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Year 2014, Volume: 36 Issue: 1, 25 - 33, 28.03.2014
https://doi.org/10.7197/cmj.v36i1.1008002456

Abstract

Aim. The aim of the study is to evaluate the psychosocial symptoms by several variables in the hospitalized 6-12 years old children. Method. The sample of this descriptive study includes 360 children hospitalized in the Gaziantep Pediatric Hospital. Inclusion criteria: with an acute or chronic disease, without any psychiatric disease diagnosis, at least 3 days of hospitalization, willing to participate in the study, 6-12 years old children. “Personal Data Form” and “psychosocial symptoms identification scale in the hospitalized children” scales were used to collect the characteristics data of the patients. Data were evaluated by t test and Kruskal Wallis test. Results. The average age of the children was 8.8±2.0, 56.9% of the children were male, 62.2% of them hospitalized in two or more hospitals. The psychosocial symptoms were more common among the children: -having a poor family whose income is less than expenditure, -living in village,-not going school-having 2 brothers/sisters, having an urinary or endocrine disease, hospitalized for more than 15 days, having a psychiatric symptom history. Conclusion. In conclusion, it is important to pay more attention to the children especially: -having a psychiatric symptom history, -experiencing disease symptoms for a long period,-hospitalized in two or more hospitals, -living in a poor socioeconomic status. According to the study, we emphase that the hospitalized children should be evaluated in terms of their psychosocial status.

References

  • Çavuşoğlu H. Çocuk sağlığı hemşireliği, 1. cilt. Ankara: Dizgi Baskı 2004.
  • Lau BWK, Tse WWC. Psychological effects of physical illness and hospitalization on the child and the family. J.H.K.C. Psych 1993; 3: 9-18.
  • Neyzi O, Ertuğrul T. Pediatri, 3. baskı. Cilt 1. İstanbul: Nobel Tıp Kitabevleri 2002; 615-8.
  • Akay AP, Emiroğlu FNİ. Kronik pediatrik hastalıklar ve hastaneye yatış. Çetin FÇ, Coşkun A, İşeri E, Miral S, Motavallı N, Pehlivantürk B, Türkbay T, Uslu R, Ünal F, editör. Çocuk ve ergen psikiyatrisi temel kitabı. Ankara: HYB Basın Yayın 2008; 723-9.
  • Morris J. When a child is hospitalized, tips and resources for parents. 17 Haziran 2011, http://kc.vanderbilt.edu/kennedy_files/hospitalizationtipsandresources.pdf. Theofanidis D. Chronic illness in childhood: psychosocial adaptation and family. Health Science Journal, April-June 2007; 02 Şubat 2011, http://www.hsj.gr/volume1/issue2/issue02_rev01.pdf.
  • İnal S, Akgün M. Hastanede yatan çocukta terapötik iletişim. Atatürk Üniversitesi Hemşirelik Yüksekokulu Dergisi 2003; 6: 67-76.
  • Gültekin G, Baran G. Hastalık ve çocuk. Aile ve Toplum Eğitim Kültür ve Araştırma Dergisi, Ocak-Mart 2005; 2: 61-8.
  • Clark MJ. Community health nursing, Advocacy for population health. United States of America: Pearson Education 2008; 406-9.
  • Özbaran B, Erermiş S. Kanser tedavisi gören çocuk ve gençlerde uzun süreli izlem sürecinde psikososyal özelliklerin tanımlanması ve genel yaklaşım ilkeleri. Klinik Psikiyatri 2006; 9: 185-90.
  • Zengerle-Levy K. Nursing the child who is alone in the hospital. Pediatric Nursing, May-June 2006; 32: 226-37.
  • Erermiş HS. Hastalık karşısında çocuk ve ergen. Çetin FÇ, Coşkun A, İşeri E, Miral S, Motavallı N, Pehlivantürk B, Türkbay T, Uslu R, Ünal F, (editör). Çocuk ve ergen psikiyatrisi temel kitabı. Ankara: HYB Basın Yayın; 2008; 730
  • Duke N, Ireland M, Borowsky IW. Identifying psychosocial problems among youth: factors associated with youth agreement on a positive parent-completed PSC- Child: Care, Health-Development 2005; 31: 563-73.
  • Reijneveld SA, Vogels AGC, Hoekstra F, Crone MR. Use of the pediatric symptom checklist for the detection of psychosocial problems in preventive child healthcare. BMC Public Health 2006; 6: 197.
  • Özdemir DF. Çocukluk döneminde konsültasyon-liyezon psikiyatrisi. Köroğlu E, Güleç C, Şenol S, (editör). Psikiyatri temel kitabı. Ankara: HYB Basın Yayın 2007; 898-901.
  • Bricher G. Children in the hospital: Issues of power and vulnerability. Pediatric Nursing, May-June 2000; 26.
  • Dalgas-Pelish P. Effect of a self-esteem intervention, Program on school-age children, Pediatric Nursing, July-August 2006; 32: 341-8.
  • Legg MJ. What is psychosocial care and how can nurses better provide it to adult oncology patients. Australian Journal of Advanced Nursing 2011; 28: 61-7.
  • Rushton J, Bruckman D, Kelleher K. Primary care referral of children with psychosocial problems. Arch Pediatr Adolesc Med, June 2010; 156: 592-8.
  • Wissow LS, Larson S, Anderson J, Hadjiisky E. Pediatric residents’ responses that discourage discussion of psychosocial problems in primary care. Pediatrics 2005; 111: 1569-77.
  • Yeo MSM, Sawyer SM. Psychosocial assessment for adolescents and young adults with cancer. Cancer Forum, March 2009; 33.
  • Kocaman N. Hastaların psikososyal tepkilerini etkileyen faktörler. Atatürk Üniversitesi Hemşirelik Yüksekokulu Dergisi 2008; 11: 101-12.
  • Ustun G, Kelleci M. Assessment scale for psychosocial symptoms in hospitalized children scale development, reliability and validity study. HealthMED 2013; 7: 2219Rossen B, McKeever P. The behavior of preschoolers during and after brief surgical hospitalizations. Issues in Comprehensive Pediatric Nursing 1996; 19: 121

