0-12 Aylık Bebeği Olan Annelere Verilen Konak Bakımı Eğitiminin Annelerin Bilgi Düzeylerine Etkisi

Year 2026, Issue: 28 , 249 - 267 , 29.04.2026

Tilbe Rokop , Beste Özgüven Öztornacı

https://doi.org/10.38079/igusabder.1565416

https://izlik.org/JA89CU44JG

Abstract

Amaç: Bu çalışmanın amacı, 0-12 aylık bebeği olan annelere verilen konak bakımı eğitiminin annelerin bilgi düzeyleri üzerindeki etkisini araştırmaktır. Bu yaş aralığı (0-12 ay), bebek cildinin bariyer fonksiyonlarının en kırılgan olduğu dönem olması nedeniyle seçilmiştir.
Yöntem: Yarı deneysel türdeki bu çalışma, Nisan 2023 ile Temmuz 2023 tarihleri arasında bir aile sağlığı merkezine kayıtlı 0-12 aylık bebeği olan 33 anne ile yürütülmüştür. Annelere araştırmacılar tarafından hazırlanan “Bebeklerde Konak Bakımı” eğitim programı uygulanmıştır. Veriler eğitimden önce, eğitimden iki hafta sonra ve eğitimden iki ay sonra olmak üzere üç kez “Anne-Bebek Sosyodemografik Özellikleri Formu” ve “Bebeklerde Konak Bakımına Yönelik Anne Bilgi Değerlendirme Formu” ile toplanmıştır. Annelerin bilgi puanları ile anne yaşı ve eğitim durumu arasındaki ilişkilerin değerlendirilmesi için korelasyon ve Tek Yönlü varyans analizi (ANOVA) kullanıldı. Eğitim öncesi ve eğitim sonrası testlerden elde edilen bilgi puanları arasından farkları belirlemek için Tekrarlı Ölçümlerde Varyans Analizi ve Bağımsız Örneklem T Testi yapıldı.
Bulgular: “Bebeklerde Konak Bakımına Yönelik Anne Bilgi Değerlendirme Formu”ndan alınabilecek en yüksek puan 18'dir. Eğitim öncesinde yapılan testin puan ortalaması 6,73, eğitimden sonraki ikinci haftada yapılan testin puan ortalaması 10,15 ve eğitimden sonraki ikinci ayda yapılan testin puan ortalaması ise 10,00'dır. Buna göre, eğitim öncesi test puanı ile annelere verilen eğitim sonrası testlerden elde edilen bilgi düzeyi puanları arasında anlamlı bir fark bulunmuştur (p<0,05). Eğitimden iki hafta ve iki ay sonra elde edilen bilgi puanları arasında istatistiksel olarak anlamlı bir fark bulunmamıştır, bu da bilginin zaman içinde korunduğunu göstermektedir. Annelerin yaşı ve eğitim düzeyinin pre test bilgi puanlarında anlamlı farklılık yaratmadığı görülmüştür. Annelerin büyük çoğunluğunun bebek konak bakımına ilişkin bazı temel uygulamaları doğru yaptığı belirlenmiştir. Ancak bazı sorularda yanlış yanıt oranı yüksektir. Yanlış yanıtlanan ifadelerin çoğu kültürel alışkanlıklar ve önceki kuşaklardan aktarılan bilgilerle ilişkilidir. 
Sonuç: Eğitim öncesi annelerin konak bakımı ile ilgili bilgi düzeylerinin ortalamanın altında olduğu belirlenmiştir. Verilen konak bakımı eğitiminin annelerin bilgi düzeyinde anlamlı artış sağladığı saptanmıştır. Bulgular, hemşireler tarafından verilen yapılandırılmış ve kanıta dayalı konak bakımı eğitiminin, uygun bebek cilt bakımı uygulamalarını destekleyebileceğini ve annelerin bu konudaki bilgilerinin kalıcı olmasını sağlayabileceğini göstermektedir. Konak bakımı eğitiminin, birinci basamak sağlık hizmetleri ortamlarında rutin bebek takip ziyaretlerine entegre edilmesi önerilmektedir. 

