American Journal of Nursing Research
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American Journal of Nursing Research. 2020, 8(1), 72-81
DOI: 10.12691/ajnr-8-1-8
Open AccessArticle

Recognition of Parent’s Knowledge, Attitude and Practice Regarding Febrile Seizures in Children Under-Five

Hanaa I. El Sayed1,

1Lecturer of Pediatric Nursing, Faculty of Nursing, Menoufia University, Egypt

Pub. Date: December 13, 2019

Cite this paper:
Hanaa I. El Sayed. Recognition of Parent’s Knowledge, Attitude and Practice Regarding Febrile Seizures in Children Under-Five. American Journal of Nursing Research. 2020; 8(1):72-81. doi: 10.12691/ajnr-8-1-8

Abstract

Background: Febrile seizures (FS) are the most common seizure disorder in children that are extremely frightening, emotionally traumatic and anxiety-provoking by parents. Therefore, this study aimed to examine parents' knowledge, attitude, and practice regarding febrile seizures in children under-five. Methods: A descriptive design was utilized. Settings: This study was conducted in the Pediatric department at Birket El Sabah Central Hospital. Sample: Convenient sample of 75 parents of children with FS (55 mothers and 20 fathers). The data were collected through a structured interview questionnaire to assess parents' knowledge, attitude and practice. Results: The findings revealed that the mean ± SD of the children of the enrolled parents was 23.97 ± 12.26 months and mean ± SD of parents was 29.86 ± 4.36. The majority of parents (86.7%) knew that fever can cause convulsion. Less than half of the studied sample (46.7%) had a thermometer in the home. The minority of parents (13.3%) carry out first aids before getting the child to the hospital. In conclusion: The findings concluded that there are needs for teaching programs to enhance the knowledge, attitude and practice level of parents regarding febrile seizures. Recommendation: Ongoing in-service education programs must be designed and implemented at Pediatric units to improve parent's knowledge, attitude, and practices regarding prevention and proper management of febrile children.

Keywords:
knowledge attitudes practice febrile seizures children under-five

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References:

[1]  Hekal, A., El-Mashad, G and Omar, Z. (2019). Zinc Status in Children with Febrile Convulsion. Menoufiya University. Faculty of Medicine. Pediatrics Department. Retrieved from http://www.eulc.edu.eg/eulc.
 
[2]  Massoud, M., Nawar, E., Eissa, H and Abd El Moneim, E. (2018). Studying the relation between iron deficiency anemia & febrile seizures in children in Benha. Banha University. Faculty of Medicine. Department of pediatrics. Retrieved from http://www.eulc.edu.eg/eulc.
 
[3]  Kumar, N., Midha, T and Kumar, Y. (2019). Risk Factors of Recurrence of Febrile Seizures in Children in a Tertiary Care Hospital in Kanpur: A One Year Follow Up Study. Ann Indian Acad Neurol. 2019 Jan-Mar; 22(1): 31-36.
 
[4]  Sayed, A., Hashem, E and Gad, E. (2018). Diagnostic Approaches for Children with Febrile Seizures Admitted to Assiut University Children Hospital. Assiut University. Faculty of Medicine. Department of pediatrics. Retrieved from eulc.edu.eg/eulc.
 
[5]  Sharawat, IK., Singh, J., Dawman, L., Singh, A. (2016). Evaluation of risk factors associated with first episode febrile seizure. J Clin Diagn Res 2016; 10: SC10-3.
 
[6]  Kamel, Y., El-Tellawy, M., Embaby, M and Abdel hamed, Z. (2019). Iron study in children presented with febrile convulsion. Assiut University. Faculty of Medicine. Department of Pediatrics. Retrieved from eulc.edu.eg/eulc.
 
[7]  Anand, A.; Salas, A., Mahl, E. (2015). Cerebral Abscess Presenting as a Complex Febrile Seizure. Pediatr. Emerg. Care 2015, 31, 499-502.
 
[8]  Tastan Y. (2001). Fever and sepsis. İstanbul University Cerrahpaşa Medical Faculty Continuous Medical Education Activities Pediatric Emergency Symposium, İstanbul, 57-68.
 
[9]  Paul, SP., Kirkham, EN and Shirt, B. (2015). Recognition and management of febrile convulsion in children. US National Library of MedicineNational Institutes of Health Search database Nurs Stand. 2015 Aug 26; 29(52): 36-43.
 
[10]  Byeon, JH., Kim, GH and Eun, BL. (2018). Prevalence, incidence, and recurrence of febrile Seizures in Korean children based on national registry data. J Clin Neurol. 2018; 14: 43-7.
 
