Ateşli Çocuğa Yaklaşım

Öz

Fever, defined as increase in body temperature, seems common in childhood and is considered one of the worrying situations in terms of parents. Fever and fever management must be known well by the health care workers, parents and those responsible for child’s care. In most studies it is expressed that fever phobia still continues both families and health care professionals due to consistently updating the information of the fever, using different methods of temperature measurement and view about the fever treatment. This article aims to provide information about fever and emphasize how to approach the febrile child..

Anahtar Kelimeler

• Fever,Children,Body Temperature,Fever Management,Fever Phobia

Ateşli Çocuğa Yaklaşım

Öz

Vücut sıcaklığında yükselme olarak tanımlanan ateş, çocukluk döneminde sık görülen ve aileleri en fazla endişelendiren durumlardandır. Ateşin ve ateşe yaklaşımın sağlık çalışanları, aileler ve çocuğun bakımını üstlenen kişilerce iyi bilinmesi gereklidir. Ateşle ilgili bilgilerin sürekli güncellenmesi, ateş ölçümünde farklı yöntemler kullanılması ve ateş tedavisinde farklı görüşlerin olması gibi nedenlerle, yapılan çalışmalar ateş korkusunun hem aileler hem de sağlık profesyonelleri arasında hala devam ettiğini göstermektedir. Bu makalenin amacı ateş hakkında bilgi vererek, ateşli çocuğa nasıl yaklaşılması gerektiğini vurgulamaktır.

Anahtar Kelimeler

• Ateş, Çocuk, Vücut Sıcaklığı, Ateş Yönetimi, Ateş Fobisi

Kaynakça

1. Betz MG, Grunfeld AF. ‘Fever phobia’in the emergency department: a survey
2. of children's caregivers. European Journal of Emergency Medicine. 2006; 13(3):
3. -133.
4. Craig JV, Lancaster GA, Williamson PR, Smyth RL. Temperature measured at the
5. axilla compared with rectum in children and young people: systematic review.
6. British Medical Journal. 2000; 320(7243): 1174-1178.
7. Crocetti M, Moghbeli N, Serwint J. Fever phobia revisited: have parental
8. misconceptions about fever changed in 20 years? Pediatrics. 2001; 107(6): 1241-

