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Gelişimsel Gecikmelerin Erken Tanısında Çocuk Doktorlarının Rolü

Year 2013, , 160 - 166, 01.10.2013
https://doi.org/10.5222/j.child.2013.160

Abstract

Amaç: Türkiye için her beş çocuktan birinin gelişimsel sorunu olduğu kabul edilirse, bu çocukların olabilecek en erken dönemde fark edilmeleri çok önem kazanmaktadır. Çocuk doktorlarının olası gelişimsel sorunların erken fark edilmesi noktasında özel bir konumları olduğu düşünülmektedir. Bu araştırmanın amacı, çocuklarda görülen gelişimsel gecikmelerin erken tespiti konusunda çocuk doktorlarının tutum ve davranışlarını belirlemek, ailelerin bu konudaki beklentilerini tanımlamaktır. Gereç ve Yöntem: Bu araştırmada 29 çocuk doktoru ve onları ziyarete gelen 189 yaş çocuk sahibi ailelere birer anket uygulaması yapılmıştır.Bulgular: Çalışmaya katılan çocuk doktorlarının yalnızca % 29’u gelişim tarama testi kullanmaktadır. Çalışmada çocuk gelişimi takip yöntemi olarak “Gelişim Tarama Testi Kullanımı” son sırada yer almıştır. Sonuç: Çocuk doktorlarının gelişim takibinde düzenli gelişim tarama testi kullanmasına, yeni ebeveyn-bildirimli gelişim tarama ölçeklerinin ülkemiz için geliştirilmesi yolunda çalışmalar yapılmasına ve çocuk sağlığını ilgilendiren ortamlarda gelişim danışmanlığı hizmetlerinin sunulmasına yönelik proje çalışmalarına gereksinim vardır

