Gebe Okulu Eğitimcilerinin Gözüyle Endokrin Bozucular: Nitel Bir Çalışma

Year 2024, , 317 - 326, 05.07.2024

Mukaddes Turan Miral , Gamze Fışkın Siyahtaş

https://doi.org/10.62425/esbder.1509214

Abstract

Amaç: Bu araştırmanın amacı gebe okulu programlarında eğitimci olarak görev alan ebe ve hemşirelerin endokrin bozucular konusundaki bilgi ve tutumlarını incelemektir.
Yöntem: Fenomenolojik tipte tasarlanan araştırmanın evreni, İstanbul ilindeki gebe okulu programlarında eğitimci olarak görev yapan 44 ebe/hemşireden oluşmuştur (N=44). Ölçüt örnekleme yöntemi kullanılarak örneklem veri doygunluğu takip edilmiş ve doygunluk sağlandığında veri toplama işlemi tamamlanmıştır (n=7). 13 Eylül 2021 tarihinde yapılan araştırmada, veriler odak grup yöntemi ile araştırmacılar tarafından oluşturulan yarı yapılandırılmış görüşme formuyla toplanmıştır. Nicel veriler, tanımlayıcı istatistiksel analizler kullanılarak, nitel veriler ise içerik analiziyle değerlendirilmiştir.
Bulgular: Ebe ve hemşirelerin görüşme formuna verdikleri cevaplar doğrultusunda; endokrin bozucuların önemi, endokrin bozucular bilgisi, endokrin bozucular farkındalığı oluşturma ve gebe eğitimine entegrasyon şeklinde dört adet tema oluşturulmuştur. Prenatal dönem eğiticilerinin endokrin bozucuların öneminin farkında olmalarına rağmen konu hakkındaki bilgilerinin yetersiz olduğu belirlenmiştir. Ayrıca katılımcıların konunun prenatal eğitimlerde yer alması ve farkındalık geliştirilebilmesi için çeşitli önerilerinin bulunduğu saptanmıştır.
Sonuç: Ebe ve hemşirelerin endokrin bozuculara yönelik çok fazla bilgilerinin olmadığı hatta kısmen yanlış bilgilere sahip oldukları görülmüştür. Eğitici eğitimlerinin içeriğine endokrin bozucularla ilgili konuların eklenerek bilinçlendirme çalışmalarının arttırılması gerektiği sonucuna varılmıştır.

Keywords

Endokrin bozucular, ebe, gebe, hemşire, nitel araştırma

Endocrine Disruptors as Perspective of Prengnant School Educators: A Qualitative s Study

Abstract

Objectives: The aim of this study is to examine the knowledge and attitudes of midwives and nurses, who work as educators in pregnant school programs, on endocrine disruptors.
Methods: The universe of the study, which was designed in phenomenological type, consisted of 44 midwives/nurses working as educators in the pregnant school programs in Istanbul (N=44). Sample size saturation was followed using the criterion sampling method and data collection was completed when saturation was achieved (n=7). In the study carried out between 03-13 September 2021, the data were collected with the focus group interview method and a semi-structured interview form created by the researchers. Quantitative data were evaluated using descriptive statistical analyzes and qualitative data were evaluated by content analysis.
Results: In line with the answers given by the midwives and nurses to the interview form; four themes were created: importance of endocrine disruptors, knowledge of endocrine disruptors, awareness of endocrine disruptors and integration into pregnant education. Although prenatal educators were aware of the importance of endocrine disruptors, their knowledge on the subject was insufficient. In addition, it was determined that the participants had various suggestions for the subject to be included in the prenatal education and to raise awareness.
Conclusion: It has been observed that midwives and nırses have insufficient or partially incorrect information about endocrine disruptors. It was concluded that awareness raising studies should be increased by adding the topics related to endocrine disruptors to the content of the educators' trainings.

