儿童急诊科发热母亲出院指导视频和小册子：一项随机对照试验。

IF 1.8 4区医学 Q2 NURSING

International Emergency Nursing Pub Date : 2025-02-01 DOI:10.1016/j.ienj.2024.101546

Aylin Kurt, Fatma Dinç, Emine Güneş Şan

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引用次数: 0

摘要

背景：由于缺乏知识和误解，家长可能会对发烧处理不当，并寻求不必要的医疗照顾。目的：本研究的目的是确定视频和小册子出院指导在儿科急诊科对儿童发烧的有效性。方法：该随机对照试验（NCT05929131）分为三组：视频（n = 48）、小册子（n = 48）和口头（n = 48）出院说明。数据采用介绍信息表、家长儿童期发热管理、家长出院后应对困难量表和出院后信息表收集。结果：接受出院指示后3 d内，视频组家长发热管理量表得分较低(视频：20.29±1.99分，手册：20.65±2.07分，口头：28.41±1.51分；p结论：视觉出院指导，如支持出院指导的小册子和视频，已被证明可以有效提高母亲的发烧管理技能，减少她们重返急诊室。

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Video and booklet discharge instructions for mothers for childhood fever in pediatric emergency department: A randomized controlled trial

Background

Due to lack of knowledge and misunderstanding, parents may mismanage a fever and seek unnecessary medical attention.

Aim

The study aimed to determine the effectiveness of video and booklet discharge instructions for childhood fever in the pediatric emergency department.

Methods

This randomized controlled trial (NCT05929131) consisted of three groups: video (n = 48), booklet (n = 48), and verbal (n = 48) discharge instructions. Data were collected using the Introductory Information Form, Parent’s Childhood Fever Management, Post-Discharge Coping Difficulties Scale for Parents, and Post-Discharge Information Form.

Results

Within the first 3 days after receiving discharge instructions, parents in the video group had lower scores on the Parents’ Fever Management Scale (video: 20.29 ± 1.99, booklet: 20.65 ± 2.07, verbal: 28.41 ± 1.51; p < 0.05) and the Post-Discharge Coping Difficulties Scale for Parents (video: 39.44 ± 3.91, verbal: 54.03 ± 9.12; p = 0.019) compared to the verbal group. After discharge, the number of hospital readmissions was lower in the video group of parents compared to the verbal group (video: 1.12 ± 0.44, verbal: 1.54 ± 0.96, p = 0.015).

Conclusion

Visual discharge instructions, such as booklets and videos to support discharge instructions, have been shown to be effective in improving mothers’ fever management skills and reducing their return to the emergency department.

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来源期刊

International Emergency Nursing NURSING-

CiteScore

3.20

自引率

11.10%

发文量

期刊介绍： International Emergency Nursing is a peer-reviewed journal devoted to nurses and other professionals involved in emergency care. It aims to promote excellence through dissemination of high quality research findings, specialist knowledge and discussion of professional issues that reflect the diversity of this field. With an international readership and authorship, it provides a platform for practitioners worldwide to communicate and enhance the evidence-base of emergency care. The journal publishes a broad range of papers, from personal reflection to primary research findings, created by first-time through to reputable authors from a number of disciplines. It brings together research from practice, education, theory, and operational management, relevant to all levels of staff working in emergency care settings worldwide.