Zihinsel yetersiz bireylerin sağlık sorunları

Zihinsel yetersiz bireyler sağlık sorunları açısından riskli bir gruptur. Bunun nedenlerinden biri zihinsel yetersiz çocuklarda sağlık sorunlarının toplumun geneline göre daha fazla görülmesi, diğeri zihinsel yetersiz çocukların sağlık hizmetlerinden yeterince yararlanamamalarıdır. Araştırmalarda zihinsel yetersiz bireylerde beslenme sorunlarının sık görüldüğü belirlenmiştir. Beslenmeyle ilgili olarak düşük kilo, malnütrisyon, fazla kilo, pika, demir ve çinko eksikliği, emilim bozuklukları ve yeme bozuklukları görülebilmektedir. Motor yetersizlik ve hareket kısıtlılığı nedeniyle yetersiz aktivite sorunu sık yaşanmaktadır. Boşaltım alanında ise yetersiz sıvı alımı ve lifli gıdaların tüketilmemesine bağlı olarak konstipasyon sık görülmektedir. Diğer sorunlar; düzensiz uyku, kısa süreli uyku, gece uyanma, gündüz uykusuzluk gibi uyku sorunlarıdır. Görme-işitme kayıpları, epilepsi, motor yetersizlikler, Hepatit A, kötü ağız hijyeninin zihinsel yetersiz bireylerde toplumun geneline göre daha fazla görülmektedir. Zihinsel yetersiz bireylere yönelik sağlık hizmetlerinin sınırlı olması, toplumun geneline göre sağlık durumlarının daha kötü olması ve zihinsel yetersiz bireylerin sağlık hizmetini talep etmekte ve sağlık sorunlarını dile getirmekte güçlükleri olması nedenleriyle sağlığın korunması ve geliştirilmesi hizmetlerinden daha fazla yararlanmaları sağlanmalıdır.

Health problems of mentally disabled individuals

Mentally disabled individuals are at risk of health problems. In fact, health problems are more frequent in mentally disabled individuals than in the general population and mentally disabled individuals less frequently use health care facilities. It has been shown that mentally disabled individuals frequently have nutritional problems. They may suffer from low weight, malnutrition, high weight, pica, iron and zinc deficiencies and absorption and eating disorders. Activities can be limited due to motor disability and restricted movements. Depending on insufficient liquid intake and dietary fiber, constipation can be frequent. Another problem is sleep disorders such as irregular sleep hours, short sleep, waking up at night and daytime sleepiness. Visual-hearing losses, epilepsy, motor disability, hepatitis A infection and poor oral hygiene are more frequent in mentally disabled children than in the general population. The mentally disabled have limited health care facilities, poorer health status than the general population and difficulties in demanding for health care and expressing health problems. Therefore, they should be provided with more health promotion services.

