Turkiye Klinikleri Journal of Forensic Medicine and Forensic Sciences

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Ebeveynlerin Sarsılmış Bebek Sendromu Hakkındaki Farkındalık Durumlarının Değerlendirilmesi: Tanımlayıcı Çalışma
Evaluation of Parents' Awareness of Shaken Baby Syndrome: A Descriptive Study
Berrin GÖGERa,b, İlknur KAHRİMANc
aGümüşhane Üniversitesi Kelkit Sema Doğan Sağlık Hizmetleri Meslek Yüksekokulu, Tıbbi Hizmetler ve Teknikler Bölümü, Anestezi Programı, Gümüşhane, Türkiye
bKaradeniz Teknik Üniversitesi Sağlık Bilimleri Enstitüsü, Hemşirelik Doktora Programı, Trabzon, Türkiye
cKaradeniz Teknik Üniversitesi Sağlık Bilimleri Fakültesi, Hemşirelik Bölümü, Çocuk Sağlığı ve Hastalıkları Hemşireliği AD, Trabzon, Türkiye
Turkiye Klinikleri J Foren Sci Leg Med. 2024;21(3):119-28
doi: 10.5336/forensic.2024-103307
Article Language: TR
Full Text
ÖZET
 Amaç: Araştırmada, kırsal kesimde yaşayan ebeveynlerin, sarsılmış bebek sendromu (SBS) hakkındaki bilgi düzeyleri ve farkındalıklarının değerlendirilmesiyle birlikte ebeveynlerin, bebeklerini sarsma davranışları ile SBS bilgilerine ilişkin ihtiyaçlarının araştırılması amaçlandı. Gereç ve Yöntemler: Tanımlayıcı nitelikteki araştırmanın evrenini, Doğu Karadeniz Bölgesinde Sağlık Bakanlığına bağlı bir ilçe devlet hastanesinin çocuk servisinde tedavi gören çocukların ebeveynleri, örneklemini ise 0-2 yaş bebeği olan 115 ebeveyn oluşturdu. Araştırmada, 25 sorudan oluşan anket formu çocuk servisine gidilerek araştırmacı tarafından ebeveynlerle yüz yüze görüşme yöntemiyle toplandı. Kategorik veriler frekans ve yüzde olarak gösterilmiş olup gruplara göre kategorik değişkenler arasındaki farklılık karşılaştırmalarında ise Pearson ki-kare ve Fisher-Freeman-Halton testi kullanıldı. Bulgular: Araştırmaya katılan ebeveynlerin, SBS farkındalık durumlarına bakıldığında %55,6'sının SBS'yi bilmediği, %79,1'inin bebeği sarsmanın beyne zarar verebileceğini belirtti. Bebekleri ağladığında yatıştırılabilmesi için lise mezunu annelerin ve üniversite ve üzeri eğitim almış babaların bebeklerini daha fazla ayakta salladıkları, annelerde eğitim düzeyinin düşmesi ile birlikte sarsma davranışının arttığı, üniversite ve üzeri eğitim almış babaların ise bebeklerini daha fazla sarstıkları tespit edildi. Geliri giderine denk olan ebeveynlerin, bebeklerini daha fazla sarstıkları ve doğum sonrası destek almayan annelerin %6,7'si ve babaların %17,9'unun bebekleri ağlama nöbeti geçirdiğinde kendilerini daha sabırsız ve öfkeli hissettikleri sonucuna varıldı. Sonuç: Ebeveynlerin, SBS hakkında bilgi düzeylerinin yeterli olmadığı, eğitim düzeyi düşük annelerin ve eğitim düzeyi yüksek babaların bebeklerini daha fazla sarstığı, doğum sonrası desteğin riskli davranışları azaltabileceği, sağlık çalışanlarının sosyal destek sistemlerinin ve SBS'yi önlemeye yönelik programların tasarlanması ve uygulanması konusunda rehberlik sağlaması gerekliliğini göstermektedir.

Anahtar Kelimeler: Ebeveyn; farkındalık; sarsılmış bebek sendromu
ABSTRACT
 Objective: The aim of the study was to evaluate the level of knowledge and awareness of parents living in rural areas about shaken baby syndrome (SBS) and to investigate the shaking behaviours of parents and their needs regarding SBS information. Material and Methods: The population of the descriptive study consisted of the parents of children treated in the paediatric ward of a district state hospital affiliated to the Ministry of Health in the Eastern Black Sea Region, and the sample consisted of 115 parents with infants aged 0-2 years. In the study, the questionnaire form consisting of 25 questions was collected by the researcher by going to the paediatric ward and interviewing the parents face to face. Categorical data were presented as frequencies and percentages, and Pearson chi-square and Fisher-Freeman-Halton test were used in the comparison of differences between categorical variables according to groups. Results: When the SBS awareness status of the parents participating in the study was analysed, 55.6% of them did not know about SBS and 79.1% of them stated that shaking the baby could damage the brain. It was determined that mothers who graduated from high school and fathers with university and higher education shook their babies more in order to soothe their babies when they cried, shaking behaviour increased with decreasing education level in mothers, and fathers with university and higher education shook their babies more. It was concluded that parents whose income was equal to their expenses shook their babies more and 6.7% of mothers and 17.9% of fathers who did not receive postnatal support felt more impatient and angry when their babies had a crying episode. Conclusion: It was concluded that parents' knowledge about SBS was not sufficient, mothers with low education level and fathers with high education level shook their babies more, postnatal support may reduce risky behaviours, and health professionals should provide guidance on the design and implementation of social support systems and programmes to prevent SBS.

Keywords: Parent; awareness; shaken baby syndrome
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