Çocukluk Çağı Hipertansiyonu İle İlgili Ailelerin Bilgi Düzeyi, Algı ve Tutumlarının Değerlendirilmesi
Abstract
Amaç: Bu çalışmada birincil olarak ailelerin çocukluk çağı hipertansiyonu konusundaki bilgi düzeyleri, algı ve tutumlarını değerlendirmeyi amaçladık. İkincil olarak ise çocukluk çağı hipertansiyonu bilgi ve farkındalığını oluşturmada etkili olan kaynakları belirlemeye çalıştık.
Gereç ve Yöntemler: Araştırmamız 15 Ocak-15 Haziran 2018 tarihleri arasında hastanemiz Çocuk Sağlığı ve Hastalıkları polikliniklerine başvuran ailelerle gönüllülük esas alınarak, yüz yüze anket çalışması şeklinde gerçekleştirildi.
Bulgular: Çalışmaya yaş ortalaması 37.6 ± 9.5 yıl olan 736 (%75.1) kadın, 244 (%24.9) erkek toplam 980 kişi dahil edildi. Katılımcıların %55’inin çocukluk çağında hipertansiyon olabilir mi sorusuna evet cevabı verdiği saptandı. Hipertansiyon ile ilişkili 8 bilgi sorusuna ise katılımcılar tarafından verilen doğru cevapların ortanca değerinin 5 olduğu tespit edildiİl merkezinde yaşama, sağlık çalışanı olma, gelir seviyesinin 5001 TL ve üzeri olması, üniversite mezunu olma, ailesinde veya yakınlarında hipertansiyon varlığı, daha önce tansiyon ölçtürme durumu ile katılımcıların cevapladıkları doğru soru sayısı arasında anlamlı ilişki saptandı. Katılımcıların bilgi edinme kaynakları açısından değerlendirildiğinde aile hekimlerinin katkısının %17 ile %31 arasında değiştiği saptandı.
Sonuç: Bu çalışmada çocukluk çağı hipertansiyonu konusunda ailelerin bilgi düzeylerinin orta-düşük düzeyde olduğu saptanmıştır. Bireylerin eğitim düzeyleri arttıkça genel olarak bilgi düzeylerinin de arttığı tespit edilmiştir. Ülkemizde önemli bir halk sağlığı sorunu olan hipertansiyonun çocukluk çağında da giderek yaygınlaştığı ve erişkin döneme yansıyan morbiditesi olduğu göz önüne alındığında; toplumca kabul görmüş ve uygulanabilir toplum tabanlı koruma ve eğitim projelerine ihtiyaç olduğu ortaya çıkmaktadır. Toplumun bilgilendirilmesi noktasında son derece önemli role sahip olan aile hekimlerinin bu noktada en etkin, ulaşılabilir, bilimsel ve güncel bilgileri sunabilecekleri düşünülmektedir
Keywords
Supporting Institution
BULUNMAMAKTADIR
Project Number
BULUNMAMAKTADIR
References
- Song P, Zhang Y, Yu J, Zha M, Zhu Y, Rahimi K, et al. Global Prevalence of Hypertension in Children: A Systematic Review and Meta-analysis. JAMA Pediatr 2019; 173:1154-63.
- Chen X, Wang Y. Tracking of blood pressure from childhood to adulthood: a systematic review and meta-regression analysis. Circulation 2008;117:3171-80.
- Flynn JT, Kaelber DC, Baker-Smith CM, Blowey D, Carrol AE, Daniels SR, et al. Clinical Practice Guideline for Screening and Management of High Blood Pressure in Children and Adolescents. Pediatrics 2017 ;140:e20171904.
- Aung MN, Lorga T, Srikrajang J, Promtingkran N, Kreuangchai S, Tonpaya W, et al. Assessing awareness and knowledge of hypertension in an at-risk population in the Karen ethnic rural community, Thasongyang, Thailand. Int J Gen Med 2012; 5:553-61.
- Adedoyin OT, Ojuawo A, Johnson AB. Knowledge, attitude and perception of adults on childhood hypertension in a rural community in Nigeria. Niger Postgrad Med J 2006;13:216-9.
- Viera AJ, Cohen LW, Mitchell CM, Sloane PD. High blood pressure knowledge among primary care patients with known hypertension: a North Carolina Family Medicine Research Network (NC-FM-RN) study. J Am Board Fam Med 2008; 21:300-8.
- Falkner B, Lurbe E, Schaefer F. High blood pressure in children: clinical and health policy implications. J Clin Hypertens (Greenwich) 2010;12:261-76.
- Odely E, Damarıs ME, Cyrille, Noa Ndoua CC. Knowledge, Attitude and Perception of Adults on Childhood Hypertension in the Higher Teachers’ Training College of the University of Yaounde I. Int J Adv Res 2017;5:1842-8.
- Yao DK, Su W, Zheng X, Wang LX. Knowledge and Understanding of Hypertension Among Tibetan People in Lhasa, Tibet. Heart Lung Circ 2016;25:600-6.
- Muntner P, Gu D, Wu X, Duan X, Wenqi G, Whelton PK, et al. Factors associated with hypertension awareness, treatment, and control in a representative sample of the chinese population. Hypertension 2004;43:578-85.
