International Journal of Pediatric Nursing

EFFECT OF AN INTERVENTION ON PREVENTION OF RECURRENCE OF FEBRILE CONVULSION AMONG UNDER FIVE CHILDREN

Amal Attia Hussein*, Nabila El Sayed Saboula, Nagwa A. Zein Eldein

nagwa_ahmedzin@ymail.com

Fever, Febrile convulsions, Children, Nursing intervention.

Fever is a common manifestation present in most of infections. In some children severe fever can cause convulsion.The aim of this study was to assess the effect of mothers' intervention on prevention of recurrence of febrile convulsions among under five children. Design: Aquasi- experimental design was used with pre - post test. Setting: The study was conducted at outpatient clinics in Menouf Fever Hospital,Menouf district, Menoufia governorate. Sample: A convenient sample of 500 mothers and their children attending fever hospital and purpusivly assess 61 mothers of children with febrile convulsion. Tools of the study: Three tools was used the 1st was -a) Interviewing questionnaire for socio-demographic and past history data. 2ndwas:-Assessment of mother's knowledge and practices: It included questions about fever and febrile convulsion and its management. 3rd Check list for management of febrile seizers adapted from WHO (2012) Integrated Management of Childhood Illnesses (IMCI) guidelines for management of fever. Results: The study revealed that, male children were the predominance who had febrile convulsions than females.The majority of cases had positive family history of febrile convulsion. Nearly, half of febrile convulsion cases were from 6 month to 1year.There was highly statistical significant improvement in mother‟s knowledge and practices at the post test compared with that of pre test. In addition, frequency of recurrence of febrile convulsion become decreased by 3% at the 4th month, and decline to 0% at 5th&6th months of follow up compared to the first month.Conclusion: Enhancing mothers of children with febrile convulsions with knowledge and practices necessary for decreasing frequency of recurrence episodes at the end of 6 months. Recommendation: Health education for fever and febrile convulsions prevention should be performed at the outpatient clinics using booklets, posters and other mass media to improve mother‟s knowledge and practices. A similar study can be replicated on nurses of the outpatient clinics to evaluate their knowledge and practices toward fever and febrile convulsions.