KIRSAL BÖLGEDE YAŞAYAN KADINLARIN VAJİNAL AKINTI DURUMUNDA SAĞLIK ARAMA DAVRANIŞLARI

ÖZETAmaç:Bu araştırma, kırsal bölgelerde yaşayan kadınların vajinal akıntı durumunda sağlık arama davranışlarını ve sağlık arama davranışlarını engelleyen nedenleri belirlemek amacıyla yapılmıştır.Yöntem: Araştırma, kırsal bir bölgede bulunan bir sağlık ocağı bölgesinde yapılmıştır. Basit rastgele örnekleme yöntemine göre seçilen 438 kadın araştırmaya katılmıştır. Veriler, araştırmacılar tarafından literatür taranarak hazırlanan veri toplama formu ile toplanmıştır. Değerlendirmede yüzdelik, ortalama ve ki-kare testleri kullanılmıştır. Bulgular: Araştırmaya katılan kadınların yaş ortalaması 32.1±8.2 olup çoğunluğu 25-29 yaş grubundadır. Sağlık kuruluşuna başvurma oranı oldukça yüksek olup başvuran kadınların bir kısmı hekimin verdiği tedaviyi ya hiç kullanmamış ya da yarıda bırakmıştır.   Kadınların vajinal akıntı durumunda sağlık kuruluşuna başvurmama nedenleri akıntının kendiliğinden iyileşeceğini düşünmeleri, ekonomik nedenler, zamansızlık, ulaşım zorlukları, utanma,  evdeki sorumluluklar, bilgisizlik ve sağlık çalışanlarının ilgisizliğidir.Sonuçlar: Yaş, eğitim ve çalışma durumu, gelir seviyesi, sağlık sigortası aile tipi, evlenme yaşı, ilk gebelik ve doğum yaşı, gebelik sayısı ile sağlık hizmeti arama davranışı arasında istatistiksel olarak anlamlı bir fark bulunmamıştır.Düşük/küretaj öyküsü açısından gruplar arasında istatistiksel olarak anlamlı farklılık saptanmıştır.   Anahtar kelimeler: Sağlık arama davranışı; vajinal akıntı; kırsal nüfus. ABSTRACTHealth-Seeking Behavior in The Case of Vaginal Discharge in Women Living in Rural AreasObjective: This research was conducted to determine the behavior of women living in rural areas in terms of seeking healthcare in the event of vaginal discharge and the reasons that hindered their seeking healthcare.Methods: The study was carried out in a rural area overseen by a community health center. Using the method of random sampling, 438 women participated in the study. Data were collected by the researchers using a data collection form inspired by a scan of the literature. Percentages, means and chi-square tests were used in the evaluation.  Results: The mean age of the women recruited into the study was 32.1±8.2 and the majority was in the 25-29 age group. The percentage of women presenting at the health center was noticeably high but a portion of these women either never made use of or never completed the treatment recommended by the physician.   The reasons the women did not apply to the health center in the event of vaginal discharge were their thinking that the discharge would disappear by itself, economic rationales, lack of time, transportation difficulties, feeling embarrassed, household responsibilities, ignorance and the indifference of health professionals.Conclusions: No significant relationship was found between the women's seeking health care and their ages, educational levels, working status, income levels, health insurance status, family type, age of marriage, age of first pregnancy and first delivery, or the number of pregnancies. There was a significant statistical difference observed between the groups in terms of their histories of miscarriage/abortion.   Keywords:Health care seeking behaviour; vaginal discharge; rural population.

