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Turkish parents' management of childhood fever: a cross-sectional survey using the PFMS-TR
Nursan D Cinar1, Insaf Altun2, Sevin Altınkaynak1
1Department of Child Health Nursing, School of Health Sciences, Sakarya University, Sakarya 54187, Turkey.
Insights
Turkish parents frequently use non-evidence-based fever management practices, including over-the-counter medications, leading to parental fatigue. This study highlights the need for better education on childhood fever management.
Area of Science:
- Pediatrics
- Public Health
- Nursing
Background:
- Childhood fever is a common concern for parents globally.
- Understanding parental fever management practices is crucial for effective health interventions.
- Turkish parents' specific approaches to childhood fever require investigation.
Purpose of the Study:
- To investigate the fever management practices of Turkish parents.
- To identify evidence-based and non-evidence-based practices in childhood fever management.
- To assess parental concerns and the impact of fever management on family life.
Main Methods:
- A cross-sectional study involving 205 Turkish parents of children aged 6 months to 5 years.
- Data collected using the Parents' Fever Management Scale (Turkish version) and socio-demographic information.
- Participants recruited from a pediatric hospital and family health centers in Sakarya, Turkey.
Main Results:
- Parents frequently monitored temperature and sought medical advice.
- Non-evidence-based practices included over-the-counter medication overuse (42.4%) and waking children for medication (33.2%).
- Evidence-based practices like ensuring hydration (30.2%) and nighttime checks (59%) were less common.
Conclusions:
- Turkish parents exhibit high concern regarding fever, leading to overuse of medications and healthcare services.
- Current practices contribute to parental burden, disrupt family life, and cause fatigue.
- The study validates a tool for assessing fever management practices among Turkish parents.
Background:
To explore Turkish parents' practices in childhood fever management.
Methods:
A cross-sectional study with 205 randomly selected Turkish parents of febrile children 6-months to 5-years from the paediatric hospital and two family health centres in Sakarya, Turkey in 2009. Data explored general fever management practices on the 8-item Parents' Fever Management Scale - Turkish version (5-point Liket scale; 1=never to 5=always) and socio-demographics.
Results:
Parents wanted to know their child's temperature (61.5%), took temperatures (60%), slept in the same room (58.5%) and sought medical advice (53.7%). Non-evidence-based-practices included over-the-counter medications (42.4%); waking children during the night for fever reducing medication (33.2%). Evidence-based-practice ensured febrile children had plenty to drink (30.2%) and febrile children were checked during the night (59%).
Conclusions:
Parents' reports indicate high levels of concern about fever, overuse of over-the-counter medications and health services. Practices increase parents' burden of care, are disruptive of family life and lead to parental fatigue. The study confirms the appropriateness and applicability of the fever management instrument, a simple tool to incorporate into assessment of febrile children, in identifying Turkish parents' fever management practice.
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