Fever
Conditions
Keywords
Emergency, Fever, Parents, Education, Child, Anxiety
Brief summary
Fever is a common symptom of childhood, especially between the ages of one and five, and is the main reason for emergency room visits. These emergency room visits are due to parents incorrect information and practices regarding fever management. This situation causes an increase in parental anxiety and failure to provide fever management. In line with this information, this study was planned to evaluate the effects of education given to parents of children presenting to the emergency room with fever on parental anxiety level and fever management.
Detailed description
Fever is a common symptom in childhood and is the main reason for emergency room visits. The rate of children applying to the emergency department due to fever in our country is quite high compared to the rest of the world. Parents misinformation and practices regarding fever increase parental anxiety levels and negatively affect fever management. Interventional studies aimed at reducing parents anxiety levels and ensuring fever management are quite limited. This research will evaluate the effect of fever education given to parents on their anxiety levels and fever management. The research was planned as a randomized controlled study with experimental and control groups. The research will be carried out between April 2024 and April 2025. After the power analysis of the sample, a total of 80 people will be included in the sample, 40 in the experimental group and 40 in the control group. Parents in the experimental group will be given fever training, while parents in the control group will not receive any treatment. Data will be collected with Parent-Child Introductory Information Form, State Anxiety Scale, Parent Fever Management Scale, Visual Analogue Scale (VAS)- Satisfaction with Fever Education Practice Scale and Parent-Education Satisfaction Form Scale. The data will be pre-tested, post-tested 1 month after the training, and permanence tested 3 months after the training, and the research will be terminated. Generalised linear models analysis, robust ANOVA, independent samples t test, Mann Whitney U and chi-square analysis will be used in the evaluation of the data. Mean, s.deviation, median, minimum and maximum will be used for quantitative data and frequency and percentage will be used for categorical data.As a result of the research, it is expected that fever education given to parents will positively affect parental anxiety level and fever management.
Interventions
OTHERFever Education
Another aspect of this research that is different from other studies is that a retention test will be applied to the participants after the pre-test and post-test, and the long-term effect of the training given will be examined. In this direction, it is aimed to reduce the inappropriate use of emergency services, the use of unnecessary tests and the increasing health system costs. It is aimed to prevent crowding in the emergency department by reducing the inappropriate use of emergency services.
Sponsors
Karadeniz Technical University
Merve YETİMOĞLU
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
HEALTH_SERVICES_RESEARCH
Masking
NONE
Intervention model description
The research was planned as a randomized controlled study with experimental and control groups.
Eligibility
Sex/Gender
ALL
Healthy volunteers
Yes
Inclusion criteria
* Having a child between the ages of 1-5 * Able to read, understand and have no problems speaking Turkish * Having a green triage code in the emergency room triage application
Exclusion criteria
* Children diagnosed with or receiving treatment for chronic diseases * Children with a history of febrile convulsions * Children dependent on home mechanical ventilation * Parents with psychiatric diagnoses will be excluded from the study
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Introductory Information Form | one months | This form was prepared by the researcher in line with the literature. This form consists of three sections. The parent sociodemographic form, the child sociodemographic form and the form, which includes questions on parental fever-related knowledge and practices, consists of a total of 35 questions. |
| State/Trait Anxiety Inventory (SAI) | one months | The scale was developed by Spielber and others in 1964 to determine anxiety levels. The Turkish validity and reliability of the scale was carried out by Öner and Le Compte in 1985. The scale provides information about what is felt at that moment and consists of 20 items in Likert type, scored from 1 to 4. 1 is not at all, 2 is a little, 3 is very much and 4 is completely agree, and the individual marks one of these. A value of 1 indicates high anxiety, while a value of 4 indicates low anxiety. Items 1, 2, 5, 8, 10, 11, 15, 16, 19, and 20 in the SAI are reversed. When calculating the scale score, the total score of the reversed items is subtracted from the total of the correct statements and a fixed score of 50 is added to this number. The total score obtained from the scale varies between 20 and 80. As the score increases, it indicates that anxiety is high, and as the score decreases, it indicates that anxiety decreases. |
| Parental Fever Management Scale-Turkish Version (PFMS-TR) | one months | The scale was developed by Walsh and Edwards in 2008 to assess parents' fever management practices. The Turkish validity and reliability of the scale was conducted by Cınar et al. in 2013. The scale consists of 8 items and is a Likert-type scale with items rated as (1) never, (2) rarely, (3) sometimes, (4) often, (5) always. The lowest possible score for the scale is 8 and the highest is 40. A higher score indicates more fever management practices, and a lower score indicates less fever management practices. The Cronbach Alpha reliability coefficient of the scale is 0.75. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| State/Trait Anxiety Inventory (SAI) | three months | The scale was developed by Spielber and others in 1964 to determine anxiety levels. The Turkish validity and reliability of the scale was carried out by Öner and Le Compte in 1985. The scale provides information about what is felt at that moment and consists of 20 items on a Likert-type scale scored from 1 to 4. 1 is not at all, 2 is a little, 3 is very much, and 4 is completely agree, and the individual marks one of these. A value of 1 indicates high anxiety, while a value of 4 indicates low anxiety. Items 1, 2, 5, 8, 10, 11, 15, 16, 19, and 20 on the SAI are reversed. When calculating the scale score, the total score of the reversed items is subtracted from the total of the correct statements and a fixed score of 50 is added to this number. The total score obtained from the scale varies between 20 and 80. As the score increases, it indicates that anxiety is high, and as the score decreases, it indicates that anxiety decreases. |
| Visual Analog Scale (VAS) - Satisfaction Scale for Fire Education Application | three months | The scale was developed by Hayes and Patterson in 1921 and is a scale used to measure some expressions with numbers. Two expressions to be evaluated on a straight line are at two extreme points. The line contains numbers from 1 to 10. The participant is asked to mark the point that describes his/her own situation. It was planned to measure satisfaction with the fire education application by taking the Visual Analog Scale as an example. I am not satisfied at one end of the line, and I am very satisfied at the other end, and the parent will be asked to evaluate his/her situation. |
| Parental Fever Management Scale-Turkish Version (PFMS-TR) | three months | The scale was developed by Walsh and Edwards in 2008 to assess what parents do in fever management. The Turkish validity and reliability of the scale was carried out by Cınar et al. in 2013. The scale consists of 8 items and is a Likert-type scale where the items are graded as (1) never, (2) rarely, (3) sometimes, (4) often, (5) always. The lowest possible score for the scale is 8 and the highest is 40. A higher score indicates that more fever management practices are being implemented, and a lower score indicates that fewer fever management practices are being implemented. The Cronbach Alpha reliability coefficient of the scale is 0.75. |
Countries
Turkey (Türkiye)
Contacts
Primary Contactmerve yetimoğlu, Nursing
Backup ContactHacer KOBYA BULUT, Doç. Dr.
Outcome results
None listed