Keywords

Endocrine disruptors, midwife, nurse, pregnant, qualitative study

References

• Barrett, E. S., Groth, S. W., Preston, E. V., Kinkade, C. & James-Todd, T. (2021). Endocrine-disrupting chemical exposures in pregnancy: A sensitive window for later-life cardiometabolic health in women. Current Epidemiology Reports, 8(3),130-142. https://doi.org/10.1007/s40471-021-00272-7
• Caserta, D., Pegoraro, S., Mallozzi, M., Di Benedetto, Caserta, D., Pegoraro, S., Mallozzi, M., Di Benedetto, L., Colicino, E., Lionetto, L. & Simmaco, M. (2018). Maternal exposure to endocrine disruptors and placental transmission: A pilot study. Gynecological Endocrinology, 34(11), 1001-1004. https://doi.org/10.1080/09513590.2018.1473362
• Duursen, M., Boberg, J., Christiansen, S., Connolly, L., Damdimopoulou, P., Filis, P., …& Berg, M. (2020). Safeguarding female reproductive health against endocrine disrupting chemicals - The FREIA Project. International Journal of Molecular Sciences, 21(9), 3215. https://doi.org/10.3390/ijms21093215
• Fouyet, S., Olivier, E., Leproux, P., Dutot, M., & Rat, P. (2022). Pregnant women and endocrine disruptors: Role of P2x7 receptor and mitochondrial alterations in placental cell disorders. Cells, 11(3),495. https://doi.org/10.3390/cells11030495
• Hagobian, T., Smouse, A., Streeter, M., Wurst, C., Schaffner, A. & Phelan, S. (2017). Randomized ıntervention trial to decrease bisphenol a urine concentrations in women: Pilot study. Journal of Women's Health, 26(2),128-32. https://doi.org/10.1089/jwh.2016.5746
• Health and Environment Alliance. https://www.env-health.org/figo-ucsf-and-heal-share-10-tips-to-avoid-toxic-chemicals-during-and-after-pregnancy/ (Erişim tarihi: 04 Aralık 2022).
• Jeong, G. H. & Kim, H.K. (2020). Pro‐environmental health behaviour and educational needs among pregnant women: A cross‐sectional survey. Journal of Advanced Nursing, 76(7), 1638-1646. https://doi.org/10.1111/jan.14346
• Jiang, Q., Liu, R., Liu, T., Liang, J., Wu, Y., Feng, B., Liu, S., Li, H., Pan, D., Qiu, X. & Huang, D. (2022). Relationship between exposure of alkylphenols in serum of pregnant women during early pregnancy and adverse birth outcomes. Environmental Science and Pollution Research, 29, 52954–52963. https://doi.org/10.1007/s11356-022-19445-y
• Kelly, M., Connolly, L. & Dean, M. (2020). Public awareness and risk perceptions of endocrine disrupting chemicals: A qualitative study. International Journal of Environmental Research and Public Health, 17(21), 7778. https://doi.org/10.3390/ijerph17217778
• Kim, H. K. & Jeong, G. H. (2022). Effect of pro-environmental prenatal education program on pregnant women’s environmental health awareness and behaviors based on the protection motivation theory. INQUIRY: The Journal of Health Care Organization, Provision, and Financing, 59, 1-11. https://doi.org/10.1177/00469580211047045
• Lucaccioni, L., Trevisani, V., Marrozzini, L., Bertoncelli, N., Predieri, B., Lugli, L., Berardi, A. & Lughetti, L. (2020). Endocrine-disrupting chemicals and their effects during female puberty: A review of current evidence. International Journal of Molecular Sciences, 21(6), 2078. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7139481/pdf/ijms-21-02078.pdf.
• Marguillier, E., Beranger, R., Garlantezec, R., Levêque, J., Lassel, L., Rousseau, C., Lavoue, V. & Lous, M. (2020). Endocrine disruptors and pregnancy: Knowledge, attitudes and practice of perinatal health professionals. A French multicentre survey. European Journal of Obstetrics & Gynecology and Reproductive Biology, 252, 233-238. https://doi.org/10.1016/j.ejogrb.2020.06.032
• Marie, C., Lémery, D., Vendittelli, F. & Sauvant-Rochat, M. P. (2016). Perception of environmental risks and health promotion attitudes of French perinatal health professionals. International Journal of Environmental Research and Public Health 13(12),1255.https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5201396/pdf/ijerph-13-01255.pdf Miral, M.T. (2022). Gebe okulu eğitimcilerinin endokrin bozucular konusunda farkındalık düzeyleri ve gebe eğitimlerinde endokrin bozucuların yeri: kesitsel bir araştırma. Türkiye Klinikleri Sağlık Bilimleri Dergisi, 7(4):1030-1039. https://doi.org/10.5336/healthsci.2022-90879 Monneret, C. (2017). What is an endocrine disruptor? Comptes Rendus Biologies. 340(9-10), 403-405. https://doi.org/10.1016/j.crvi.2017.07.004