References

  • Shonkoff JP, Philips DA. From neurons to neighbourhoods: The science of early childhood development. National Research Council and Institute of Medicine. Washington, DC: National Academy Press, 2000.
  • Halfon N, Regalado M, Sareen H, Inkelas M, Reuland Peck CH, et al. Assessing development in the pediatric office. Pediatrics 2004;113:1926-33.
  • Köroğlu E. Ro Codec çocuklarda kronik hastalıkların sıklığı tarama çalışması. Ankara: Ajans ve Matbaacılık Hizmetleri, 1997.
  • Ertem iÖ, Barlan IB, Oral M, Düzova Ö, Cin Ş. Mental health and developmental needs of hospitalized infants: A view from Turkey. Infant Mental Health Journal 2000;2:105.
  • Atasay B, Gunlemez A, unal S, Arsan S. Outcomes of very low birth weight infants in a newborn tertiary center in Turkey, 1997-2000. Turkish Journal of Pediatrics 2003;45:283-9.
  • Otizm Platformu 2008. (Erişim Kasım 2008 http://www. otizmplatformu.org)
  • Glascoe FP, Robertshaw NS. Five reasons to screen well for developmental and behavioral problems; An explanation of why developmental and behavioral assessments are important components to pediatrician practice. Contemporary Pediatrics 2007;24(7):72-4.
  • Surveillance and Screening Facilitator Manual, Medical Home Initiatives for Children with Special Needs 2004. (Erişim Ocak 2006 http://www.medicalhomeinfo.org/training/ materials/April2004Curriculum/SS/ScreeningFacilitator.pdf)
  • Palfrey JS, Singer JD, Walker DK, Butler JA. Early identi- fication of cildren’s special needs: A study in five metropolitan communities. J Pediatr 1987;111:651-9. http://dx.doi.org/10.1016/S0022-3476(87)80238-X
  • Glascoe FP, Dworkin PH. The role of parents in the detection of developmental and behavior problems. Pediatrics 1995;95: 829-36.
  • Rydz D, Srour M, Oskoui M, Marget N, Shiller M, Birnbaum R, et al. Screening for developmental delay in the setting of a community pediatric clinic: A prospective assess- ment of parent-reported questinnaires. Pediatrics 2006;118: 1178-86. http://dx.doi.org/10.1542/peds.2006-0466
  • American Academy of Pediatrics Developmental Surveillance and Screening of Infants and Young Children. Pediatrics 2001;108:192-5. http://dx.doi.org/10.1542/peds.108.1.192
  • Ertem iÖ. Sağlık hizmetinde çocukların gelişimlerinin izlen- mesi ve festeklenmesi. Sted 2006;15(4):67-74.
  • Melmed M. Talking with parents about emotional develop- ment. Pediatrics 1998;102:1317-26.
  • Meisels SJ, Shonkoff JP. Handbook of Early Childhood Intervention. Cambridge: Cambridge University Press, 1990.
  • Dearlove J, Kearney D. How good is general practice deve- lopmental screening? Br Med J 1990;300:1177-80. http://dx.doi.org/10.1136/bmj.300.6733.1177
  • Glascoe FP, Dworkin PH. The role of parents in the detection of developmental and behavior problems. Pediatrics 1995;95: 829-36.
  • Regalado M, Halfon N. Primary care services promoting optimal child development from birth to age 3 years: Review of the literature. Arch Pediatr Adolesc Med 2001;155:1311- 22. http://dx.doi.org/10.1001/archpedi.155.12.1311
  • ASD Workgroup. (2006). Screening Tools and Processes Recommendations. (Retrieved April, 2010 from 2010, http// asd.cenmi.org/portals/8/Documents/screeningrecommendati- ons.pdf)
  • Sand N, Silverstein F, Glascoe FP, Gupta VB, Tonniges TP, O’Connor KG. Pediatricians’ reported practices regarding developmental screening: Do guidelines work? Do they help? Pediatrics 2005;116:174-9. http://dx.doi.org/10.1542/peds.2004-1809
  • Glascoe FP. Early detection of developmental and behavioral problems. Pediatrics in Review 2000;21(8):272-80. http://dx.doi.org/10.1542/pir.21-8-272
  • Halfon N, Regalado M, Sareen H, Inkelas M, Reuland Peck CH, et al. Assessing development in the pediatric office. Pediatrics 2004;113:1926-33.
  • Glascoe FP, Shapiro Hl. Introduction to Developmental and Behavioral Screening 2004 (Erişim Kasım 2007 www.dpeds. org).
  • Earls MF, Hay SS. Setting the Stage for Succes: Implementation of Developmental and Behavioral Screening and Surveillance in Primary Care Practice - The North Carolina Assuring Better Child Health AND Development (ABCD) Project. Pediatrics 2006;118:183-8. http://dx.doi.org/10.1542/peds.2006-0475
  • Dworkin PH. Enhancing developmental services in child supervision - An idea whose time has truly arrived. Pediatrics 2004;114:827-31. http://dx.doi.org/10.1542/peds.2004-0416
  • Dworkin P, Glascoe FP. Developmental Surveillance and Developmental Screening: An Either/Or Proposition 2005. (Erişim; Aralık 2007 http://www.dbpeds.org/articles).
  • The Future of Pediatric Education II (FOPE): Organizing pediatric education to meet the needs of infants, children, adolescents ad young adults in the 21st. Century. Pediatrics 2000;105:163-212.
  • Kaplan-Sanoff M, lerner C, Bernard A. New roles for deve- lopmental specialists in pediatric primary care. Zero to Three. October/November 2000. (Erişim; Ocak 2008 http://main.zero- tothree.org/site/DocServer/Vol_21-2c.pdf?docID=1101).

Pediatrician’s Role in Early Identification of Developmental Delays

Year 2013, , 160 - 166, 01.10.2013
https://doi.org/10.5222/j.child.2013.160

Abstract

Objective: One out of five children in Turkey is assumed to have a developmental delay or disability. Early identification of these children is very important for early intervention. Pediatricians stand in a unique position regarding early identification of developmental issues. The aim of this research is to determine the attitude and behaviors of pediatricians towards early detection of developmental delays and to describe the expectation of parents on this issue. Material and Methods: Only 29 % of the pediatricians said that they had been using developmental screening tests. Developmental screening test was the least used method for developmental.Results: Only 29 % of the pediatricians said that they were using developmental screening tests. Developmental screening test was the least used method for developmental follow-up. Conclusion: Project studies should be performed concerning routine use of screening tests for developmental follow-ups by pediatricians, new parent-reported screening tests should be introduced for use in our country, and counselling services should be offered for improvement of children’s health

