{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,2]],"date-time":"2026-10-02T17:31:37Z","timestamp":1790962297571,"version":"4.1.0"},"reference-count":25,"publisher":"Frontiers Media SA","license":[{"start":{"date-parts":[[2023,1,18]],"date-time":"2023-01-18T00:00:00Z","timestamp":1674000000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["frontiersin.org"],"crossmark-restriction":true},"short-container-title":["Front. Psychol."],"abstract":"<jats:sec><jats:title>Purpose<\/jats:title><jats:p>To analyze the effect of nursing interventions based on the Kano model on symptom relief and parental psychological behavior in children with febrile seizures (FS).<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>A total of 104 children with FS and their corresponding families admitted to our hospital from January 2021 to April 2022 as the research object. All children were divided into 2 groups according to their nursing regimen during treatment. Children who received general nursing interventions were enrolled in the general group (<jats:italic>n<\/jats:italic>\u2009=\u200952) and children who received nursing interventions based on the Kano model were enrolled in the Kano group (<jats:italic>n<\/jats:italic>\u2009=\u200952). In this study, an investigation was first conducted to analyze the attributes of the caring care service needs of the families of children with FS. Then, we compared 4 aspects of symptom relief during the hospital stay of the 2 groups of children, including FS seizure frequency, time to cessation of convulsions, time to recovery of consciousness and time to fever reduction. The parent symptom questionnaire (PSQ) was used to assess the psychological behavior of the two groups of children during the hospital stay. The Chinese perceived stress scale (CPSS) and the symptom checklist 90 (SCL-90) were used to assess the psychological behavior of the two groups of their families during the children\u2019s hospitalization. Finally, a questionnaire was administered on the satisfaction of this nursing intervention.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>In terms of symptom relief, the children in the Kano group had less frequent of FS seizure than the general group, and the time to cessation of convulsions, time to recovery of consciousness and time to fever reduction were all earlier than in the genera group (<jats:italic>p<\/jats:italic>\u2009&amp;lt;\u20090.05). In terms of children\u2019s psychological behavior, the impulsivity-hyperactivity, anxiety, hyperactivity index and learning problems scores in the PSQ of the children in the Kano group were lower than those in the general group after the intervention (<jats:italic>p<\/jats:italic>\u2009&amp;lt;\u20090.05). In terms of family psychological behavior, the psychological behavioral problems of the families of the children in both groups improved after the intervention, and the CPSS scores of tension and dis-control, as well as the total SCL-90 score of the families of the children in the Kano group were lower than those of the general group (<jats:italic>p<\/jats:italic>\u2009&amp;lt;\u20090.05). In terms of family satisfaction, the Kano group was significantly better than the general group (<jats:italic>p<\/jats:italic>\u2009&amp;lt;\u20090.05).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>The implementation of the nursing interventions based on the Kano model for children with FS was successful in dramatically reducing the clinical signs and symptoms of the children and meeting the psychological and behavioral needs of the children and their families.<\/jats:p><\/jats:sec>","DOI":"10.3389\/fpsyg.2022.1067727","type":"journal-article","created":{"date-parts":[[2023,1,18]],"date-time":"2023-01-18T06:11:57Z","timestamp":1674022317000},"update-policy":"https:\/\/doi.org\/10.3389\/crossmark-policy","source":"Crossref","is-referenced-by-count":9,"title":["Effect of nursing interventions based on the Kano model on symptom relief and parental psychological behavior in children with febrile seizures"],"prefix":"10.3389","volume":"13","author":[{"given":"Zaiyun","family":"Zhu","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Liping","family":"Chen","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kai","family":"Li","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1965","published-online":{"date-parts":[[2023,1,18]]},"reference":[{"key":"ref1","doi-asserted-by":"publisher","first-page":"91","DOI":"10.1093\/jpepsy\/jsaa091","article-title":"A longitudinal assessment of parenting stress in parents of children with new-onset epilepsy","volume":"46","author":"Bakula","year":"2021","journal-title":"J. Pediatr. Psychol."},{"key":"ref2","doi-asserted-by":"publisher","first-page":"6159","DOI":"10.3390\/ijerph18116159","article-title":"Quality evaluation of health services using the Kano model in two hospitals in Peru","volume":"18","author":"Barrios-Ipenza","year":"2021","journal-title":"Int. J. Environ. Res. Public Health"},{"key":"ref3","doi-asserted-by":"publisher","first-page":"865065","DOI":"10.3389\/fphar.2022.865065","article-title":"Study on the mechanism of Astragalus polysaccharide in treating pulmonary fibrosis based on \"drug-target-pathway\" network","volume":"13","author":"Bing","year":"2022","journal-title":"Front. Pharmacol."},{"key":"ref4","doi-asserted-by":"publisher","first-page":"51","DOI":"10.1111\/ane.13420","article-title":"Birth characteristics and risk of febrile seizures","volume":"144","author":"Christensen","year":"2021","journal-title":"Acta Neurol. Scand."},{"key":"ref5","first-page":"33","article-title":"Febrile seizure: demographic features and causative factors","volume":"6","author":"Esmaili Gourabi","year":"2012","journal-title":"Iran J. Child Neurol"},{"key":"ref6","doi-asserted-by":"crossref","first-page":"21","DOI":"10.1016\/j.cali.2016.06.009","article-title":"La entrevista en profundidad y la metodolog\u00eda Kano para conocer los requisitos de los usuarios en una unidad de quemados [In-depth interviews and the Kano model to determine user requirements in a burns unit]","volume":"32","author":"Gonz\u00e1lez-Revalder\u00eda","year":"2017","journal-title":"Rev. Calid. Asist."