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KNOWLEDGE AND PRACTICE OF FEBRILE CONVULSION IN
CHILDREN AMONG PARENTS IN THE NGWELLE COMMUNITY,
BONABERI-DOUALA.
Presented By
LACMAGO MAKEMWA HAPPINESS
(21SUI-H101)
STALWART UNIVERSITY INSTITUTEOF BUEA
SCHOOL OF HEALTH SCIENCES
DEPARTMENT OF NURSING
1
BSc in NURSING
July, 2022
Supervisor
MME. NGOUAH ODILE (PhDc)
OUTLINE
 INTRODUCTION
 STATEMENT OF THE PROBLEM
 RESEARCH OBJECTIVES
 MATERIALS AND METHODS
 RESULTS AND DISCUSSION
 CONCLUSION
 RECOMMENDATIONS
 LIMITATIONS
 ACKNOWLEDGEMENT
 REFERENCES
2
INTRODUCTION (1/2)
FC is a temporary nervous disorder in childhood which develops with
fever, causing most of the hospital admissions in children (Kliegman et
al., 2015; Srinvasa et al., 2018).
Key signs are symptoms are; body temperature >38.0ºC, shaking all
over, loss of consciousness and loss of control.
It globally affects 4-10% of children with up to 30% recurrent cases (Rao
et al., 2022).
3
INTRODUCTION (2/2)
In developing countries, prevalence is 11.61% and 5% in developed
countries (Jing-Jane, 2015).
In Cameroon, 6.1% of children are admitted with FC yearly (Nguefack et
al., 2010).
FC generally occur at home and as such parents are the first involved in
their management (Syahida et al., 2016).
Parental knowledge on proper home management of FC can prevent about
65% of pediatrics emergencies (Graneto, 2011).
4
STATEMENT OF THE PROBLEM (1/1)
 Despite having good prognosis, FC is very difficult for parents to handle as they lack
adequate knowledge on FC thus panic when faced with its dramatic manifestations and
hence perform inappropriate first aid measures ((Shamsi et al., 2013; Chiabi et al.,
2016).
 Lack of technologically advanced first aid management kit (Chiabi et al., 2016).
 Home emergency therapies employed by parents in developing countries lead to poor
outcomes (Anigilaje et al., 2012).
 Harmful effects of traditional practices on the child such as prolonged hospitalization,
aspiration pneumonitis and burns among others. (Fatunde et al., 2012).
5
RESEARCH OBJECTIVES (1/1)
General objective:
The main aim of this study was to assess the knowledge and practice of parents in
the Ngwelle locality regarding FC in children.
Specific objectives
1. Assess the knowledge on FC of parents in the Ngwelle locality.
2. Assess the practices of parents in the Ngwelle locality regarding FC in
children.
3. Identify the factors that influence the knowledge of parents in the Ngwelle
locality regarding FC and their practices.
6
MATERIALS AND METHODS (1/2)
7
 Study design: Descriptive cross-sectional study.
 Study area: This study was conducted in the Ngwelle community, Bonaberi-
Douala.
 Study population: The target population included parents in the Ngwelle
locality, Bonaberi-Douala.
 Sample size: 100 respondents.
 Sampling technique: A convenient and purposive sampling techniques was
used.
MATERIALS AND METHODS (2/2)
8
 Inclusion criteria: Parents in the Ngwelle community living with a child who had convulsed
before or not, who could read and write, who consented to participate in the study and were
physically and psychologically fit to participate in the study.
 Exclusion criteria: This research excluded all Parents who did not grant their consent to
participate in the study, parents who were ill or mentally disturbed during the study period and
who were from other communities other than the Ngwelle community.
 Data collection tool: Pre-tested structured questionnaire.
 Data analysis: Excel 2016 used to enter data and SPSS version 25.0 for analysis. Results
presented in tables, charts and figures.
 Ethical considerations: Quarter head, School authorization and participants consent.
