Maternal Factors in Managing Seizures in Children
Abstract
Febrile seizures are medical emergencies commonly occurring in children aged 6 months to 5 years that require immediate and appropriate response. Maternal knowledge plays a critical role in managing these events to prevent complications.Objective : This study aims to examine the relationship between maternal knowledge, education, occupation, and age with the management of febrile seizures in children at Mitra Plumbon Hospital. A quantitative research design with a cross-sectional approach was used. A total of 84 mothers whose children experienced febrile seizures were selected through total sampling. A validated structured questionnaire was used as the instrument. The questionnaire underwent validity and reliability testing on a sample of 10 mothers to ensure its appropriateness for the study. Data were analyzed using the Spearman Rank test and ordinal regression.Result : The results showed that 45.2% of mothers had good knowledge and 47.6% demonstrated appropriate seizure management. Significant relationships were found between knowledge (r = 0.567; p < 0.001) and education (r = 0.287; p = 0.008) with seizure management. Age and occupation showed no significant correlation.Conclusion : It is concluded that maternal knowledge and education significantly influence the proper management of febrile seizures. Continuous health education for mothers is essential to improve emergency handling of febrile seizures at home.
References
Anisa, S., & Nova Handayani, R. (2023). Upaya Peningkatan Pengetahuan dan Keterampilan dalam Penanganan Pertama pada Kejang Demam di Posyandu Garuda II Kembaran Purwokerto. In Jurnal Comunità Servizio (Vol. 6, Issue 2).
Bustomi, S., Bustomi, S., Falconieri, M., Phillips, K. S., Wolpert, E. B., & Weaver, T. E. (2019). The Influence Of Health Education On Mother’s Knowledge About Prevention And Handling Of Fever In Public Hospital Dr. Dradjat Prawiranegara Serang. Journal of Biological Chemistry, 271(20), 11761–11766.
Corsello, A., Marangoni, M. B., Macchi, M., Cozzi, L., Agostoni, C., Milani, G. P., & Dilena, R. (2024). Febrile Seizures: A Systematic Review of Different Guidelines. Pediatric Neurology, 155, 141–148. https://doi.org/10.1016/J.PEDIATRNEUROL.2024.03.024
Creswell, W. J., & Creswell, J. D. (2018). Research Design: Qualitative, Quantitative adn Mixed Methods Approaches. In Journal of Chemical Information and Modeling (Vol. 53, Issue 9).
Dougherty, D., Duffner, P. K., Baumann, R. J., Berman, P., Green, J. L., Schneider, S., Hodgson, E. S., Glade, G. B., Harbaugh, N., McInerny, T. K., Miller, M. R., Moyer, V. A., Sevilla, X. D., Simpson, L., Takata, G. S., Neuspiel, D. R., & Schwalenstocker, E. (2008). Febrile seizures: Clinical practice guideline for the long-term management of the child with simple febrile seizures. Pediatrics, 121(6), 1281–1286. https://doi.org/10.1542/PEDS.2008-0939
Eilbert, W., & Chan, C. (2022). Febrile seizures: A review. JACEP Open, 3(4), e12769. https://doi.org/10.1002/EMP2.12769
Eltrikanawati, T., & Febrina, T. Y. (2022). Education on Fever Seizure Management for Toddlers and Children. Mattawang: Jurnal Pengabdian Masyarakat, 3(2), 183–187. https://doi.org/10.35877/454ri.mattawang967
Fadiyah, W., Marisa, D. E., & Nurfajriyani, I. (2020). Differences in Provision of Nutritional Intervention for One First Year of Life in Stunting and Not Stunting Toddlers at the Working Areas in Sumber Public Health. Journal.Mahardika.Ac.Id, 7(2). https://doi.org/https://doi.org/10.54867/jkm.v7i2.14
Faidah, N., & Hanifah, A. N. (2023). Correlation between Mother’s Knowledge and First Aid Actions for Febrile Seizures in Toddlers Aged 1-3 Years in Sidomulyo Village, Jakenan District, Pati Regency. Menara Journal of Health Scienc, 2(1), 152–163. https://jurnal.iakmikudus.org/article/view/70/52
Ferretti, A., Riva, A., Fabrizio, A., Bruni, O., Capovilla, G., Foiadelli, T., Orsini, A., Raucci, U., Romeo, A., Striano, P., & Parisi, P. (2024). Best practices for the management of febrile seizures in children. Italian Journal of Pediatrics 2024 50:1, 50(1), 1–12. https://doi.org/10.1186/S13052-024-01666-1
Garg, R. (2016). Methodology for research I. In Indian Journal of Anaesthesia (Vol. 60, Issue 9, pp. 640–645). Indian Society of Anaesthetists. https://doi.org/10.4103/0019-5049.190619
Girianto, P. W. R., & Fuadah, D. Z. (2024). Audiovisual Education Techniques on Mothers’ Psychomotor Abilities in First Aid for Febrile Seizures in Toddlers. Journal of Applied Nursing and Health, 6(1), 148–161. https://doi.org/10.55018/janh.v6i1.187
Goundar, S. (2012). Research Methodology and Research Method Methods Commonly Used By Researchers.
