0-12 Aylık Konstipe Çocukları Olan Kadınlara Verilen Eğitim Ve Danışmanlık Hizmetinin Çocuklardaki Konstipasyonun Giderilmesinde Etkinliğinin Belirlenmesi

Yıl 2019, Cilt: 8 Sayı: 1, 25 - 34, 28.03.2019

Filiz Hisar Hacer Sütcü Çağlar Süleyman Şahin

Öz

Çalışmanın amacı  konstipe olan 0-12 aylık bebeklerin annelerine
verilen eğitim ve danışmanlık hizmetinin konstipasyonun giderilmesinde
etkinliğini belirlemektir.Bu çalışma tek grup ön
test-son test deney öncesi tasarım olarak yapılmıştır. Araştırmanın evrenini
Konya Karapınar Merkezinde 3 Aile Sağlığı Merkezine kayıtlı 0-12 aylık bebekler
oluşturdu. Araştırmanın örneklemini ise 2-27 Mayıs 2016 tarihleri arasında
konstipasyon şikayeti olduğu belirlenen 44 bebek oluşturdu. Çalışmanın verileri
bilgisayar ortamında, tanımlayıcı istatistikler için sayı ve yüzde, tekrarlayan
ölçümlerde ise mcnemar testi ve friedman testi yapıldı.  İstatistiksel anlamlılık düzeyi p<.05
olarak kabul edildi.Araştırmamıza katılan bebeklerin %56.8’i erkek,
%39,6’sının şikayetlerinin 5 hafta ve üzerinde süredir olduğu, Şikayetlerin en
çok görülenden aza doğru sıralandığında %93.2 ile ağrı ve huzursuzluk, %77.3
ile dışkı tutma davranışı, %34.1 ile bulantı kusma, %15.9 ile makatta çatlak ve
%9.1 ile dışkıda kan varlığı olduğu görüldü. İlk değerlendirme ile sonraki
dönemlerde yapılan değerlendirmelerde konstipasyon şikayetinin istatiksel
olarak anlamlı bir şekilde azaldığı görüldü. (P=0.000). Konstipasyon sorunu olan bebeklerin annelerine
verilen eğitim ve danışmanlık sonrasında konstipasyon şikayetinin azaldığı görüldü.
Araştırmada elde edilen sonuçlara göre bebeklerde konstipasyon sorununun
önlenmesi ve giderilmesi için annelere gerekli eğitim ve danışmanlık
hizmetlerinin verilmesi önerilebilir.Makalenizin özetlerinde alt başlıklar olmamalıdır.