Hastanede yatan çocuklarda psikososyal semptomların bazı değişkenler açısından incelenmesi

Year 2014, Volume: 36 Issue: 1, 25 - 33, 28.03.2014
https://doi.org/10.7197/cmj.v36i1.1008002456

Abstract

Özet

Amaç. Araştırma, bir çocuk hastanesinde yatan 6-12 yaş çocuklarda psikososyal semptomların incelenmesi amacıyla yapılmıştır. Yöntem. Tanımlayıcı nitelikteki bu araştırmanın örneklemini, Gaziantep Çocuk Hastanesi’nde yatmakta olan, akut veya kronik bir hastalık tanısı almış ve herhangi bir psikiyatrik hastalık tanısı almamış, en az üç gündür hastanede yatan, çalışmaya katılmaya istekli, 6-12 yaş grubundaki 360 çocuk oluşturmuştur. Verilerin toplanmasında hastaların tanıtıcı özelliklerini belirleyen “Kişisel Bilgi Formu” ve “Hastanede Yatan Çocuklar İçin Psikososyal Semptomları Tanılama Ölçeği” kullanılmıştır. Veriler t testi ve Kruskal Wallis testle değerlendirilmiştir. Bulgular. Yaş ortalaması 8,8±2,0 olan çocukların, %56,9’u erkek, %62,2’si iki ve daha fazla sayıda hastanede yatmıştır. Ailesinin geliri giderinden az olan, köyde yaşayan, okula gitmeyen, iki kardeşi olan, üriner sistem ve endokrin sistemle ilgili hastalığı olan, 15 günden daha fazla süredir hastanede yatan ve psikiyatrik belirti öyküsü olan çocuklarda psikososyal semptomların daha fazla görüldüğü belirlenmiştir. Sonuç. Sonuç olarak özellikle psikiyatrik semptom öyküsü olan, uzun süredir hastalık semptomları yaşayan, iki ve daha fazla hastaneye yatma öyküsü olan ve sosyoekonomik durumu yetersiz çocuklara dikkat edilmesinin önemine vurgu yapılmıştır. Çalışmamızda hastanede yatan çocukların psikososyal açıdan değerlendirilmelerinin gerekli olduğu vurgulanmıştır.

Anahtar sözcükler: Çocuk, hastaneye yatma, psikososyal sorunlar

 

Abstract

Aim. The aim of the study is to evaluate the psychosocial symptoms by several variables in the hospitalized 6-12 years old children. Method. The sample of this descriptive study includes 360 children hospitalized in the Gaziantep Pediatric Hospital. Inclusion criteria: with an acute or chronic disease, without any psychiatric disease diagnosis, at least 3 days of hospitalization, willing to participate in the study, 6-12 years old children. “Personal Data Form” and “psychosocial symptoms identification scale in the hospitalized children” scales were used to collect the characteristics data of the patients. Data were evaluated by t test and Kruskal Wallis test. Results. The average age of the children was 8.8±2.0, 56.9% of the children were male, 62.2% of them hospitalized in two or more hospitals. The psychosocial symptoms were more common among the children: -having a poor family whose income is less than expenditure, -living in village,-not going school-having 2 brothers/sisters, having an urinary or endocrine disease, hospitalized for more than 15 days, having a psychiatric symptom history. Conclusion. In conclusion, it is important to pay more attention to the children especially: -having a psychiatric symptom history, -experiencing disease symptoms for a long period,-hospitalized in two or more hospitals, -living in a poor socioeconomic status. According to the study, we emphase that the hospitalized children should be evaluated in terms of their psychosocial status.

