Meryem Özlem KÜTÜK, Cem GÖKÇEN, Gülen GÜLER AKSU, Fatih AKIN, Ayşenur KARDAŞ, Ayşe Sevde SARP, Ali Evren TUFAN

Türkiye’deki bir eğitim araştırma hastanesinin yatan hasta birimindeki çocukların psikomotor gelişim tarama sonuçları

Amaç: Bu çalışmanın amacı pediatri servisinde yatan çocuklarda psikomotor gelişimi değerlendirmek ve sorun tespit edilen çocukları tedaviye yönlendirmektir.Yöntem: Bu çalışmaya yaşları 4-72 ay arasında olan Konya Eğitim Araştırma hastanesi pediatri servisinde yatan 420 çocuk dahil edilmiştir. Çocukların geçmiş öykü ve nörolojik muayenelerini bilmeyen bir çocuk gelişim uzmanı bütün çocuklara Denver Gelişimsel tarama testini (DDST) 2 uygulamıştır. Testin sonucuna göre anormal veya tartışmalı gelişimde olan çocuklar daha ileri değerlendirme için bir çocuk ve ergen psikiyatristine yönlendirilmişlerdir.Bulgular: Olguların 345 (%82)’i normal, 12 (%2.8)’si şüpheli ve 64 (%15.2)’ü anormal bulunmuştur. Şüpheli ve anormal vakaların çocuk ve ergen psikiyatristi tarafından değerlendirilmesi sonucu, 26 olgu gelişim geriliği ve 2 olgu otizm spektrum bozukluğu tanısıyla özel eğitime yönlendirilmiştir. Sonuç: Gelişim geriliğinin erken teşhisi açısından pediatri servisinde yatan her çocuğa gelişim testlerinin uygulanması önem arz etmektedir. Gelişim geriliği olan çocukların uygun tedavileri alması açısından erken tanı ve tedavi kritik önem taşımaktadır.

Anahtar Kelimeler:

Denver gelişimsel tarama testi, gelişme geriliği

Screening results of the psychomotor development of children at inpatient unit of a training and research hospital in Turkey

Purpose: This study aimed to assess the psychomotor development of inpatient children in the pediatrics clinic and referring the children to the child and adolescent psychiatry clinic who have problems in their developmental process for early interventionMaterials and Methods: Four hundred twenty children between 4-72 months at inpatient unit of the department of Pediatrics at Konya State Research hospital were included in the present study. A child development specialist who was unaware of the history and neurological examination of the cases administered Denver developmental screening test (DDST) II to all children once. Children who were found to be abnormal or questionable were further evaluated by the child and adolescent psychiatrist. Results: Three hundred forty five (82%) were found to be ‘normal’, 12 (2.8%) were found to be ‘questionable’ and 64 (15.2%) cases were found to be ‘abnormal’ with regard to DDST II. Post evaluation of questionable and abnormal cases by the child and adolescent psychiatrist, 26 cases were referred to special education institutions with the diagnosis of global developmental delay and 2 cases with the diagnosis of pervasive developmental disorder. Conclusion: It is important to apply screening tests for developmental evaluation to each child at inpatient pediatric clinics in order to diagnose developmental delays earlier. It has critical importance of early diagnosis and intervention in children who have developmental delay in the interest of proper treatment for them.

Keywords:

Denver developmental screening test, developmental delay,

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