9
RESULTS AND DISCUSSION(1/4)
Variable Category Frequency Percentage
Gender Male 27 27.0%
Female 73 73.0%
Total 100 100.0%
Age 18 - 28 31 31.0%
29 - 39 34 34.0%
40 - 49 21 21.0%
≥50 14 14.0%
Total 100 100.0
Level of Education None 6 6.0%
Primary 7 7.0%
Secondary 41 41.0%
Tertiary 46 46.0%
Total 100 100.0
TABLE 1: SOCIO-DEMOGRAPHIC CHARACTERISTICS OF
PARTICIPANTS
RESULTS AND DISCUSSION (2/4)
10
Figure 1: Overall Knowledge on FC
A majority of the study participants; 61.5 (61.5%) were found to have an overall adequate knowledge
on FC as depicted in figure 1 below.
Objective 1: Knowledge on FC
This result findings is similar with that from
Abubakari et al., (2021) and Eta et al., (2021)
who reported adequate knowledge among
participants regarding FC. However, it
contradicted that carried out by Anjum et al.,
(2018) in which 58% of the participants had a
poor knowledge level.
61.5%
38.5%
Adequate practice
Poor practice
RESULTS AND DISCUSSION (3/4)
11
As concerns practices regarding FC, 64.4% of the participants had a good practice level. Only 33.6% of
them had a poor practice level regarding first aid management of FC.
Objective 2: Practices regarding FC
This corroborates the findings from Ali
AlZweihary, (2021) who reported that majority of
parents (91.0%) had a good practice level of first
aid management regarding FC. It however
contradicted that of Eta et al., (2021) whereby
67.0% of parents had a wrong practice of first aid
measures regarding FC.
66.4%
33.6% Adequate practice
Poor practice
Figure 2: Overall Practice regarding FC
RESULTS AND DISCUSSION (4/4)
12
In our study, there was no significant association found between the socio-demographic
characteristics of the participants with their knowledge and practices regarding FC. The
results of this study were in line with Abubakri et al., (2021) in which there was no
significant association found between the socio-demographic characteristics of the
participants with their knowledge and practices regarding FC
Objective 3: Factors associated with the knowledge and practice regarding FC
CONCLUSION (1/1)
This study revealed that parents of the Ngwelle community had an overall
adequate knowledge on FC (61.5%) though there are still some wrong believes
that exist amongst the population, such as the usefulness of traditional herbs in
the management of FC (26.0%). In addition, with respect to their practices
regarding FC in children, the study revealed that a good number (66.4%) of them
have an adequate practice level. Nevertheless, there still exist some wrong
practice such as putting the head in the toilet pit (93.0%).
13
RECOMMENDATIONS (1/1)
1. The government should create awareness among parents by adequate health education
and counselling through health campaigns which will reduce their apprehension and
fear.
2. The health care team can provide appropriate planning for support and education.
Nurses, as the care providers who are at the front line of caring programs, must help
these parents cope with the situation by providing support and information they need.
14
LIMITATIONS (1/1)
This study is across-sectional design, and as such provides only a
‘snapshot’ of the Ngwelle community parents’ knowledge and
practice regarding FC in children at one moment in time.
Also, the relatively small sample size (n=100) and single setting of
the study means the results cannot be generalized to all other
communities in Douala, talking less of Cameroon
15
REFERENCES (1/1)
 Syahida, J.A., Risan, N.A. and Tarawan, V.M. (2016). Knowledge and attitude on febrile seizure among mothers with under-five children. Althea Medical Journal.
3(4), 649-654.
 Srinivasa, S., Anjum, S.K., Patel, S., Harish, S. and Bhavya, G. (2018). Parental knowledge, attitude and practices regarding febrile convulsion. International
Journal Contemporary Pediatrics. 5(2), 515-519.
 Rao,V.R., Lowenstein, D.H. Chapter 425: Seizures and Epilepsy. In: Loscalzo J, Fauci A, Kasper D, Hauser S, Longo D, Jameson J. eds. Harrison's Principles of
Internal Medicine 21e. McGraw Hill; 2022.
