背景:高热惊厥是影响6个月至5岁儿童的最常见的惊厥类型。然而,由于症状的模糊性,高热惊厥很难识别,这可能导致不正确的诊断和治疗。因此,这项研究探讨了高热惊厥相关的不确定性,知识,和母亲之间的焦虑。
方法:横断面设计包括190名约旦母亲,大约一半的儿童有高热癫痫发作史。工具包括国家特质焦虑量表(STAI),父母不确定感量表(PPUS),和父母的知识,态度,关注,和实践(KACP)。
结果:母亲对高热惊厥的认识很差,受影响的母亲得分明显高于未受影响的母亲。受影响母亲的状态和特质焦虑和不确定性较高。相关性显示不确定性与焦虑呈正相关。回归分析表明,特质焦虑和知识可以预测患病母亲的不确定性,而只有特质焦虑可以预测未受影响的母亲的不确定性。
结论:母亲,尤其是那些受影响的孩子,展示了低热惊厥知识,高度焦虑,和不确定性。缺乏知识可能导致高热惊厥管理无效。这项研究确定了特质焦虑和知识是不确定性的预测因素,强调需要有针对性的干预措施。
结论:医疗保健专业人员可以设计针对高热惊厥教育和减少焦虑的干预措施。决策者应把重点放在提高认识和为有效干预分配资源上,可能改善儿童高热惊厥结局。这项研究强调了解决孕产妇知识差距的重要性,焦虑,以及与高热惊厥有关的不确定性,建议需要为母亲提供全面的教育计划和支持策略。
BACKGROUND: Febrile seizures are the most common type of convulsions affecting children aged six months to five years. However, febrile seizures can be difficult to identify due to the vague nature of the symptoms, which can lead to incorrect diagnosis and treatment. Thus, this study explores febrile seizure-related uncertainty, knowledge, and anxiety among mothers.
METHODS: A cross-sectional design included 190 Jordanian mothers, about half with children having febrile seizure history. Instruments included the State-Trait Anxiety Inventory (STAI), Parental Perception of Uncertainty Scale (PPUS), and Parental Knowledge, Attitudes, Concerns, and Practices (KACP).
RESULTS: Mothers exhibited poor febrile seizure knowledge, with affected mothers significantly scoring higher than unaffected. Affected mothers had higher state and trait anxiety and uncertainty. Correlations showed uncertainty positively correlated with anxiety. Regression analysis showed that trait anxiety and knowledge predicted uncertainty in affected mothers, while only trait anxiety predicted uncertainty in unaffected mothers.
CONCLUSIONS: Mothers, especially those with affected children, demonstrated low febrile seizure knowledge, high anxiety, and uncertainty. Lack of knowledge may contribute to ineffective febrile seizure management. The study identifies trait anxiety and knowledge as predictors of uncertainty, emphasizing the need for tailored interventions.
CONCLUSIONS: Healthcare professionals can design interventions targeting febrile seizure education and anxiety reduction. Policymakers should focus on raising awareness and allocating resources for effective interventions, potentially improving children with febrile seizure outcomes. This study underscores the importance of addressing maternal knowledge gaps, anxiety, and uncertainty related to febrile seizures, suggesting the need for comprehensive educational programs and support strategies for mothers.