Keywords

Konak , bebek bakımı , anne , eğitim , çocuk hemşireliği

The Effect of Cradle Cap Care Education Given to Mothers with 0-12 Months Infants on Mothers’ Knowledge Levels

https://izlik.org/JA89CU44JG

Abstract

Aim: The aim of this study was to investigate the effect of cradle cap care education given to mothers with 0-12 months old infants on their knowledge levels. This age range (0-12 months) was selected because it is the period when the barrier functions of a baby's skin are most fragile.
Method: This study was quasi-experimental designed and conducted between April 2023 and July 2023 with 33 mothers of infants aged 0-12 months enrolled in a family health centre. "Cradle Cap Care in Infants" education programme prepared by the researchers was applied to the mothers. The data were collected three times: before, two weeks after, and two months after the education with the "Mother-Infant Sociodemographic Characteristics Form" and "Maternal Knowledge Assessment Form for Cradle Cap Care in Infants". Correlation and one-way analysis of variance (ANOVA) were used to evaluate the relationships between mothers' knowledge scores and maternal age and educational status. Analysis of variance for repeated measures and independent samples t-test were used to determine the differences between knowledge scores obtained from pre- and post-education tests.
Results: The maximum score that can be obtained from the ‘Maternal Knowledge Assessment Form for Cradle Cap Care in Infants’ is 18. The mean score of the test performed before the education was 6.73, the mean score of the test performed in the second week after the education was 10.15, and the mean score of the test performed in the second month after the education was 10.00. Accordingly, a significant difference was found between the pre- education test score and the knowledge level scores obtained from the tests after the education given to the mothers (p<0.05). No statistically significant difference was found between the knowledge scores obtained two weeks and two months after the education, indicating the maintenance of knowledge over time. It was observed that the age and education level of mothers did not create a significant difference in pre-test knowledge scores. It has been determined that the majority of mothers correctly perform some basic practices related to infant cradle cap care. However, the rate of incorrect answers is high for some questions. Most incorrectly answered statements are related to cultural habits and information passed down from previous generations.
Conclusion: It was determined that the knowledge level of the mothers about cradle cap care was below the average before the education. It was found that the cradle cap care education provided a significant increase in the knowledge level of the mothers. The findings suggest that structured and evidence-based cradle cap care education delivered by nurses can support appropriate infant skin care practices and ensure sustained maternal knowledge. It is recommended that cradle cap care education be integrated into routine infant follow-up visits in primary health care settings.

Keywords

Cradle cap , infant care , mothers , education , pediatric nursing

Ethical Statement

Ethics committee permission was obtained from Izmir Kâtip Çelebi University Non-Interventional Ethics Committee (Date: 22/09/2022, Number: 0412), and application permission was obtained from Izmir Provincial Health Directorate (Date: 13/03/2023, Number: 211227011). The study was conducted in accordance with the principles of the Declaration of Helsinki and informed consent was obtained from the mothers participating in the study with the “Informed Voluntary Consent Form”.

Thanks

We thank the mothers who agreed to participate in this study and the nurses and the physicians working in the family health centre where the study was conducted.

