Scope of Mothers’ Knowledge Regarding Child Fever Management in Ranya city/Kurdistan Regional Government of Iraq
DOI:
https://doi.org/10.15218/ejnm.2020.18Keywords:
Child, Mothers, Fever Management, Knowledge, Primary Health CareAbstract
Background and objective: Children’s caregivers around the world are often unaware of the level of body temperature that indicates a fever. The way that they deal with a feverish child is sometimes incorrect or inappropriate. This study aimed to assess the mothers’ knowledge regarding fever management of a child under the age of five.
Methods: A quantitative descriptive study was carried out in Ranya in the Kurdistan Region of Iraq in 2018-2019. A purposive sample of 120 participants was initially selected from the mothers who attended two Primary Healthcare Centers (Kewarash and Paparin) in Ranya. The questionnaire was utilized as a tool for data collection, and both descriptive and inferential statistical methods were used to analyze the data. Descriptive statistical data analysis included frequencies, percentages, and mean scores and the inferential statistical data analysis provided mean scores and Chi-square.
Results: A total of 110 mothers participated in the study after the exclusion of 10 women. The findings showed that 76% of participants did not know which measurement is the best to measure child temperature, 82% were not sure about the best place to take child’s temperature, and 63% did not have knowledge about what temperature is considered to be a fever. According to the results, 72% of mothers believed that a cold sponge or ice pack is suitable for lowering body temperature, while 87% of mothers knew the most common complication of high fever. There was a positive association between level of education and mothers' knowledge regarding child fever management.
Conclusions: While mothers have some knowledge about fever and its management, they are unable to utilize this knowledge correctly. An educational program should be developed for mothers who attend primary healthcare centres to teach them about child fever management.
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References
[2] Finkelstein JA, Christiansen CL, Platt R. Fever in pediatric primary care: occurrence, management, and outcomes. Pediatrics. 2000 January1.260-6
[3] Casey R, McMahon F, McCormick MC, Pasquariello PS, Zavod W, King FH. Fever therapy: an educational intervention for parents. Pediatrics. 1984 May 1;73(5):600-3.
[4] Stuijvenberg MV, Vos SD, Tjiang GC, Steyer-berg EW, Derksen-Lubsen G, Moll HA. Par-ents’ fear regarding fever and febrile seizures. Acta Paediatrica. 1999 Jun;88(6):618-22.
[5] O’NEILL-MURPHY KA, LIEBMAN M, BARN-STEINER JH. Fever education: does it reduce parent fever anxiety?. Pediatric emergency care. 2001 Feb 1;17(1):47-51
[6] Arica SG, Arica V, Onur H, Gülbayzar S, Dağ H, Obut Ö. Knowledge, attitude and response of mothers about fever in their children. Emergency Medicine Journal. 2012 Dec 1;29(12):e4-
[7] Jalil HA, Jumah NA, Al-Baghli AA. Mothers' knowledge, fears and self-management of fever: a cross-sectional study from the capital governorate in Kuwait. Kuwait Medical Journal. 2007;39(4):349.
[8] Fever and Your Child. American Academy of Pediatrics. 2007. updated 21/11/2015). Available on: https://www.healthychildren.org/English/health-issues/conditions/fever/Pages/Signs-and-Symptoms-of-Fever.aspx#:~:text=A20fever%20is%20usually%20a,is%20trying%20to%20heal%20itself.
[9] Star K, and Choonara I. How safe is paracetamol? (2015): 73-74
[10] Polit FB., & Hungler PB. Nursing Research Principles and methods. 6th Edition. Lippincott Williams & Wilkins; January 1, 1999.
[11] Crocetti M, Moghbeli N, Serwint J. Fever phobia revisited: have parental misconceptions about fever changed in 20 years?. Paediatrics. 2001 June 1;107(6):1241-6
[12] Demir F, Sekreter O. Knowledge, attitudes and misconceptions of primary care physicians regarding fever in children: a cross-sectional study. Italian Journal of Pediatrics. 2012 Dec 1;38(1):40
[13] Green R, Jeena P, Kotze S, Lewis H, Webb D, Wells M. Management of acute fever in children: guideline for community healthcare providers and pharmacists. South African Medical Journal. 2013 December 9;103(12):948-54.
[14] Desnous B, Goujon E, Bellavoine V, Merdariu D, Auvin S. Perceptions of fever and fever management practices in parents of children with Dravet syndrome. Epilepsy & Behavior. 2011 August 1;21(4):446-8.