References

  • Shonkoff JP, Philips DA. From neurons to neighbourhoods: The science of early childhood development. National Research Council and Institute of Medicine. Washington, DC: National Academy Press, 2000.
  • Halfon N, Regalado M, Sareen H, Inkelas M, Reuland Peck CH, et al. Assessing development in the pediatric office. Pediatrics 2004;113:1926-33.
  • Köroğlu E. Ro Codec çocuklarda kronik hastalıkların sıklığı tarama çalışması. Ankara: Ajans ve Matbaacılık Hizmetleri, 1997.
  • Ertem iÖ, Barlan IB, Oral M, Düzova Ö, Cin Ş. Mental health and developmental needs of hospitalized infants: A view from Turkey. Infant Mental Health Journal 2000;2:105.
  • Atasay B, Gunlemez A, unal S, Arsan S. Outcomes of very low birth weight infants in a newborn tertiary center in Turkey, 1997-2000. Turkish Journal of Pediatrics 2003;45:283-9.
  • Otizm Platformu 2008. (Erişim Kasım 2008 http://www. otizmplatformu.org)
  • Glascoe FP, Robertshaw NS. Five reasons to screen well for developmental and behavioral problems; An explanation of why developmental and behavioral assessments are important components to pediatrician practice. Contemporary Pediatrics 2007;24(7):72-4.
  • Surveillance and Screening Facilitator Manual, Medical Home Initiatives for Children with Special Needs 2004. (Erişim Ocak 2006 http://www.medicalhomeinfo.org/training/ materials/April2004Curriculum/SS/ScreeningFacilitator.pdf)
  • Palfrey JS, Singer JD, Walker DK, Butler JA. Early identi- fication of cildren’s special needs: A study in five metropolitan communities. J Pediatr 1987;111:651-9. http://dx.doi.org/10.1016/S0022-3476(87)80238-X
  • Glascoe FP, Dworkin PH. The role of parents in the detection of developmental and behavior problems. Pediatrics 1995;95: 829-36.
  • Rydz D, Srour M, Oskoui M, Marget N, Shiller M, Birnbaum R, et al. Screening for developmental delay in the setting of a community pediatric clinic: A prospective assess- ment of parent-reported questinnaires. Pediatrics 2006;118: 1178-86. http://dx.doi.org/10.1542/peds.2006-0466
  • American Academy of Pediatrics Developmental Surveillance and Screening of Infants and Young Children. Pediatrics 2001;108:192-5. http://dx.doi.org/10.1542/peds.108.1.192
  • Ertem iÖ. Sağlık hizmetinde çocukların gelişimlerinin izlen- mesi ve festeklenmesi. Sted 2006;15(4):67-74.
  • Melmed M. Talking with parents about emotional develop- ment. Pediatrics 1998;102:1317-26.
  • Meisels SJ, Shonkoff JP. Handbook of Early Childhood Intervention. Cambridge: Cambridge University Press, 1990.
  • Dearlove J, Kearney D. How good is general practice deve- lopmental screening? Br Med J 1990;300:1177-80. http://dx.doi.org/10.1136/bmj.300.6733.1177
  • Glascoe FP, Dworkin PH. The role of parents in the detection of developmental and behavior problems. Pediatrics 1995;95: 829-36.
  • Regalado M, Halfon N. Primary care services promoting optimal child development from birth to age 3 years: Review of the literature. Arch Pediatr Adolesc Med 2001;155:1311- 22. http://dx.doi.org/10.1001/archpedi.155.12.1311
  • ASD Workgroup. (2006). Screening Tools and Processes Recommendations. (Retrieved April, 2010 from 2010, http// asd.cenmi.org/portals/8/Documents/screeningrecommendati- ons.pdf)
  • Sand N, Silverstein F, Glascoe FP, Gupta VB, Tonniges TP, O’Connor KG. Pediatricians’ reported practices regarding developmental screening: Do guidelines work? Do they help? Pediatrics 2005;116:174-9. http://dx.doi.org/10.1542/peds.2004-1809
  • Glascoe FP. Early detection of developmental and behavioral problems. Pediatrics in Review 2000;21(8):272-80. http://dx.doi.org/10.1542/pir.21-8-272
  • Halfon N, Regalado M, Sareen H, Inkelas M, Reuland Peck CH, et al. Assessing development in the pediatric office. Pediatrics 2004;113:1926-33.
  • Glascoe FP, Shapiro Hl. Introduction to Developmental and Behavioral Screening 2004 (Erişim Kasım 2007 www.dpeds. org).
  • Earls MF, Hay SS. Setting the Stage for Succes: Implementation of Developmental and Behavioral Screening and Surveillance in Primary Care Practice - The North Carolina Assuring Better Child Health AND Development (ABCD) Project. Pediatrics 2006;118:183-8. http://dx.doi.org/10.1542/peds.2006-0475
  • Dworkin PH. Enhancing developmental services in child supervision - An idea whose time has truly arrived. Pediatrics 2004;114:827-31. http://dx.doi.org/10.1542/peds.2004-0416
  • Dworkin P, Glascoe FP. Developmental Surveillance and Developmental Screening: An Either/Or Proposition 2005. (Erişim; Aralık 2007 http://www.dbpeds.org/articles).
  • The Future of Pediatric Education II (FOPE): Organizing pediatric education to meet the needs of infants, children, adolescents ad young adults in the 21st. Century. Pediatrics 2000;105:163-212.
  • Kaplan-Sanoff M, lerner C, Bernard A. New roles for deve- lopmental specialists in pediatric primary care. Zero to Three. October/November 2000. (Erişim; Ocak 2008 http://main.zero- tothree.org/site/DocServer/Vol_21-2c.pdf?docID=1101).
There are 28 citations in total.