Keywords: Child, hospitalization, psychosocial symptoms

References

  • Çavuşoğlu H. Çocuk sağlığı hemşireliği, 1. cilt. Ankara: Dizgi Baskı 2004.
  • Lau BWK, Tse WWC. Psychological effects of physical illness and hospitalization on the child and the family. J.H.K.C. Psych 1993; 3: 9-18.
  • Neyzi O, Ertuğrul T. Pediatri, 3. baskı. Cilt 1. İstanbul: Nobel Tıp Kitabevleri 2002; 615-8.
  • Akay AP, Emiroğlu FNİ. Kronik pediatrik hastalıklar ve hastaneye yatış. Çetin FÇ, Coşkun A, İşeri E, Miral S, Motavallı N, Pehlivantürk B, Türkbay T, Uslu R, Ünal F, editör. Çocuk ve ergen psikiyatrisi temel kitabı. Ankara: HYB Basın Yayın 2008; 723-9.
  • Morris J. When a child is hospitalized, tips and resources for parents. 17 Haziran 2011, http://kc.vanderbilt.edu/kennedy_files/hospitalizationtipsandresources.pdf. Theofanidis D. Chronic illness in childhood: psychosocial adaptation and family. Health Science Journal, April-June 2007; 02 Şubat 2011, http://www.hsj.gr/volume1/issue2/issue02_rev01.pdf.
  • İnal S, Akgün M. Hastanede yatan çocukta terapötik iletişim. Atatürk Üniversitesi Hemşirelik Yüksekokulu Dergisi 2003; 6: 67-76.
  • Gültekin G, Baran G. Hastalık ve çocuk. Aile ve Toplum Eğitim Kültür ve Araştırma Dergisi, Ocak-Mart 2005; 2: 61-8.
  • Clark MJ. Community health nursing, Advocacy for population health. United States of America: Pearson Education 2008; 406-9.
  • Özbaran B, Erermiş S. Kanser tedavisi gören çocuk ve gençlerde uzun süreli izlem sürecinde psikososyal özelliklerin tanımlanması ve genel yaklaşım ilkeleri. Klinik Psikiyatri 2006; 9: 185-90.
  • Zengerle-Levy K. Nursing the child who is alone in the hospital. Pediatric Nursing, May-June 2006; 32: 226-37.
  • Erermiş HS. Hastalık karşısında çocuk ve ergen. Çetin FÇ, Coşkun A, İşeri E, Miral S, Motavallı N, Pehlivantürk B, Türkbay T, Uslu R, Ünal F, (editör). Çocuk ve ergen psikiyatrisi temel kitabı. Ankara: HYB Basın Yayın; 2008; 730
  • Duke N, Ireland M, Borowsky IW. Identifying psychosocial problems among youth: factors associated with youth agreement on a positive parent-completed PSC- Child: Care, Health-Development 2005; 31: 563-73.
  • Reijneveld SA, Vogels AGC, Hoekstra F, Crone MR. Use of the pediatric symptom checklist for the detection of psychosocial problems in preventive child healthcare. BMC Public Health 2006; 6: 197.
  • Özdemir DF. Çocukluk döneminde konsültasyon-liyezon psikiyatrisi. Köroğlu E, Güleç C, Şenol S, (editör). Psikiyatri temel kitabı. Ankara: HYB Basın Yayın 2007; 898-901.
  • Bricher G. Children in the hospital: Issues of power and vulnerability. Pediatric Nursing, May-June 2000; 26.
  • Dalgas-Pelish P. Effect of a self-esteem intervention, Program on school-age children, Pediatric Nursing, July-August 2006; 32: 341-8.
  • Legg MJ. What is psychosocial care and how can nurses better provide it to adult oncology patients. Australian Journal of Advanced Nursing 2011; 28: 61-7.
  • Rushton J, Bruckman D, Kelleher K. Primary care referral of children with psychosocial problems. Arch Pediatr Adolesc Med, June 2010; 156: 592-8.
  • Wissow LS, Larson S, Anderson J, Hadjiisky E. Pediatric residents’ responses that discourage discussion of psychosocial problems in primary care. Pediatrics 2005; 111: 1569-77.
  • Yeo MSM, Sawyer SM. Psychosocial assessment for adolescents and young adults with cancer. Cancer Forum, March 2009; 33.
  • Kocaman N. Hastaların psikososyal tepkilerini etkileyen faktörler. Atatürk Üniversitesi Hemşirelik Yüksekokulu Dergisi 2008; 11: 101-12.
  • Ustun G, Kelleci M. Assessment scale for psychosocial symptoms in hospitalized children scale development, reliability and validity study. HealthMED 2013; 7: 2219Rossen B, McKeever P. The behavior of preschoolers during and after brief surgical hospitalizations. Issues in Comprehensive Pediatric Nursing 1996; 19: 121
There are 22 citations in total.

Details

Primary Language Turkish
Journal Section Medical Science Research Articles
Authors

Gonca Üstün

Etem Erşan

Meral Kelleci

Hülya Turgut

Publication Date March 28, 2014
Published in Issue Year 2014Volume: 36 Issue: 1

Cite

AMA Üstün G, Erşan E, Kelleci M, Turgut H. Hastanede yatan çocuklarda psikososyal semptomların bazı değişkenler açısından incelenmesi. CMJ. March 2014;36(1):25-33. doi:10.7197/cmj.v36i1.1008002456