Yedi yaş altı çocuklarda yanık yaralanmalarının değerlendirilmesi

Abstract

Amaç: Ebeveyn/bakıcı güvenlik ihmalinden kaynaklanan çocukluk çağı yanıkları, çocukluk çağı morbidite ve mortalitesinde rol oynayan önemli bir halk sağlığı sorunudur. Bu çalışmada, güvenlik ihmali sonucu oluşan yanık yaralanması nedeniyle acil servise başvuran çocukların tanımlayıcı özelliklerini araştırmayı amaçladık. Yöntem: Çalışmamız 01.01.2020 ile 31.12.2023 tarihleri arasında Aksaray Eğitim ve Araştırma Hastanesi Çocuk Acil Servisine başvuran yedi yaş altı toplam 122 yanık hastası ile yürütüldü. Sosyodemografik özellikler ve yanıkla ilgili bilgiler anket uygulamasıyla ve hasta dosyalarının geriye dönük taranmasıyla elde edildi. Bulgular: Yanıkların %84.4'ü (n=103) ev içinde, %15.6'sı (n=19) ev dışında meydana gelmiş idi. Evdeki yanıkların %45.1'i (n=55) oturma odasında/salonda ve %29.5'i (n=36) mutfakta meydana gelmiş idi. Su, çorba gibi sıcak sıvı dökülmesine bağlı yanıklar %49.2 (n=60); soba veya ütü temasına bağlı yanıklar %12.3 (n=15); çay ve kahve içimi sırasında dökülme sonucu yanıklar %20.5 (n=25) sıklıkta saptandı. Çocukların %72.1’inde (n=88) yanığın 12.00-21.50 saatleri arasında gerçekleştiği görüldü. Üç yaş altı çocuklarda en sık görülen yanık nedeni üzerlerine sıcak sıvı dökülmesi sonucu oluşan haşlanma yanıkları iken, beş yaş üstü çocuklarda en sık ateşle oynama ve elektrik çarpması sonucu oluşan yanıklar tespit edildi (p=0.005). Sonuç: Ebeveynler üç yaş altı çocuklarda haşlanma yanıkları konusunda daha dikkatli olmalıdır. Anneler, evde daha aktif ve yoğun çalıştıkları saatlerde gözetim ihmali durumuna dikkat etmelidir. Yanıkların görülme sıklığını azaltmak için ebeveyn eğitimi ve farkındalığı sağlanmalıdır.

Keywords

• ihmal
• kaza
• çocuk
• yanık
• ev kazaları

Evaluation of burn injuries in children under seven years of age

Abstract

Aim: Childhood burns caused by parental/caregiver safety neglect is an important public health problem that plays an importatnt role in childhood morbidity and mortality. In this study, we aimed to investigate the descriptive characteristics of children who presented to the emergency department with burns injuries caused by safety negligence. Method: Our study was conducted with a total of 122 burn patients aged <7 years who applied to Aksaray Training and Research Hospital Pediatric Emergency Department between 01.01.2020 and 31.12.2023. Sociodemographic and burn-related information were obtained by questionnaires questionnaire application and retrospective review of patient files. Results: Of the burns, 84.4% (n=103) occurred inside the house and 15.6% (n=19) occurred outside the house. Of the burns at home, 45.1% (n=55) occurred in the living room/living room and 29.5% (n=36) occurred in the kitchen. Burns due to spillage of hot liquids such as water and soup were 49.2% (n=60); burns due to contact with stove or iron were 12.3% (n=15); burns due to spillage during tea and coffee drinking were 20.5% (n=25). In 72.1% (n=88) of the children, the burn occurred between 12.00-21.50 hours. The most common cause of burns in children under three years of age was scald burns caused by spilling hot liquids on them, while the most common causes of burns in children over five years of age were playing with fire and burns caused by electric shock (p=0.005). Conclusion: Parents should pay more attention to scald burns in children under three years of age. Mothers should pay attention to neglect of monitoring during the hours when they are more active and busy at home. Parental education and awareness should be provided to reduce the incidence of burns.

Keywords

• neglect
• accident
• child
• burn
• home accidents

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