Turkiye Klinikleri Journal of Nursing Sciences

.: ORIGINAL RESEARCH
Sığınmacı Öğrencilerin de Yer Aldığı İlkokullarda Okul Sağlığı Hemşireliği Kapsamında Bazı Sağlık Sorunlarının Belirlenmesi: Tanımlayıcı ve Kesitsel Bir Çalışma
Determining Some Health Problems of Refugee Students within the Scope of School Health Nursing in Primary Schools: A Descriptive and Cross-Sectional Study
Nazan KOŞTUa , Fadime Hatice İNCİa , Asiye KARTALa , Eda KILINÇ İŞLEYENb , Gülbahar KORKMAZ ASLANa , İlgün ÖZEN ÇINARa
aPamukkale Üniversitesi Sağlık Bilimleri Fakültesi, Hemşirelik Bölümü, Halk Sağlığı Hemşireliği AD, Denizli, Türkiye
bUşak Üniversitesi Sağlık Bilimleri Fakültesi, Hemşirelik Bölümü, Halk Sağlığı Hemşireliği AD, Uşak, Türkiye
Turkiye Klinikleri J Nurs Sci. 2024;16(2):364-72
doi: 10.5336/nurses.2023-99874
Article Language: TR
Full Text
ÖZET
 Amaç: İlkokul dönemindeki Türk ve sığınmacı öğrencilerin halk sağlığı hemşireliği boyutuyla okul sağlığı hemşireliği kapsamında bazı sağlık taramalarının yapılması ve sağlık sorunlarının belirlenmesi amaçlanmıştır. Gereç ve Yöntemler: Araştırma, Türkiye'nin Ege bölgesinde bulunan bir ilde sığınmacı ailelerin yoğun olarak yaşadığı mahallelerde bulunan basit rastgele örnekleme yöntemi ile seçilen 6 ilkokulda 1.315 öğrenci ile Mart 2021'de gerçekleştirilmiş tanımlayıcı ve kesitsel bir çalışmadır. Veriler, araştırmacılar tarafından geliştirilmiş okul sağlığı öğrenci tarama formuyla toplanmıştır. Araştırma için etik izinler alınmıştır. Araştırmanın istatistiksel analizi SPSS 29.0 programında sayı, yüzde, ortalama ki-kare ve t-testi kullanılarak değerlendirilmiştir. Bulgular: Öğrencilerin %90,8'i Türk, %9,2'si yabancı uyrukludur. Yabancı uyruklu öğrencilerin çoğunluğu İranlı ve Afganistanlıdır. Öğrencilerin %67,9'u normal kilodadır ancak; obez olma oranı Türk öğrencilerde daha yüksek, yabancı uyruklu öğrencilerde ise düşüktür. Öğrencilerin %13,8'inde görme kusuru, %0,5'inde şaşılık şüphesinin olduğu saptanmıştır. Türk öğrencilerde daha çok görme kusuru şüpheli olgu bulunurken, yabancı uyruklu öğrencilerde şaşılık şüpheli olgu vardır. Öğrencilerin %65,8'inde bir ve üzeri çürük diş, %5,2'sinin saçlı deride bit/sirke, %7,5'inin el hijyeninin yetersiz olduğu belirlenmiştir. Türk ve yabancı uyruklu öğrencilerin görme kusuru ve el hijyeni değerlendirmeleri açısından aralarında istatistiksel olarak anlamlı bir fark vardır. Sonuç: Bu araştırmanın sonuçları; öğrencilerde beden kitle indeksi, görme kusurları, hijyen davranışlarında yetersizlikler ve ağız-diş sağlığı sorunları olduğunu göstermiştir. Bu bulgular okul sağlığı hizmetleri kapsamında öğrencilerin sağlık sorunlarını belirlemek için taramaların yapılması, belirlenen sorunlara yönelik eğitim ve danışmanlık ihtiyacı olduğunu göstermektedir. Yabancı uyruklu öğrencilerin sağlık sorunlarının çözümünde; okul sağlık hizmetleri içine yerleştirilmiş ve kültürel olarak uyarlanmış sağlık bakım modellerinin kullanılması, bu çocukların sağlık bakım hizmetlerine ulaşmalarını kolaylaştırabilir. Öğrencilerin sağlığını koruma ve geliştirmeye odaklı okul sağlığı hizmetlerinin geliştirilmesi ve uygulanması önerilmektedir.

Anahtar Kelimeler: İlkokul; okul sağlığı hemşireliği; öğrenciler; sağlık taraması; sığınmacılar
ABSTRACT
 Objective: It is aimed to conduct some health screenings and determine the health problems of Turkish and refugee students in primary school within the scope of school health nursing. Material and Methods: The research is a descriptive and cross-sectional study conducted with 1,315 students in six primary schools selected in March 2021 by simple random sampling method in areas where refugee families live intensively in a province in the Aegean region of Türkiye. Data were collected with the school health student screening form developed by the researchers. Ethical permissions were obtained for the research. The statistical analysis of the study was evaluated using number, percentage, mean, chi-square, and t-test in SPSS 29.0 program. Results: 90.8% of the students are Turkish, while 9.2% are foreign nationals. The majority of foreign national students are Iranian and Afghan. Most students are of normal weight, but the obesity rate is higher among Turkish students and the rate of obesity is lower among foreign national students. 13.8% of the students have vision problems, while 0.5% have suspected strabismus. While more Turkish students have suspected vision problems, foreign national students have suspected strabismus. 65.8% of the students have one or more decayed teeth, 5.2% have lice/nits on their scalp, and 7.5% have inadequate hand hygiene. There is a statistically significant difference between Turkish and foreign national students in terms of vision problems, and hand hygiene evaluations. Conclusion: The results of this study have shown that students have problems with body mass index, vision problems, inadequate hygiene behavior, and oral/dental health. These findings indicate the need for screenings to identify students' health problems within the scope of school health services and the need for education and counseling for identified problems. The use of health care models placed within school health services and culturally adapted for foreign national students can facilitate access to health care services for these children in solving the health problems of foreign national students. It is recommended to develop and implement school health services focused on protecting and improving students' health.

Keywords: Primary schools; school health nursing; students; health survey; refugees
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-To send press releases or notifications through e-mail

-To generate a list for an event or competition

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-Terms of use may change from time to time,

-It is not responsible for other websites’ contents it cannot control or the harms they may cause although it uses the connection they provided.

Ortadoğu Advertisement Presentation Publishing Tourism Education Architecture Industry and Trade Inc. may block the website to users in the following events:

-Information with wrong, incomplete, deceiving or immoral expressions is recorded to the website,

-Proclamation, advertisement, announcement, libelous expressions are used against natural person or legal identity,

-During various attacks to the website,

-Disruption of the website because of a virus.

Written, visual and audible materials of the website, including the code and the software are under protection by legal legislation.

Without the written consent of Ortadoğu Advertisement Presentation Publishing Tourism Education Architecture Industry and Trade Inc. the information on the website cannot be downloaded, changed, reproduced, copied, republished, posted or distributed.

All rights of the software and the design of the website belong to Ortadoğu Advertisement Presentation Publishing Tourism Education Architecture Industry and Trade Inc.

Ortadoğu Advertisement Presentation Publishing Tourism Education Architecture Industry and Trade Inc. will be pleased to hear your comments about our terms of use. Please share the subjects you think may enrich our website or if there is any problem regarding our website.

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