References

• 1. Hassan S, Szeto MD, Sivesind TE, et al. From the Cochrane Library: Interventions for infantile seborrheic dermatitis (including cradle cap). J Am Acad Dermatol. 2022;86(2):e87-e88. doi: 10.1016/j.jaad.2021.09.031.
• 2. Nobles T, Harberger S, Krishnamurthy K. Cradle Cap. Treasure Island (FL): StatPearls Publishing; 2018.
• 3. Chiriac A, Wollina U. Pediatric dermatitis seborrhoica - A clinical and therapeutic review. Indian Dermatol Online J. 2024;15(3):383-391. doi: 10.4103/idoj.idoj_593_23.
• 4. Çınar İÖ, Aslan GK, Kartal A, İnci FH, Koştu NA. An examination of the traditional methods mothers use in caring for infants aged 0-1 years. TAF Prev Med Bull. 2015;14(5):378-386. doi: 10.5455/pmb.1-1426018987.
• 5. Sarkar R, Basu S, Agrawal RK, Gupta P. Skin care for the newborn. Indian Pediatrics. 2010;47(7):593-598. doi: 10.1007/s13312-010-0132-0.
• 6. Zenciroğlu A, Koç O. Ministry of Health Neonatal Intensive Care Nursing Course Booklet. Ankara: Ministry of Health; 2014.
• 7. Foley P, Zuo Y, Plunkett A, Merlin K, Marks R. The frequency of common skin conditions in preschool-aged children in Australia: Seborrheic dermatitis and pityriasis capitis (cradle cap). Arch Dermatol. 2003;139(3):318-22.
• 8. Işık MT, Akçınar M, Kadıoğlu S. Traditional practices for mothers and newborns during pregnancy, childbirth, and the postpartum period in the province of Mersin. International Journal of Human Sciences. 2010;7(1):63-84.
• 9. Simpson EL, Chalmers JR, Hanifin JM, et al. Emollient enhancement of the skin barrier from birth offers effective atopic dermatitis prevention. J Allergy Clin Immunol. 2014;134(4):818-23. doi: 10.1016/j.jaci.2014.08.005.
• 10. İnaloz HS. The pathogenesis and treatment of seborrhoeic dermatitis. T Klin J Med Sci. 2002;22:239-244.
• 11. Yıldız K. The Role of Malassezia Species in Seborrheic Dermatitis. [medical specialization thesis]. Adana, Turkey: Faculty of Medicine, Çukurova University; 2010.
• 12. Bozkurt NM, Başak PY. Seborrheic dermatitis treatment and new treatment approaches. Turkderm. 2007;41:112-116.
• 13. Patrizi A, Neri I, Virdi A, Gurioli C. Frequent newborn skin diseases. Clinical Dermatology. 2016;4(3-4):82-86.
• 14. Victoire A, Magin P, Coughlan J, Van Driel ML. Interventions for infantile seborrhoeic dermatitis (including cradle cap). The Cochrane Database of Systematic Reviews. 2019;3(3):CD011380. doi: 10.1002/14651858.CD011380.pub2.
• 15. Stalder JF. Skin Care of the Newborn. In: Harper J, Oranje A, Prose N, eds. Textbook of Pediatric Dermatology. 2nd ed. Oxford: Blackwell Publishing; 2006:48-54.
• 16. Pentecost C, Frost J, Sugg HV, Hilli A, Goodwin VA, Richards DA. Patients’ and nurses’ experiences of fundamental nursing care: A systematic review and qualitative synthesis. Journal of Clinical Nursing. 2020;29(11-12):1858-1882. doi: 10.1111/jocn.15082.
• 17. Gedük EA. The evolving roles of the nursing profession. Journal of Health Sciences and Professions. 2018;5(2):253-258. doi: 10.17681/hsp.358458.
• 18. Utaş S. Skin care for newborns. Turkish Dermatology & Venerologyl/Turderm. 2011;45(3). doi: 10.4274/turkderm.001.
• 19. Aksoy M, Aksu Arıca D. Seborrheic dermatitis. Turkey Clinics Journal of Dermatology. 2016;26(2):90-100. doi: 10.5336/dermto.2015-47766.
• 20. Micali G, Pulvirenti N, Dall’Oglio F, Tedeschi A, Quattrocchi E, Lacarrubba F. Treatment of cradle cap in infants with a new cosmetic non‐steroidal gel cream: Clinical, laboratory, and instrumental evaluation. Journal of Cosmetic Dermatology. 2021;20:14-17.
• 21. Polit DF, Beck CT, Owen SV. Is the CVI an acceptable indicator of content validity? Appraisal and recommendations. Res Nurs Health. 2007;30(4):459-467.
