EMİNE EFE, Hatice Balcı YAYGIN, Kadriye ERAVŞAR

Antalya il merkezinde iki sağlık ocağı bölgesinde yaşayan annelerin ani bebek ölümü sendromu ve risk faktörleri hakkındaki bilgi düzeyleri

Antalya İl Merkezinde İki Sağlık Ocağı Bölgesinde Yaşayan Annelerin Ani Bebek Ölümü Sendromu ve Risk Faktörleri Hakkındaki Bilgi Düzeyleri Amaç: Bebeği olan annelerin ani bebek ölümü sendromunun risk faktörleri (ev çevresi, bebeklerin uyku çevresi ve bebeklerin uyku pozisyonları) hakkındaki bilgilerini belirlemek. Gereç ve Yöntem: Anket, Kasım 2006-Nisan 2007 tarihleri arasında, Antalya’da 17-18 no’lu sağlık ocaklarında kayıtlı olan ve 0-24 ay arası bebeği olan 294 anneye uygulandı. Annelerin ve bebeklerin sosyodemografik özellikleri ve bebeklerin uyku pozisyonu, ev çevresi, bebeklerin uyku çevresi ile ilgili bilgiler sorgulandı. Bulgular: Annelerin 36’sının, babaların 147’sinin sigara içtiği belirlendi. Annelerin 166’sının bebekleriyle aynı yatağı paylaştıkları, 105’inin bebeklerini pamuk/yün yatakta yatırdıkları, 225’inin yastık kullandıkları, 76’sının uyku sırasında bebeğin yüzünü örttükleri belirlendi. Annelerin 136’sının (% 46.3) bebeklerini gündüz yan yatırdıkları, 147’sinin (% 50.0) gece yan yatırdıkları, 170’inin (% 57.8) odada yalnız kaldığında yan yatırdıkları, 213’ünün (% 72.4) beslenme sonrası yan yatırdıkları belirlendi. Sonuç: Bu çalışma bebeklerin uyku çevresi, uyku pozisyonu ve ev çevresi hakkında annelerin yanlış bilgiye sahip olduğunu göstermiştir. Anneler ani bebek ölümü sendromunun risk faktörleri hakkında bilgilendirilmelidir.

Mother' knowledge about sudden infant death syndrome and risk factors living in the region of two primary health centers in Antalya

Mothers’ Knowledge About Sudden Infant Death Syndrome and Risk Factors Living in the Region of Two Primary Health Centers in Antalya Aim: To determine mothers’ knowledge about risk factors of sudden infant death syndrome (home environment, infants’ sleep patterns and sleep position). Material and Methods: A questionnaire was applied to 294 mothers of infants between 0-24 months and registered to health center no 17 and 18 in Antalya center between November 2006-April 2007. Mothers’ and infants’ sociodemographical data and infants’ sleep position, home environment, infants’ sleep environment were investigated. Results: It was determined that 36 of the mothers and 147 of the fathers smoked, 166 of the mothers shared same bed with their infants, 105 put their infants in cotton/wool beds, 225 used a pillow when the infants were asleep, 76 covered their infants’faces. 136 (46.3 %) of the mothers placed their infants in a side position during the day time, 147 (50.0 %) in a side position when left alone in their rooms, 213 (72.4 %) left their infants in a side position after feeding. Conclusion: This study has shown that mothers have misinformation about infants’ sleep patterns, sleep position and home environment. Mothers should be informed about the risk factors of sudden infant

