RSS-Feed abonnieren

DOI: 10.1055/a-1988-1033
Aufklärung von Eltern zu Fieber im Kindesalter Evaluation der Wirkung einer Informationsbroschüre
Educating Parents about Fever in Childhood Evaluation of the Effect of an Information Leaflet
Zusammenfassung
Hintergrund Fieber gilt als wichtige Abwehrreaktion des Körpers bei Infekten und spielt im Kindesalter eine große Rolle. Unter Eltern sind immer noch Angst und Unsicherheit im Umgang mit Fieber weit verbreitet. Als Aufklärungsinstrument für Eltern können Informationsbroschüren zum Wissen und Umgang mit Fieber im Kindesalter dienen. Es wurde bisher noch nicht untersucht, ob diese Art der Informationsvermittlung ein geeignetes Werkzeug zur Aufklärung von Eltern darstellt.
Methode 16 Krippen und Kindergärten im Saarland wurden aufgesucht. 481 Elternteile von mindestens einem Kind zwischen 1 und 7 Jahren beantworteten einen Fragebogen zu Wissen, Umgang und Vorgehen bei Fieber im Rahmen von Infekten. Im Anschluss wurde eine Informationsbroschüre zu Fieber ausgehändigt. Am Folgetag wurde der Fragebogen erneut von denjenigen 190 Eltern beantwortet, welche die Informationsbroschüre gelesen hatten. Die Änderung durch Lektüre der Informationsbroschüre wurde analysiert.
Ergebnisse 40% der Teilnehmenden lasen die Informationsbroschüre. An der Nacherhebung nahmen 87% Mütter und 13% Väter teil. 10% der Nachbefragten hatten Hauptschulabschluss und 34% einen Universitätsabschluss. Nach der Lektüre wurde Fieber signifikant häufiger als nützlich angesehen und als Grund für eine Fiebersenkung wurden signifikant seltener Fieberkrämpfe und Folgeschäden genannt.
Schlussfolgerung Informationsbroschüren zu Fieber können ein ergänzendes Werkzeug zur Aufklärung darstellen, die kurzfristige Wirkung wird bestätigt, die Nachhaltigkeit muss weiter evaluiert werden. Es besteht zudem die Notwendigkeit die Mehrheit zu erreichen.
Abstract
Background Fever is an important immune reaction of the body in infections and plays a major role in childhood. Fear and uncertainty in dealing with fever are still widespread among parents. Information leaflets on the knowledge and handling of fever in childhood can serve as an educational tool for parents. It has not yet been investigated whether this type of information transfer is a suitable tool for educating parents.
Methods 16 kindergartens in Saarland were visited. 481 parents of at least one child between the ages of 1 and 7 years answered a questionnaire on knowledge, approach and handling of fever in infections. Subsequently, an information leaflet on fever was handed out. On the following day, the questionnaire was answered again by the 190 parents who had read the information leaflet. The change due to reading the information leaflet was analyzed.
Results 40% of the participants read the information leaflet. 87% mothers and 13% fathers participated in the follow-up survey. 10% of the post-survey respondents had a secondary school diploma and 34% had a university degree. After reading, fever was considered useful significantly more often and febrile convulsions and consequential damage were mentioned significantly less often as a reason for fever reduction.
Conclusion Information leaflets on fever can be a complementary tool for education, the short-term effect is confirmed, the sustainability needs to be further evaluated. There is also a need to reach the majority.
Key words
fever - parent education - fever phobia - educational measures - effectonline publiziert 2023Publikationsverlauf
Artikel online veröffentlicht:
05. Januar 2023
© 2023. The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial-License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/).
