İnfantil Kolik Nedeniyle Çocuk Acil Ünitesine Getirilen Bebek Annelerinin Deneyimleri: Niteliksel Bir Çalışma

Abstract

Amaç Bu çalışma Türkiye'de çocuk acil servisine infantil kolik nedeniyle getirilen bebeklerin annelerinin deneyimlerini belirlemek amacıyla yapıldı. Materyal ve Metot Araştırma, üç aydan küçük bebeklerinde infantil kolik tanısı alan 12 anne ile fenomenolojik desenle yürütülmüştür. Veriler birebir derinlemesine görüşme tekniğiyle toplanmıştır. Görüşmeler ses kaydına alınmıştır. Veri toplamak için yarı yapılandırılmış bir anket kullanılmıştır. Veriler nitel içerik analizi yöntemi kullanılarak değerlendirilmiştir. Bulgular Bebeklerin yaş ortalamasının 1,47±0,82 ay olduğu, bebeklerin %41,7'sinin 1-2 aylık olduğu belirlendi. Annelerin tamamı bebeklerinin aşırı ağlamasıyla ilgili birçok konuda sorun yaşadıklarını ifade etti. İçerik analizi sonucunda çalışmada üç ana tema (ağlayan bebek annesi olmak, fiziksel bakım ve psikososyal uyum) belirlendi. Sonuç Annelerin aşırı ağlama nedeniyle çaresizlik, suçluluk gibi psikolojik sorunlar, günlük yaşam aktivitelerini yapamama gibi birçok sorun yaşadıkları belirlendi. Ebeveynlerin fiziksel bakımın yanı sıra psikososyal açıdan da ihtiyaçlarının farkında olunması ve bütünsel olarak değerlendirilmesi ve hemşirelik sürecine dahil edilmesi önerilmektedir.

Keywords

• infantil kolik
• anne
• ağlamak
• deneyim
• acil ünitesi

Experiences Of Mothers Of Infants Brought To The Pediatric Emergency Unit For Infantile Colic: A Qualitative Study

Abstract

Objective This study was conducted to determine the experiences of mothers of infants brought to the pediatric emergency unit due to infantile colic in Türkiye. Materials and Methods The study was conducted with a phenomenological design with 12 mothers whose babies younger than three months were diagnosed with infantile colic. The data were collected through one-on-one in-depth interview technique. The interviews were audio-recorded. A semi-structured questionnaire was used to collect data. The data were evaluated by using qualitative content analysis method. Results It was found that the mean age of the infants was 1.47±0.82 months and 41.7% of the babies were 1-2 months old. All of the mothers stated that they had problems in many issues related with the excessive crying of their babies. As a result of the content analysis, three main themes (being the mother of a crying baby, physical care and psychosocial adjustment) were determined in the study. Conclusion It was found that the mothers experience many problems such as helplessness, psychological problems such as guilt, and inability to do daily living activities due to excessive crying. Apart from physical care, it is recommended to be aware of the needs of parents in psychosocial aspects and to evaluate them holistically and to include them in the nursing process.

Keywords

• Infantile Colic
• mother
• crying
• experience
• Emergency Unit

References

1. 1. Zeevenhooven J, Browne PD, L’Hoir MP, Weerth C, Benninga M. Infant colic: mechanisms and management. Nat Rev Gastroenterol Hepatol. 2018; 15(8): 479-496.
2. 2. Wessel MA, Cobb JC, Jackson EB, Harris GS, Detwiler AC. Paroxysmal fussing in infancy, sometimes called" colic". Pediatrics. 1954; 14(5): 421-435.
3. 3. Wolke D, Bilgin A, Samara M. Systematic review and metaanalysis: fussing and crying durations and prevalence of colic in infants. J Pediatr. 2017;185:55-61.
4. 4. Alagöz H , Ertekin V. Incidence, risk factors and different treatment options of infantile colic in eastern of Turkey. Journal of Contemporary Medicine 2013; 3:1-6.
5. 5. Saeed NK, Al-Beltagi M, Bediwy AS, El-Sawaf Y, Toema O. Gut microbiota in various childhood disorders: Implication and indications. World J Gastroenterol. 2022; 28(18): 1875-1901.
6. 6. Sarasu JM, Narang M, Shah D. Infantile colic: an update. Indian Pediatr. 2018; 55(11):979-987.
7. 7. Waikar Y. Infantile colic: An overview. J Neonatal Pediatr. 2018; 4:1-3.
8. 8. Möller EL, de Vente W, Rodenburg R. Infant crying and the calming response: Parental versus mechanical soothing using swaddling, sound, and movement. PLoS One. 2019;14(4):e0214548.