Anahtar Kelimeler

Anahtar Kelimeler: Bebeklik, Konstipasyon, Tedavi

Kaynakça

• 1. Papatheodoridis, GV, Vlachogiannakos, J, Karaitianos, I, Karamanolis, DG. (2010).“A Greek Survey Of Community Prevalence And Characteristics Of Constipation.” European Journal of Gastroenterology & Hepatology, 22; 354–360.
• 2. Rajindrajith, S, Devanarayana, NM, Crispus Perera, BJ, Benninga, MA. (2016).“Childhood Constipation As An Emerging Public Health Problem.” World J Gastroenterol, 22: 6864-6875.
• 3. Piccoli de Mello, P, Eifer, DA, Daniel de Mello, E. (2018). “Use Of Fibers İn Childhood Constipation Treatment: Systematic Review With Meta-Analysis.” J Pediatr (Rio J.), (637);1-11.
• 4. Türkay, C, Aydoğan, T, Özden, A. (2005) “Konstipasyon Tanım ve Epidemiyolojisi.” Güncel Gastroenteroloji, 9(1); 48-52.
• 5. Sanchez, MI, Bercik, P. (2011). “Epidemiology And Burden Of Chronic Constipation.” Can J Gastroenterol, 25(Suppl. B):11Be5B.
• 6. Voskuijl, WP, Van Ginkel, R, Benninga, MA, Hart, GA, Taminiau, JA, Boeckxstaens, GE. (2006).“New İnsight İnto Rectal Function İn Pediatric Defecation Disorders: Disturbed Rectal Compliance İs An Essential Mechanism İn Pediatric Constipation.” J Pediatr , 48:62-67.
• 7. Turco, R, Miele, E, Russo, M, Mastroianni, R, Lavorgna, A, Paludetto, R, Pensabene, L, Greco, L, Campanozzi, A, Borrelli, O, Romano, C, Chiaro, A, Guariso, G, Staiano, A. (2014). “Early-Life Factors Associated With Pediatric Functional Constipation.” J Pediatr Gastroenterol Nutr, 58: 307-312.
• 8. Van Tilburg, MA, Hyman, PE, Walker, L, , Rouster, A, Palsson, OS, Kim, SM, and Whitehead, WE. (2015) “Prevalence Of Functional Gastrointestinal Disorders İn Infants And Toddlers.” The Journal of Pediatrics, 166(3): 684-689.
• 9. Tharner, A, Jansen, PW, Kiefte-de Jong, JC, Moll, HA, Hofman, A, Jaddoe, VW, Tiemeier, H, Franco, OH. (2015). “Bidirectional Associations Between Fussy Eating And Functional Constipation İn Preschool Children.” J Pediatr, 166: 91-96
• 10. Lewis, ML, Palsson, OS, Whitehead, WE, van Tilburg, MA.(2016). “Prevalence Of Functional Gastrointestinal Disorders İn Children And Adolescents.”J Pediatr, 177: 39-43.e3
• 11. Lu, PL, Velasco-Benítez, CA, Saps, M. (2017). “Gender, Age, and Prevalence of Pediatric Irritable Bowel Syndrome and Constipation in Colombia: A Population-Based Study.” J Pediatr Gastroenterol Nutr, Jun;64(6):137-141.
• 12. Rouster, AS, Karpinski, AC, Silver, D, Monagas, J, Hyman, PE. (2016). “Functional Gastrointestinal Disorders Dominate Pediatric Gastroenterology Outpatient Practice.” J Pediatr Gastroenterol Nutr, 62: 847-851 [PMID: 26513617 DOI: 10.1097/ mpg.0000000000001023]
• 13. Boronat, AC , Ferreira-Maia, AP , Matijasevich, A , Wang, YP. (2017). “Epidemiology Of Functional Gastrointestinal Disorders İn Children And Adolescents: A Systematic Review.” World J Gastroenterol, June 7; 23(21): 3915-3927. DOI: 10.3748/wjg.v23.i21.3915
• 14. Han, Y, Zhang, L, Liu, XQ, Zhao, ZJ and Lv, LX. (2017). “Effect Of Glucomannan On Functional Constipation İn Children: A Systematic Review And Meta-Analysis Of Randomised Controlled Trials.” Asia Pac J Clin Nutr, May;26(3):471-477. doi: 10.6133/apjcn.032016.03.
