Author/Authors :
Farsar، A.R. نويسنده Assistant Professor of Pediatrics, Mo?d Children Hospital, Shahid Beheshti Medical University , , Kolahi، A.A. نويسنده Associate Professor in Community Medicine, Shahid Beheshti Medical University ,
Abstract :
Objective
Compared to other pediatric emergencies, febrile convulsions (FC), despite
having an excellent prognosis, are a main cause of considerable anxiety
among mothers of children faced with their child’s first febrile convulsion.
Consequently, one of the physician’s most important responsibilities in the
management of pediatric febrile convulsions is to educate and guide mothers
on how to reduce their anxiety. This study was performed on mothers whose
children had been admitted to Mofid Children’s Hospital following a first
febrile convulsion, to determine the effect of education on lowering the levels
of maternal anxiety after their child’s first febrile convulsion.
Materials and Methods
In this sequential control clinical trial, 84 volunteering mothers were divided
in two matched groups, the intervention and the controls. Maternal anxiety
levels were determined in both groups by the State Trait Anxiety Inventory
(STAI) standard questionnaire (pretest). Following this, the intervention
group of mothers underwent face-to-face education for 3 hours, whereas no
intervention was used for the control group. After nine days, anxiety levels
were determined in the two groups using the same questionnaire (post-test).
The data was analyzed using the Mann-Whitney, the Wilcoxon Signed Rank
Sum, and the McNemar tests, and chi-square analysis.
Results
Results show that in the intervention group, maternal anxiety decreased
significantly (p < 0.001), whereas no significant difference was seen in the
control group.
Conclusion
This study demonstrates that maternal education on FCs significantly
reduces maternal anxiety, in coping with stress following their child’s first
febrile convulsion, and considering the results of similar studies, educational
programs are highly recommended for mothers having children who suffer
from the condition.