 Nguefack, K.S., Ngo, Kana, C.A., Mah, E., Kuate, T., Chiabi, A., Fru, F., Tchoketeu, P.F. and Mbonda, E. (2010). Aspects cliniques, etiologiques et therapeutiques
des convulsions febriles. A propos de 325 casaYaounde. Archives of Pediatrics. 17(5), 4.
 Kliegman, R.M., Stanton, B., Geme, J.S., and Schor, N.F. (2015) Nelson Textbook of Pediatrics. 20th edition. Philadelphia: Elsevier.
 Jing-Jane T. Developing countries perspective. (2015). Web site. hhtps://www.barnardhealth.us/developing-countries/developing-countries-perspective.html.
Accessed January 7, 2022.
 Shamsi, M. and Sajadi, M. (2013). The effect of education based on Health Belief Model (HBM) in mothers about behaviour of prevention from febrile convulsion in
children. World Journal of Medical Sciences. 9, 30-5.
 Graneto, W.J. Emergent management of pediatric patients with fever. (2011). Web site. http://emedicine.medscape.com/ article/801598-overview. Accessed January
10, 2022.
 Fatunde, O.J., Jarette, O.O. and Lagunju, I.A. (2012). 2012 Pre-hospital management of febrile seizure at the University college hospital Ibadan, Nigeria. Annal of
Iban Postgraduate Medicine. 10(2), 6-10.
 Eta, V.E.A. and Gaelle, A.N.N. (2021). Knowledge, attitudes and practices of parents regarding convulsion in children under five years in Muea Community,
Cameroon. Pediatric Neonatal Nursing Open Journal. 7(1), 13-20.
 Anigilaje, M. and Anigilaje, O. (2012) Childhood convulsion: Inquiry about the concerns and home management among mothers in Tegbesun, a periurban
community in Ilorin, Nigeria. ISRN Pediatrics. 2012(4), 6.
16
ACKNOWLEDGEMENTS (1/1)
 To my supervisor
 To the Staff of SUI
 To the quarter head of the Ngwelle community
 To all the parents who participated voluntarily in this study.
 To my family members, classmate and friends.
 To God Almighty.
17
18
THANK YOU FOR YOUR
ATTENTION

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Febrile convulsions ppt.pptx

  • 1. KNOWLEDGE AND PRACTICE OF FEBRILE CONVULSION IN CHILDREN AMONG PARENTS IN THE NGWELLE COMMUNITY, BONABERI-DOUALA. Presented By LACMAGO MAKEMWA HAPPINESS (21SUI-H101) STALWART UNIVERSITY INSTITUTEOF BUEA SCHOOL OF HEALTH SCIENCES DEPARTMENT OF NURSING 1 BSc in NURSING July, 2022 Supervisor MME. NGOUAH ODILE (PhDc)
  • 2. OUTLINE  INTRODUCTION  STATEMENT OF THE PROBLEM  RESEARCH OBJECTIVES  MATERIALS AND METHODS  RESULTS AND DISCUSSION  CONCLUSION  RECOMMENDATIONS  LIMITATIONS  ACKNOWLEDGEMENT  REFERENCES 2
  • 3. INTRODUCTION (1/2) FC is a temporary nervous disorder in childhood which develops with fever, causing most of the hospital admissions in children (Kliegman et al., 2015; Srinvasa et al., 2018). Key signs are symptoms are; body temperature >38.0ºC, shaking all over, loss of consciousness and loss of control. It globally affects 4-10% of children with up to 30% recurrent cases (Rao et al., 2022). 3
  • 4. INTRODUCTION (2/2) In developing countries, prevalence is 11.61% and 5% in developed countries (Jing-Jane, 2015). In Cameroon, 6.1% of children are admitted with FC yearly (Nguefack et al., 2010). FC generally occur at home and as such parents are the first involved in their management (Syahida et al., 2016). Parental knowledge on proper home management of FC can prevent about 65% of pediatrics emergencies (Graneto, 2011). 4
  • 5. STATEMENT OF THE PROBLEM (1/1)  Despite having good prognosis, FC is very difficult for parents to handle as they lack adequate knowledge on FC thus panic when faced with its dramatic manifestations and hence perform inappropriate first aid measures ((Shamsi et al., 2013; Chiabi et al., 2016).  Lack of technologically advanced first aid management kit (Chiabi et al., 2016).  Home emergency therapies employed by parents in developing countries lead to poor outcomes (Anigilaje et al., 2012).  Harmful effects of traditional practices on the child such as prolonged hospitalization, aspiration pneumonitis and burns among others. (Fatunde et al., 2012). 5