• 22. Su B, Zhang T, Yan L, et al. Online medical teaching in China during the COVID-19 pandemic: Tools, modalities, and challenges. Frontiers in Public Health. 2021;9,797694.
• 23. Paylan Akkoç C. Validity and Reliability Study of the Patient Education Material Assessment Tool in Turkish.[master’s thesis]. Izmir, Turkey: Institute of Health Sciences, Ege University; 2020.
• 24. Groeneveld RA, Meeden G. Measuring skewness and kurtosis. Journal of the Royal Statistical Society Series D: The Statistician. 1984;33(4):391–399. doi: 10.2307/2987742.
• 25. Kuo SC, Chen YS, Lin KC, Lee TY, Hsu CH. Evaluating the effects of an Internet education programme on newborn care in Taiwan. Journal of Clinical Nursing. 2009; 18(11),1592–1601. doi: 10.1111/j.1365-2702.2008.02732.x.
• 26. Shrestha S, Adachi K, Petrini MA, Shrestha S, Khagi BR. Development and evaluation of a newborn care education programme in primiparous mothers in Nepal. Midwifery. 2016;42,21–28. doi: 10.1016/j.midw.2016.09.006.
• 27. Doğan N, Yiğit R, Erdoğan S. Evaluation of prenatal education provided to mothers regarding newborn care before and after delivery. Mersin University Journal of Health Sciences. 2013;6(3):10-18.
• 28. Telofski LS, Morello III AP, Mack Correa MC, Stamatas GN. The infant skin barrier: Can we preserve, protect, and enhance the barrier? Dermatology Research and Practice. 2012;(1),198789.
• 29. Çelik SN. The Effect of Breastfeeding and Education on Preventing Diaper Dermatitis in Infants. [master’s thesis]. Denizli, Turkey: Institute of Health Sciences, Pamukkale University; 2023.
• 30. Koç Z, Çınarlı T, Sağlam Z. Determining mothers' knowledge levels about breast milk and breastfeeding and evaluating the effectiveness of education. Samsun Journal of Health Sciences. 2017;2(1):1-13.
• 31. Şahin GA, Kaya N, Kondolot M. Determining mothers' knowledge levels about breast milk and breastfeeding and evaluating the effectiveness of education. Samsun Journal of Health Sciences. 2020;48(1):10-19. doi: 10.33076/2020.BDD.1257.
• 32. Evcili F, Demirel G, Yurtsal ZB, Yılmaz EA. The effect of newborn screening test education on mothers' knowledge level. Gümüşhane University Journal of Health Sciences. 2017;6(1):80-86.
• 33. Cesur Çınar G. The Effect of Standard and Advanced Care and Nutrition Education Provided to Mothers of Premature Infants Hospitalized in the Neonatal Intensive Care Unit at the Time of Hospital Discharge on Mothers' Knowledge and Attitudes. [medical specialization thesis]. Edirne, Turkey: Faculty of Medicine, Trakya University Hospital, Department of Pediatrics; 2020.
• 34. Fegita P, Hikmah M, Malik R. Relationship between education level, age and knowledge of pregnant women with antenatal care status. Scientific J. 2022;1(2):158–166.
• 35. Rahmah AA, Yani DI, Eriyani T, Rahayuwati L. Correlation mother’s education and received stunting information with mother’s stunting knowledge. Journal of Nursing Care. 2023;6(1).
• 36. Salsabila L, Hermawati L, Subadiyasa IMA. Maternal knowledge and education level as determinants of exclusive breastfeeding practices. Journal of Midwifery and Reproduction. 2025;9(1):1-9.
• 37. Greenaway ES, Leon J, Baker DP. Understanding the association between maternal education and use of health services in Ghana: Exploring the role of health knowledge. J Biosoc Sci. 2012;44(6):733-47. doi: 10.1017/S0021932012000041.
• 38. Sørensen K, Van den Broucke S, Fullam J, et al. Health literacy and public health: A systematic review and integration of definitions and models. BMC Public Health. 2012;12(1):80.