9. 9. Ellwood J, Draper-Rodi J, Carnes D. Comparison of common interventions for the treatment of infantile colic:a systematic review of reviews and guidelines. BMJ Open. 2020;10(2):e035405.
10. 10. Mutlu B, Erkut Z, Serife A, Girgin SS, Gönen I. The practices used by mothers to infantile colic and their perceptions on the benefits of the practices. Online Turkish Journal of Health Sciences 2020;5(1):8-16.
11. 11. Ertem GS, Özyazıcıoğlu N. Effects of colic massage and kangaroo care on infantile colic pain, crying and sleep duration: A randomized controlled trial. Journal of Pediatric Nursing. 2025; 84: 390-396.
12. 12. Öztornacı BÖ, Doğan P, Karakul A, et. al. Practices of mothers’ about infants with infantile colic. Anatolian Journal of General Medical Research. 2022; 32(3):405-413.
13. 13. Fakhri B, Hasanpoor–Azghady SB, Farahani LA, Haghani H. The relationship between social support and perceived stress in the mothers of infants with colic. Iran J Pediatr. 2019; 29(1):e81353.
14. 14. Türkmen H, Akın B, Aksoy YE, Erdoğan A. Maternal attachment and mental health status in mothers who have babies with infantile colic. Midwifery. 2022;110:103339.
15. 15. Ateş Beşirik S, Geçkil E. The effect of therapeutic touch on colic symptoms in infantile colic infants: A randomised controlled study. J Paediatr Child Health. 2024; 60(10):569-578.
16. 16. Simonnet H, Laurent-Vannier A, Yuan W, Hully M, Valimahomedet S, Bourennane M, Chevignard M. Parents’ behavior in response to infant crying: Abusive head trauma education. Child Abuse & Negl. 2014; 38(12): 1914-1922.
17. 17. Celik MY. Infantile colic and nursing approaches: review. J Nurs Sci. 2016; 8(4): 335-42.
18. 18. Gordon M, Gohil J, Banks SS. Parent training programmes for managing infantile colic. Cochrane Database Syst Rev. 2019; 12(12):1-53.
19. 19. Lam TML, Chan PC, Goh LH. Approach to infantile colic in primary care. Singapore Med J. 2019; 60(1):12-16.
20. 20. Wilson A. A guide to phenomenological research. Nursing Standard. 2015; 29(34): 38-43.
21. 21. Başkale H. Determination of validity, reliability and sample size in qualitative studies. DEUHFED. 2016; 9(1): 23-28.
22. 22. McGann J, Manohar J, Hiscock H, O'Connor D, Hodgson J, Babl F, Sung V. Caring for crying babies:A mixed‐methods study to understand factors influencing nurses' and doctors' management of infant colic. J Paediatr Child Health. 2018;54(6):653-660.
23. 23. Oaten J, MChiro DC, Miller J. Coping with crying babies: a qualitative study of mothers’ experience. J Clin Chiropr Pediatr. 2019; 18(1):1540-1546.
24. 24. Ferreira H, Ferreira C, Tavares C, Aguiar I. Why are newborns brought to the emergency department? Pediatr Emerg Care. 2018; 34(12): 883-887.
25. 25. Landgren K, Hallström I. Parents′ experience of living with a baby with infantile colic–a phenomenological hermeneutic study. Scand J Caring Sci. 2011; 25(2): 317-324.
26. 26. Kurth E, Kennedy HP, Spichiger E, Hösli I, Zemp Stutz E. Crying babies, tired mothers: what do we know? A systematic review. Midwifery. 2011; 27(2): 187-194.
27. 27. Abdelrahim Khalaf S, Azouz Abd Elhay H, Abdel Shafy Mohamed A. Educational health program for mothers regarding ınfantile colic syndrome at Assiut City. Int Egypt J Nurs Sci Res. 2023; 3(2): 32-51.
28. 28. Cak H, Karabekiroğlu K, Kültür EÇ, et al. Relationship between psychiatric symptoms in expectant parents and postpartum depression and infantile colic: a multicenter follow-up study. Turk Psikiyatri Derg. 2015; 26(2): 87-98.
29. 29. Bulut M, Küçük Alemdar D. Breastfeeding motivation in mothers of excessive crying infants: A correlation study. Early Child Dev Care. 2021; 191(9):1417-1426.
30. 30. Ghatak N, Saleem SM, Bhattacharya S. Infantile colic in exclusive breast feed babies: A clinical dilemma. Journal of Surgical Specialties and Rural Practice. JSSRP. 2021;2(2):32-33.
31. 31. Didişen NA, YavuzB, Gerçeker GÖ, Albayrak T, Atak M, Başbakkal DZ. Infantile colic in infants aged one-six months and the practices of mothers for colic. The Journal of Pediatric Research. 2020;7(3):223-229.
32. 32. Çetinkaya B. Complementary and Alternative Therapies for Infantile Colic: A Systematic Review of the Literature. Altern Ther Health Med. 2021;27(2):42-47.
33. 33. Ünal ET, Bülbül A, Elitok GK, Avşar H, Uslu S. Evaluation of the knowledge level and attitude of mothers about infantile colic. Haydarpaşa Numune Medical Journal. 2021; 61(1): 38-44.
34. 34. Akdogan R, Yildiz S. The effect of SPA and massage applied on babies on colic symptoms: A randomized controlled trial. Journal of Pediatric Nursing. 2025; 82: e164-e174.
35. 35. Doğan SB. Yüzer Alsaç S. Current approach in infantile colic and treatment methods. Kırşehir Ahi Evran University Journal of Health Sciences. 2024;8(2):245-262.
36. 36. Lai VS, Fong DY. The effects of infant abdominal massage on the parental stress level among Chinese parents in Hong Kong–A mixed clustered RCT. BMC Complementary Medicine And Therapies. 2024; 24(1): 342.