},{"key":"ref7","doi-asserted-by":"publisher","first-page":"48","DOI":"10.1097\/01.QMH.0000344593.40886.b5","article-title":"Culture-related service expectations: a comparative study using the Kano model","volume":"18","author":"Hejaili","year":"2009","journal-title":"Qual. Manag. Health Care"},{"key":"ref8","doi-asserted-by":"publisher","first-page":"178","DOI":"10.4103\/jfcm.JFCM_92_20","article-title":"Application of the Kano model to determine quality attributes of patient's care at the primary healthcare centers of the Ministry of Health in Saudi Arabia, 2019","volume":"27","author":"Howsawi","year":"2020","journal-title":"J. Family Community Med."},{"key":"ref9","doi-asserted-by":"publisher","first-page":"151","DOI":"10.2147\/PHMT.S294729","article-title":"Febrile seizures: evidence for evolution of an operational strategy from an armed forces referral hospital","volume":"12","author":"Jain","year":"2021","journal-title":"Pediatric Health Med. Ther."},{"key":"ref10","first-page":"2","article-title":"Influence of psychological nursing intervention combined with family-like care on negative emotion and prognosis of patients with breast cancer undergoing radical mastectomy","volume":"1","author":"Ji","year":"2021","journal-title":"J. Mod. Nurs. Pract. Res."},{"key":"ref11","doi-asserted-by":"publisher","first-page":"3410213","DOI":"10.1155\/2016\/3410213","article-title":"Effect and safety of Shihogyejitang for drug resistant childhood epilepsy","volume":"2016","author":"Lee","year":"2016","journal-title":"Evid. Based Complement. Alternat. Med."},{"key":"ref12","doi-asserted-by":"publisher","first-page":"3586290","DOI":"10.1155\/2022\/3586290","article-title":"Clinical effect of nursing based on the Kano model in emergency multiple injuries","volume":"2022","author":"Lin","year":"2022","journal-title":"Evid. Based Complement. Alternat. Med."},{"key":"ref13","doi-asserted-by":"publisher","first-page":"63","DOI":"10.1016\/j.ijnss.2021.12.012","article-title":"Demand analysis of an intelligent medication administration system for older adults with chronic diseases based on the Kano model","volume":"9","author":"Mao","year":"2021","journal-title":"Int. J. Nurs. Sci."},{"key":"ref14","doi-asserted-by":"publisher","first-page":"137","DOI":"10.1108\/IJHCQA-02-2018-0056","article-title":"Evaluating factors affecting patient satisfaction using the Kano model","volume":"32","author":"Materla","year":"2019","journal-title":"Int. J. Health Care Qual. Assur."},{"key":"ref15","doi-asserted-by":"publisher","first-page":"1245","DOI":"10.1111\/dmcn.14642","article-title":"Current understanding of febrile seizures and their long-term outcomes","volume":"62","author":"Mewasingh","year":"2020","journal-title":"Dev. Med. Child Neurol."},{"key":"ref16","doi-asserted-by":"publisher","first-page":"2633105520956973","DOI":"10.1177\/2633105520956973","article-title":"The pathogenesis of fever-induced febrile seizures and its current state","volume":"15","author":"Mosili","year":"2020","journal-title":"Neurosci. Insights"},{"key":"ref17","doi-asserted-by":"publisher","first-page":"2","DOI":"10.1016\/j.braindev.2016.06.003","article-title":"New guidelines for management of febrile seizures in Japan","volume":"39","author":"Natsume","year":"2017","journal-title":"Brain Dev."},{"key":"ref18","first-page":"1379","article-title":"Expert consensus on diagnosis, treatment and Management of Febrile Seizures (2017 practical edition)","volume":"32","year":"2017","journal-title":"Chin. J. Appl. Clin. Pediatrics J."},{"key":"ref19","doi-asserted-by":"publisher","first-page":"CD003031","DOI":"10.1002\/14651858.CD003031.pub4","article-title":"Prophylactic drug management for febrile seizures in children","volume":"6","author":"Offringa","year":"2021","journal-title":"Cochrane Database Syst. Rev."},{"key":"ref20","doi-asserted-by":"publisher","first-page":"231","DOI":"10.1097\/pec.0b013e31819e353a","article-title":"Parental knowledge and perceptions of fever in children and fever management practices: differences between parents of children with and without a history of febrile seizures","volume":"25","author":"Sakai","year":"2009","journal-title":"Pediatr. Emerg. Care"},{"key":"ref21","first-page":"445","article-title":"Febrile seizures: risks, evaluation, and prognosis","volume":"99","author":"Smith","year":"2019","journal-title":"Am. Fam. Physician"},{"key":"ref22","doi-asserted-by":"publisher","first-page":"e027","DOI":"10.1097\/pq9.0000000000000027","article-title":"Identification of critical to quality elements for intensive care rounds by Kano analysis","volume":"2","author":"Tripathi","year":"2017","journal-title":"Pediatr. Qual. Saf."},{"key":"ref23","doi-asserted-by":"publisher","first-page":"6801979","DOI":"10.1155\/2020\/6801979","article-title":"Public knowledge and attitude towards epilepsy and its associated factors: community-based cross-sectional study, Ethiopia, 2019","volume":"2020","author":"Wubetu","year":"2020","journal-title":"J. Environ. Public Health"},{"key":"ref24","doi-asserted-by":"publisher","first-page":"856","DOI":"10.1177\/0009922808319961","article-title":"Attitudes of parents and physicians toward febrile seizures","volume":"47","author":"Yilmaz","year":"2008","journal-title":"Clin. Pediatr."},{"key":"ref25","doi-asserted-by":"publisher","first-page":"393","DOI":"10.1007\/s10278-012-9551-x","article-title":"Identifying radiological needs of referring clinicians","volume":"26","author":"Zhang","year":"2013","journal-title":"J. Digit. 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