- Grad I, Mastalerz-Migas A, Kiliś-Pstrusińska K. Factors associated with knowledge of hypertension among adolescents: implications for preventive education programs in primary care. BMC Public Health 2015;15:463.
- Sanne S, Muntner P, Kawasaki L, Hyre A, DeSalvo KB. Hypertension knowledge among patients from an urban clinic. Ethn Dis 2008,18:42-7.
- Oskay EM, Onsuz MF, Topuzoglu A. Assesment of hypertension knowledge, attitude and throught of policyclinic patients at a primary health care center in Izmir. Meandros Med Dent J 2010;11:3-9.
Abstract
Objective: This study is carried out to evaluate the knowledge levels, perceptions and attitudes of families about childhood hypertension and to identify the sources that are effective in creating knowledge and awareness of childhood hypertension.
Material and Methods: This cross-sectional study was carried out with the families of children who applied to our children hospitals’ outpatient clinics between January 15, 2018 and June 15, 2018.
Results: The participants who live in the city center compared to those living in other places (p = 0.002); health professionals compared to other occupational groups (p <0.001); those with an income level of 5001 TL and above, compared to other income levels (p <0.001); university graduates compared to other education categories (p <0.001); those who had high blood pressure in their family or relatives compared to others (p = 0.015) and participants who had measured blood pressures compared to those who did not (p <0.001) had higher number of correct answers and knowledge levels.
Conclusion: In this study it was determined that knowledge level of the families about childhood hypertension was found to be moderate to low. It has been determined that as the education levels of the individuals increase, their knowledge level generally increases. Considering that hypertension, which is an important public health problem in our country, is becoming more common in childhood and its morbidity is reflected in adulthood; there is a need for community-accepted and applicable community-based conservation and education projects. Family physicians, who have an extremely important role in informing the society, are thought to be the most effective, accessible and able to present scientific and updated information at this point
Keywords
Project Number
BULUNMAMAKTADIR
References
- Song P, Zhang Y, Yu J, Zha M, Zhu Y, Rahimi K, et al. Global Prevalence of Hypertension in Children: A Systematic Review and Meta-analysis. JAMA Pediatr 2019; 173:1154-63.
- Chen X, Wang Y. Tracking of blood pressure from childhood to adulthood: a systematic review and meta-regression analysis. Circulation 2008;117:3171-80.
- Flynn JT, Kaelber DC, Baker-Smith CM, Blowey D, Carrol AE, Daniels SR, et al. Clinical Practice Guideline for Screening and Management of High Blood Pressure in Children and Adolescents. Pediatrics 2017 ;140:e20171904.
- Aung MN, Lorga T, Srikrajang J, Promtingkran N, Kreuangchai S, Tonpaya W, et al. Assessing awareness and knowledge of hypertension in an at-risk population in the Karen ethnic rural community, Thasongyang, Thailand. Int J Gen Med 2012; 5:553-61.
- Adedoyin OT, Ojuawo A, Johnson AB. Knowledge, attitude and perception of adults on childhood hypertension in a rural community in Nigeria. Niger Postgrad Med J 2006;13:216-9.
- Viera AJ, Cohen LW, Mitchell CM, Sloane PD. High blood pressure knowledge among primary care patients with known hypertension: a North Carolina Family Medicine Research Network (NC-FM-RN) study. J Am Board Fam Med 2008; 21:300-8.
- Falkner B, Lurbe E, Schaefer F. High blood pressure in children: clinical and health policy implications. J Clin Hypertens (Greenwich) 2010;12:261-76.
- Odely E, Damarıs ME, Cyrille, Noa Ndoua CC. Knowledge, Attitude and Perception of Adults on Childhood Hypertension in the Higher Teachers’ Training College of the University of Yaounde I. Int J Adv Res 2017;5:1842-8.
- Yao DK, Su W, Zheng X, Wang LX. Knowledge and Understanding of Hypertension Among Tibetan People in Lhasa, Tibet. Heart Lung Circ 2016;25:600-6.
- Muntner P, Gu D, Wu X, Duan X, Wenqi G, Whelton PK, et al. Factors associated with hypertension awareness, treatment, and control in a representative sample of the chinese population. Hypertension 2004;43:578-85.
- Grad I, Mastalerz-Migas A, Kiliś-Pstrusińska K. Factors associated with knowledge of hypertension among adolescents: implications for preventive education programs in primary care. BMC Public Health 2015;15:463.
- Sanne S, Muntner P, Kawasaki L, Hyre A, DeSalvo KB. Hypertension knowledge among patients from an urban clinic. Ethn Dis 2008,18:42-7.
- Oskay EM, Onsuz MF, Topuzoglu A. Assesment of hypertension knowledge, attitude and throught of policyclinic patients at a primary health care center in Izmir. Meandros Med Dent J 2010;11:3-9.
Details
| Primary Language | English |
|---|---|
| Subjects | Clinical Sciences |
| Journal Section | ORIGINAL ARTICLES |
| Authors | |
| Project Number | BULUNMAMAKTADIR |
| Publication Date | January 30, 2023 |
| Submission Date | February 13, 2022 |
| Published in Issue | Year 2023 Volume: 17 Issue: 1 |
The publication language of Turkish Journal of Pediatric Disease is English.
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