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Rice SA, Müller RM, Jeschke S, Herziger B, Bertsche T, Neininger MP, Bertsche A. Febrile seizures: perceptions and knowledge of parents of affected and unaffected children. Eur J Pediatr 2022; 181:1487-1495. [PMID: 34873647 PMCID: PMC8648401 DOI: 10.1007/s00431-021-04335-1] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 08/17/2021] [Revised: 11/26/2021] [Accepted: 11/29/2021] [Indexed: 11/21/2022]
Abstract
UNLABELLED Febrile seizures (FS) in children are common, but little is known about parents' perceptions and knowledge of FS. We interviewed parents of children aged 6 months to 6 years affected by FS (FS group, 65 parents) or unaffected (control group, 54 parents). In the FS group, 32% said they knew their child had an FS when the first event occurred, and 89% described fear when the child had a seizure, with a median intensity of 10/10 (Q25/Q75: 9/10). Related to follow-up, 77% in the FS group (will) observe their child more carefully after the first seizure happened, and 63% (will) give antipyretics earlier at a median temperature of 38.2 °C (100.8 °F). In the FS group, 62% were unaware of FS before the first event (54% of control group did not know about FS thus far, n.s.). In the FS group, 20% would put a solid object in the mouth of a child having a seizure (control group, 39%, p = 0.030), and 92% would administer an available anti-seizure rescue medication (control group, 78%, p = 0.019). In the FS group, 71% feared that children with FS might suffocate (control group, 70%, n.s.). CONCLUSION Information about FS and their management should be more available to improve parents' coping and patient safety. WHAT IS KNOWN • Febrile seizures in children are common. • The prognosis of children suffering from febrile seizures is usually rather good. WHAT IS NEW • Over half of parents had not informed themselves about febrile seizures so far; and only 32% of parents realized their child had a febrile seizure when it occurred. • Most parents described own fear with a median intensity of 10/10; and 63% (will) give antipyretics earlier at a median temperature of 38.2 °C (100.8 °F).
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Affiliation(s)
- Steven Alan Rice
- University Hospital for Children and Adolescents, Universitätsmedizin Rostock, Ernst-Heydemann-Straße 8, Rostock, 18057 Germany
| | - Ruth Melinda Müller
- University Hospital for Children and Adolescents, Universitätsmedizin Rostock, Ernst-Heydemann-Straße 8, Rostock, 18057 Germany
| | - Sarah Jeschke
- University Hospital for Children and Adolescents, Universitätsmedizin Rostock, Ernst-Heydemann-Straße 8, Rostock, 18057 Germany
| | - Birthe Herziger
- University Hospital for Children and Adolescents, Universitätsmedizin Rostock, Ernst-Heydemann-Straße 8, Rostock, 18057 Germany
| | - Thilo Bertsche
- Clinical Pharmacy, Institute of Pharmacy, Medical Faculty, Leipzig University and Drug Safety Center, Leipzig University and University Hospital, Bruederstraße 32, Leipzig, 04103 Germany
| | - Martina Patrizia Neininger
- Clinical Pharmacy, Institute of Pharmacy, Medical Faculty, Leipzig University and Drug Safety Center, Leipzig University and University Hospital, Bruederstraße 32, Leipzig, 04103 Germany
| | - Astrid Bertsche
- University Hospital for Children and Adolescents, Universitätsmedizin Rostock, Ernst-Heydemann-Straße 8, Rostock, 18057, Germany.
