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Knowledge, attitude and practices of parents of children with febrile convulsion
R C Parmar1, D R Sahu, S B Bavdekar
1Department of Paediatrics, Seth G. S. Medical College & K. E. M. Hospital, Parel, Mumbai - 400 012, India. rameshparmar@yahoo.com
Insights
Parental knowledge of fever and febrile convulsions is often inadequate, leading to significant fear and anxiety. Improving awareness is crucial to reduce negative impacts on family life.
Area of Science:
- Pediatrics
- Neurology
- Child Health
Background:
- Parental anxiety regarding fever and febrile convulsions stems from insufficient knowledge.
- Understanding parental knowledge, attitudes, and practices is essential for effective intervention.
Purpose of the Study:
- To assess parental knowledge, attitudes, and practices concerning febrile convulsions in children.
- To identify specific areas of inadequate understanding and prevalent fears among parents.
Main Methods:
- A prospective questionnaire-based study was conducted over one year in a tertiary care center.
- 140 parents of children with febrile convulsions were enrolled.
- Data analysis included the Chi-square test to evaluate associations.
Main Results:
- A significant majority of parents (59.3%) could not recognize convulsions, and 90.7% performed no interventions before hospital admission.
- Most parents (77.9%) were unaware that fever could cause convulsions, with common fears including death (90%), insomnia, and fear of epilepsy.
- Home thermometer availability (15%) and knowledge of normal body temperature (20%) were low, with only 29.2% knowing correct preventive measures.
Conclusions:
- Parental fear of fever and febrile convulsions is a significant issue with profound negative effects on family life.
- Inadequate knowledge contributes to heightened anxiety and improper management of febrile episodes.
- Educational interventions are needed to improve parental understanding and reduce fear associated with febrile convulsions.
Context:
Parental anxiety and apprehension is related to inadequate knowledge of fever and febrile convulsion.
Aims:
To study the knowledge, attitude, and practices of the parents of children with febrile convulsions.
Settings And Design:
Prospective questionnaire based study in a tertiary care centre carried over a period of one year.
Subjects And Methods:
140 parents of consecutive children presenting with febrile convulsion were enrolled.
Statistical Analysis Used:
Chi-square test.
Results:
83 parents (59.3%) could not recognise the convulsion; 90.7% (127) did not carry out any intervention prior to getting the child to the hospital. The commonest immediate effect of the convulsion on the parents was fear of death (n= 126, 90%) followed by insomnia (n= 48, 34.3%), anorexia (n= 46, 32.9%), crying (n= 28, 20%) and fear of epilepsy (n= 28, 20%). Fear of brain damage, fear of recurrence and dyspepsia were voiced by the fathers alone (n= 20, cumulative incidence 14.3%). 109 (77.9%) parents did not know the fact that the convulsion can occur due to fever. The long-term concerns included fear of epilepsy (n= 64, 45.7%) and future recurrence (n= 27, 19.3%) in the affected child. For 56 (40%) of the parents every subsequent episode of fever was like a nightmare. Only 21 parents (15%) had thermometer at home and 28 (20%) knew the normal range of body temperature. Correct preventive measures were known only to 41 (29.2%). Awareness of febrile convulsion and the preventive measures was higher in socio-economic grade (P< 0.05).
Conclusions:
The parental fear of fever and febrile convulsion is a major problem with serious negative consequences affecting daily familial life.
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