아동 보호자의 열성경련에 대한 지식, 염려 및 관리

Abstract

Purpose: Febrile convulsion is the most common form of childhood seizures and a frequent cause of emergency hospital admissions for children. The purpose of this study was to investigate the caregiver's knowledge, concerns, and management for the child with febrile convulsions. Methods: A descriptive correlation study was conducted with 133 caregivers whose children had been diagnosed with a febrile convulsion and admitted to pediatric wards in a University hospital and three children's hospitals in a metropolitan city. A self-administered questionnaire was used for data collection. Descriptive statistics, t-test, one-way analysis of variance and Pearson's correlation were used for data analysis. Results: The mean correct percent on knowledge scale was 48.5%. Many caregivers believed that recurrent febrile convulsion causes brain damage and didn't know that risk of subsequent epilepsy in febrile convulsion is rare. The level of concerns about febrile convulsion was high. Caregivers were concerned about further attacks in the night and apt to get fever. Many caregivers used some non-recommended management of children's febrile convulsions. A majority of caregivers were 'rush the child to a doctor' when their child experienced a febrile convulsion. Moreover, there were statistically significant negative correlation between caregivers' knowledge and concerns of febrile convulsions and positive correlation between caregivers' knowledge and management of febrile convulsions. Conclusion: The findings suggest that improvements are needed in caregivers' knowledge and management for febrile convulsions. Caregivers' concerns related to misconception of febrile convulsions need to be relieved. Development and evaluation of educational intervention on changing caregivers' management for febrile convulsions is recommended.

Key words: Child, Febrile convulsion, Knowledge, Concerns, Management