Serebral Palsili Çocukların ve Hane Halklarının Aşılanma Durumları ve Ebeveynlerinin Çocukluk Çağı, Erişkin ve COVID-19 Aşılarıyla İlgili Düşünce ve Tutumları

Year 2022, Volume: 22 Issue: 3, 200 - 207, 29.12.2022

Özlem Tezol Sıddıka Songül Yalçın

https://doi.org/10.26650/jchild.2022.1080872

Abstract

Amaç: Serebral palsili çocuklarda ve hanehalklarında Türkiye Ulusal Bağışıklama Programında (UBP) yer alan aşılarla aşılanma oranının değerlendirilmesi ve ebeveynlerinin aşılarla ilgili düşünce ve bilgilerinin ve çocukluk, erişkin ve COVID-19 aşılamalarına ilişkin tutumlarının incelenmesi. Gereç ve Yöntem: Bu çalışma, spastik serebral palsi (SP) tanılı 3-10 yaş arası çocukları içeren tanımlayıcı bir kesitsel çalışmaydı. SP’li çocukların ebeveynleri ile yapılan ilk yüz yüze görüşmede, çocuklarının aşılanma oranları ile aşılarla ilgili düşünce ve bilgilerine ilişkin veriler toplandı ve ebeveynlere erişkin aşılanması hakkında bilgi verildi. İlk görüşmeden yaklaşık bir yıl sonra annelerle, annelerin, babaların ve büyükanne ve büyükbabaların aşılarını yaptırma oranları ve COVID-19 aşı kabulleri veya kararsızlıkları hakkında telefonla görüşüldü. Sayı ve yüzdeler tanımlayıcı istatistikler olarak sunuldu. Bulgular: İlk görüşmeye 68 çocuk-ebeveyn çifti, ikinci görüşmeye 67 anne katıldı. UBP’ye göre, tüm SP’li çocuklar ve kardeşleri zamanında tam olarak aşılanmıştı. Annelerin %70,6’sı çocukluk çağı aşılarına karşı olumlu bir düşünceye sahipti. Ebeveynlerin hiçbiri isteğe bağlı çocukluk çağı veya erişkin aşılarını bilmiyordu. Ebeveyn ve büyükanne ve büyükbaba çiftlerinden hiçbiri, ulusal erişkin aşı şemasında yer alan aşılarla aşılanmamıştı. İlk görüşme sırasında aile sağlığı merkezlerinde erişkin aşılamasını kabul eden 64 ebeveyn çiftinin hiçbiri, sonraki bir yıl içinde, aşılamayı yaptırmadı. Ebeveyn çiftlerinin %17,9’unda COVID-19 aşı kararsızlığı veya reddi olduğu saptandı. Sonuç: Kronik hastalığı olan çocukların hanehalklarında bağışıklamayı sağlamak için erişkin aşılamasına yönelik ulusal sağlık politikaları geliştirilmelidir.

Keywords

Serebral palsi, çocuk, COVID-19, hanehalkı, aşılama

Supporting Institution

YOK

Project Number

YOK

Thanks

YOK

Immunization Status in Children with Cerebral Palsy and Their Household Members, and Parental Beliefs and Attitudes About Childhood, Adulthood, and COVID-19 Immunizations

Abstract

Objective: To assess the immunization rate of the vaccines included in the Turkish National Immunization Program (NIP) among children with cerebral palsy (CP) and their households and to analyze parental beliefs and knowledge about vaccines and attitudes toward childhood, adult, and COVID-19 immunizations. Material and Methods: This descriptive cross-sectional study included children aged 3-10 years with a diagnosis of spastic CP. The initial face-toface interview with parents of children collected data on their children’s immunization rates, beliefs, and knowledge about vaccines, and parents were given information about adult immunization. Approximately one year after the initial interview, mothers were interviewed by telephone about the immunization rates of mothers, fathers, and grandparents and their COVID-19 vaccine acceptance or hesitancy. Numbers and percentages were presented as descriptive statistics. Results: Sixty-eight child-parent pairs participated in the first interview, and 67 mothers participated in the second interview. According to NIP, all children with CP and their siblings had been fully vaccinated on time. 70.6% of mothers had a positive belief toward childhood immunizations. None of the parents knew about optional childhood or adult immunizations. None of the parent and grandparent pairs had been vaccinated with vaccines included in the national adult immunization schedule. None of the 64 parent pairs who accepted to receive adult vaccines during the initial interview received the vaccines. 17.9% of parent pairs were detected to have COVID-19 vaccine hesitancy or refusal. Conclusion: National health policies for adult immunization should be developed to provide immunization to households with chronically ill children.

Keywords

Cerebral palsy, child, households, immunization

Project Number

YOK

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