1-72 ay çocuklarda görülen yaz ishallerine sosyal faktörleri etkisi
The effect of social factors on gastroenteritis during summer among children aged between 1 and 72 months
- Tez No: 451120
- Danışmanlar: DOÇ. DR. YILDIZ DALLAR
- Tez Türü: Tıpta Uzmanlık
- Konular: Çocuk Sağlığı ve Hastalıkları, Child Health and Diseases
- Anahtar Kelimeler: Belirtilmemiş.
- Yıl: 2007
- Dil: Türkçe
- Üniversite: Sağlık Bakanlığı
- Enstitü: Ankara Eğitim ve Araştırma Hastanesi
- Ana Bilim Dalı: Aile Hekimliği Ana Bilim Dalı
- Bilim Dalı: Belirtilmemiş.
- Sayfa Sayısı: 67
Özet
ishal yocuk oliimlerinin onde gel en nedenlerinden birisidir. Ozellikle ge1i~mekte olan iilkelerde ishale bagh morbidite ve mortalite yiiksektir. Bu yah~mamn amaCI 1-72 ay grubu yocuklann yaz ishalleri ile sosyal etkenler arasmdaki i1i~kiyi ara~trrmak ve bunlann etkilerini incelemek, ishal olmalanm etkileyen sosyal faktorleri saptayarak yocuklarm normal biiyiimelerinin saglanmasma ve gerekli onlemlerin ahnmasma katktda bulunmaktlr.
Özet (Çeviri)
Acute gastroenteritis is among the main causes of death of children. Mortality and morbidity is high especially in developing countries. The aim of this study is to determine the association between social factors and acute gastroenteritis occurred during summer, among children aged between land 72 months and to investigate the effects of these; providing help to normal growth of children and contribution to taking preventive measures, by determining effecting factors. The study was prospectively carried out between 2005 and 2006 June to August. 450 children with acute gastroenteritis that admitted to Ministry of Health Ankara Education and Research Hospital were recruited. Control group was constituted with 200 children that did not have acute gastroenteritis in the last one month. The questionnaire included the age and gender of the child, education level and ages of parents, mother's knowledge about ORS, number of acute gastroenteritis the child experienced, economic level of the family, the type and sewerage system of house, vitamin supplementation, number of people and children in the family, type of water source, breast milk duration, feeding with cow's milk, starting to supplementary foods, the status of mothers about habitude of hand washing and using toilet paper. The frequency of visitors to home in a week, mother's working status, and acute gastroenteritis experience in members of the family were asked. The data were numerically coded and analyses were performed using SPSS (Statistical Program for Social Sciences), version 12. The mean age of children in patient group was 31.8±20.9 months, and 31.4±21.4 months in control group. In patients 213 (47.2%) were girls, 237 (52.8%) were boys; in controls 96 (48%) were girls, and 104 (52%) were boys. When groups were compared according to ORS knowledge, amount of mothers with ORS knowledge in patient group was lower (p=0.008). The rate of ORS knowledge of the mothers increased with the increase in education level (p=0.0001). Groups had statistically significant difference about the complement vaccination (p=0.0001),. Children with acute gastroenteritis had higher rates of incomplete vaccination. Economic level of children in patient group was lower than controls (p=0.04). In addition, children in patient group (67.3%) had higher rates of living in shanty than controls (45.5%) (p=0.0001). When groups were compared according to duration of vitamin supplementation patients had lower rates of vitamin supplementation compared to controls. The rate of acute gastroenteritis increases without ORS knowledge of the mother, incomplete vaccination, inadequate rate of vitamin and young age of the child, and low socioeconomic level of the family. If the mother has the habitudes of hand washing rate of gastroenteritis decreases. Mother's education considers importance because they have the most important role in nursing, growth, education and training as an individual. hnproving the social environment, which they live in and education of the mothers is essential. We think that both individuals and institutions should make their duty concerning them.
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