Turkiye Klinikleri Journal of Medical Ethics-Law and History

.: RESEARCH
Üniversite Öğrencilerinin Yardımcı Üreme Teknikleri ile İlgili Etik Sorunlara Yaklaşım ve Tutumları: Tanımlayıcı Araştırma
Approaches and Attitudes of University Students to Ethical Problems Regarding Assisted Reproductive Techniques: Descriptive Study
Selma TEPEHAN ERASLANa
aTrakya Üniversitesi Keşan Hakkı Yörük Sağlık Yüksekokulu, Hemşirelik Bölümü, Edirne, Türkiye
Turkiye Klinikleri J Med Ethics. 2023;31(1):17-25
doi: 10.5336/mdethic.2022-91475
Article Language: TR
Full Text
ÖZET
 Bu çalışma, üniversite öğrencilerinin yardımcı üreme teknikleri (YÜT) ile ilgili etik sorunlara tutum ve yaklaşımlarını değerlendirmek amacıyla yapılmıştır. Tanımlayıcı ve kesitsel tipteki çalışmanın örneklemini bir üniversitenin hemşirelik ve sosyal bilimler bölümlerinde öğrenim gören 604 öğrenci oluşturmuştur. Veri toplama aracı olarak araştırmacı tarafından literatür ışığında hazırlanmış 28 sorudan oluşan anket formu kullanılmıştır. Tanımlayıcı istatistikler, t-testi, Mann-Whitney U testi, tek yönlü varyans analizi, Pearson korelasyon analizi ve çoklu regresyon analizi ile veriler değerlendirilmiştir. Taşıyıcı anneliği olumlu karşılama genel olarak %46, rahim kaynaklı sorunlar nedeniyle %69; sperm/yumurta bağışı ile çocuk sahibi olmayı olumlu karşılama genel olarak %52, sağlık sorunları nedeniyle %68'dir. Anne eğitim düzeyinin lise ve üstünde olması, öğrencilerin kendisi ya da kardeşleri arasında in vitro fertilizasyon (IVF) ile dünyaya gelen kişi bulunması YÜT uygulamasına yönelik toplam ve 2 alt boyut tutum puan ortalamasını; babanın eğitim seviyesinin lise ve üstünde olması sperm/yumurta bankasına yönelik tutum alt boyut puan ortalamasını, kız cinsiyetinde olma taşıyıcı anneliğe yönelik tutum alt boyut puan ortalamasını artırmaktadır. Taşıyıcı anneliğin ve sperm/yumurta bağışı ile çocuk sahibi olmanın kabul edilebilirliğinin orta üstü düzeyde olduğu, öğrencilerin aile/akraba/yakın arkadaş çevresinde IVF yöntemi ile dünyaya gelen kişinin bulunması aksine çekirdek aile içinde IVF tekniği ile çocuk sahibi olmanın YÜT'e yönelik olumlu tutum geliştirmede etkisi olduğu saptanmıştır.

Anahtar Kelimeler: Yardımcı üreme teknikleri; etik; üniversite öğrencileri
ABSTRACT
 The study was conducted to evaluate the attitudes and approaches of university students to ethical problems related to assisted reproductive techniques (ART). The sample of the descriptive and cross-sectional study consisted of 604 students studying in the nursing and social sciences departments of a university. As a data collection tool, a questionnaire consisting of 28 questions prepared by the researcher in the light of the literature was used. Data were evaluated by descriptive statistics, t test, Mann-Whitney U test, one-way analysis of variance, Pearson correlation analysis and multiple regression analysis. The positive response to surrogacy was 46% in general, 69% due to uterine problems; positive response to having a child with sperm/egg donation is 52% in general, and 68% due to health problems. Secondary or higher education level of mother, presence of a person who was conceived through in vitro fertilization (IVF) among the students or their siblings makes a significant difference on the total and 2 sub-dimension attitude score averages towards ART; secondary or higher education level of father increases the attitude towards the sperm/egg bank subdimension score average, and being female increases the attitude towards surrogacy sub-dimension score average. It is clear that the acceptability of surrogate motherhood and having a child with sperm/egg donation is at a moderate level. It has also been determined that unlike the presence of a person conceived through IVF within the family/relative/close friend circle, having a child with IVF technique in a nuclear family contributes to developing a positive attitude towards ART.

Keywords: Assisted reproductive techniques; ethics; university students
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