소아청소년과 외래를 방문한 부모들의 발열공포와 관련 요인
Fever Phobia: A Survey of Children’s Parents in a Pediatric Outpatient Clinic
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목적 일 지역 소아청소년과 외래를 방문한 부모들의 자녀의 발열에 대한발열공포의 수준 및 부모의 발열염려 정도와 대상자의 특성 간의 관련성을 파악하고자 함이다. 방법 소아청소년과 외래를 방문한 부모 151명을 대상으로 구조화된 자기기입식 설문지를 이용하여 자료를 수집하였다. 수집된 자료는 기술통계 및 카이제곱 검정을 통해 분석하였다. 결과 약 50%의 대상자들이 37.8°C를 발열의 최저기준 체온으로 그리고38.9°C를 고열의 최저기준 체온으로 정의했다. 약 3/4의 대상자들이 발열의 해로운 효과로 경련과 뇌손상을 언급했으며, 발열에 대해 ‘매우염려’를 하였고, 자녀의 발열 시 1시간 이내에 체온을 다시 측정하였고,미온수 목욕을 제공했으며, 열성질환이 있는 경우 잠자는 아동을 해열제를 주기 위해 깨웠다. 부모의 자녀 발열에 대한 염려는 이전 열성경련 경험 여부와 한 자녀 가정의 부모와 통계적으로 유의한 관련성이있었다. 결론 소아청소년과 외래를 방문한 부모들에게도 발열공포가 광범위하게존재하고 있었다. 부모들을 위한 발열 및 발열 관리 교육 프로그램의개발과 평가가 요구된다. 의사와 간호사가 부모들의 발열관련 정보의1차적 근원임을 고려할 때 건강관리제공자들은 부모들의 발열에 대한 비현실적인 공포를 경감시키는 데 중요한 역할을 하여야 할 것이다.
Abstract
Purpose: Purposes of this study were to identify the level of parental fever phobia and to investigate the relationship between level of parentalconcern about fever and related variables. Methods: Participants were 151 parents of children who visited a pediatric outpatient clinic. A selfreportedstructured questionnaire was used for data collection and data were analyzed using descriptive statistics and χ2-test. Results: Almosthalf of participants defined a minimum temperature for fever as 37.8°C and a minimum temperature for high fever as 38.9°C. About 75% ofparticipants identified harmful effects of fever as seizure and brain damage, were ‘very worried’ about fever, measured their child’s temperatureevery hour or less, provided tepid massage and woke children to give antipyretics during febrile illness. There were significant relationshipsbetween level of parental concerns about fever and prior experience of febrile seizures, and/or being parents of a single child. Conclusion:Results indicate that fever phobia is prevalent among parents. Further studies are needed to develop and evaluate childhood fever managementeducational programs for parents. Considering health care providers as a primary information resource about fever management, health careproviders should play a vital role to reduce parental unrealistic concerns about fever.
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