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Smith A, McKinlay A, Wojewodka G, Ridsdale L. A systematic review and narrative synthesis of group self-management interventions for adults with epilepsy. BMC Neurol 2017. [PMID: 28623909 PMCID: PMC5474294 DOI: 10.1186/s12883-017-0893-3] [Citation(s) in RCA: 19] [Impact Index Per Article: 2.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/07/2023] Open
Abstract
BACKGROUND Epilepsy is a serious and costly long-term condition that negatively affects quality of life, especially if seizures persist on medication. Studies show that people with epilepsy (PWE) want to learn more about the condition and some educational self-management courses have been trialled internationally. The objectives of this review were to evaluate research and summarise results on group self-management interventions for PWE. METHODS We searched Medline and PsycINFO for results published in English between 1995 and 2015. Only studies evaluating face-to-face, group interventions for adults with epilepsy were included. Heterogeneity in study outcomes prevented the carrying out of a meta-analysis; however, a Cochrane style review was undertaken. RESULTS We found eleven studies, nine of which were randomised controlled trials. There were variable standards of methodological reporting with some risk of bias. Seven of the studies used quality of life as an outcome, with four finding statistically significant improvements in mean total score. Two found an improvement in outcome subscales. One study included some additional semi-qualitative data. CONCLUSIONS We identified promising trends in the trials reviewed. In particular, there were significant improvements in quality of life scales and seizure frequency in many of the interventions. However, considerable heterogeneity of interventions and outcomes made comparison between the studies difficult. Courses that included psychological interventions and others that had a high number of sessions showed more effect than short educational courses. Furthermore, the evidence was predominantly from pilot studies with small sample sizes and short follow-up duration. Further research is needed to better evaluate the role of group self-management interventions in outpatient epilepsy management.
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Affiliation(s)
- Amelia Smith
- GKT School of Medicine, King's College London, London, SE1 1UL, UK
| | - Alison McKinlay
- Institute of Psychiatry, Psychology & Neuroscience, Academic Neuroscience Centre, King's College London, PO Box 57, London, SE5 8AF, UK
| | - Gabriella Wojewodka
- Institute of Psychiatry, Psychology & Neuroscience, Academic Neuroscience Centre, King's College London, PO Box 57, London, SE5 8AF, UK
| | - Leone Ridsdale
- Institute of Psychiatry, Psychology & Neuroscience, Academic Neuroscience Centre, King's College London, PO Box 57, London, SE5 8AF, UK.
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Frascari F, Dreyfus I, Chaix Y, Tison-Chambellan C. Efficacy of an interventional educational programme in mitigating post-traumatic stress in parents who have witnessed a febrile seizure: a pilot before-and-after study. BMJ Paediatr Open 2017; 1:e000107. [PMID: 29637135 PMCID: PMC5862227 DOI: 10.1136/bmjpo-2017-000107] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 05/26/2017] [Revised: 11/01/2017] [Accepted: 11/11/2017] [Indexed: 11/04/2022] Open
Abstract
OBJECTIVES To measure post-traumatic stress in parents who have witnessed their child's first simple febrile seizure and to assess the impact of workshops where information is dispensed, proper reactions are demonstrated and dialogue is encouraged on the mitigation of parental stress. DESIGN A pilot before-and-after study, with control group, using self-reported measures from the Impact of Event Scale-Revised. SETTING Data from two French participating centres. PARTICIPANTS A total of 50 parents who witnessed their child's first simple febrile seizure. INTERVENTION Parents selected themselves into either group 1: attending a workshop (intervention group), or group 2: no further management (control group). PRIMARY AND SECONDARY OUTCOME MEASURES (1) Parental post-traumatic stress was assessed by the Impact of Event Scale-Revised a minimum of 4 weeks after the seizure (before any workshop if applicable). A high risk of developing post-traumatic stress disorder was indicated by a score ≥33. (2) To assess the efficacy of workshops on the mitigation of parental stress, all parents self-completed the Impact of Event Scale-Revised a second time at a minimum of 10 weeks after the seizure (after any workshop if applicable). RESULTS Four weeks after the seizure, 76% of the total parents presented an Impact of Event Scale-Revised score ≥33. At 10 weeks after the seizure, the scores were 18.1 points lower (95% CI 11.66 to 24.61, P<0.0001) in group 1 versus only 5.51 points lower (95% CI 2.76 to 8.27, P=0.0003) in group 2 (intragroup comparison), and were significantly lower in group 1 compared with group 2 (intergroup comparison), P=0.02. CONCLUSIONS Parents who have witnessed their child's first simple febrile seizure are at high risk of developing post-traumatic stress disorder 4 weeks after the seizure. Our innovative workshops are associated with a significant mitigation of the parental post-traumatic stress.