• 15. Stephens, JR., Steiner, MJ., DeJong, N., Rodean, J., Hall, M., Richardson, T. And Berry, JG. (2017). “Healthcare Utilization And Spending For Constipation İn Children With Versus Without Complex Chronic Conditions.” J Pediatr Gastroenterol Nutr, Jan;64(1):31-36.
• 16. Higgins, PD, Johanson, JF. (2004). “Epidemiology Of Constipation İn North America: A Systematic Review.” Am J Gastroenterol, 99:750–9.
• 17. Peppas, G, Alexiou, VG, Mourtzoukou,E, et al. “Epidemiology Of Constipation İn Europe And Oceania: A Systematic Review.” BMC Gastroenterol, 8:5.
• 18. Mugie, SM, Benninga, MA, Di Lorenzo, C. (2011). “Epidemiology Of Constipation İn Children And Adults: A Systematic Review.” Best Pract Res Clin Gastroenterol, 25(1):3–18.
• 19. Suares, NC, Ford, AC. (2011).“Prevalence Of, And Risk Factors For, Chronic İdiopathic Constipation İn The Community: Systematic Review And Meta-Analysis”. Am J Gastroenterol,106:1582-91.
• 20. Van Dijk , M., Benninga, MA , Grootenhuis, MA , Nieuwenhuizen, AM , Last, BF. (2007). “Chronic Childhood Constipation: A Review Of The Literature And The İntroduction Of A Protocolized Behavioral İntervention Program.” Patient Educational Counseling, 67 , 63 – 77 . http://dx.doi.org/10.1016/j.pec.2007.02.002
• 21. Coccorullo, P, Quitadamo, P, Martinelli, M, Staiano, A. (2009). “Novel and Alternative Therapies for Childhood Constipation.” Journal of Pediatric Gastroenterology and Nutrition, 48;104–106.
• 22. Levy, E, Lemmens, R, Vandenplas, Y, Devreker, T. (2017).“Functional Constipation İn Children: Challenges And Solutions.” Pediatric Health Med Ther, Mar 9;8:19-27.
• 23. Afzal, N , Tighe, M , Thomsan, M . (2011). “ Constipation İn Children.” Italian Journal of Pediatrics, 37:28.
• 24. Canbulat, NS , Demirgöz, MB. (2017). “A Randomized Controlled Trial Examining the Effects of Reflexology on Children With Functional Constipation.” Gastroenterol Nurs, 40(5):393-400.
• 25. Emmanuel , A. V. (2004). Constipation . In C Norton & S Chelvanayagam ,(Eds.), Bowel continence nursing (pp. 238 – 250 ). Beaconsfi eld :Beaconsfi eld Publishers Ltd .
• 26. Taylor, R.R. , & Guest , J.F. (2010). “The Cost-Effectiveness Of Macrogol 3350 Compared To Lactulose İn The Treatment Of Adults Suffering From Chronic Constipation İn The UK .” Alimentary Pharmacology and Therapeutics,15(31):302–312.doi:10.1111/j.1365 2036.2009.04191.x
• 27. Deneau, M , Mutyala, R , Sandweiss, D , Harnsberger, J , Varier, R , Pohl, JF , Allen, L , Thackeray, C , Zobell, S , Maloney, C. (2017). “Reducing Hospital Admissions Of Healthy Children With Functional Constipation: A Quality İnitiative.” BMJ Open Qual, Oct 12;6(2):1-6.
• 28. Kocaay, P, Egritas, O, Dalgıc, B. (2011). “Normal Defecationpattern, Frequency Of Constipation And Factors Relatedt Constipation İn Turkish Children 0-6 Years Old.” Turk J Gastroenterol, 22:369-75.
• 29. Tabbers, MM, Boluyt, N, Berger, MY, Benninga, MA. (2011). “Diagnosis And Treatment Of Functional Constipation.” Eur J Pediatr.,170:955-963.
• 30. Tack, J, Muller-Lissner, S, Stanghellini, V, et al. (2011). “Diagnosis And Treatment Of Chronic Constipation–A European Perspective.” Neurogastroenterol Motil, 23: 697–710.
• 31. Tappin, D, Nawaz, S, McKay, C, MacLaren, L, Griffiths, P and Mohammed, T. (2013). “Development Of An Early Nurse Led İntervention To Treat Children Referred To Secondary Paediatric Care With Constipation With Or Without Soiling.” BMC Pediatrics, 13:193.
