Araştırma Makalesi
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The Effect of Nurse-Led Home Visits to 3-Year-old Children Presenting with Fever on Their Development and Repeat Visits Emergency Department

Yıl 2025, Cilt: 8 Sayı: 3, 353 - 366, 26.12.2025
https://doi.org/10.54189/hbd.1637614

Öz

Objective: The aim of this study was to examine the effect of nurse-led home visits for 3-year-old children presenting to the emergency departments in with complaints of fever on their development and repeat emergency department visits.
Methods: This study adopted a quasi-experimental design in accordance with the Transparent Reporting of Evaluations with Nonrandomized Designs (TREND) checklist. The sample of the study consisted of a total of 62 3-year-old children, 31 in the intervention group (IG) and 31 in the control group (CG).
Results: The general development scores of the children in the intervention and control groups were nearly identical in the first month (IG: 122.42±4.5, CG: 123.45±4.0, p>0.05). However, in the third month, development scores were significantly higher in the IG (131.74±4.1) compared to the CG (124.19±3.8) (p<0.05).
Conslusion: The results obtained in the present study demonstrated the effectiveness of nurse-led home visits in reducing repeat emergency visits for children with fever complaints and in promoting the healthy development of children. To ensure a more robust evidence base, more research is warranted.

Kaynakça

  • Ahmed Khalil A, Mohamed Nassar H, Atta AH. (2023). Mothers' management of their children with fever at primary health care centers in Port Said City. Port Said Scientific Journal of Nursing, 10(2), 203-218. doi: 10.21608/PSSJN.2023.157400.1217
  • Akçay G, Gül Ö. (2022). Evaluation of demographic and clinical features of cases readmitted to the pediatric emergency department. Health Care Acad J, 9(3), 280-285. doi: 10.52880/sagakaderg.1153674
  • Balcı S, Yıldız S. (2017). The effect of discharge planning and home visits on growth and development of the babies and problem solving skills of their mothers. Journal of Health Sciences and Professions, 4(3), 212-220. doi: 10.17681/hsp.323922
  • Badolo H, Bado AR, Hien H, Méda N, Susuman AS. (2022). Factors associated with mothers’ health care-seeking behaviours for childhood fever in Burkina Faso: findings from repeated cross-sectional household surveys. Global Health Research and Policy, 7(1), 37. doi:10.1186/s41256-022-00270-2
  • Borensztajn DM, Hagedoorn NN, Carrol ED, Von Both U, Emonts M, van der Flier M, et al. (2022). Febrile children with comorbidities at the emergency department—a multicentre observational study. European Journal of Pediatrics, 181(9), 3491-3500. doi:10.1007/s00431-022-04552-2
  • Burokienė S, Kairienė I, Strička M, Labanauskas L, Čerkauskienė R, Raistenskis J, et al. (2017). Unscheduled return visits to a pediatric emergency department. Medicina, 53(1), 66-71. doi: 10.1016/j.medici.2017.01.003
  • Chang LC, Lee PI, Guo NW, Huang MC. (2016). Effectiveness of simulation-based education on childhood fever management by Taiwanese parents. Pediatrics ve Neonatology, 57(6), 467-473. doi.10.1016/j.pedneo.2015.10.011
  • Durduran Y, Bodur S, Çakıl E, Filiz E. (2012). Monitoring of pregnant and infants in Konya district before and after transformation in health-care system. Dicle Medical Journal, 39(2), 227-233. doi: 10.5798/diclemedj.0921.2012.02.0132
  • Edraki M, Moravej H, Rambod M. (2015). Effect of home visit training program on growth and development of preterm infants: A double blind randomized controlled trial. International Journal of Community Based Nursing and Midwifery, 3(1), 12.
  • Fieldston ES, Nadel FM, Alpern ER, Fiks AG, Shea JA, Alessandrini EA. (2013). Effects of an education and training intervention on caregiver knowledge of nonurgent pediatric complaints and on child health services utilization. Pediatr Emerg Care, 29(3), 331–336. doi.10.1097/PEC.0b013e31828512c7
  • Fuller T, Peters J, Pearson M, Anderson R. (2014). Impact of the transparent reporting of evaluations with nonrandomized designs reporting guideline: Ten years on. American Journal of Public Health, 104(11), e110-e117.
  • Güneş, N. (2017). The examination of relation between developmental levels of 0-6 years children and mothers’ family functionings and life satisfactions. (Master’s Thesis). Hacettepe University Institute of Health Sciences, Ankara.
