الفهرس 
An Overview about Febrile ConvulsionOnly 14 pages are availabe for public view
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Abstract
Febrile Convulsions (FC) are the most common neurologic disorder of infants and children 6 through 60 months of age. They are age-dependent phenomenon, occurring in 2 to 5 percent of children younger than six years of age and are usually associated with fever (a temperature greater than 38 °C) but without evidence of intracranial infection, if convulsion lasts more than 5 minutes, complications such as mental disability, hemiplegia and death will threaten children (kliegman et al., 2016).
Febrile convulsions are described as ‘simple’ or ‘complex’. A simple convulsion lasts less than 15 minutes, generalized, tonic-clonic seizure and does not happen again during the same illness. A complex convulsion lasts longer than 15 minutes, affects only one side or part of the body and recurs within 24 hours or during the same illness (Hampers and Spina, 2011).
Males have consistently emerged as having a higher frequency of febrile convulsion (male to female ratio, 2:1). There are two seasonal peaks in febrile convulsion
incidence: November- January, corresponding to the peak of viral upper respiratory infection and June-August, when common bacterial gastrointestinal illnesses occur (Xixis and Duleboh, 2018).
An important role of the nurse is to provide family support; change parental attitudes and self-management of children with febrile convulsion. Weather the febrile convulsion result from illness, the parents may feel guilt, anxiety, and even humiliation. It is important for the nurse to help the parents feel competent in their ability to meet their responsibility to their children. Educational programs should be implemented continuously among families having children with febrile convulsion, who need to be constantly equipped with up-to-date knowledge. Thus the nurse could play a crucial role in improving the knowledge and management of febrile convulsion through implementation febrile convulsion education programs utilizing available resources (Wedro, 2018).
Aim of the study
This study aimed to assess knowledge and practice of mothers regarding their children with febrile convulsion.
Research questions:
1- What are the knowledge of mothers regarding their children suffering from febrile convulsion?
2- What are the reported practices of mothers regarding their children suffering from febrile convulsion?
Research design:
A descriptive research study was utilized to conduct the
study.
Research settings:
The study was conducted at Pediatric hospital of Tanta University Hospital.
Description of the Settings:
Pediatric department at Tanta University (outpatient clinic emergency located in 1st floor, contains 4 beds for critical cases and the wards of the pediatric hospital located in 3rd floor, ward contains 6 beds).
Research subjects:
A purposive sample composed of all children with FC and their mothers attending to the previously mentioned settings over 6 month period under the following criteria:- Age from 6 months to 5 years
Fever above 38c
Free from Central Nervous System CNS infection
Tools of data collection:
Data were collected through using the following tools:
I: Interviewing Questionnaire Sheet :
It was designed by the researcher revised by supervisors and written in simple Arabic language based on scientific literature review to gather data in relation to the following parts:
Part 1:(a) - It will be concerned with demographic characteristics of mothers such as (age, educational level, job and residence)
(b) - It will be concerned with demographic characteristics of children such as (age, gender and ranking )
Part 2:- It will be related to mothers’ knowledge about FC of their children as (definition, causes, signs &symptoms and complications)
Scoring system: The total score level for the questionnaire sheet was 4 marks (100%). The correct answer scored one, the incorrect scored zero, the mothers’ knowledge was checked with a model key answer and accordingly their knowledge was categorized into either:
• Score of < 60 referred to un satisfactory mothers’ knowledge.
• Score of > 60 referred to satisfactory mothers’ knowledge
Part (3):- It will be related to reported practice of mothers regarding FC of their children as (mother reported practice during hyperthermia, mother reported practice during febrile convulsion, mother reported practice after febrile convulsion and mother reported practice during continuous febrile convulsion).
Part (4): It will be related to Hospital Medical Report for the child such as (child age during exposure to first febrile convulsion, number of febrile convulsion’s occurrence, causes of febrile convulsion, description of febrile convulsion and mother doing during febrile convulsion).
Results of the study:
The main findings of the study can be summarized as the following:
• About two thirds of studied mothers (62%) were intermediate education.
• More than two thirds of studied children (66%) were male. In relation to the child’s ranking, it was found that, more than half of children were the first in their family.
• More than one third of mothers (44%) describe febrile convulsion as a convulsion associate with high temperature and acute tonsillitis as a cause of febrile convulsion.
• More than half of mothers (52%) gave their children anti pyretic syrup to relive hyperthermia, and 56% of them didn’t give drugs for their children during convulsion.
• More than half of studied children (56%) were exposed to febrile convulsion during first year also, 68% of them had once number occurrence of febrile convulsion.
• There was statistical significant relation between mother’s total knowledge and numbers occurrence of febrile convulsion at (p<0.05).
• As regard Relation between the numbers occurrence of
febrile convulsion and total mother’s reported practice is the high statistically significant relation was observed p-value (<0.01).
Conclusion:
The study concluded that more than half of the studied mothers had unsatisfactory knowledge about febrile convulsion of their children and more than two third of them had unsatisfactory reported practice regarding their children suffering from febrile convulsion. In addition, there was a statistical significant relation between total mothers’ knowledge and their total reported practice.
Recommendation:
In the light of the study finding the following recommendation are suggested:
♦ Implementation of training programs at pediatric hospital to improve mothers’ knowledge and practice regarding their children suffer from febrile convulsion.
♦ Further studies are required to emphasize the mothers’ awareness of febrile convulsion.