• Organisation for Economic Co-operation and Development. Revised Guidance Document 150 on Standardised Test Guidelines for Evaluating Chemicals for Endocrine Disruption. ISSN 2077-7876, 689.https://www.oecd-ilibrary.org/docserver/9789264304741-en.pdf?expires=1674632121&id=id&accname=guest&checksum=B399C83A2E0C29C6A32AA9AA0549252E (Erişim tarihi: 04 Aralık 2022).
• Ouazzani, H., Fortin, S., Venisse, N., Dupuis, A., Rouillon, S., Cambien, G., Gourgues, A.S., Pierre-Eugène, P., Rabouan, S., Migeot, V. & Albouyt-Llaty, M. (2021). Perinatal environmental health education intervention to reduce exposure to endocrine disruptors: The PREVED project. International Journal of Environmental Research and Public Health, 19(1),70. https://doi.org/10.3390/ijerph19010070
• Piazza, M. J. & Urbanetz, A. A. (2019). environmental toxins and the impact of other endocrine disrupting chemicals in women's reproductive health. JBRA Assisted Reproduction, 23(2), 154. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6501744/
• Rouillon, S., Deshayes-Morgand, C., Enjalbert, L., Rabouan, S., Hardouin, J. B., Migeot, V. & Albouy-Llaty, M. (2017). Endocrine disruptors and pregnancy: Knowledge, attitudes and prevention behaviors of French women. International Journal of Environmental Research and Public Health, 14(9),1021. https://doi.org/10.3390/ijerph14091021
• Rouillon, S., El Ouazzani, H., Hardouin, J. B., Enjalbert, L., Rabouan, S., Migeot, V. & Albouy-Llaty, M. (2020). How to educate pregnant women about endocrine disruptors? International Journal of Environmental Research and Public Health, 17(6), 2156. https://doi.org/10.3390/ijerph17062156
• Sağlık Bakanlığı Gebe Okulu, Gebe Bilgilendirme Sınıfı, Doğuma Hazırlık ve Danışmanlık Merkezleri Genelgesi (2018/23) https://shgmsmdb.saglik.gov.tr/TR-77063/genelgeler.html (Erişim Tarihi: 22.06.2022).
• Street, M. E., Angelini, S., Bernasconi, S., Burgio, E., Cassio, A., Catellani, C., Cirillo F, Deodati A, Fabbrizi E, Fanos V, Gargano, G., Grossi, E., Iughetti, L., Lazzeroni, P., Mantovani, A., Migliore, L., Palanza, P., Panzica, G., Papini, A., Parmigiani, S., Predieri, B., Sartori, C., Tridenti, G. & Amarri, S. (2018). Current knowledge on endocrine disrupting chemicals (EDCS) from animal biology to humans, from pregnancy to adulthood: Highlights from a national Italian meeting. International Journal of Molecular Sciences,19(6),1647.https://doi.org/10.3390/ijms19061647
• Sunyach, C., Antonelli, B., Tardieu, S., Marcot, M., Perrin, J. & Bretelle, F. (2018). Environmental health in perinatal and early childhood: Awareness, representation, knowledge and practice of Southern France perinatal health professionals. International Journal of Environmental Research and Public Health, 15(10), 2259. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6211056/
• Tang, Z. R., Xu, X. L., Deng, S. L., Lian, Z. X. & Yu, K. (2020). Oestrogenic endocrine disruptors in the placenta and the fetus. International Journal of Molecular Sciences, 21(4), 1519. https://doi.org/10.3390/ijms21041519
• The Endocrine Disruption Exchange. Understanding Endocrine Disruption. FIGO, UCSF and HEAL Share 10 Tips to Avoid Toxic Chemicals During and After Pregnancy. https://endocrinedisruption.org/interactive-tools/fact-sheet. (Erişim tarihi: 04 Aralık 2022).
• Woodruff, T. J., Zota, A. R. & Schwartz, J. M. (2011). Environmental chemicals in pregnant women in the United States: NHANES 2003-2004. Environ Health Perspect, 119, 878–885. https://ehp.niehs.nih.gov/doi/pdf/10.1289/ehp.1002727
• Zlatnik, M. G. 2016. Endocrine‐disrupting chemicals and reproductive health. Journal of Midwifery & Women's Health, 61(4), 442-455. https://doi.org/10.1111/jmwh.12500