  • Herman H, Nurshal D. (2017). The effect of health education to parent’s behaviours on managing fever in children. International Journal of Research in Medical Sciences, 5(11), 4701-7.doi.10.18203/2320-6012.ijrms20174919
  • Iroh Tam PY, Obaro SK, Storch G. (2016). Challenges in the etiology and diagnosis of acute febrile illness in children in low-and middle-income countries. Journal of the Pediatric Infectious Diseases Society, 5(2), 190-205. doi.10.1093/jpids/piw016
  • Kahraman S, Havlioğlu S. (2023). The effect of home nurse visits on infant weight and breastfeeding: Systematic review and meta‐analysis. International Journal of Nursing Practice, 30(1), e13150. doi:10.1111/ijn.13150
  • Karakaş NM, Özdemir B, Kılıç S, Akbulut Ö. (2020). Causes of pediatric emergency department applications of parents: 4 years follow-up. Osmangazi Journal of Medicine, 42(1), 67-74. doi: 10.20515/otd. 472672
  • Kelly M, Sahm L, McCarthy S, O’Sullivan R, Mc Gillicuddy A, Shiely F. (2019). Randomised controlled trial of an intervention to improve parental knowledge and management practices of fever. BMC Pediatrics, 19(1), 1-10. doi.10.1186/s12887-019-1808-9
  • Lewycka S, Mwansambo C, Rosato M, Kazembe P, Phiri T, Mganga A, et al. (2013). Effect of women’s groups and volunteer peer counselling on rates of mortality, morbidity, and health behaviours in mothers and children in rural Malawi (MaiMwana): A factorial, cluster-randomised controlled trial. Lancet, 381, 1271–35. doi: 10.1016/S0140-6736(12)61959-X
  • Ma Y, Sudfeld CR, Kim H, Lee J, Cho Y, Awoonor-Williams JK, et al. (2019). Evaluating the impact of community health volunteer home visits on child diarrhea and fever in the Volta Region, Ghana: A cluster-randomized controlled trial. PLoS Medicine, 16(6), e1002830. doi:10.1371/journal.pmed.1002830
  • Öztürk Ö, Topan A, Ayyıldız T. (2015). Evaluation of fever incidences for children carried to emergency services with fever complaint. HSP, 2(3), 285-296. doi: 10.17681/hsp.79575
  • Savaşır I, Sezgin N, Erol N. (1994). Ankara development screening inventory handbook. Ankara University Faculty of Medicine. Ankara Publish. Ankara.
  • Swavely D, Baker K, Bilger K, Zimmerman DF, Martin A. (2015). Understanding nonurgent pediatric emergency department visits: Using hospital and family-centric data to inform system redesign. Journal of Nursing Care Quality, 30(4), 366-372. doi.10.1097/NCQ.0000000000000126
  • Temel AB, Arabacı Z, Kahveci T. (2016). Evaluation of mothers' knowledge, attitudes and practices regarding fever management in their children. Health Academy Kastamonu, 1(1), 1-17.
  • Thompson AP, Nesari M, Hartling L, Scott SD. (2020). Parents’ experiences and information needs related to childhood fever: A systematic review. Patient Education and Counseling, 103(4), 750-763. doi.10.1016/j.pec.2019.10.004
  • Thota S, Ladiwala N, Sharma PK, 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. doi: 10.18203/2349-3291.ijcp20182525
  • Toksöz, F. (2023). The effect of distance education given with the video prepared for the approach to the febrile child on the knowledge, attitudes and behaviors of the parents. (Master’s Thesis). Eskişehir Osmangazi University Institute of Health Sciences Department of Nursing, Eskişehir.
  • Waly EH, Bakry HM. (2022). Assessment of Egyptian mothers’ knowledge and domestic management practices of fever in preschool children in Zagazig City, Sharkia Governorate. Children, 9(3), 349-359. doi:10.3390/children9030349
  • World Health Organization (WHO). (2023). World health statistics 2023: Monitoring health for the SDGs, sustainable development goals.
  • World Health Organization Multicentre Growth Reference Study Group (WHO-MGRS). WHO Child Growth Standards: Head circumference-for-age, arm circumference-for-age, triceps skinfold-for age, subscapular skinfold-for-age. Geneva: WHO, 2007a.
  • Wijaya S, Wibowo WDA, Rokhman A, Putra FN, Yulandari HA, Anisya ER. (2022). Mother's smart card effect on mother's knowledge and awareness of children's fever in the pre-hospital phase. Babali Nursing Research, 3(2), 127-134. doi:10.37363/bnr.2022.3296
  • Yiğit P, Sarıalioğlu A. (2022). Investigation of anxiety levels and fever management of parents of children with fever. Journal of Current Pediatrics, 20(1), 34-44. doi:10.4274/jcp.2021.57614
  • Yoffe SJ, Moore RW, Gibson JO, Dadfar NM, McKay RL, McClellan DA, et al. (2011). A reduction in emergency department use by children from a parent educational intervention. Family Medicine-Kansas City, 43(2), 106-111.

