölçeği puan ortalaması 35.20±4.13’dir. Çalışmada ateşin bir hastalık olduğunu düşünen anneler ile düşünmeyen annelerin Ebeveyn Ateş Yönetim Ölçeği puan ortalaması arasında istatistiksel olarak fark olduğu saptanmıştır (p<0.05).
Sonuçlar: Çalışmada ebeveynlerin ateş yönetim düzeylerinin yüksek olduğu görülmüştür. Ebeveynlerin evde ateş yönetimi sürecinin yetersizliği özellikle çocuk acil birimlerine aşırı başvuru yapılmasına ve ateş düşürücü ilaçların uygunsuz kullanımına neden olabileceğinden annelere hemşireler tarafından ateş ile ilgili bilgilendirilmesi gerektiğini ortaya koyması açısından önemlidir.

Anahtar Kelimeler

ateş, çocuk, ebeveynler

Approach of families who apply to the emergency department with fever complaints about their feverish child

Öz

Aim: This study aimed to examine parents' approach to their children with fever when they apply to the emergency department with a complaint of fever.
Methods: The study was cross-sectional and descriptive with 451 parents in Samsun, Turkey, between March and May 2022. Data were collected with the Introductory Information Form, Parental Fever Management Scale, and Fever-Related Information, Attitude, and Behavior Evaluation Form and analyzed in the SPSS 22.00 package program.
Results: The average age of the mothers participating in the study is 33.22±6.08, and the average age of their children is 2.63±1.72. It was determined that 89.1% of mothers took their children to the hospital or doctor due to fever. The average score of the mothers on the Parental Fever Management Scale is 35.20±4.13. The study found a statistical difference between the Parent Fever Management Scale mean score of mothers who thought fever was a disease and those who did not (p<0.05).
Conclusion: The study showed that parents' fever management levels were high. It is essential to show that mothers should be informed about fever by nurses, as the inadequacy of parents' fever management process at home may lead to excessive admission to pediatric emergency units and inappropriate use of antipyretic drugs.