Health-Seeking Behavior in The Case of Vaginal Discharge in Women Living in Rural Areas Objective: This research was conducted to determine the behavior of women living in rural areas in terms of seeking healthcare in the event of vaginal discharge and the reasons that hindered their seeking healthcare.Methods: The study was carried out in a rural area overseen by a community health center. Using the method of random sampling, 438 women participated in the study. Data were collected by the researchers using a data collection form inspired by a scan of the literature. Percentages, means and chi-square tests were used in the evaluation. Results: The mean age of the women recruited into the study was 32.1±8.2 and the majority was in the 25-29 age group. The percentage of women presenting at the health center was noticeably high but a portion of these women either never made use of or never completed the treatment recommended by the physician. The reasons the women did not apply to the health center in the event of vaginal discharge were their thinking that the discharge would disappear by itself, economic rationales, lack of time, transportation difficulties, feeling embarrassed, household responsibilities, ignorance and the indifference of health professionals.Conclusions: No significant relationship was found between the women's seeking health care and their ages, educational levels, working status, income levels, health insurance status, family type, age of marriage, age of first pregnancy and first delivery, or the number of pregnancies. There was a significant statistical difference observed between the groups in terms of their histories of miscarriage/abortion

___

  • Apan T. (2010). Çevre Mikrobiyolojisi, Normal Flora ve Örnek Alma Teknikleri. İçinde: Hemşireler için Mikrobiyoloji. Ed: Altındiş M, Nobel Tıp Kitabevleri, İstanbul, p.60-6.
  • Barua A, Kurz K. Reproductive Health-Seeking by Married Adolescent Girls in Maharashtra, India. Reprod Health Matters 2001; 9(17): 53-62.
  • Beydağ K D. Jinekoloji Polikliniğine Başvuran Kadınların Genital Hijyen Davranışları. Atatürk Üniversitesi Hemşirelik Yüksekokulu Dergisi 2009; 12 (2): 105-10.
  • Bhatti L I, Fikree F F. Health-Seeking Behavior of Karachi Women With Reproductive Tract Infections. Social Science&Medicine 2002; 54 (1): 105-17.
  • Bourne P.A.Socio-demographic Determinants of Health Care-Seeking Behaviour, Self-Reported Illnes and Self-Evaluated Health Status in Jamaica. International Journal of Collaborative Research on Internal Medicine&Public Health 2009; 1(4): 101-30.
  • El-Kak F, Khawaja M, Salem M, Zurayk H. Care- Seeking Behavior of Women With Reproductive Health Problems From Low-İncome Areas of Beirut. International Journal Gynecology and Obstetrics 2009; 104 (1): 60-3.
  • Gören İ, Akçam FZ, Yaylı G. Kadınlarda Sık Görülen Üriner Enfeksiyonlara Yaklaşım. STED 2004; 13 (4): 128-30.
  • Guan J, Wu Z, Li L, Lin C, RotheramBorus M J, Detels R, Hsieh J et al. Self-Reported Sexually Transmitted Disease Symptoms and Treatment- Seeking Behaviors in China. AIDS Patient Care and STDs Mary Ann Liebert, Inc. 2009; 23(6): 443-8.
  • Hacıalioğlu N, İnandı T, Pasinlioğlu T. Erzurum Ana-Çocuk Sağlığı ve Aile Planlaması Merkezine Başvuran Kadınlarda Genital Yol Enfeksiyonlarının Sıklığı ve Risk Faktörleri. Atatürk Üniversitesi Hemşirelik Yüksekokulu Dergisi 2000;3 (2): 11-8.
  • Karatay G, Özvarış Ş B. Bir Sağlık Merkezi Bölgesindeki Gecekondularda Yaşayan Kadınların Genital Değerlendirilmesi. C.Ü. Hemşirelik Yüksekokulu Dergisi 2006; 10 (1): 7-14.
  • Kocaöz S, Talas MS, Atabekoğlu CS. Urinary Incontinence Among Turkish Women: An Outpatient Study of Prevalence, Risk Factors and Quality of Life. Journal of Wound, Ostomy and Continence Nursing 2012; 39 (4): 431-9.
  • Kostick KM, Schensul SL,Jadhav K, Singh R, Bavadekar A, Saggurti N. Treatment Seeking, Vaginal Discharge and Psychosocial Distress Among Women in Urban Mumbai. Cult Med Psychiatry 2010; 34(3): 529-47.
  • Kök G, Şenel N, Akyüz A. GATA Jinekoloji Polikliniği'ne Başvuran 20 Yaş Üstü Kadınların Üriner İnkontinans Açısından Farkındalık Durumlarının Değerlendirilmesi. Gülhane Tıp Dergisi 2006; 48(3): 132- 6.
  • Kumari S, Singh AJ, Jain V. Treatment Seeking Behavior for Urinary Incontinence Among North Indian women. Indian Journal Med Sci. 2008; 62(9): 352-6.