Ateşle Başvuran 3 Yaşındaki Çocuklara Hemşire Eşliğinde Yapılan Ev Ziyaretlerinin Gelişimleri ve Acil Servise Tekrar Başvurmaları Üzerindeki Etkisi

Yıl 2025, Cilt: 8 Sayı: 3, 353 - 366, 26.12.2025
https://doi.org/10.54189/hbd.1637614

Öz

Amaç: Bu çalışmanın amacı, acil servislere ateş şikayetiyle başvuran üç yaşındaki çocuklara hemşire eşliğinde yapılan ev ziyaretlerinin çocukların gelişimi ve acil servis ziyaretlerinin tekrarı üzerindeki etkisini incelemektir.
Yöntem: Bu çalışmada, TREND (Transparent Reporting of Evaluations with Nonrandomized Designs) kontrol listesine uygun olarak yarı deneysel bir tasarım benimsenmiştir. Çalışmanın örneklemi, 31'i müdahale grubunda (GG) ve 31'i kontrol grubunda (KG) olmak üzere toplam 62 üç yaşındaki çocuktan oluşmaktadır.
Bulgular: Müdahale ve kontrol gruplarındaki çocukların genel gelişim puanları ilk ayda neredeyse aynıydı (IG: 122,42±4,5, KG: 123,45±4,0, p>0,05). Bununla birlikte, üçüncü ayda gelişim skorları IG'de (131,74±4,1) KG'ye (124,19±3,8) kıyasla anlamlı derecede daha yüksekti (p<0,05).
Sonuç: Bu çalışmada elde edilen sonuçlar, ateş şikayeti olan çocukların acil servise tekrar başvurmalarını azaltmada ve çocukların sağlıklı gelişimini desteklemede hemşire liderliğindeki ev ziyaretlerinin etkinliğini göstermiştir. Daha sağlam bir kanıt temeli sağlamak için daha fazla araştırma yapılması gerekmektedir.

