Managing fever in children: parents’ knowledge and practices
Keywords:
Knowledge, Child, Fever, ParentsAbstract
Introduction: fever is one of the most common symptoms in childhood and one of complaints and most common reasons in demand for health services by the parents.
Objective: to analyse parents’ knowledge and practices in managing fever symptoms in their children under six years.
Methods: Quantitative, exploratory and descriptive study with a convenience sample. Data collection by questionnaire in the north of Portugal.
Results: our sample comprises 145 parents, aged between 21 and 47 years old, 46.9% had a degree. Most use electronic thermometer in association with touch to assess fever, consider values under 38ºC as fever and 31.2% assume to give antipyretics with values between 37ºC and 37.8ºC. The antipyretic medication is the preferred intervention of the majority of the parents. In association to antipyretic medication they appeal to non-pharmacological intervention, the most used is the decrease in the amount of clothes. Parents believe that the untreated fever will be able to cause meningitis, coma, mental retardation and even death.
Conclusions: the results show a clear lack of parental knowledge about how to care a child with fever: consider relatively low values of body temperature as fever and as value of reference for antipyretic administration, have erroneous beliefs about fever and consequences it can have on children’s health. We can conclude that health education interventions targeted are necessary for parents to learn how to effectively manage the symptoms of fever in child.
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References
Abramczyk, M. L. (2005). Febre sem sinais localizatórios. In M. B. Morais, S. O. Campos, & W. S. Silvestrini (Eds.), Pediatria: Guias
de medicina ambulatorial e hospitalar (pp. 375-380). São Paulo: Editora Manole Lda.
Algren, C., & Arnow, D. (2008). Variações das intervenções de enfermagem pediátricas. In M. J. Hockenberry, & W. Winkelstein
(Eds.), Wong fundamentos de enfermagem pediátrica (7ª ed., pp. 706-786). Rio de Janeiro: Elsevier Editora Ltda.
Bowden, V., & Greenberg, C. S. (2008). Pediatric nursing procedures (2ª ed.). Philadelphia: Lippincott Williams e Wilkins.
Broom, M. (2007). Physiology of fever. Paediatric Nursing, 19(6), 40-44.
Carrilho, E. (2003). A criança com febre. In J. M. Palminha, & E. M. Carrilho (Eds.), Orientação diagnóstica em pediatria: dos sinais
e sintomas ao diagnóstico diferencial (pp. 463-487). Lisboa: Lidel.
Chiappini, E., Principi, N., Longhi, R., Tovo, P. A., Becherucci, P., Bonsignori, F., … Writing Committee of the Italian Pediatric Society
Panel for the Management of Fever in Children. (2009). Management of fever in children: Summary of the italian
pediatric society guidelines. Clinical Therapeutics, 31(8), 1826-43. doi: 10.1016/j.clinthera.2009.08.006
Crocetti, M., Moghbell, N., & Serwint, J. (2001). Fever phobia revisited. Have parental misconceptions about fever changed in 20
years? Pediatrics, 107(6), 1241-1246.
Crocetti, M., Sabath, B., Cranmer, L., Gubser, S., & Dooley, D. (2009). Knowledge and management of fever among latino parents.
Clinical Paediatrics, 48(2), 183-189. doi: 10.1177/0009922808324949.
El-Radhi, A. S. (2008). Why is the evidence not affecting the practice of fever management? Archives of Diseases in Childhood,
(11), 918-20. doi: 10.1136/adc.2008.139949.
El-Radhi, A. S., & Barry, W. (2006). Thermometry in paediatric practice. Archives of Disease in Childhood, 91(4), 351-356.
Erkek, N., Senel, S., Murat, S., Ozgur, O., & Karacan, C. (2010). Parents’ perspectives to childhood fever: comparison of culturally
diverse populations. Journal of Paediatrics and Child Health, 46, 583-587.
Llerena Santa Cruz, E., Guarch Ibáñez, B., & Buñuel Álvarez, J. C. (2012). No existen pruebas suficientes que avalen el uso de
ibuprofeno y paracetamol combinados para el tratamiento de la febre. Evidencias en Pediatría, 8(1). Acedido em
http://archivos.evidenciasenpediatria.es/files/41-11545-RU TA/18AVC.pdf
National Collaborating Center for Women’s and Children’s Health. (2007). Feverish illness in children: Assessment and initial management in children younger than 5 years London: NICE. Acedido em https://www.nice.org.uk/guidance/cg160/
documents/feverish-illness-in-children-update-nice-guideline2
Paul, I. M., Sturgis, S. A., Yang, C., Engle, L., Watts, H., & Berlin, C. M. Jr. (2010). Efficacy of standard doses of ibuprofen alone,
alternating, and combined with acetaminophen for the treatment of febrile children. Clinical Therapeutics, 32(14),
-2440. doi: 10.1016/j.clinthera.2011.01.006.
Poirier, M. P., Collins, E. P., & McGuire, E. (2010). Fever phobia: A survey of caregivers of children seen in a pediatric emergency
department. Clinical Pediatrics, 49(6), 530-534. doi: 10.1177/0009922809355312.
Portugal, Direcção-Geral da Saúde, Divisão de Saúde Materna, Infantil e dos Adolescentes . (2004). Urgências no ambulatório em
idade pediátrica. Lisboa: DGS.
Powell, K. R. (2005). Febre. In R. E. Behrman, R. M. Kliegman, & H. B. Jenson (Eds.), Nelson: Tratado de pediatria (17ª ed., pp.
-890). Rio de Janeiro: Elsevier Editora.
Rodrigues e Rodrigues, L., Monteiro, T., Neto, T., & Rodrigues, C. (2010). Conhecimentos e atitudes dos pais perante a febre.
Saúde Infantil, 32(1), 17-21.
Schmitt, B. D. (1980). Fever phobia: misconceptions of parents about fevers. American Journal of Disease of Children, 134(2),
-181.
Seeley, R. R., Stephens, T. D., & Tate, P. (2005). Anatomia & Fisiologia (6ª ed.). Loures: Lusociência.
Sullivan, J. E., & Farrar, H. C. (2011). Clinical report: Fever and antipyretic use in children. Pediatrics 127(3), 580-587. doi:
1542/peds.2010-3852.
Walsh, A., Edwards, H., & Fraser, J. (2008). Parent’s childhood fever management: community survey and instrument
development. Journal of Advanced Nursing, 63(4), 376-388. doi: 10.1111/j.1365-2648.2008.04721.x.
Yilmaz, D., Arhan, E., Yuksel, D., Ozçelik, A., Senbil, N., Serdaroglu. A., & Gurer, Y.K. (2008). Attitudes of parents and physicians
toward febrile seizures. Clinical Paediatrics, 47(9), 856-860. doi: 10.1177/0009922808319961.
Zomorrodi, A., & Attia, M. W. (2008). Fever: Parental concerns. Clinical Paediatric Emergency Medicine, 9(4), 238-243. doi: http://
dx.doi.org/10.1016/j.cpem.2008.09.007.
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