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Affiliation(s)
- Flora Frascari
- Department of Pediatric Neurology, Children Hospital, Centre Hospitalier Universitaire de Toulouse, Toulouse, France
| | - Isabelle Dreyfus
- Department of Dermatology, CHU Larrey, Centre Hospitalier Universitaire de Toulouse, Toulouse, France
| | - Yves Chaix
- Department of Pediatric Neurology, Children Hospital, Centre Hospitalier Universitaire de Toulouse, Toulouse, France.,Toulouse NeuroImaging Center (TONIC), UMR 1214, Université Toulouse 3 (UT3), Toulouse, Midi-Pyrénées, France
| | - Camille Tison-Chambellan
- Department of Pediatric Neurology, Children Hospital, Centre Hospitalier Universitaire de Toulouse, Toulouse, France
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The Effects of Two Educational Strategies on Knowledge, Attitude, Concerns, and Practices of Mothers With Febrile Convulsive Children. ACTA ACUST UNITED AC 2016. [DOI: 10.5812/thrita.33411] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
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Robertson J. Commentary on 'prophylactic drug management for febrile seizures in children'. ACTA ACUST UNITED AC 2014; 8:1486-7. [PMID: 23877947 DOI: 10.1002/ebch.1922] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/08/2022]
Abstract
This is a commentary on a Cochrane review, published in this issue of EBCH, first published as: Offringa M, Newton R. Prophylactic drug management for febrile seizures in children. Cochrane Database of Systematic Reviews 2012, Issue 4. Art. No.: CD003031. DOI: 10.1002/14651858.CD003031.pub2.
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Kwak AR, Kim JS. Caregivers' Knowledge, Concerns and Management of Pediatric Febrile Convulsions. CHILD HEALTH NURSING RESEARCH 2014. [DOI: 10.4094/chnr.2014.20.3.149] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/06/2022] Open
Affiliation(s)
| | - Jin Sun Kim
- Department of Nursing, Chosun University, Gwangju, Korea
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Prise en charge par les parents des convulsions de l’enfant au domicile. ANNALES FRANCAISES DE MEDECINE D URGENCE 2013. [DOI: 10.1007/s13341-013-0316-z] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/26/2022]
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Impact of information leaflets on behavior of patients with gastroenteritis or tonsillitis: a cluster randomized trial in French primary care. J Gen Intern Med 2013; 28:25-31. [PMID: 22829293 PMCID: PMC3539030 DOI: 10.1007/s11606-012-2164-8] [Citation(s) in RCA: 13] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 02/21/2012] [Revised: 05/25/2012] [Accepted: 05/30/2012] [Indexed: 10/28/2022]
Abstract
OBJECTIVE To assess the impact of four patient information leaflets on patients' behavior in primary care. DESIGN Cluster randomized multicenter controlled trial between November 2009 and January 2011. PARTICIPANTS French adults and children consulting a participating primary care physician and diagnosed with gastroenteritis or tonsillitis. Patients were randomized to receive patient information leaflets or not, according to the cluster randomization of their primary care physician. INTERVENTION Adult patients or adults accompanying a child diagnosed with gastroenteritis or tonsillitis were informed of the study. Physicians in the intervention group gave patients an information leaflet about their condition. Two weeks after the consultation patients (or their accompanying adult) answered a telephone questionnaire on their behavior and knowledge about the condition. MAIN MEASURES The main and secondary outcomes, mean behavior and knowledge scores respectively, were calculated from the replies to this questionnaire. RESULTS Twenty-four physicians included 400 patients. Twelve patients were lost to follow-up (3 %). In the group that received the patient information leaflet, patient behavior was closer to that recommended by the guidelines than in the control group (mean behavior score 4.9 versus 4.2, p < 0.01). Knowledge was better for adults receiving the leaflet than in the control group (mean knowledge score 4.2 versus 3.6, p < 0.01). There were fewer visits for the same symptoms by household members of patients given leaflets (23.4 % vs. 56.2 %, p < 0.01). CONCLUSION Patient information leaflets given by the physician during the consultation significantly modify the patient's behavior and knowledge of the disease, compared with patients not receiving the leaflets, for the conditions studied.