Kaynakça

  • Ahmed Khalil A, Mohamed Nassar H, Atta AH. (2023). Mothers' management of their children with fever at primary health care centers in Port Said City. Port Said Scientific Journal of Nursing, 10(2), 203-218. doi: 10.21608/PSSJN.2023.157400.1217
  • Akçay G, Gül Ö. (2022). Evaluation of demographic and clinical features of cases readmitted to the pediatric emergency department. Health Care Acad J, 9(3), 280-285. doi: 10.52880/sagakaderg.1153674
  • Balcı S, Yıldız S. (2017). The effect of discharge planning and home visits on growth and development of the babies and problem solving skills of their mothers. Journal of Health Sciences and Professions, 4(3), 212-220. doi: 10.17681/hsp.323922
  • Badolo H, Bado AR, Hien H, Méda N, Susuman AS. (2022). Factors associated with mothers’ health care-seeking behaviours for childhood fever in Burkina Faso: findings from repeated cross-sectional household surveys. Global Health Research and Policy, 7(1), 37. doi:10.1186/s41256-022-00270-2
  • Borensztajn DM, Hagedoorn NN, Carrol ED, Von Both U, Emonts M, van der Flier M, et al. (2022). Febrile children with comorbidities at the emergency department—a multicentre observational study. European Journal of Pediatrics, 181(9), 3491-3500. doi:10.1007/s00431-022-04552-2
  • Burokienė S, Kairienė I, Strička M, Labanauskas L, Čerkauskienė R, Raistenskis J, et al. (2017). Unscheduled return visits to a pediatric emergency department. Medicina, 53(1), 66-71. doi: 10.1016/j.medici.2017.01.003
  • Chang LC, Lee PI, Guo NW, Huang MC. (2016). Effectiveness of simulation-based education on childhood fever management by Taiwanese parents. Pediatrics ve Neonatology, 57(6), 467-473. doi.10.1016/j.pedneo.2015.10.011
  • Durduran Y, Bodur S, Çakıl E, Filiz E. (2012). Monitoring of pregnant and infants in Konya district before and after transformation in health-care system. Dicle Medical Journal, 39(2), 227-233. doi: 10.5798/diclemedj.0921.2012.02.0132
  • Edraki M, Moravej H, Rambod M. (2015). Effect of home visit training program on growth and development of preterm infants: A double blind randomized controlled trial. International Journal of Community Based Nursing and Midwifery, 3(1), 12.
  • Fieldston ES, Nadel FM, Alpern ER, Fiks AG, Shea JA, Alessandrini EA. (2013). Effects of an education and training intervention on caregiver knowledge of nonurgent pediatric complaints and on child health services utilization. Pediatr Emerg Care, 29(3), 331–336. doi.10.1097/PEC.0b013e31828512c7
  • Fuller T, Peters J, Pearson M, Anderson R. (2014). Impact of the transparent reporting of evaluations with nonrandomized designs reporting guideline: Ten years on. American Journal of Public Health, 104(11), e110-e117.
  • Güneş, N. (2017). The examination of relation between developmental levels of 0-6 years children and mothers’ family functionings and life satisfactions. (Master’s Thesis). Hacettepe University Institute of Health Sciences, Ankara.
  • Herman H, Nurshal D. (2017). The effect of health education to parent’s behaviours on managing fever in children. International Journal of Research in Medical Sciences, 5(11), 4701-7.doi.10.18203/2320-6012.ijrms20174919
  • Iroh Tam PY, Obaro SK, Storch G. (2016). Challenges in the etiology and diagnosis of acute febrile illness in children in low-and middle-income countries. Journal of the Pediatric Infectious Diseases Society, 5(2), 190-205. doi.10.1093/jpids/piw016
  • Kahraman S, Havlioğlu S. (2023). The effect of home nurse visits on infant weight and breastfeeding: Systematic review and meta‐analysis. International Journal of Nursing Practice, 30(1), e13150. doi:10.1111/ijn.13150
  • Karakaş NM, Özdemir B, Kılıç S, Akbulut Ö. (2020). Causes of pediatric emergency department applications of parents: 4 years follow-up. Osmangazi Journal of Medicine, 42(1), 67-74. doi: 10.20515/otd. 472672
  • Kelly M, Sahm L, McCarthy S, O’Sullivan R, Mc Gillicuddy A, Shiely F. (2019). Randomised controlled trial of an intervention to improve parental knowledge and management practices of fever. BMC Pediatrics, 19(1), 1-10. doi.10.1186/s12887-019-1808-9