[11]  El Shafie, A., Abou El-Nour, E., El-Hawy, M and Barseem, Z. (2017). Study of iron deficiency anemia in children with febrile seizures. Menoufiya Medical Journal. Vol. 31, No. 3 (July-September 2018. Retrieved from http:// www. eulc. edu. eg/eulc.
 
[12]  Millichap, J. (2019). Treatment and prognosis of febrile seizures. In: Post TW, editor. Up To Date. Waltham, MA: [Google Scholar].
 
[13]  Gundapu, G., Bhavani, M., Kiran, M., Bathula, N and kumar, A .(2017). Safety and Prevention Of Febrile Seizures In Pediatrics, International Journal of Medical Research and Pharmaceutical Sciences Volume 4 (Issue 2): February 2017.
 
[14]  Tu-fang, YF., Wang, LW., Wang, ST., Yeh, TF and Huang, CC. (2016). Postnatal steroids and febrile seizure susceptibility in preterm children. Pediatrics. 137 (4).
 
[15]  Audenaert, D., Van Broeckhoven, C and De Jonghe, P. (2006). Genes and loci involved in febrile seizures and related epilepsy syndromes. Hum Mutat 2006; 27: 391-40.
 
[16]  Hockenberry, M and Wilson, D. (2013). Wong’s Nursing Care of Infants and Children. 9th ed. St. Louis: Elsevier-Mosby.
 
[17]  El-Bradie, E. (2016). Serum Zinc Level in Children with Simple Febrile Convulsions. Faculty of Medicine. Tanta University. Retrieved from eulc.edu.eg/eulc.
 
[18]  Kimia, A., Bachur, R., Torres, A and Harper, MB. (2015). Febrile seizures: emergency medicine perspective. Curr Opin Pediatr. 2015; 27(3): 292-297.
 
[19]  Yousef, M. (2008). Risk Factors and Management of Febrile Convulsions. Assiut University. Faculty of Medicine. Retrieved from eulc.edu.eg/eulc.
 
[20]  Westin, E and Levander, M. (2018). Parent’s experiences of their children suffering febrile seizures. J Pediatr Nurs. 2018; 38: 68-73.
 
[21]  Barzegar M, Valizadeh S and Gojazadeh, M. (2016). The Effects of Two Educational Strategies on Knowledge, Attitude, Concerns, and Practices of Mothers with Febrile Convulsive Children. Thrita.; 5: e33411.
 
[22]  Leung, A., Hon, M., Leung, T and Fhkam, F. (2018). Febrile seizures: an overview. S National Library of Medicine. National Institutes of Health. Retrieved from https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6052913/.
 
[23]  Clarke, P. (2014). Evidence-Based Management of Childhood Fever: What Pediatric Nurses Need to Know? University of Florida, Gainesville. Journal of pediatric Nursing.
 
[24]  Impicciatore, P., Nannini, S., Pandolfini, C and Bonati, M. (1998). Mothers’ knowledge of, attitudes toward, and management of fever in preschool children in Italy. Prev Med 1998; 27(2):268-73.
 
[25]  Bhattacharyya, M., Karla, V and Gulati, S. (2006). Intranasal midazolam vs rectal diazepam in acute childhood seizures. Pediatr Neurol 2006; 34:355-9.
 
[26]  Kızılay, D., Kirdok, A., Senem, P., Demet, M and Polat, M. (2017). Information is Power: An Interventional Study on Parents of Children with Febrile Seizures. J Pediatr Res 2017; 4(2): 53-8.
 
[27]  Shibeeb, N and Altufaily, Y. (2019). Parental knowledge and practice regarding febrile seizure in their children. Medical Journal of Babylon. Year: 2019 /Volume: 16 | Issue: 1 | Page: 58-64.
 
[28]  Wassmer, E and Hanlon, M. (1999). Effects of information on parental knowledge of febrile convulsions. Seizure. 8 (7): 421-3.
 
[29]  Raftery, S. (2002). Febrile convulsions assessment treatment and education. World of Irish Nursing 10 (3), March 2002 Pp, 27-28.
 
[30]  George, J. (2012). A Study To Assess The Effectiveness Of Structured Teaching Programme Regarding Knowledge On Management Of Febrile Convulsion Among Mothers Of Under Five Children In Rajarajeswari Medical College And Hospital, Bangalore. Rajiv Gandhi University Of Health Sciences, Bangalore, Karnataka.
 
[31]  Najimi, A., Dolatabadi, NK., Esmaeili, A and Sharifirad, GR. (2013). The effect of educational program on knowledge, attitude and practice of mothers regarding prevention of febrile seizure in children. J Educ Health Promot 2013; 2:26.
 
[32]  Adele P. (1999). Child health nursing Care of the child and family .1st ed. New York. Lippincott publication.
 