  • Lan PT, Faxelid E, Chuc NT, Mogren I, Lundborg CS. Perceptions and Attitudes in Relation to Reproductive Tract Infections Including Sexually Transmitted Infections in Rural Vietnam: A Qualitative Study. Healthpolicy 2008; 86(2-3): 308- 17.
  • Lieber E, Li L, Wu Z, Rotheram-Borus MJ, Guan J. HIV/STD Stigmatization Fears as Health-Seeking Barriers in China. AIDS and Behavior 2006; 10(5): 463-71.
  • Li C, Han H, Lee J, Lee M, Lee Y. Knowledge, Behaviors and Prevalence of Reproductive Tract Infections: A Descriptive Study on Rural Women in Hunchun, China. Asian Nursing Research 2010; 4(3): 122-9.
  • Moore KL, Dalley AF. (2007). Clinically Oriented Anatomy. Kliniğe Yönelik Anatomi. Çeviri ed: Şahinoğlu K, 4.bs, Nobel Tıp Kitabevleri, İstanbul, p.371-3.
  • Ozan H, Özerkan K.Vajinal Akıntıya Hastaların Yaklaşımı. Uludağ Üniversitesi Tıp Fakültesi Dergisi 2008; 34 (2): 53-4.
  • Özdemir S, Çelebi İ, Nurullahoğlu N, Ak HC. Ürojinekoloji İnkontinans Olgularının Dağılımı. Genel Tıp Dergisi 2006; 16 (2): 49-52.
  • Perera J, Kirthinanda DS, Wijeratne S, Wickramarachchi TK. Descriptive Cross Sectional Study on Prevalence, Perceptions, Predisposing Factors and Health Seeking Behaviour of Women With Stress Urinary Incontinence. BMC Womens Health 2014; DOI:10.1186/1472-6874-14-78.
  • Rabiu K A. Adewunmi A A, Akinlusi F M, Akinola O. Female Reproductive Tract Infections: Understanding and Care Seeking Behaviour Among Women of Reproductive Age in Lagos, Nigeria. BMC Women's Health 2010; 10 (8): 1-7.
  • Prasad JH, Abrahan S, Kurz KM, George V, Lalitha MK, John R., Jayapaul MN et al. Reproductive Tract Infections Among Young Married Women in Tamil Nadu, India. International Family Planning Perspectives 2005; 31 (2): 73-82.
  • Rizvi N, Luby S.Vaginal Discharge: Perceptions and Health Seeking Behavior Among Nepalese Women. Journal Pak Med Assoc. 2004; 54(12): 620-4.
  • Samanta A, Ghosh S, Mukherjee S. Prevalence and Health- Seeking Behavior of Reproductive Tract Infection/Sexually Transmitted Infections Symptomatics: A Cross-Sectional Study of a Rural Community in The Hooghly Dictrict of West Bengal. Indian Journal of Public Health 2011; 55(1): 38-41.
  • Sümbüloğlu K, Sümbüloğlu V. Biyoistatistik 14. Baskı.Ankara:Hatipoğlu Yayınevi; 2010. p. 261-9.
  • Thu Do HT, Zierch A, Hart G. Health Care-Seeking Behaviours for Sexually Transmitted Infections Among Women Attending The National Institute of Dermatology and Venereology in Vietnam. Sex Transm Infect 2007; 83(5): 406-10.
  • Tian L, Li J, Zhang K, Guest P.Women's Status, Institutional Barriers and Reproductive Health Care: A Case Study in Yunnan. China. Health Policy 2007; 84(2-3): 284-97.
  • Ward H, Mertens T E, Thomas C. Health Seeking Behaviour and The Control of Sexually Transmitted Disease. Health Policy and Planning 1997; 12(1): 19- 28.
  • Yağmur Y. Malatya ili Fırat Sağlık Ocağı Bölgesi'nde Yaşayan 15-49 Yaş Kadınların Genital Hijyen Davranışları. TSK Koruyucu Hekimlik Bülteni 2007; 6 (5): 325- 30.
  • Yazar S, Dağcı H, Aksoy Ü, Üstün Ş, Akısü Ç, Ak M, Daldal N. Frequency of Trichomonas Vaginalis Among Women Having Vaginal Discharge in Izmir, İnönü Üniversitesi Tıp Fakültesi Dergisi 2002; 9 (3): 159-61.