Journal Club October 2015 Dr M. Sajid Noor Resident Pediatric medicine NICH Karachi
Fever phobia:a comparision survey between caregivers in inpatient ward and caregivers at outpatient dept in childrens hospital in china. Lili dong, jiahui jin,yili lu,lili jiang,xiaoou shan Wenzhouh medical university
Are you ready for some morning exercise???or need a cup of tea??
Background Fever in children is one of the most common clinical symptoms and chief complaint and main reason that caregivers took children to OPD or hospital . Study found that majority of parents held unrealistic and unwarranted concerns about fevers,first termed as FEVER PHOBIA by schmitt in 1980.
Aim of study To explore caregivers attitude towards fever and compare the attitude between the OPD group and ward group. To highlight whether the caregivers feel relieved and whether the education works after admission to hospital.
Study Details Cross-sectional study From june 2012 to feb 2013. Questionnaire was distributed amongst ward and opd . All caregivers amongst ward group have been educated prior for fever related knowledge.
EXCLUSION CRITERIA Children less than 3 months old. Caregivers with experience of working in healthcare instituition . Previous history of hospitilisation .
Contd :
Results
CONCLUSION FEVER PHOBIA is widespread amongst caregivers and vast majority believes that fever is harmfull . This study also showed that fever education is not effective action to improve the caregivers understanding and management of fever and alleviate fever phobia. As doctors and nurses were considered as primary source of information so they might help alleviate fever phobia if correct information given to the caregivers by them.
Critique Operational definition are not defined . Validity of knowledge given by doctors and nurses could not be trusted. Reason for admission in ward or visit to OPD was not told. ward parents were more worried due to their child more severe disease. Very poor english and grammatical mistakes