[33]  Abdulla, M and Abdulhadi, FS. (2015). Knowledge, attitudes, and practices (KAP) regarding Febrile Convulsions among Iraqi under 5 children's mothers attending pediatric department in a teaching hospital in Baghdad. Int J Adv Res 2015; 3: 973-83.
 
[34]  Sharawat, IK., Singh, J., Dawman, L., Singh, A. (2016). Evaluation of risk factors associated with first episode febrile seizure. J Clin Diagn Res 2016; 10: SC10-3.
 
[35]  Washburn, TC, Medearis, DN and Childs, B. (1965). Sex differences in susceptibility to infections. Pediatr. 1965; 35: 57-64.
 
[36]  Teagle, AR and Powell, CV. (2014). Is fever phobia driving inappropriate use of antipyretics? Arch Dis Child. 2014; 99(7): 701-2.View Article. PubMed.
 
[37]  Abdel Gawad, Z., Helaly, N and Khamis, G. (2016). Mothers’ Care for Children with Febrile Convulsion. Alexandria University. Faculty of Nursing. Department of Pediatric Nursing. Retrieved from eulc.edu.eg/eulc.
 
[38]  Oche, OM and Onankpa, OB. (2013). Using women advocacy groups to enhance knowledge on home management of febrile convulsion among mothers in a rural community of Sokoto State, Nigeria. Pan Afr Med J. 2013; 14(1): 49.
 
[39]  Abd Rabo, A., Abd El-Aziz, M and Sabry, S. (2018). Mothers Care of Children Regarding Febrile Convulsion under Five Years at Homes. Banha University. Faculty of nursing. Department of community health nursing. Retrieved from eulc.edu.eg/eulc.
 
[40]  Talebi, S., Shahrabadi, H., Vahidi, A., Sabzevar, S and Siyavoshi, M. (2016). Mothers’ management of fever of children in Sabzevar. Journal of Nursing and Midwifery Sciences 2016: 3(2): 32-39.
 
[41]  Syahida, JA., Risan, NA and Tarawan, VM. (2016). Knowledge and attitude on febrile seizure among mothers with under five children. AMJ 2016; 3: 649‑54.
 
[42]  Eefje, G., Nick, A., Geert, J and Jochen, W. (2014). Parents’ knowledge, attitudes, and practice in childhood fever: an internet-based survey. British Journal of General Practice 2014; 64 (618): e10e16.
 
[43]  Chiappini, E., Parretti, A., Becherucci, P., Pierattelli, M., Bonsignori, F., Galli, L and Martino, M. (2012). Parental and medical knowledge and management of fever in Italian pre-school children. BMC Pediatr. 2012 Jul 13; 12: 97.
 
[44]  Akpan, M and Ijezie, E. (2017). Knowledge of febrile convulsion among mothers attending the paediatric clinic of university of Uyo teaching hospital, Nigeria. International Journal of Pediatric Research. convulsion. Retrieved from https://www.ncbi.nlm./pubmed.
 
[45]  Abeysekara, MS., Weerasekara, MP., Wijesena, BV., Perera, RA., Sriyan,i KA., Kuruppu, NR. (2017). Mothers' knowledge, believes and practices regarding febrile convulsions and home management. (OURS 2017 Iraqi J Commun Med 2008; 4:285-90.
 
[46]  Ali, AM. (2008). Iron deficiency anemia and febrile seizures case control study in children under 5 years. Iraqi J Commun Med 2008; 4: 285-90.
 
[47]  Kim, D., Lee, Y., Lee, J., Jeong, J., Kim, J and Choi, M. (2009). Perceptions and practices of fever: survey for parents with febrile child.
 
[48]  Ofovwe, GE., Ibadin, OM., Ofovwe, CE and Okolo, O. (2002). Home management of febrile convulsion in an African population: a comparison of urban and rural mother’s knowledge, attitude and practice. J Neurol Sci.
 
[49]  Parmar, R and Bavdekar, S. (2001). Knowledge, attitude and practices of parents of children with febrile.
 
[50]  Nyaledzigbor, M., Adatara, P., Kuug, A., Abotsi, D. (2016). Mothers’ knowledge, beliefs and practices regarding febrile convulsions and home management: A study in Ho, Ghana. Journal of Research in Nursing and Midwifery (JRNM) (ISSN: 2315-568) Vol. 5(2) pp. 030-036.
 
[51]  Mohammadi, M. (2010). Febrile seizures: four steps algorithmic clinical approach. Iran J Pediatr 20 (1):5-15.
 
[52]  Kwak, R and Kim, J. (2014).Caregivers' Knowledge, Concerns and Management of Pediatric Febrile Convulsions . Child Health Nurs Res. 2014 Jul;20(3):149-158.