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Showing 2 results for Febrile Seizure

Fatemeh Darreh, Manijeh Kahbazi,
Volume 11, Issue 2 (6-2008)
Abstract

Introduction: The vast majority of children with febrile seizure have a normal long term out come, but their parents are always worrying about recurrent febrile seizure. With attention to controversy in treatment a precise knowledge of the short and long term side effect is an important prerequisite for assessing the various treatment strategies. In this study we evaluated the efficacy of intermittent Diazepam and continuous Phenobarbital for the prophylaxis of recurrence of febrile seizure. Materials and Methods: In this clinical trial study 100 children with febrile seizure treated with intermittent Diazepam were compared with 100 children with febrile seizure treated with continuous Phenobarbital. Diazepam (1 mg/kg/d) was administered orally every eight hours during all febrile illness and Phenobarbital (3-5 mg/kg/d) was administered daily. Data were analyzed by chi-square and t-test. Results: During a mean follow up of 19 months, recurrence rates in the two groups were similar (14%). 74% of children receiving Phenobarbital had side effects versus 26% receiving Diazepam. (p=0.00001). Mean of fever in year was 3.2 ± 1.4 in Phenobarbital group and 3.0 ± 1.1 in which had no significant difference. Conclusion: Oral Diazepam, given only when fever is present, is safe and reduces the risk of recurrent febrile seizure.
Mrs Elham Mohammadi, Dr Akram Bayati, Dr Sharare Khosravi, Dr Fakhredin Shariat Madari,
Volume 26, Issue 2 (7-2023)
Abstract

Introduction: Seizure due to fever is the most prevalent neurological condition in children aged 6 to 60 months. A child's seizure can cause significant distress for parents, particularly the mother. Anxiety control and the well-being of the mother are crucial elements in managing child seizures. 
Methods: In this clinical trial, 70 mothers with children experiencing febrile convulsions were divided into two groups: an experimental group and a control group. The division was done using an available sampling method. The mothers in the experimental group received an intervention based on Orem's self-care model, while the mothers in the control group received the usual care. Mothers' anxiety was assessed one day after the child's hospitalization and again three weeks later using the Spielberger questionnaire. The data was analyzed using descriptive statistics, Chi-square test, Fisher's test, and analysis of covariance in SPSS software version 25.
Results: The study showed that after one day of hospitalization, the anxiety score of mothers in the test group was 101.68, compared to 106.25 in the control group. Three weeks later, the test group's anxiety score decreased to 68.97, while the control group's score was 96.34. Importantly, the decrease in the test group was statistically significant compared to the control group (P = 0.000).
Conclusions: Engaging in self-care activities results in a decrease in maternal anxiety. Hence, it is recommended to employ this approach when caring for children who are hospitalized.


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