Mashtaq, Mir, and Mushtaq: A study to assess the knowledge regarding management of febrile convulsions among mothers of under five children


Introduction

The age group of 0-5 years are categorized as under five children. This age group of children are vulnerable to get any kind of infection. Under five years of age Children are in developing stage and all body systems are immature. And as their play activities, poor feedings, and immaturity of immune system they get frequently infected with different infections like Respiratory Tract Infection, Otitis Media, Diarrhea, Gastroenteritis etc. Fever is a common presentation of the infections. In some children high grade fever can result convulsions. 1

Fever means that the body is fighting against the infection. “Fever is defined as an elevation of body temperature in response to pathological stimulus”. A clinical policy published by American College of Emergency physicians (ACEP), a child is considered febrile only when his rectal temperature exceeds 380C (100.40F). Fever above 41.50C (106.70C) needs immediate and aggressive antipyretic therapy to control the risk of irreversible organ damage. High grade Fever also increases the risk of febrile convulsions. Mother is first person to understand that the child is ill and who take care of their children constantly. She checks temperature of child as well. If high grade fever is neglected or mismanaged it leads to febrile convulsions in a child. 2

Most childhood seizures are relatively common and represented by febrile episodes associated with Childhood convulsions. The National Institutes of Health (NIH) has defined a “febrile convulsion’ (FC) as a seizure episode in infancy or childhood, mostly occurs between 3 months to 5 years of age, associated with fever but without any evidence of intracranial infection, pathological or any traumatic cause”. Many Studies revealed that between 2% and 5% of all children will experience Febrile Convulsions before the age of five years. Majority of cases of febrile convulsions occurs in children between the age of 12 & 18 months. In Pacific populations the incidence rate can be as high as 15%. It is known that Febrile Convulsions are most likely to occur in families where there is familiar history of Febrile Convulsions. Children from the families with history of convulsion manifests three-times or greater risk than the general population. 3

Review o f Literature

Sajadi H. M, Shamsi M. (2011): A cross-sectional study was conducted in healthcare centers in Arak city on knowledge of mothers on management of febrile convulsion.100 mothers with children less than two years of age were selected by multi-stage cluster sampling. The results of study revealed that there was lack of knowledge regarding febrile convulsions among mothers so there was need for educational program. 4

Erkek N, Senel S, Sahin M, Ozgur O, Karakan C. (2010) A prospective questionnaire-based study was conducted in the pediatric emergency department at Dr. Sami Ulus Children’s Hospital to reveal the perceptions, knowledge and practices of parents regarding children's fever. Parents of 200 febrile children were selected through purposive sampling for data collection. The study results revealed that parental education about 'fever in childhood' in our population may positively affect parental knowledge and approach to fever. 5

Gordon KE, Dooley JM, Wood E, Brna P, Bethune P (2011) A descriptive study was conducted in Karnataka to assess the mother’s awareness regarding fever control measures to prevent the occurrence of febrile convulsions. By simple random sampling technique 80 mothers were selected for the study. The study results revealed that significant improvement can be achieved by giving education to the parents.

Lahal M, Goldmen M.(2010): A prospective questionnaire-based study was conducted in Seth GS Medical College, Mumbai to describe the health care practice of parents when child has convulsions.140 parents were selected randomly. The study results revealed that delay in treatment put them at higher risk for developing neurological sequel. There is a need to develop appropriate strategies for disseminating information about first aid measure to parents.6

Kolahi AA, Tahmoooreszadeh S (2009): A prospective questionnaire-based study was carried out in Mofid Children's Hospital Iran to evaluate the knowledge of the mothers of children with first febrile convulsion. 126 mothers of children presenting with febrile convulsions The study results revealed that parental fear about febrile convulsions is major problem so they need additional education programs. 7

Suad A, Assad B, Adel MZ (2009): A comparative study was conducted in the Department of Pediatrics, Worcester Royal Infirmary, UK to study the effects of giving information to parents with and without febrile convulsive children. 100 parents were selected. The results of the study was compared using a chi-squared test (P < 0.05). The study results revealed that mothers having febrile children have more knowledge as compared to other group. 8

Materials and Methods

Figure 1

Schematic representation of methodology

https://s3-us-west-2.amazonaws.com/typeset-prod-media-server/6b35cfb0-9ea9-42f5-8fa8-40c47639a648image1.png

Analysis

Analysis and interpretation of knowledge of subjects regarding management of febrile convulsions.