  • Lewycka S, Mwansambo C, Rosato M, Kazembe P, Phiri T, Mganga A, et al. (2013). Effect of women’s groups and volunteer peer counselling on rates of mortality, morbidity, and health behaviours in mothers and children in rural Malawi (MaiMwana): A factorial, cluster-randomised controlled trial. Lancet, 381, 1271–35. doi: 10.1016/S0140-6736(12)61959-X
  • Ma Y, Sudfeld CR, Kim H, Lee J, Cho Y, Awoonor-Williams JK, et al. (2019). Evaluating the impact of community health volunteer home visits on child diarrhea and fever in the Volta Region, Ghana: A cluster-randomized controlled trial. PLoS Medicine, 16(6), e1002830. doi:10.1371/journal.pmed.1002830
  • Öztürk Ö, Topan A, Ayyıldız T. (2015). Evaluation of fever incidences for children carried to emergency services with fever complaint. HSP, 2(3), 285-296. doi: 10.17681/hsp.79575
  • Savaşır I, Sezgin N, Erol N. (1994). Ankara development screening inventory handbook. Ankara University Faculty of Medicine. Ankara Publish. Ankara.
  • Swavely D, Baker K, Bilger K, Zimmerman DF, Martin A. (2015). Understanding nonurgent pediatric emergency department visits: Using hospital and family-centric data to inform system redesign. Journal of Nursing Care Quality, 30(4), 366-372. doi.10.1097/NCQ.0000000000000126
  • Temel AB, Arabacı Z, Kahveci T. (2016). Evaluation of mothers' knowledge, attitudes and practices regarding fever management in their children. Health Academy Kastamonu, 1(1), 1-17.
  • Thompson AP, Nesari M, Hartling L, Scott SD. (2020). Parents’ experiences and information needs related to childhood fever: A systematic review. Patient Education and Counseling, 103(4), 750-763. doi.10.1016/j.pec.2019.10.004
  • Thota S, Ladiwala N, Sharma PK, 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. doi: 10.18203/2349-3291.ijcp20182525
  • Toksöz, F. (2023). The effect of distance education given with the video prepared for the approach to the febrile child on the knowledge, attitudes and behaviors of the parents. (Master’s Thesis). Eskişehir Osmangazi University Institute of Health Sciences Department of Nursing, Eskişehir.
  • Waly EH, Bakry HM. (2022). Assessment of Egyptian mothers’ knowledge and domestic management practices of fever in preschool children in Zagazig City, Sharkia Governorate. Children, 9(3), 349-359. doi:10.3390/children9030349
  • World Health Organization (WHO). (2023). World health statistics 2023: Monitoring health for the SDGs, sustainable development goals.
  • World Health Organization Multicentre Growth Reference Study Group (WHO-MGRS). WHO Child Growth Standards: Head circumference-for-age, arm circumference-for-age, triceps skinfold-for age, subscapular skinfold-for-age. Geneva: WHO, 2007a.
  • Wijaya S, Wibowo WDA, Rokhman A, Putra FN, Yulandari HA, Anisya ER. (2022). Mother's smart card effect on mother's knowledge and awareness of children's fever in the pre-hospital phase. Babali Nursing Research, 3(2), 127-134. doi:10.37363/bnr.2022.3296
  • Yiğit P, Sarıalioğlu A. (2022). Investigation of anxiety levels and fever management of parents of children with fever. Journal of Current Pediatrics, 20(1), 34-44. doi:10.4274/jcp.2021.57614
  • Yoffe SJ, Moore RW, Gibson JO, Dadfar NM, McKay RL, McClellan DA, et al. (2011). A reduction in emergency department use by children from a parent educational intervention. Family Medicine-Kansas City, 43(2), 106-111.
Toplam 32 adet kaynakça vardır.

Ayrıntılar

Birincil Dil İngilizce
Konular Çocuk Sağlığı ve Hastalıkları Hemşireliği, Halk Sağlığı Hemşireliği
Bölüm Araştırma Makalesi
Yazarlar

Seher Güzelakçakaya 0009-0004-6233-8813

Selma Kahraman 0000-0002-4486-6629

Gönderilme Tarihi 12 Şubat 2025
Kabul Tarihi 9 Temmuz 2025
Yayımlanma Tarihi 26 Aralık 2025
Yayımlandığı Sayı Yıl 2025 Cilt: 8 Sayı: 3

Kaynak Göster

APA Güzelakçakaya, S., & Kahraman, S. (2025). The Effect of Nurse-Led Home Visits to 3-Year-old Children Presenting with Fever on Their Development and Repeat Visits Emergency Department. Hemşirelik Bilimi Dergisi, 8(3), 353-366. https://doi.org/10.54189/hbd.1637614