Details

Primary Language Turkish
Journal Section Research Articles
Authors

Nilcan Kuleli Sertgil This is me

Publication Date October 1, 2013
Published in Issue Year 2013

Cite

APA Kuleli Sertgil, N. (2013). Gelişimsel Gecikmelerin Erken Tanısında Çocuk Doktorlarının Rolü. Çocuk Dergisi, 13(4), 160-166. https://doi.org/10.5222/j.child.2013.160
AMA Kuleli Sertgil N. Gelişimsel Gecikmelerin Erken Tanısında Çocuk Doktorlarının Rolü. Çocuk Dergisi. October 2013;13(4):160-166. doi:10.5222/j.child.2013.160
Chicago Kuleli Sertgil, Nilcan. “Gelişimsel Gecikmelerin Erken Tanısında Çocuk Doktorlarının Rolü”. Çocuk Dergisi 13, no. 4 (October 2013): 160-66. https://doi.org/10.5222/j.child.2013.160.
EndNote Kuleli Sertgil N (October 1, 2013) Gelişimsel Gecikmelerin Erken Tanısında Çocuk Doktorlarının Rolü. Çocuk Dergisi 13 4 160–166.
IEEE N. Kuleli Sertgil, “Gelişimsel Gecikmelerin Erken Tanısında Çocuk Doktorlarının Rolü”, Çocuk Dergisi, vol. 13, no. 4, pp. 160–166, 2013, doi: 10.5222/j.child.2013.160.
ISNAD Kuleli Sertgil, Nilcan. “Gelişimsel Gecikmelerin Erken Tanısında Çocuk Doktorlarının Rolü”. Çocuk Dergisi 13/4 (October 2013), 160-166. https://doi.org/10.5222/j.child.2013.160.
JAMA Kuleli Sertgil N. Gelişimsel Gecikmelerin Erken Tanısında Çocuk Doktorlarının Rolü. Çocuk Dergisi. 2013;13:160–166.
MLA Kuleli Sertgil, Nilcan. “Gelişimsel Gecikmelerin Erken Tanısında Çocuk Doktorlarının Rolü”. Çocuk Dergisi, vol. 13, no. 4, 2013, pp. 160-6, doi:10.5222/j.child.2013.160.
Vancouver Kuleli Sertgil N. Gelişimsel Gecikmelerin Erken Tanısında Çocuk Doktorlarının Rolü. Çocuk Dergisi. 2013;13(4):160-6.