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Abstract
The views of the parents of children undergoing elective surgery are not well represented in the literature. The aim of this study was to identify the priorities of parents with a view to improve their satisfaction. A questionnaire-based survey was conducted among parents of children undergoing elective surgery between November 2007 and March 2008. A total of 337 completed questionnaires were received. A similar survey was conducted among 12 surgeons, and their views were compared. Forty-three percent of parents preferred to know about a procedure on the day of surgery while others wanted the information in advance. Parents were most concerned with the complications of surgery and least concerned with the scar. Most of the surgeons thought it was not essential to mention their level of experience and the detailed surgical procedure to the parents while obtaining consent for surgery. In contrast, the parents thought that knowing the experience of the operating surgeon and the detailed surgical procedure was more important than knowing the duration of operation and the surgical incision. Face-to-face discussion with a surgeon was the most preferred mode of communication. Although 82% of parents have access to the Internet, booklets were more popular among parents than online information. Twelve percent of parents wanted the information in a foreign language. This survey reveals the perspective of parents about their child's surgery and identifies the differences in opinion between patients and surgeons about the information to be provided before surgery. Tailoring information to the parents' priorities will improve parent satisfaction.
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Affiliation(s)
- A Niyogi
- Department of Paediatric Surgery, Chelsea and Westminster Hospital, London, England, UK.
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Jeong MJ, Shin HA, Kim YH, Lee JH, Lee SJ, Song MR. Development of Evidence-based Nursing Practice Guidelines for Febrile Children in Emergency Room. ACTA ACUST UNITED AC 2012. [DOI: 10.4094/jkachn.2012.18.4.214] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/06/2022]
Affiliation(s)
- Min-Jin Jeong
- Emergency Room, Nursing Department, Samsung Medical Center, Seoul, Korea
| | - Hyun-A Shin
- Emergency Room, Nursing Department, Samsung Medical Center, Seoul, Korea
| | - Yun-Hee Kim
- Emergency Room, Nursing Department, Samsung Medical Center, Seoul, Korea
| | - Jee-Hyang Lee
- Emergency Room, Nursing Department, Samsung Medical Center, Seoul, Korea
| | - Seung-Ja Lee
- Nursing Department, Samsung Medical Center, Seoul, Korea
| | - Mi-Ra Song
- Nursing Professional Development, Nursing Department, Samsung Medical Center, Seoul, Korea
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Jeong YS, Oh HE, Kim JS. Parents' Perception, Knowledge and Self-Efficacy in Management of Childhood Fever. ACTA ACUST UNITED AC 2010. [DOI: 10.4094/jkachn.2010.16.4.324] [Citation(s) in RCA: 9] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/06/2022]
Affiliation(s)
- Yong-Sun Jeong
- Full-time Instructor, Department of Nursing, Seonam University, Namwon, Korea
| | - Hyun-Ei Oh
- Professor, Department of Nursing, Chosun University, Gwangju, Korea
| | - Jin-Sun Kim
- Associate professor, Department of Nursing, Chosun University, Gwangju, Korea
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Hougardy V, Vandeweerd JM, Reda AA, Foidart JM. The impact of detailed explanatory leaflets on patient satisfaction with urodynamic consultation: A double-blind randomized controlled trial. Neurourol Urodyn 2009; 28:374-9. [DOI: 10.1002/nau.20667] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/06/2022]
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Clinical intervention research in nursing. Int J Nurs Stud 2009; 46:557-68. [DOI: 10.1016/j.ijnurstu.2008.08.012] [Citation(s) in RCA: 31] [Impact Index Per Article: 2.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/13/2008] [Revised: 04/25/2008] [Accepted: 08/17/2008] [Indexed: 12/20/2022]
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