Ikatan Dokter Anak Indonesia. (2016). Rekomendasi Penatalaksanaan Kejang Demam (1st ed., Vol. 1). IDAI.
Karakis, I., Flesler, S., Ghorpade, S., Pineda, R. C., Joshi, K., Cooper, J., Patkar, S., Schulz, A., Anand, S. B., & Barnes, N. (2025). Caregiver burden and healthcare providers perspectives in epilepsy: An observational study in China, Taiwan, and Argentina. Epilepsy & Behavior Reports, 30, 100736. https://doi.org/10.1016/J.EBR.2024.100736
Karlina, N., Marisa, D. E., & Nurhaeni, A. (2022). Hubungan Mekanisme Koping dengan Kepatuhan Minum Obat Pada Penderita TB Paru Di Wilayah Puskesmas Sukra Kabupaten Indramayu. Cerdika.Publikasiindonesia.Id, 2(12). https://cerdika.publikasiindonesia.id/index.php/cerdika/article/view/490
kasmad, Marisa, D. E., & Kadafi, A. (2021). Koping keluarga tenaga kesehatan dalam menghadapi pandemik Covid-19 Kota Cirebon. 12(2). https://doi.org/10.38165/jk
Kopsidas, I., Dasoula, F. E., Kourkouni, E., Krepi, A., Mystakelis, H., Spyridis, N., & Vartzelis, G. (2023). Management of children with febrile seizures: a Greek nationwide survey. European Journal of Pediatrics, 182(7), 3293–3300. https://doi.org/10.1007/S00431-023-05004-1/TABLES/2
Laino, D., Mencaroni, E., & Esposito, S. (2018). Management of pediatric febrile seizures. International Journal of Environmental Research and Public Health, 15(10). https://doi.org/10.3390/IJERPH15102232
Marisa, D. E. (2018). Support of Family to People Live with Hiv/ads (Plwha) in the Working Area of Kaliwedi Health CENTER in District of Cirebon. Journal.Mahardika.Ac.Id, 5(1), 57–63. https://doi.org/https://doi.org/10.54867/jkm.v5i1.37
Marisa, D., & Syaripusin, A. (2020). The Correlation Between Anxiety and Sleep Quality in Tuberculosis Patients in the Work Area of Public Health CENTER Sitopeng Area Cirebon City. Journal.Mahardika.Ac.Id, 7(2), 1–5. https://doi.org/https://doi.org/10.54867/jkm.v7i2.5
Mewasingh, L. D., Chin, R. F. M., & Scott, R. C. (2020). Current understanding of febrile seizures and their long-term outcomes. Developmental Medicine & Child Neurology, 62(11), 1245–1249. https://doi.org/10.1111/DMCN.14642
Mukherjee, S. Prasad. (2020). A Guide to Research Methodology : an Overview of Research Problems, Tasks and Methods. CRC Press.