  • 6. RESEARCH OBJECTIVES (1/1) General objective: The main aim of this study was to assess the knowledge and practice of parents in the Ngwelle locality regarding FC in children. Specific objectives 1. Assess the knowledge on FC of parents in the Ngwelle locality. 2. Assess the practices of parents in the Ngwelle locality regarding FC in children. 3. Identify the factors that influence the knowledge of parents in the Ngwelle locality regarding FC and their practices. 6
  • 7. MATERIALS AND METHODS (1/2) 7  Study design: Descriptive cross-sectional study.  Study area: This study was conducted in the Ngwelle community, Bonaberi- Douala.  Study population: The target population included parents in the Ngwelle locality, Bonaberi-Douala.  Sample size: 100 respondents.  Sampling technique: A convenient and purposive sampling techniques was used.
  • 8. MATERIALS AND METHODS (2/2) 8  Inclusion criteria: Parents in the Ngwelle community living with a child who had convulsed before or not, who could read and write, who consented to participate in the study and were physically and psychologically fit to participate in the study.  Exclusion criteria: This research excluded all Parents who did not grant their consent to participate in the study, parents who were ill or mentally disturbed during the study period and who were from other communities other than the Ngwelle community.  Data collection tool: Pre-tested structured questionnaire.  Data analysis: Excel 2016 used to enter data and SPSS version 25.0 for analysis. Results presented in tables, charts and figures.  Ethical considerations: Quarter head, School authorization and participants consent.
  • 9. 9 RESULTS AND DISCUSSION(1/4) Variable Category Frequency Percentage Gender Male 27 27.0% Female 73 73.0% Total 100 100.0% Age 18 - 28 31 31.0% 29 - 39 34 34.0% 40 - 49 21 21.0% ≥50 14 14.0% Total 100 100.0 Level of Education None 6 6.0% Primary 7 7.0% Secondary 41 41.0% Tertiary 46 46.0% Total 100 100.0 TABLE 1: SOCIO-DEMOGRAPHIC CHARACTERISTICS OF PARTICIPANTS
  • 10. RESULTS AND DISCUSSION (2/4) 10 Figure 1: Overall Knowledge on FC A majority of the study participants; 61.5 (61.5%) were found to have an overall adequate knowledge on FC as depicted in figure 1 below. Objective 1: Knowledge on FC This result findings is similar with that from Abubakari et al., (2021) and Eta et al., (2021) who reported adequate knowledge among participants regarding FC. However, it contradicted that carried out by Anjum et al., (2018) in which 58% of the participants had a poor knowledge level. 61.5% 38.5% Adequate practice Poor practice
  • 11. RESULTS AND DISCUSSION (3/4) 11 As concerns practices regarding FC, 64.4% of the participants had a good practice level. Only 33.6% of them had a poor practice level regarding first aid management of FC. Objective 2: Practices regarding FC This corroborates the findings from Ali AlZweihary, (2021) who reported that majority of parents (91.0%) had a good practice level of first aid management regarding FC. It however contradicted that of Eta et al., (2021) whereby 67.0% of parents had a wrong practice of first aid measures regarding FC. 66.4% 33.6% Adequate practice Poor practice Figure 2: Overall Practice regarding FC
  • 12. RESULTS AND DISCUSSION (4/4) 12 In our study, there was no significant association found between the socio-demographic characteristics of the participants with their knowledge and practices regarding FC. The results of this study were in line with Abubakri et al., (2021) in which there was no significant association found between the socio-demographic characteristics of the participants with their knowledge and practices regarding FC Objective 3: Factors associated with the knowledge and practice regarding FC