Anahtar Kelimeler

child, fever, parents

Kaynakça

• AlAteeq, M. M., AlBader, B. O., Al-Howti, S. Y., Alsharyoufi, M., & Abdullah, J. B. (2018). Parent’sknowledge and practice in home management of fever in their children in Riyadh, Saudi Arabia. Journal of Family Medicine and Primary Care, 7(5), 1012.
• Akbayram, H. T. (2021). Fever management in preschool children; what do parents know? What are they doing? Journal of Child Infection, 15(3), 154–160.
• Al Arifi, M. N. & Alwhaibi, A. (2021). Assessment of Saudi parents’ beliefs and behaviors towards management of child fever in Saudi Arabia—A cross-sectional study. International Journal of Environmental Research and Public Health, 18(10), 5217.
• Arias, D., Carter, S. R., Chen, T. F., & Moles R. J. (2022). Australian care givers' knowledge of and attitudes towards paediatric fever management. Journal of Paediatrics and Child Health, 58(1), 54-62.
• Barutçu, A. & Barutçu, S. (2020). Evaluation of knowledge, attitudes and practices of parents presenting to a hospital emergency department with a complaint of fever in a child. Signa Vitae, 16(1), 123-129.
• Castellano, V. E., Talamona, N., Giglio, N. D., Sabbaj, L., & Gentile, Á. (2020). Knowledge and management of fever in parents of children under 5 years of age at a children’s hospital. Archivos Argentinos de Pediatría, 118(2), 89-94.
• Chefdeville, E., & Pages, A. S. (2019). Parental management of children's fever: Assessment of knowledge and use of health record information. Archives de Pédiatrie, 26(5), 275-281.
• Cinar, N. D., Altun, I., Altınkaynak, S., & Walsh, A. (2014). Turkish parents’ management of childhood fever: A cross-sectional survey using the Pfms-Tr. Australasian Emergency Nursing Journal, 7(1), 3–10.
• Göbekli, A., & Güney, R. (2022). 0-5 yaş grubu çocuklarda ateş yönetimi: Güncel yaklaşımlar. Journal of Health Sciences and Management, 2(2), 33-39.
• Gülcan, M. K., & Şahiner, N. C. (2023). Determining the fever-related knowledge and practices of mothers with children aged 1–5 years presenting to a child emergency service with fever complaints in Turkiye. Journal of Pediatric Nursing, 69, 13-20.
• Green, C., Krafft, H., Guyatt, G., & Martin, D. (2021). Symptomatic fever management in children: A systematic review of national and international guidelines. PloS one, 16(6), 0245815.
• Hew, Y. H., Blebil, A. Q., Dujaili, J. A., & Khan, T. M. (2019). Assessment of knowledge and practices of parents regarding childhood fever management in Kuala Lumpur, Malaysia. Drugs & Therapy Perspectives, 35, 29-35. https://doi.org/10.1007/s40267-018-0564-5
• Hussain, S. M., Al-Wutayd, O., Aldosary, A. H., Al-Nafeesah, A., AlE’ed, A., Alyahya, M. S., ... & Aloyaidi, G. A. (2020). Knowledge, attitude, and practice in management of childhood fever among Saudi parents. Global Pediatric Health, 7, 2333794X20931613. https://doi.org/10.1177/2333794X20931613
• Karakaş, N. M., Özdemir, B., Kılıç, S., & Akbulut, O. (2020). Causes of pediatric emergency department applications of parents: 4 years follow-up. Osmangazi Journal of Medicine, 42(1), 67-74.
• Karakul, A., & Doğan, P. (2022). Determination of fever management and rational drug use of mothers with children under six years old: Fever management and rational drug use of mothers. Health & Research Journal, 8(4), 299–310.
• Kelly, M., Sahm, L. J., Shiely, F., O’Sullivan, R., de Bont, E. G., Mc Gillicuddy, A., ... & McCarthy, S. (2017). Parental knowledge, attitudes and beliefs on fever: a cross-sectional study in Ireland. BMJ Open, 7(7), e015684. https://doi.org/10.1136/bmjopen-2016-015684
• Kerdar, S. H., Himbert, C., Martin, D. D., & Jenetzky, E. (2021). Cross-sectional study of parental knowledge, behaviour and anxiety in management of paediatric fever among German parents. BMJ Open, 11(10), e054742. https://doi.org/10.1136/bmjopen-2021-054742
• NICE. (2019). Fever in under 5s: Assessment and ınitial management, NICE Guideline. National Institute for Health and Care Excellence. https://www.nice.org.uk/guidance/Ng143/Chapter/Recommendations
• Pitoli, P. J., Duarte, B. K., Fragoso, A. A., Damaceno, D. G., & Marin, M. J. S. (2021). Fever in children: parents' search for urgent and emergency services. Febre em crianças: procura de pais por serviços médicos de emergência. Ciencia & Saude Coletiva, 26(2), 445–454. https://doi.org/10.1590/1413-81232021262.40782020
• Salman, H., Salman, Z., & Akçam, M. (2022). Ailelerin çocuklarındaki ateş hakkında bilgi, tutum ve davranışları. Hitit Medical Journal, 4(3), 111-117.
• Sahm, L. J., Kelly, M., McCarthy, S., O'Sullivan, R., Shiely, F., & Rømsing, J. (2016). Knowledge, attitudes and beliefs of parents regarding fever in children: A Danish interview study. Acta Paediatrica, 105(1), 69–73. https://doi.org/10.1111/apa.13152
• Sakr, F., Toufaili, Z., Akiki, Z., Akel, M., Malaeb, D., Dabbous, M., & Salameh, P. (2022). Fever among preschool-aged children: A cross-sectional study assessing Lebanese parents' knowledge, attitudes and practices regarding paediatric fever assessment and management. BMJ Open, 12(10), e063013. https://doi.org/10.1136/bmjopen-2022-063013
• Thota, S., Ladiwala, N., Sharma, P. K., & Ganguly, E. (2018). Fever awareness, management practices and their correlates among parents of under five children in urban India. International Journal of Contemporary Pediatrics, 5(4), 1368–1376. https://doi.org/10.18203/2349-3291.ijcp20182525
• Urbane, U. N., Likopa, Z., Gardovska, D., & Pavare, J. (2019). Beliefs, practices and health care seeking behavior of parents regarding Fever in Children. Medicina, 55(7), 398. https://doi.org/10.3390/medicina55070398
• Walsh, A., Edwards, H., Fraser, J. (2008). Parent’s childhood fever management: community survey and instrument development. Journal of Advanced Nursing, 63(4), 376—88.
• Wilson, K. M., Beggs, S. A., Zosky, G. R., Bereznicki, L. R., & Bereznicki, B. J. (2019). Parental knowledge, beliefs and management of childhood fever in Australia: A nationwide survey. Journal of Clinical Pharmacy and Therapeutics, 44(5), 768–774. https://doi.org/10.1111/jcpt.13000
• Yazıcı, T., & Kutlu, R. (2022). Evaluation of the parental practices for fever management and rational drug use in mothers with children under the age of five. Journal of Istanbul Faculty of Medicine, 85(3), 404-415.
• Yiğit, P., & Sanalioğlu, A. (2022). Ateşli çocukların ebeveynlerinin kaygı düzeyleri ile ateş yönetimlerinin incelenmesi. The Journal of Current Pediatrics, 20, 34-44.