[15] Richardson M, Lakhanpaul M. Assessment and initial management of feverish illness in children younger than 5 years: summary of NICE guidance. BMJ. 2007 May 31;334(7604):1163-4.
[16] Yavuz E, Yayla E, Cebeci SE, Kırımlı E, Gümüştakım RŞ, Çakır L, Doğan S. Parental beliefs and practices regarding childhood fever in Turkish primary care. Nigerian journal of clinical practice. 2017;20(1):93-8
[17] Kilmon CA. Parents' knowledge and practices related to fever management. Journal of Pediatric Health Care. 1987 July 1;1(4):173-9.
[18] Sa’ed HZ, Al-Jabi SW, Sweileh WM, Nabulsi MM, Tubaila MF, Awang R, Sawalha AF. Beliefs and practices regarding childhood fever among parents: a cross-sectional study from Palestine. BMC pediatrics. 2013 Dec 1;13(1):66.
[19] Erkek N, Senel S, Sahin M, Ozgur O, Karacan C. Parents' perspectives to childhood fever: comparison of culturally diverse populations. Journal of paediatrics and child health. 2010 Oct;46(10):583-7.
[20] Halıcıoğlu O, Koç F, Akman SA, Teyin A. In feverish children, mothers' knowledge and home management about fever and its relationship with socio-demographic characteristics. İzmir Dr. Behçet Uz Çocuk Hastanesi Dergisi. 2011;1(1):13-9.
[21] World Health Organization World Health Organization. Department of Child, Adolescent Health, World Health Organization, UNICEF. Handbook IMCI: Integrated management of childhood illness. World Health Or-ganization; 2005
[22] Jensen JF, Tønnesen LL, Söderström M, Thor-sen H, Siersma V. Paracetamol for feverish children: parental motives and experiences. Scandinavian journal of primary health care. 2010 Jan 1;28(2):115-20.
[23] Chiappini E, Principi N, Longhi R, Tovo PA, Becherucci P, Bonsignori F, Esposito S, Festini F, Galli L, Lucchesi B, Mugelli A. Management of fever in children: summary of the Italian Pediatric Society guidelines. Clinical thera-peutics. 2009 Aug 1;31(8):1826-43.
[24] Parmar RC, Sahu DR, Bavdekar SB. Knowledge, attitude and practices of parents of children with febrile convulsion. Journal of postgraduate medicine. 2001 January 1;47(1):19.
[25] WebMD. Safely Treat Children's Fever and Pain: Only use the dosing tool that comes with the medication. 2005 - 2019 WebMD LLC. All rights reserved available on https:// https://www.webmd.com/pain-management/pain-relievers-for-children#2
[26] Meremikwu MM, Oyo-Ita A. Physical meth-ods versus drug placebo or no treatment for managing fever in children. Cochrane Database of Systematic Reviews. 2003(2).
[27] National Collaborating Centre for Women's and Children's Health (UK. Feverish illness in children: assessment and initial management in children younger than 5 years.
[28] Walsh A, Edwards H, Fraser J. Over-the-counter medication use for childhood fever: a cross-sectional study of Australian parents. Journal of paediatrics and child health. 2007 Sep;43(9):601-6.
[29] Akpabio A, Klausner CP, Inglehart MR. Moth-ers'/guardians' knowledge about promoting children's oral health. American Dental Hygienists' Association. 2008 January 1;82(1):12-
[30] Saeed AA, Bani IA. Prevalence and correlates of acute respiratory infections in children less than two years of age. Saudi medical journal. 2000 Dec;21(12):1152-6.
[31] Talebi S, Shahrabadi H, VAHIDI SA, Talebi S, Siyavoshi M. Mothers’ management of fever of children in Sabzevar. Journal of Nursing and Midwifery Sciences, 2016, 3(2), 32-39.
[32] Talebian A, Honarpisheh A, Barekatain B, Taghadosi M, Mousavi SG. Evaluating of knowledge, attitude, practice and related factors in mothers of children with febrile convulsion at Kashan during 2006-2007. KAUMS Journal (FEYZ). 2009 Apr 10;13(1):43-7
[33] Anokye R, Amihere R, Abbiaw P, Acheampong E, Gyamfi N, Budu-Ainooson A. Child-hood fever knowledge and management: a case of mothers with children under five years. Int J Pediatr Res. 2018;4:044.
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