Knowledge, attitude and practices of parents of children with febrile convulsion.

Journal of Postgraduate Medicine

关键词: Adult;    Attitude to Health;    Chi-Square Distribution;    Child;    Child;    Preschool;    Educational Status;    Female;    Human;    Incidence;    India;    epidemiology;    Infant;    Infant;    Newborn;    Knowledge;    Attitudes;    Practice;    Male;    Parents;    psychology;    Prospective Studies;    Questionnaires;    Seizures;    Febrile;    epidemiology;    prevention &;    control;    psychology;    Sex Factors;    Socioeconomic Factors;    Stress;    Psychological;    etiology;   

DOI  :  

来源: DOAJ

【 摘 要 】

CONTEXT: Parental anxiety and apprehension is related to inadequate knowledge of fever and febrile convulsion. AIMS: To study the knowledge, attitude, and practices of the parents of children with febrile convulsions. SETTINGS AND DESIGN: Prospective questionnaire based study in a tertiary care centre carried over a period of one year. SUBJECTS AND METHODS: 140 parents of consecutive children presenting with febrile convulsion were enrolled. STATISTICAL ANALYSIS USED: Chi-square test. RESULTS: 83 parents (59.3%) could not recognise the convulsion; 90.7% (127) did not carry out any intervention prior to getting the child to the hospital. The commonest immediate effect of the convulsion on the parents was fear of death (n= 126, 90%) followed by insomnia (n= 48, 34.3%), anorexia (n= 46, 32.9%), crying (n= 28, 20%) and fear of epilepsy (n= 28, 20%). Fear of brain damage, fear of recurrence and dyspepsia were voiced by the fathers alone (n= 20, cumulative incidence 14.3%). 109 (77.9%) parents did not know the fact that the convulsion can occur due to fever. The long-term concerns included fear of epilepsy (n= 64, 45.7%) and future recurrence (n= 27, 19.3%) in the affected child. For 56 (40%) of the parents every subsequent episode of fever was like a nightmare. Only 21 parents (15%) had thermometer at home and 28 (20%) knew the normal range of body temperature. Correct preventive measures were known only to 41 (29.2%). Awareness of febrile convulsion and the preventive measures was higher in socio-economic grade (P< 0.05). CONCLUSIONS: The parental fear of fever and febrile convulsion is a major problem with serious negative consequences affecting daily familial life.

【 授权许可】

Unknown