Georg Thieme Verlag
Rüdigerstraße 14, 70469 Stuttgart,
Germany
-
Literatur
- 1 Arias D, Chen TF, Moles RJ. Educational interventions on fever management in children: A scoping review. Nurs Open 2019; 6: 713-721
- 2 Badawy NA, Alhajraf AF, Alsamdan MF. Kuwaiti parent’s knowledge of their childern’s fever and their patterns of use of over the counter antipyretics. Australas. Med J 2017; 10: 10
- 3 Baker RE, Park SW, Yang W. et al. The impact of COVID-19 nonpharmaceutical interventions on the future dynamics of endemic infections. Proc Natl Acad Sci U. S. A 2020; 117: 30547-30553
- 4 Betz MG, Grunfeld AF. “Fever phobia” in the emergency department: a survey of children’s caregivers. Eur J Emerg Med Off J Eur. Soc Emerg Med 2006; 13: 129-133
- 5 de Bont EGPM, Lepot JM, Hendrix DA. et al. Workload and management of childhood fever at general practice out-of-hours care: an observational cohort study. BMJ Open 2015; 5: e007365
- 6 Chiappini E, Bortone B, Galli L. et al. Guidelines for the symptomatic management of fever in children: systematic review of the literature and quality appraisal with AGREE II. BMJ Open 2017; 7: 7
- 7 Clericetti CM, Milani GP, Bianchetti MG. et al. Systematic review finds that fever phobia is a worldwide issue among caregivers and healthcare providers. Acta Paediatr Oslo Nor 1992 2019; 108: 1393-1397
- 8 Cohen R, Ashman M, Taha MK. et al. Pediatric Infectious Disease Group (GPIP) position paper on the immune debt of the COVID-19 pandemic in childhood, how can we fill the immunity gap?. Infect Dis Now 2021; 51: 418-423
- 9 Friedman AJ, Cosby R, Boyko S. et al. Effective Teaching Strategies and Methods of Delivery for Patient Education: A Systematic Review and Practice Guideline Recommendations. J Cancer Educ 2011; 26: 12-21
- 10 Gunduz S, Usak E, Koksal T. et al. Why Fever Phobia Is Still Common?. Iran Red Crescent Med J 2016; 18: e23827
- 11 Gwiasda M, Schwarz S, Büssing A. et al. Changing knowledge and attitudes about childhood fever: testing a video instruction before its application in a health app. GMS J Med Educ 2022; 39 Doc25
- 12 Hamideh Kerdar S, Himbert C, Martin DD. et al. Cross-sectional study of parental knowledge, behaviour and anxiety in management of paediatric fever among German parents. BMJ Open 2021; 11: e054742
- 13 Huang QS, Wood T, Jelley L. et al. Impact of the COVID-19 nonpharmaceutical interventions on influenza and other respiratory viral infections in New Zealand. Nat. Commun 2021; 12: 1001
- 14 Kranz G. Das fiebernde Kind in der pädiatrischen Notaufnahme. intensiv Klin Padiatr 2019; 27: 295-300
- 15 Langer T, Pfeifer M, Soenmez A. et al. Fearful or functional--a cross-sectional survey of the concepts of childhood fever among German and Turkish mothers in Germany. BMC Pediatr 2011; 11: 41
- 16 Martin DD, Wachtmeister J, Ludwigs K. et al. The FeverApp registry – ecological momentary assessment (EMA) of fever management in families regarding conformity to up-to-date recommendations. BMC Med Inform Decis Mak 2020; 20
- 17 Purssell E, While AE. Does the use of antipyretics in children who have acute infections prolong febrile illness?. A systematic review and meta-analysis. J Pediatr 2013; 163: 822-827.e1–2
- 18 Rosenbloom E, Finkelstein Y, Adams-Webber T. et al. Do antipyretics prevent the recurrence of febrile seizures in children? A systematic review of randomized controlled trials and meta-analysis. Eur J Paediatr Neurol EJPN Off. J Eur Paediatr Neurol Soc 2013; 17: 585-588
- 19 Sakai R, Niijima S, Marui E. Parental knowledge and perceptions of fever in children and fever management practices: differences between parents of children with and without a history of febrile seizures. Pediatr Emerg Care 2009; 25: 231-237
- 20 Schmitt BD. Fever phobia: misconceptions of parents about fevers. Am J Dis Child 1960 1980; 134: 176-181
- 21 Schulman CI, Namias N, Doherty J. et al. The Effect of Antipyretic Therapy upon Outcomes in Critically Ill Patients: A Randomized, Prospective Study. Surg Infect 2005; 6: 369-375
- 22 Strengell T, Uhari M, Tarkka R. et al. Antipyretic agents for preventing recurrences of febrile seizures: randomized controlled trial. Arch Pediatr Adolesc Med 2009; 163: 799-804
- 23 Teagle AR, Powell CVE. Is fever phobia driving inappropriate use of antipyretics?. Arch Dis Child 2014; 99: 701-702
- 24 Walsh A, Edwards H, Fraser J. Parents’ childhood fever management: community survey and instrument development. J Adv Nurs 2008; 63: 376-388
- 25 Yeoh DK, Foley DA, Minney-Smith CA. et al. Impact of Coronavirus Disease 2019 Public Health Measures on Detections of Influenza and Respiratory Syncytial Virus in Children During the 2020 Australian Winter. Clin Infect Dis Off Publ Infect Dis Soc Am 2021; 72: 2199-2202
- 26 Zyoud SH, Al-Jabi SW, Sweileh WM. et al. Beliefs and practices regarding childhood fever among parents: a cross-sectional study from Palestine. BMC Pediatr 2013; 13: 66
- 27 Das Gelbe Heft | kindergesundheit-info.de https://www.kindergesundheit-info.de/themen/entwicklung/frueherkennung-u1-u9-und-j1/das-gelbe-heft/, last accessed 2021/04/05
- 28 Elterninformation Fieber, Deutsche Gesellschaft für Kinder- und Jugendmedizin, Version 2008
- 29 Elterninformation Fieber, Deutsche Gesellschaft für Kinder- und Jugendmedizin, Version 2018 https://www.dgkj.de/eltern/dgkj-elterninformationen/elterninfo-fieber, last accessed 2020/12/14
- 30 Overview | Fever in under 5s: assessment and initial management | Guidance | NICE, https://www.nice.org.uk/guidance/ng143 last accessed 2022/12/20.