Nur, zainatul A. (2024). The Influence of Health Education Using Animattion Video Media on the Level of Knowledge of Mothers About the Management of February Seizures in Toddlers. Health Gate, 2(1), 25–31. https://doi.org/10.70111/HG2105
Paizer, D., Yanti, L., & Sari, F. (2023). Hubungan Pengetahuan Ibu dengan Penanganan Kejang Demam pada Anak. Jurnal Keperawatan Jiwa, 11(3), 671–676. https://doi.org/10.26714/JKJ.11.3.2023.671-676
Pandey, Prabhat., & Pandey, M. Mishra. (2015). Research methodology : tools & techniques. Bridge Center.
Putri, N. P., Abdur Rasyid, T., & Lita, L. (2023). The Effect of Video-Based Febrile Seizure Management Education on Knowledge of Families with Toddlers in Indonesia. HealthCare Nursing Journal, 5(2), 722–731. https://doi.org/10.35568/healthcare.v5i2.3520
Rivas-García, A., Ferrero-García-Loygorri, C., Carrascón González-Pinto, L., Mora-Capín, A. A., Lorente-Romero, J., & Vázquez-López, P. (2022). Simple and complex febrile seizures: is there such a difference? Management and complications in an emergency department. Neurología (English Edition), 37(5), 317–324. https://doi.org/10.1016/J.NRLENG.2019.05.010
Sartika, M. (2024). Hubungan pengetahuan dan sikap dengan penanganan pada anak kejang demam di wilayah kerja Puskesmas Kemalaraja tahun 2023. Jurnal Kesehatan Abdurahman Palembang, 13(2).
Sawaf, A. Al, Arya, K., & Murr, N. I. (2023). Seizure Precautions. StatPearls. https://www.ncbi.nlm.nih.gov/books/NBK536958/
Siagian, E., Rumah, V. M., Advent, S., & Lampung, B. (2018). Health Education based on 10 Steps at Mother Knowledge Level in Handling Febrile Seizure on Toddler. JNC, 1(3).
Sirait, I., Tampubolon, L., Siallagan, A., Pane, J., Telaumbanua, T., Santa Elisabeth Medan, Stik., & Prodi Ners, Mk. (2021). The Relationship Between Mother’s Knowledge and Handling of Fever Seizures in Children aged 1-5 years in Central Village, Pancur Batu District in 2020. Journal of Nursing Science Update (JNSU), 9(1), 72–78. https://doi.org/10.21776/UB.JIK.2021.009.01.9
Sitorus, E. D., Lumbantoruan, A., & Sudrajat, R. F. (2022). Hubungan Pendidikan Dengan Tingkat Pengetahuan Ibu Dalam Menangani Kegwatdaruratan Pada Balita Dengan Kejang Demam Di Wilayah Rusun Marunda Blok Di Rt 015/Rw 007 Kecamatan Cilincing Jakarta Utara. Jurnal Akademi Keperawatan Husada Karya JAYA, 8(2), 116–120. https://doi.org/10.59374/JAKHKJ.V8I2.248
Smith, D. K., Sadler, K. P., & Benedum, M. (2019). Febrile Seizures: Risks, Evaluation, and Prognosis. American Family Physician, 99(7), 445–450. https://www.aafp.org/pubs/afp/issues/2019/0401/p445.html
Tong, C., Kernoghan, A., Lemmon, K., Fernandes, P., Elliott, J., Sacco, V., Bodemer, S., & Stolee, P. (2022). Lessons and Reflections From an Extended Co-design Process Developing an mHealth App With and for Older Adults: Multiphase, Mixed Methods Study. JMIR Aging, 5(4), e39189. https://doi.org/10.2196/39189
W.Creswell, J. (2019). Research Design: Qualitative, Quantitative, and Mixed Methods Approaches. In Awkward Dominion. SAGE Publications Ltd.
Copyright (c) 2025 Indonesian Journal of Global Health Research

This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.