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1. Akşit S, Egemen A. Ani bebek ölümü. Sürekli Tıp Eğitimi Dergisi 1998; 7:404-7.
2. Ertem GK. Ani bebek ölümü sendromu ve sağlık personelinin sorumlulukları, Ege Üniversitesi Hemşirelik Yüksek Okulu Dergisi 1999; 15:53-8.
3. Gökçe S, Baysal SU. Ani bebek ölümü sendromu. İstanbul Tıp Fakültesi Mecmuası 2004; 67:1.
4. Wong DL, Eaton MH, Winkelstein ML, Wilson D, Ahman E, Thomas PAD. Nursing care of infants and children. St. Louis Missouri: Mosby Company, 1999.
5. Hunt CE. Sudden infant death syndrome. In: Behrman RE (ed). Textbook of Pediatrics. Philadelphia: WB Saunders, 1996: 1991-5.
6. Efe ÖE. Ani bebek ölümü sendromu. Hemşirelik Forumu 2006; Mayıs-Haziran-Temmuz-Ağustos.
7. Koturoğlu G, Akşit S, Kurugöl Z. Ege üniversitesi tıp fakültesi çocuk polikliniğinde izlenen bebeklerin yatış posizyonunun değerlendirilmesi. Türk Pediatri Arşivi 2004; 39:78-82.
8. Polat A, Kavak N, Kavak S&Akalın N. Infant sleeping position and some sociodemographic characteristics. Ege Pediatri Bülteni 1996; 3:237-9.
9. Ereş F. Woman status and reşection in Turkey. Gazi Üniversitesi Endüstriyel Sanatlar Eğitim Fakültesi Dergisi 2006; 19:40-52.
10. World Health Organization Regional Office for Europe, 2005. Make every mother and child count. World Health Day. Retrieved April 7, 2005, from http://www.who.int/mediacentre/ news/releases/2005/pr16/en/index.html.
11. American Academy of Pediatrics, Task Force on Infant Sleep Position and Sudden Infant Death Syndrome. Changing concepts of sudden infant death syndrome: implications for infant sleeping environment and sleep position. Pediatrics 2000; 105:650-6.
12. Tuohy PG, Tuohy RJ. The overnight thermal environment of infants. The New Zealand Medical Journal 1990; 103:36-8.
13. Nelson EA, Taylor BJ, Weatherall IL. Sleeping position and infant bedding may predispose to hyperthermia and the sudden infant death syndrome. Lancet 1989; 1:199-201.
14. Ponsonby AL, Dwyer T, Gibbons LE, Cochrane JA, Wang YG. Factors potentiating the risk of sudden infant death syndrome associated with the prone position. N Eng J Med 1993; 329:377-82.
15. Williams SM, Taylor BJ, Mitchell EA. Sudden infant death syndrome: insulation from bedding and clothing and its effect modifiers. The National Cot Death Study Group. International J Epidemiol 1996; 25:366-75.
16. Blair PS, Şeming PJ, Bensley D. Smoking and the sudden infant death syndrome: results from 1993-5 case-control study for confidential inquiry into stillbirths and deaths in infancy. BMJ 1996; 313:195-8.
17. Scragg R, Mitchell EA, Taylor BJ, Stewart AW, Ford RP, Thompson JM, et al. Bed sharing, smoking, and alcohol in the sudden infant death syndrome. New Zealand Cot Death Study Group. BMJ (Clinical Research ed). 1993; 307:1312-8.
18. Scheers NJ, Dayton CM, Kemp JS. Sudden infant death with external airways covered: case-comparison study of 206 deaths in the United States. Arch Pediatr Adolesc Med 1998; 152:540-7.
19. Pharoah P. Bed-sharing and sudden infant death (commentary). Lancet 1996; 347: 2.
20. Carpenter RG, Irgens LM, Blair PS, England PD, Şeming P, Huber J, et al. Sudden unexplained infant death in 20 regions in Europe: Case control study. The Lancet 2004; 363:185-91.
21. Tappın D, Ecb R, Stat S, Brooke H. Bedsharing, roomsharing, and sudden ınfant death syndrome ın scotland: A casecontrol study. J Pediatr 2005; 147:32-7.
22. Kemp JS, Livne M, White DK, Arfken CL. Softness and potential to cause rebreathing: differences in bedding used by infants at high and low risk for sudden infant death syndrome. J Pediatr 1998; 132:234-9.
23. Blair PS, Şeming PJ, Smith IJ, Platt MW. Babies sleeping with parents: Case-control study of factors inşuencing the risk of the sudden infant death syndrome/commentary: Cot death-the story so far. BMJ 1999; 319:1457-62.
24. Baddock SA, Galland BC, Beckers MGS, Taylor DJ, Bolton DPG. Bed-sharing and the infant’s thermal environment in the home setting. Arch Dis Child 2004; 89:111-6.
25. Lahr MB, Rosenberg KD, Lapidus JA. Bedsharing and maternal smoking in a population-based survey of new mothers. Pediatrics 2005; 116:1011-2.
26. Unger B, Kemp JS, Wilkins D, et al. Racial disparity and modifiable risk factors among infants dying suddenly and unexpectedly. Pediatrics 2003; 111:127.
27. Brooke H, Gibson A, Tapin D, Brown H. Case-control study of sudden infant death syndrome in scotland, 1992-1995. BMJ 1997; 314:1516-20.
28. Hauck FR, Herman SM, Donovan M, et al. Sleep environment and the risk of sudden infant death syndrome in an urban population: The chicago ınfant mortality study. Pediatrics 2003; 111:1207-14.
29. Şeming PJ, Blair PS, Bacon C, et al. Environment of infants during sleep and risk of sudden infant death syndrome: results of 1993-95 case control study for confidential inquiry into stillbirths and deaths in infancy. BMJ 1996; 313:191-5.
30. Moon RY, Patel KM, Shaefer SJM. Sudden ınfant death syndrome in child care settings. Pediatrics 2000; 106:295.
31. Nelson EAS, Taylor BJ. International child care practices study: infant sleep position and parental smoking. Early Human Development 2001; 64:7-20.
32. Sleuwen BE Van, L’Hoir MP, Engelberts AC, Westerns P, Schulpen TWJ. Infant care practices related to cot death in Turkish and Moroccan families in the Netherlands. Arch Dis Child 2003; 88:784-8.
33. Guntheroth WG, Spiers PS. Thermal stres in sudden ınfant death: ıs there an ambiguity with the rebreathing hypothesis? Pediatrics 2001; 107:693.