Mother's Smart Card Effect on Mother's Knowledge and Awareness of Children's Fever in The Pre-Hospital Phase

Introduction: Fever increases body temperature above 37.50 C, making the child uncomfortable; the child's body and face are hot, red, and shivers. Fever conditions also affect parents, especially mothers who will also feel anxious. This study aimed to determine the effect of the Mother's Smart Card on the knowledge and awareness of mothers in the management of children with fever in the pre-hospital phase. Methods: This study used a Quasi-Experimental design with a pre-test and post-test approach with a purposive sampling technique on 40 mothers. A mother's knowledge is measured by knowledge about fever. In contrast, vigilance is measured by how the mother behaves and her accuracy in making decisions when her child has a fever. All measurements used a questionnaire. Results: The results of data analysis using paired t-test showed a significant effect of the Mother's Smart Card on mother's knowledge and awareness in managing children with fever at home with a p-value of 0.000. Conclusion: This means that the Mother's Smart Card can increase the knowledge and awareness of mothers in the management of children with fever in the pre- hospital phase. This result is hoped that the Mother’s Smart Card can be a reference in increasing mothers' knowledge and awareness and minimizing treatment in inappropriate health facilities that can be at risk of transmitting other diseases.


INTRODUCTION
Fever is a medical word that describes a situation where the body's temperature rises above 37.5° C. It is a clinical sign of a variety of disorders that, when left untreated, can lead in febrile seizures, brain damage, and even death [1]- [3].
Fever is a common childhood illness.
According to the Indonesian Pediatrician Association (IDAI), fever contributes for around 30% of all visits to pediatricians and general practitioners [4].
When children have a fever, they are in discomfort, and their body and faces are heated, red, and slightly shivering [5]. This distressing sickness causes children to cry for lengthy period of time, to feel weak, to have a decreased appetite, and to have difficulties sleeping [6]. Fever also increases the likelihood of evaporation and waste of body fluids [2]. Fever can cause dehydration, a shortage of oxygen, and convulsions in children [7]. The fever affects the child's parents, particularly the mother, who becomes anxious. Mothers are cautious about the prominent role of a family health caretaker [8]. One of the factors of mothers' anxiety is a lack of awareness regarding child fever.
Anxiety and dread of the potential consequences of fever cause parents to aggressively provide antipyretic medicines regardless of the child's condition [9].
It is critical to have knowledge and skills in managing a child's fever at home or in the pre-hospital setting. At this phase, the mother will either chose to care for her infant at home or will be referred to the nearest hospital or health facility. Mistakes in conduct and decision-making can have catastrophic implications for children. In these circumstances, education is fundamental so that mothers could take action and make decisions without feeling anxious. To improve public health in general, new approach is required; health care must be shifted from hospitals to primary care settings in homes and communities [10].
Health education, as well as mothers' perspectives and practices about disease prevention, can effectively boost knowledge [11]. According to this statement, parents who have received health education will have increased understanding and attitudes toward looking after children who have convulsions [12].
In providing education, there are many media that can be used, one of which is using cards. In a study conducted by Wijaya [13] revealed that after getting education via smart card, mothers' knowledge about dealing with children with diarrhea at home improved.
Despite the use of media is not the most important aspect of health promotion, learning media cannot be separated from health education [14]. Similar to Arsyad [15], They had the right to participate or not to participate in the study. Researchers will ensure the confidentiality of the data.

RESULTS
The    conduct based on knowledge will be better than that [22]. This increase in knowledge will make mothers understand more about the problems experienced by their children. In contrast, vigilance can increase the mother's accuracy in acting and making decisions when her child has a fever. Knowledge as a parameter of social conditions can greatly determine public health [23]. People who have good knowledge also have good attitudes and behaviour [24]. Knowledge is the result of human sensing of an object that will significantly influence the formation of a person's actions with different intensities and perceptions for each individual [22]. So that with good knowledge, it is hoped that it will make mothers have good attitudes and decision making also in responding to their children when they have a fever. The more comprehensive the mother's knowledge of the child's health, especially fever, the more appropriate the management of child fever in the pre-hospital phase will be.
Individuals who have a lot of knowledge tend to behave and behave according to their understanding, so they will consider things that may be detrimental and beneficial to the health of their families [25]. This Mother's Smart Card is very simple and easy to understand by the public. In the learning process, one way to get students interested in the physical education learning process is by variations or modifications [16].
Simplifying learning media will widen the reach of learning media because more and more layers of society at various levels of education can internalize the material provided, especially for groups of education that are not too high [13].
The MTBS book is not easy for the general public to understand in its original form. Researchers modify and innovate to create a simple form of MTBS Book in the fever section to be used daily and increase mothers' knowledge about fever and its management. The core factor of a modification is to analyze and develop teaching materials by making cycles in the form of practical learning activities to make it easier for students to learn [16].

CONCLUSION
Based on the analysis and discussion, it can be stated that the usage of the Mother's Smart Card has a beneficial effect on the mother's knowledge and awareness of how to respond to the problem of child fever at home.
These results also indicate that the Mother's Smart Card is effective for use as a community learning medium to increase the mother's knowledge in managing fever problems at home.