___

  • 1. Scheepers M, Kerr M, O’Hara D, Bainbridge D, Cooper SA, Davis R, et al. Reducing Health Disparity in People with Intellectual Disabilities: A Report from Health Issues Special Interest Research Group of the International Association for the Scientific Study of Intellectual Disabilities. Journal of Policy and Practice in Intellectual Disabilities. 2005; 2(¾): 249–255.
  • 2. Eripek S. Zihinsel Engelli Çocuklar. 2. Baskı. Eskişehir. Anadolu Üniversitesi Yayınları, 1996, s. 137-155.
  • 3. Johnson CP, Walker WO, Palomo-Gonzalez SA, Curry CJ. Mental Retardation: Diagnosis, Management, and Family Support. Curr Probl Pediatr Adolesc Health Care. 2006; 36: 126- 165.
  • 4. Tufan İ, Arun Ö. Türkiye Özürlüler Araştırması 2002 ikincil analizi. TUBİTAK Sosyal ve Beşeri Bilimler Araştırma Grubu PROJE NO: SOBAG- 104K077._Ankara,2006._[http://www.ozida.gov .tr/] [Erişim tarihi: 18.12.2009]
  • 5. Evenhuis H, Henderson CM, Beange H, Lennox N, Chiocoine B. Healthy Ageing-Adults with Intellectual Disabilities: Physical Health Issues. Journal of Applied Research in Intellectual Disabilities. 2001; 14: 175-194.
  • 6. Betz CL, Baer MT, Poulsen M, Vahanvaty U, Bare M, Haddad Y, et al. Secondary Analysis of Primary And Preventive Services Accessed And Perceived Service Barriers By Children With Developmental Disabilities And Their Familie. Issues in Comprehensive Pediatric Nursing. 2004; 27: 83–106.
  • 7. Phillips A, Morrison J, Davis RW. General practitioners’ educational needs in intellectual disability health. Journal of Intellectual Disability Research. 2004; 48(2): 142-149.
  • 8. Jansen DEMC, Krol B, Groothoff JW, Post D. People With Intellectual Disability and Their Health Problems: A Review Comparative Studies. Journal of Intellectual Disability Research. 2004; 48(2): 93-102.
  • 9. Stewart L. Development of the Nutrition and Swallowing Checklist, a screening tool for nutrition risk and swallowing risk in people with intellectual disability. Journal of Intellectual & Developmental Disability. 2003; 28(2): 171– 187.
  • 10. Wells MB, Turner S, Martin DM, Roy A. Health Gaın Through Screening-Coronary Heart Disease and Stroke: Developing Primary Health Care Services For People With Intellectual Disability. Journal Of Intellectual & Developmental Disability. 1997; 22(4): 251- 263.
  • 11. Marshall D, McConkey R, Moore G. Obesity in People With Intellectual Disability: The Impact Of Nurse-Led Health Screenings And Health Promotion Activities. Journal Of Advanced Nursing. 2003; 41(2): 147-153.
  • 12. Merriman S, Haw C, Kirk J, Stubbs J. Risk factors for coronary heart disease among inpatients who have mild intellectual disability and mental illness. Journal of Intellectual Disability Research. 2005; 49(5): 309-316.
  • 13. Sa´nchez-Lastres J, Eirı´s-Pun˜al J, Otero- Cepeda JL, Pavo´n-Belincho´n P, Castro-Gago M. Nutritional status of mentally retarded children in northwest Spain: II. Biochemical indicators. Acta Pediatr. 2003; 92: 928–934.
  • 14. Gravestock S. Eating Disorders. Journal of Intellectual Disability Research. 2000; 44(6): 625-637.
  • 15. Ali Z. Pica in people with intellectual disability: a literature review of aetiology, epidemiology and complications. Journal of Intellectual & Developmental Disability. 2001; 26(2): 205– 215.
  • 16. Temple VA, Anderson C, Walkley JW. Physical activity levels of individuals living in a group home. Journal of Intellectual & Developmental Disability. 2000; 25(4): 327–341.
  • 17. Milberger S, LeRoy B, Lachance L, Edelson G. Osteoporosis and women with Down Syndrome. Journal of Intellectual & Developmental Disability. 2002; 27(4): 273- 280.
  • 18. Traci MA, Seekins T, Szalda-Petree A, Ravesloot C. Assessing secondary conditions among adults with developmental disabilities: A preliminary study. Mental Retardation. 2002; 40: 119–131.
  • 19. Lifshitz H, Merrick J. Ageing and intellectual disability in Israel: a study to compare community residence with living at home Health and Social Care in the Community, 2003; 11(4): 364–371.
  • 20. Janicki MP, Davidson PW, Henderson CM, McCallion P, Taets JD, Force LT, et al. Health characteristics and health services utilization in older adults with intellectual disability living in community residences. Journal of Intellectual Disability Research. 2002; 46(4): 287-298.
  • 21. Bohmer CJM, Taminiau JAJM, Klinkenberg- Knol EC, Meuwissen SGM. The prevalence of constipation in institutionalized people with intellectual disability. Journal of Intellectual Disability Research. 2001; 45: 212–218.
  • 22. Joinson C, Heron J, Butler R, von Gontard A, Butler U, Emond A et al. A United Kingdom population-based study of intellectual capacities in children with and without soiling, daytime wetting and bed-wetting. Pediatrics. 2007; 120(2): 308-316.
  • 23. Wiggs L. Sleep problems in Children with Developmental Disorders. Journal of The Royal Society of Medicine. 2001; 94: 177-179.
  • 24. Lindblom N, Heiskala H, Kaski M, Leinonen L, Nevanlinna A, Iivanaınen M et al. Neurological İmpairments And Sleep-Wake Behaviour Among The Mentally Retarded. J. Sleep Res. 2001; 10: 309-318.
  • 25. Diden R, Korzilius H, Van Aperlo B, Van Overloop C, De Vries M. Sleep problems and daytime problem behaviours in children with intellectual disability. Journal of Intellectual Disability Research. 2002; 46(7): 537-547.
  • 26. Fisher K, Kettl P. Aging with mental retardation: Increasing population of older adults with MR require health interventions and prevention strategies. Geriatrics. 2005; 60(4):26-29.
  • 27. Piachaud J, Rohde J, Pasupathy A. Health Screening For People With Down’s Syndrome. Journal of Intellectual Disability Research. 1998; 42(5):341-345.
  • 28. Lin, JD, Wu JL, Lee PN. Healthcare needs of people with intellectual disability in institutions in Taiwan: outpatient care utilization and implications. Journal of Intellectual Disability Research. 2003; 47(3): 169-180.
  • 29. Betz CL. Surgeon General’s Report on Health Care Needs for Individuals with Mental Retardation. Journal of Pediatric Nursing. 2002; 17(2): 79-81.
  • 30. Şen E, Yurtsever S. Difficulties experienced by families with disabled children. Journal for Specialists in Pediatric Nursing. 2007; 12(4): 238-252.
  • 31. Mallow GE, Bechtel GA. Chronic Sorrow: The Experience of Parents with Children who are Developmental Disabled. Journal of Psychosocial Nursing. 1999; 37(7): 31-35.
  • 32. Lindsey M. Comprehensive health care services for people with learning disabilities. Advances in Psychiatric Treatment. 2002; 8: 138–148.
  • 33. Yıldırım Sarı H, Altıparmak S. Ebe ve Hemşirelerin Zihinsel Engelli Çocuklarla İlgili Bilgileri. TSK Koruyucu Hekimlik Bülteni. 2008; 7(2): 127-132.
  • 34. Gustavson KH, Carlsson ÖU, Sonnander K. A follow-up study of mortality, health conditions and associated disabilities of people with intellectual disabilities in a Swedish county. Journal of Intellectual Disability Research. 2005; 49(12): 905-914.
TSK Koruyucu Hekimlik Bülteni-Cover
  • ISSN: 1303-734X
  • Yayın Aralığı: Yılda 8 Sayı
  • Başlangıç: 2002
  • Yayıncı: Gülhane Askeri Tıp Akademisi Halk Sağlığı AD.
Sayıdaki Diğer Makaleler

