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Fever phobia in children . Commonly encountered
- 1. Journal Club October 2015 Dr M. Sajid Noor Resident Pediatric medicine NICH Karachi
- 2. Fever phobia:a comparision survey between caregivers in inpatient ward and caregivers at outpatient dept in childrens hospital in china. Lili dong, jiahui jin,yili lu,lili jiang,xiaoou shan Wenzhouh medical university
- 3. • Are you ready for some morning exercise???or need a cup of tea??
- 4. Background Fever in children is one of the most common clinical symptoms and chief complaint and main reason that caregivers took children to OPD or hospital . Study found that majority of parents held unrealistic and unwarranted concerns about fevers,first termed as FEVER PHOBIA by schmitt in 1980.
- 6. Aim of study • To explore caregivers attitude towards fever and compare the attitude between the OPD group and ward group. • To highlight whether the caregivers feel relieved and whether the education works after admission to hospital.
- 7. Study Details • Cross-sectional study • From june 2012 to feb 2013. • Questionnaire was distributed amongst ward and opd. • All caregivers amongst ward group have been educated prior for fever related knowledge.
- 8. EXCLUSION CRITERIA • Children less than 3 months old. • Caregivers with experience of working in healthcare instituition. • Previous history of hospitilisation.
- 12. Contd:
- 21. Results Most caregivers(OPD vs ward 75.1 vs74.4)believed fever cause brain damage 68% give antipyreic during sleep. 39.9% would give when temp above 38c 83,9% got education and 96.5 felt relieved. 42.7% believed fever cause death/deafness. 77% were worried when child had fever. 12.8% check fever at 30min Ward vs opd 42.4/46.9%) give antipyretic at temp below 38.5C preferred cold sponging.
- 22. CONCLUSION • FEVER PHOBIA is widespread amongst caregivers and vast majority believes that fever is harmfull. • This study also showed that fever education is not effective action to improve the caregivers understanding and management of fever and alleviate fever phobia. • As doctors and nurses were considered as primary source of information so they might help alleviate fever phobia if correct information given to the caregivers by them.
- 23. Critique • Operational definition are not defined • . Validity of knowledge given by doctors and nurses could not be trusted. • Reason for admission in ward or visit to OPD was not told. • ward parents were more worried due to their child more severe disease. • Very poor english and grammatical mistakes
- 25. Thank You