Foot Bath on Fever Management in Children (EWWFBFMC)

Atlas University

Status: Not yet enrolling

Conditions: Nursing Caries

Treatments: Other: Application Footbath

Study type: Interventional

Funder types: Other

Identifiers

NCT06537206

E-2268639050.99-46589

Details and patient eligibility

About

Reducing the dependency on medication in lowering fever, which is one of the most common symptoms in childhood, and developing safer and more feasible alternative methods are important for child health. This study is planned to evaluate the effect of warm water foot baths on vital signs and pain in children and to scientifically examine this effect with a randomized controlled trial.

Full description

Fever is one of the most common symptoms in childhood, especially in children under the age of five. While it is the most frequent reason for visits to health institutions, it constitutes 25% of pediatric emergency visits. Lack of knowledge about fever in parents triggers fear, and the thought that it can cause seizures, disability, and brain damage induces anxiety and panic in many families. In the presence of anxiety and panic, families may quickly resort to early and incorrect treatment. Administering less medication than necessary for low fever or high doses for high fever, repeated use of antipyretics, and inappropriate use of antibiotics lead to ineffective management, causing an increase in repeated emergency visits and unnecessary crowding in emergency services. Published guidelines on high fever have emphasized focusing on pain and comfort rather than reducing fever in children. It is reported that foot baths, preferred in pain management, effectively reduce pain and increase comfort. Additionally, guidelines related to fever highlight that warm applications after medication administration can effectively lower persistent fever. Warm water foot bath therapy dilates blood vessels, increases blood circulation, releases heat as sweat, and supports increased oxygenation. Increased circulation improves tissue nutrition and reduces stress. In a study by Ishita et al. (2017), it was observed that body temperature decreased in children who had a warm water foot bath. Similarly, studies by Sunar (2017) and Retnam and Sophia (2018) reported that warm water foot baths were effective in reducing fever in individuals with complaints of high fever.

Enrollment: 60 estimated patients

Sex: All

Ages: 1 to 5 years old

Volunteers: Accepts Healthy Volunteers

Inclusion criteria

• The child is between 1-5 years old. The child has presented to the emergency department with a fever of 38.3°C or higher.

The child is a patient with "Yeşil alan" (specific condition or disease). The child has no chronic illness. The child has not used any other antipyretic medication in the last 6 hours. The child has been administered 15 mg/kg of oral paracetamol as prescribed by the doctor.

The child and their parent(s) have volunteered to participate in the study. Written consent from the parent(s) is obtained.

Exclusion criteria

Individuals who have not agreed to participate voluntarily in the study. Children who have been unable to take paracetamol due to spillage or vomiting. Children with compromised skin integrity. Individuals who have undergone surgical procedures that would hinder the child's activity.

Trial design

Primary purpose: Supportive Care

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Single Blind

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60 participants in 2 patient groups

Application Footbath

Experimental group

Description:

The experimental group will then receive the first foot bath with water at 38-40°C for approximately 10 minutes. After this, the second set of physiological parameters will be measured at the 40th minute. The child will rest for 10 minutes, followed by measurement and recording of the third set of parameters at the 50th minute. A second foot bath at 38-40°C will be applied for another 10 minutes. After this, the fourth set of physiological parameters will be measured, and the FLACC pain score (2nd measurement) will be recorded by the same nurse observer and parent at the 60th minute. The procedure will then be terminated.

Treatment:

Other: Application Footbath

Control Group

No Intervention group

Description:

Approximately 10 minutes after the application of the antipyretic, the adaptation of the family and the child to the clinic will be awaited. Children and families who meet the sample selection criteria and verbally and in writing agree to participate in the study will be included. A data collection form will be applied to all members of the sample group, and the information will be recorded by the researcher on the form. (20th minute) The parents of the children and the observer nurse will be explained how to use the FLACC pain assessment scale. For inter-observer agreement, the nurse administering the antipyretic and the accompanying parent will simultaneously evaluate using the scale. Throughout the process, the parents of both groups will be with the child.