Figure 2

Mean, Median, Standard deviation, Range of knowledge scores of Subjects regarding management of febrile convulsions. N=100

https://s3-us-west-2.amazonaws.com/typeset-prod-media-server/6b35cfb0-9ea9-42f5-8fa8-40c47639a648image2.png

The data in Figure 2 showed that mean score was 40.62, median was 33.00, standard deviation was 8.1 and range was 38;

Figure 3

Level of Knowledge of subjects regarding management of febrile convulsions.

https://s3-us-west-2.amazonaws.com/typeset-prod-media-server/6b35cfb0-9ea9-42f5-8fa8-40c47639a648image3.png

Figure 3 showed that 20% subjects were having inadequate, 57% having moderate and 23%) having adequate knowledge regarding management of febrile convulsions.

Conclusion

In this study it is find that 20%, were having inadequate, 57% were having moderate & 23% were having adequate knowledge regarding management of febrile convulsions. The mean score was 40.62, median was 33.00, and standard deviation was 8.1. The findings revealed that majority of mothers of under five children were having moderate knowledge, so they need to be educated and informed about management of febrile convulsions, so that the child mortality and morbidity rate will decrease.

Conflict of Interest

The author declares no potential conflicts of interest with respect to research, authorship, and/or publication of this article.

Source of Funding

None.

References

1 

J Marilyn HockenberryWong’s Nursing Care of Infants and Children. 7th Edn.Philadelphia: Elseviers publication2009

2 

R C Warden J Zibulewsky S Mace C Gold M Gausche-Hill Evaluation and management of febrile seizures in the out-of-hospital and emergency department settingsAnn Emerg Med20034122152210.1067/mem.2003.48

3 

V Vadani Pediatric febrile convulsion-An Indian perspectiveIndian J Pediatr2005354559

4 

M Sajadi Hazaveh M Shamsi Assessment of mothers’ behaviour in preventing febrile convulsion in their children in ArakJ Jahrom Univ Med Sci2011923440

5 

N Erkek S Senel M Sahin O Ozgur C Karacan Parents' perspectives to childhood feverJ Paediatr Child Health20104610583710.1111/j.1440-1754.2010.01795.x

6 

M Lahal M Goldmen Comparison of intranasal midazolam with intravenous diazepam for treating febrile convulsions in children A prospective randomized studyBr Med J2010321725383610.1136/bmj.321.7253.83

7 

A A Kolahi S Tahmooreszadeh First febrile convulsions: inquiry about the knowledge, attitudes and concerns of the patients' mothersEur J Pediatr2009168216771

8 

A Suad B Assad M Z Adel Auditing the attitude and knowledge of parents of children with febrile convulsionAfr J Neurol Sci200955510931



jats-html.xsl

© This is an open access article distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.


  • Article highlights
  • Article tables
  • Article images

Article History

Received : 25-10-2021

Accepted : 20-11-2021

Available online : 22-12-2021


View Article

PDF File   Full Text Article


Copyright permission

Get article permission for commercial use

Downlaod

PDF File   XML File   ePub File


Digital Object Identifier (DOI)

Article DOI

https://doi.org/10.18231/j.ijmpo.2021.038


Article Metrics






Article Access statistics

Viewed: 91

PDF Downloaded: 34



Open Abstract (Increase article citation) Wiki in hindi