  • 13. CONCLUSION (1/1) This study revealed that parents of the Ngwelle community had an overall adequate knowledge on FC (61.5%) though there are still some wrong believes that exist amongst the population, such as the usefulness of traditional herbs in the management of FC (26.0%). In addition, with respect to their practices regarding FC in children, the study revealed that a good number (66.4%) of them have an adequate practice level. Nevertheless, there still exist some wrong practice such as putting the head in the toilet pit (93.0%). 13
  • 14. RECOMMENDATIONS (1/1) 1. The government should create awareness among parents by adequate health education and counselling through health campaigns which will reduce their apprehension and fear. 2. The health care team can provide appropriate planning for support and education. Nurses, as the care providers who are at the front line of caring programs, must help these parents cope with the situation by providing support and information they need. 14
  • 15. LIMITATIONS (1/1) This study is across-sectional design, and as such provides only a ‘snapshot’ of the Ngwelle community parents’ knowledge and practice regarding FC in children at one moment in time. Also, the relatively small sample size (n=100) and single setting of the study means the results cannot be generalized to all other communities in Douala, talking less of Cameroon 15
  • 16. REFERENCES (1/1)  Syahida, J.A., Risan, N.A. and Tarawan, V.M. (2016). Knowledge and attitude on febrile seizure among mothers with under-five children. Althea Medical Journal. 3(4), 649-654.  Srinivasa, S., Anjum, S.K., Patel, S., Harish, S. and Bhavya, G. (2018). Parental knowledge, attitude and practices regarding febrile convulsion. International Journal Contemporary Pediatrics. 5(2), 515-519.  Rao,V.R., Lowenstein, D.H. Chapter 425: Seizures and Epilepsy. In: Loscalzo J, Fauci A, Kasper D, Hauser S, Longo D, Jameson J. eds. Harrison's Principles of Internal Medicine 21e. McGraw Hill; 2022.  Nguefack, K.S., Ngo, Kana, C.A., Mah, E., Kuate, T., Chiabi, A., Fru, F., Tchoketeu, P.F. and Mbonda, E. (2010). Aspects cliniques, etiologiques et therapeutiques des convulsions febriles. A propos de 325 casaYaounde. Archives of Pediatrics. 17(5), 4.  Kliegman, R.M., Stanton, B., Geme, J.S., and Schor, N.F. (2015) Nelson Textbook of Pediatrics. 20th edition. Philadelphia: Elsevier.  Jing-Jane T. Developing countries perspective. (2015). Web site. hhtps://www.barnardhealth.us/developing-countries/developing-countries-perspective.html. Accessed January 7, 2022.  Shamsi, M. and Sajadi, M. (2013). The effect of education based on Health Belief Model (HBM) in mothers about behaviour of prevention from febrile convulsion in children. World Journal of Medical Sciences. 9, 30-5.  Graneto, W.J. Emergent management of pediatric patients with fever. (2011). Web site. http://emedicine.medscape.com/ article/801598-overview. Accessed January 10, 2022.  Fatunde, O.J., Jarette, O.O. and Lagunju, I.A. (2012). 2012 Pre-hospital management of febrile seizure at the University college hospital Ibadan, Nigeria. Annal of Iban Postgraduate Medicine. 10(2), 6-10.  Eta, V.E.A. and Gaelle, A.N.N. (2021). Knowledge, attitudes and practices of parents regarding convulsion in children under five years in Muea Community, Cameroon. Pediatric Neonatal Nursing Open Journal. 7(1), 13-20.  Anigilaje, M. and Anigilaje, O. (2012) Childhood convulsion: Inquiry about the concerns and home management among mothers in Tegbesun, a periurban community in Ilorin, Nigeria. ISRN Pediatrics. 2012(4), 6. 16
  • 17. ACKNOWLEDGEMENTS (1/1)  To my supervisor  To the Staff of SUI  To the quarter head of the Ngwelle community  To all the parents who participated voluntarily in this study.  To my family members, classmate and friends.  To God Almighty. 17
  • 18. 18 THANK YOU FOR YOUR ATTENTION