Askeri Doktorların Kararlara Katılım Tutumları Üzerine Bir Araştırma

Necmettin CİHANGİROĞLU, ATILHAN NAKTİYOK, BAYRAM ŞAHİN, Cesim DEMİR

Zihinsel yetersiz bireylerin sağlık sorunları

HATİCE YILDIRIM SARI

Use of internet for health information amongst medical practitioners in a Nigerian community

Charles Oluwole OMOLASE, Chidi Oliver IHEMEDU, Olakunle TOLULOPE, Bukola Olateju OMOLASE

Appraisal of some harmful reproductive health practices in Nigeria

Rosemary Ogonna IBEKWE, Perpetus Chudi IBEKWE

Gebelerde son trimestrde vajinal grup B streptokok kolonizasyonu

DURAN TOK, Gürkan MERT

The presenting feature and role of general practitioners and non-neurosurgeon physicians in recognizing Pediatric brain tumors

Wihasto SURYANINGTYAS, Muhammad ARIFIN

Oral hygiene status and periodontal treatment needs of Nigerian male smokers

Solomon Olusegun NWHATOR, Patricia AYANBADEJO, Kofo Winfunke SAWAGE, Sonny Olukayode JEBODA

Impact of patients’ knowledge, attitude and practices on hypertension on compliance with antihypertensive drugs in a resource-poor setting

Olusegun Adesola BUSARI, Timothy Olusegun OLANREWAJU, Olufemi Olumuyiwa DESALU, Oladimeji George OPADIJO, Ahmed Kayode JIMOH, Segun Matthew AGBOOLA, Olusogo Ebenezer BUSARI, Olaleye OLALEKAN

Sağlıklı genç bireylerde konstipasyon sorununun belirlenmesi

NURCAN UYSAL, Leyla KHORSHID, İsmet EŞER

Assessment of cardiovascular fitness of patients with pulmonary tuberculosis using six minute walk test

Rufus Adesoji ADEDOYIN, Gregory Efosa ERHABOR, Oluwatobi Daniel OJO, Chidozie Emmanuel MBADA, Taofeek Oluwole AWOTIDEBE, Daniel Osagbemworhue OBASEKI, Olayinka Omotesho AWOFOLU