• 32. Hyman, PE, Milla, PJ, Benninga, MA, Davidson, GP, Fleisher, DF, Taminiau, J. (2006). “Childhood Functional Gastrointestinal Disorders: Neonate/Toddler.” Gastroenterology, Apr;130(5):1519-26.
• 33. Lewis S.J. &. Heaton K.W (1997). Stool Form Scale as a Useful Guide to Intestinal Transit Time. Scand J Gastroenterol., 32(9): 920-4.
• 34. Koppen, IJ, Benitez, CV, Beninga, MA, Lorenzo, CD, Saps M. (2016). “Using The Bristol Stool Scale And Parental Report Of Stool Consistency As Part Of The Rome Iıı Criteria For Functional Constipation İn Infants And Toddlers.” J Pediatr, 177:44-8.
• 35. Chang, SH , Park, KY , Kang, SK , Na, SY, Yang, HR , Uhm, JH , Ryoo, E. (2013). “Prevalence, Clinical Characteristics, and Management of Functional Constipation at Pediatric Gastroenterology Clinics.” J Korean Med Sci, Sep;28(9):1356-1361.
• 36. Çataklı, T, İçöz, S, Dallar Bilge, Y. (2015). “Annelerin Kabızlık Hakkındaki Bilgi ve Tutumları.” Türkiye Çocuk Hast Derg/Turkish J Pediatr Dis ,2: 119-123.
• 37. Doğan, Y, Erkan, T, Ergul, Y, Cokuşoğlu, FG, Kutlu, T. (2005). “Kabızlık Yakınması Olan Olguların Retrospektif Dökümü.” Türk Pediatri Arşivi. 40: 23-27.
• 38. Kılınçaslan, H, Abalı, O, Aydoğdu, İ, Bilici, M. (2014). “Çocuklarda Fonksiyonel Kabızlık Tedavisinin Yaşam Kalitesi Üzerine Etkisi.” Marmara Medical Journal, 27: 36-41
• 39. Olaru, C, Diaconescu, S, Trandafir, L, Gimiga, N, Stefanecsu, G, Ciubotariu, G, Burlea, M. (2016).“Some Risk Factors Of Chronic Functional Constipation Identified İn A Pediatric Population Sample From Romania.” Gastroenterology Research and Practice,1-8.40. Torres, A, Gonzalez, M. (2015).“Chronic Constipation.” Rev Chil Pediatr, 86(4):299-304.
• 41. Şahin, Ş, Gülerman, F, Köksal, T, Köksal, AO. (2014). “Çocuklarda Kronik Kabızlık Olgularının Değerlendirilmesi.” Türkiye Çocuk Hast Derg/Turkish J Pediatr Dis., 3: 117-123.
• 42. Goulet O. (1999). “Management Of Chronic Constipation İn The İnfant.” Arch Pediatr, 6:1224-30.
• 43. Roma, E, Adamidis, D, Nikolara, R, Constantopoulos, A, Messaritakis J. (1999). “Diet And Chronic Constipation İn Children: The Role Of Fiber.” J Pediatr Gastroenterol Nutr, 28:169- 74.
• 44. Tse, PW, Leung, SS, Chan, TT, Sien, A, Chan, AK. (2000). “Dietary Fibre İntake And Constipation İn Children With Severe Developmental Disabilities.” J Paediatr Child Health, 36:236-9.
• 45. McClurg, D, Lowe-Strong, A. (2011). “Does Abdominal Massage Relieve Constipation?” Nurs Times 2011; 107: 20–2.
• 46. Silva, CA, Motta, ME. (2013).“The Use Of Abdominal Muscle Training, Breathing Exercises And Abdominal Massage To Treat Paediatric Chronic Functional Constipation.” Colorectal Dis., May;15(5):250-255. doi: 10.1111/codi.12160.
• 47. Bromley D. (2014). “Abdominal Massage İn The Management Of Chronic Constipation For Children With Disability.” Community Pract, Dec;87(12):25-9.
• 48. Nam, MJ,• Bang, YL, • Kim, TI.(2013). “Effects Of Abdominal Meridian Massage With Aroma Oils On Relief Of Constipation Among Hospitalized Children With Brain Related Disabilities.” J Korean Acad Nurs., Apr;43(2):247-55. doi: 10.4040/jkan.2013.43.2.247.
• 49. Elbasan, B, Bezgin, S. (2018). “The Effects Of Reflexology On Constipation And Motor Functions İn Children With Cerebral Palsy.” Pediatrics and Neonatolog , 59: 42-47.