9. -
10. Altınkalem Dalkıran Y. Annelerin Ateş ve Ateşli Havale İle İlgili Bilgi Düzeyleri.
11. Yayınlanmamış Uzmanlık Tezi, T.C. Sağlık Bakanlığı Dr. Sadi Konuk Eğitim ve
12. Araştırma Hastanesi. İstanbul. 2007
13. Crocetti M, Sabath B, Cranmer L, Gubser S, Dooley D. Knowledge and
14. management of fever among Latino parents. Clinical pediatrics. 2009; 48(2):
15. -189.
16. Demir F, Sekreter O. Knowledge, attitudes and misconceptions of primary care
17. physicians regarding fever in children: a cross sectional study. Ital J Pediatr. 2012;
18. (1): 1-7.
19. Schmitt BD. Fever phobia: misconceptions of parents about fevers. American
20. Journal of Diseases of Children. 1980; 134(2): 176-181.
21. Cinar ND, Altun İ, Altınkaynak S, Walsh A. Turkish parents’ management of
22. childhood fever: a cross-sectional survey using the PFMS-TR. Australasian
23. Emergency Nursing Journal. 2014;17(1): 3-10.
24. de Bont EG, Francis NA, Dinant GJ, Cals JW. Parents’ knowledge, attitudes, and
25. practice in childhood fever: an internet-based survey. British Journal of General
26. Practice. 2014; 64(618): 10-16.
27. Saz EU, Koturoğlu G, Duyu M, Ozananar Y, Kurugöl Z, Sever M. Türk ailelerinin
28. ateş yönetimi ile ilgili bilinç düzeyi ve korkuları. Çocuk Enfeksiyon Dergisi.2009;
29. : 161-164.
30. Roberts NJ. Impact of temperature elevation on immunologic defenses. Review of
31. Infectious Diseases. 1991; 13(3): 462-472.
32. Poırıer MP, Davıs PH, Gonzalez-Del Rey JA, Monroe KW. Pediatric emergency
33. department nurses’ perspectives on fever in children. Pediatric emergency care.
34. ; 16(1): 9-12.
35. Poirier MP, Collins EP, McGuire E. Fever phobia: a survey of caregivers of children
36. seen in a pediatric emergency department. Clinical pediatrics. 2010; 49(6): 530-
37. -
38. Sullivan JE, Farrar HC. Fever and antipyretic use in children. Pediatrics. 2011;
39. (3): 580-587.
40. Walsh AM, Edwards HE, Courtney MD, Wilson JE, Monaghan SJ. Fever
41. management: paediatric nurses’ knowledge, attitudes and influencing factors.
42. Journal of Advanced Nursing. 2005; 49(5): 453-464.
43. Walsh A, Edwards H. Management of childhood fever by parents: literature
44. review. Journal of Advanced Nursing. 2006; 54(2): 217-227.
45. Edwards H, Walsh A, Courtney M, Wilson J, Monaghan S, Young J. Peer
46. Education Program A Fever Management Education Program For Paediatric
47. Nurses. Australia: Queensland University of Technology. 157-161. 2003
48. Hockenberry J. Assessment of the Child and Family. In J. Hockenbery, D. Wilson
49. (Ed.). Wong’s Essetials of Pediatric Nursing (9. Baskı), USA: Elsevier Mosby. 2013;
50. -140.
51. Teller J, Ragazzi M, Simonetti GD, Lava, SAG. Accuracy of tympanic and forehead
52. thermometers in private paediatric practice. Acta Paediatrica. 2014;103(2): 80-
53. -
54. Kara B. Çocuklukta ateşle ilgili bilgilerin gözden geçirilmesi. Sürekli Tıp Eğitim
55. Dergisi (sted). 2003; 12(1): 10-14.
56. Edwards H. E, Courtney MD, Wilson JE, Monaghan SJ, Walsh AM. Fever
57. management practises: what pediatric nurses say. Nursing & Health Sciences.
58. ;3(3): 119-130.
59. Ng DK, Lam JC, Chow KW. Childhood fever revisited. Hong Kong Medical
60. Journal. 2002;8(1): 39-43.
61. Duru CO, Akinbami FO, Orimadegun AE. A comparison of tympanic and rectal
62. temperatures in term Nigerian neonates. BMC pediatrics. 2012;12(1): 86.
63. Green R, Jeena P, Kotze S, Lewis H, Webb D, Wells M. Management of acute
64. fever in children: guideline for community healthcare providers and pharmacists.
65. South African Medical Journal. 2013; 103(12): 948-954.
66. Patricia C. Evidence-Based Management of Childhood Fever: What Pediatric
67. Nurses Need to Know. Journal of pediatric nursing. 2014; 29(4): 372-375.
68. Sarrell M, Kahan E. Impact of a single-session education program on parental
69. knowledge of and approach to childhood fever. Patient education and
70. counseling. 2003; 51(1): 59-63.
71. Richardson M, Lakhanpaul M. NICE guidelines: Assessment and initial
72. management of feverish illness in children younger than 5 years: summary of
73. NICE guidance. BMJ: British Medical Journal. 2007; 334(7604): 1163-1164.
74. Edwards H, Walsh A, Courtney M, Monaghan S, Wilson J, Young J. Promoting
75. evidence
76. programme based on the theory of planned behaviour. Journal of Clinical
77. Nursing. 2007; 16(10): 1966-1979.
78. Wallenstein MB, Schroeder AR, Hole MK, Ryan C et.al. Fever literacy and fever
79. phobia.Clinical pediatrics. 2013; 52(3): 254-259.
80. Taştan Y. Ateşi Olan Çocuğa Yaklaşım. İ.Ü. Cerrahpaşa Tıp Fakültesi Sürekli Tıp
81. Eğitimi Etkinlikleri, Pediatrik Aciller Sempozyum Dizisi. 2007; 57: 43-58.
82. Rupe A, Ahlers-Schmidt C R, Wittler RA. comparison of perceptions of fever and
83. fever phobia by ethnicity. Clinical pediatrics. 2010;49(2): 172-176.
84. Thompson HJ, Kagan SH. Clinical management of fever by nurses: doing what
85. works. Journal of advanced nursing. 2011;67(2): 359-370.
86. Zomorrodi A, Attia MW. Fever: parental concerns. Clinical Pediatric Emergency
87. Medicine. 2008; 9(4): 238-243.
88. Hammer-Helmich L, Linneberg A, Thomsen SF, Glümer C. Association between
89. parental socioeconomic position and prevalence of asthma, atopic eczema and
90. hay fever in children. Scandinavian journal of public health. 2014; 42(2): 120-
91. -
92. Erkek N, Senel S, Sahin M, Ozgur O, Karacan C. Parents' perspectives to childhood
93. fever: Comparison of culturally diverse populations.Journal of paediatrics and
94. child health. 2010; 46(10): 583-587.
95. Halıcıoğlu O. Koç F, Akman SA, Teyin A. Ateşli çocuklarda; annelerin evde ateşe
96. yaklaşımı, bilgileri ve sosyodemografik özellikler ile ilişkisi. İzmir Dr. Behçet Uz
97. Çocuk Hastalıkları Dergisi. 2011; 1(1): 13-19.
98. Smith J. Methods and devices of temperature measurement in the neonate: a
99. narrative review and practice recommendations. Newborn and Infant Nursing
100. Reviews. 2014;14(2): 64-71.
101. Chow A, Robinson JL. Fever of unknown origin in children: a systematic review.
102. World Journal of Pediatrics. 2011; 7(1): 5-10.
103. Bierman W. The history of fever therapy in the treatment of disease.Bulletin of
104. the New York Academy of Medicine. 1942; 18(1): 65.
105. Chiappini E, Parretti A, Becherucci P, Pierattelli M et.al. Parental and medical
106. knowledge and management of fever in Italian pre-school children. BMC
107. Pediatrics. 2012; 12(1): 97.
108. Yıldırım A, Bozaykut A, Dalkan C. 6 Ay–6 Yaş Arası Yüksek Ateşli Çocukların
109. Annelerinin Ateş Bilinç Seviyesinin Değerlendirilmesi. Türkiye Çocuk Hastalıkları
110. Dergisi. 2014; 8(4):1-7.
111. Fetveit A. Assessment of febrile seizures in children. European journal of
112. pediatrics. 2008;167(1): 17-27.
113. KAYNAKLAR