Evaluation of Knowledge Levels and Behaviors of Parents of Children Diagnosed with Rotavirus: A Cross-Sectional Descriptive Study

Year 2025, Volume: 8 Issue: 3, 498 - 507

Veysel Can , Mehmet Bulduk , Abdullah Adıyaman

https://doi.org/10.38108/ouhcd.1513736

Abstract

Objective: The aim of this study was to evaluate the knowledge level and behaviours of parents of children hospitalised due to rotavirus infection (RVI).
Methods: The cross-sectional descriptive study was conducted between December 2022 and March 2023 by face-to-face interviews with 122 parents of children diagnosed with RVI. Data was collected with a questionnaire on socio-demographic characteristics and RVI knowledge. In the evaluation, arithmetic mean, standard deviation, median, minimum-maximum, percentage-number values and chi-square test were used. Ethical principles were followed during the data collection process.
Results: In the study, it was determined that 43.4% of the parents had information about RVI and 13.9% had received the RVI vaccine. It was found that 73% of the parents wanted to receive education about RVI, and 67.6% of those who did not vaccinate were due to lack of information. The opinion that RVI vaccine should be added to the vaccination calendar was dominant in 90.2% of the parents. In addition, it was determined that there was statistical significance between the educational status and income levels of the parents; knowing RVI, knowing that RVI is contagious, knowing RVI vaccination, having RVI vaccination and the place of residence and knowing that RVI is contagious (p<0.05).
Conclusion: It is necessary for pediatric nurses working in Family Health Centers and pediatric clinics to organize educational programs about RVI and its vaccine to adequately inform parents. Furthermore, it was concluded that the hospitalization rates will be reduced by enhancing immunization through incorporating the RVI vaccine into the immunization program.

Keywords

Behavior , Child , Knowledge , Parent , Rotavirus

Rotavirüs Tanılı Çocukların Ebeveynlerinin Bilgi Düzeylerinin ve Davranışlarının Değerlendirilmesi: Kesitsel Tanımlayıcı Çalışma

Abstract

Amaç: Bu çalışma ile Rotavirüs enfeksiyonu (RVE) nedeniyle hastaneye yatırılan çocukların ebeveynlerinin bilgi düzeyi ve davranışlarının değerlendirilmesi amaçlanmıştır.
Yöntem: Çalışma, Aralık 2022-Mart 2023 tarihleri arasında, 122 RVE tanısı almış çocuğun ebeveyniyle yüz yüze görüşülerek kesitsel tanımlayıcı tipte gerçekleştirilmiştir. Veriler, sosyo-demografik özellikler ve RVE bilgisi üzerine hazırlanmış bir anketle toplanmıştır. Değerlendirmede; aritmetik ortalama, standart sapma, ortanca, minimum-maksimum, yüzde-sayı değerleri ve ki kare testi kullanılmıştır. Veri toplama sürecinde etik ilkelere uyulmuştur.
Bulgular: Çalışmada, ebeveynlerin %43.4’ünün RVE hakkında bilgi sahibi olduğu, %13.9’unun RVE aşısını yaptırdığı tespit edilmiştir. Ebeveynlerin %73’ü RVE konusunda eğitim almak istediği, aşı yaptırmayanların ise %67.6’sında bilgi eksikliğinden dolayı olduğu saptandı. Ebeveynlerin %90.2’sinde RVE aşısının aşı takvimine eklenmesi görüşü hakimdi. Ayrıca, ebeveynlerin eğitim durumu ve gelir düzeylerinin; RVE’yi bilme, RVE’nin bulaşıcı olduğunu bilme, RVE aşısını bilme, RVE aşısını yaptırma ve yaşanılan yer ile RVE’nin bulaşıcı olduğunu bilme arasında istatistiksel olarak anlamlılık olduğu tespit edildi (p<0.05).
Sonuç: Aile Sağlığı Merkezleri ve çocuk kliniklerinde çalışan pediatri hemşirelerinin RVE ve aşısı hakkında eğitim programları düzenleyerek ebeveynlere yeterli düzeyde bilgilendirme yapması gerekmektedir. Ayrıca RV aşısının aşı programına eklenmesi ile bağışıklamanın arttırılması sağlanarak hastaneye yatışların azaltılacağı kanaatine varılmıştır.

Keywords

Bilgi , çocuk , ebeveynler , davranış , rotavirüs

Ethical Statement

Araştırmanın yapılması için Van YYÜ Girişimsel Olmayan Klinik Araştırmalar Etik Kurul Başkanlığı’ndan (09.12.2022 tarih ve 2022/12-08 karar no) etik onay alınmıştır. Van il Sağlık Müdürlüğü’nden kurum izni alınmıştır.

Supporting Institution

Bu araştırma için herhangi bir kurum, kuruluş ve kişiden finansal destek alınmamıştır.

Thanks

Araştırmaya gönüllü katılarak destek veren tüm ebeveynlere teşekkürlerimizi sunarız.

References

• Abd Elkodoos RF, Elsawy MM, Mousa, K. M. (2019). Effect of rotavirus education program on knowledge and attitudes of mothers attending family center-cairo. Journal of Cardiovascular Disease Research, 10(4), 400-419.
• Ahmed S, Dorin F, Satter SM, Sarker AR, Sultana M, Gastanaduy PA, ve ark. (2021). The economic burden of rotavirus hospitalization among children < 5 years of age in selected hospitals in Bangladesh. Vaccine, 39(48), 7082-7090. https://doi.org/10.1016/j.vaccine. 2021.10.003
• Alkan S, Dindar Demiray EK, Akça A, Önder T, Vurucu S. (2022). Nozokomiyal rotavirüs enfeksiyonlari. Black Sea Journal of Health Science, 5(1), 138-142. https://doi.org/10.19127/bshealthscience.985870
• Amini S, Solati AA, Fayaz A, Mahmoodı M. (1990). Rotavirus infection in children with acute diarrhea in Tehran. Medical Journal of The Islamic Republic of Iran, 4(1), 25-28. PMID: 12319709.
• Ardura-Garcia C, Kreis C, Rakic M, Jaboyedoff M, Mallet MC, Low N, ve ark. (2021). Rotavirus disease and health care utilisation among children under 5 years of age in highly developed countries: A systematic review and meta-analysis. Vaccine, 39(22), 2917-2928. https://doi.org/10.1016/j.vaccine .2021.04.039
• Argüt N, Keskindemirci G, Kılıç A, Gökçay G. (2023). 12-60 ay arasi çocuğu olan ailelerin aşilar hakkindaki bilgi, tutum ve uygulamalarinin incelenmesi. Çocuk Dergisi, 23(1), 1-7. https://doi.org/10.26650/jchild .2023.866444
• Aristegui J, Alfayate-Miguelez S, Carazo-Gallego B, Garrote E, Diaz-Munilla L, Mendizabal M, ve ark. (2022). Clinical characteristics, health care resource utilization and direct medical costs of rotavirus hospitalizations in Spain (2013-2018). Human Vaccines & Immunotherapeutics, 18(5), 2046961. https://doi.org/10.1080/21645515.2022.2046961
• Ayyıldız TK, Altıntaş HK, Aydın C, Minaz E, Yörük T. (2020). 0-5 yaş çocuklarda rotavirüs sikliği ve anne-babalarin rotavirüse yönelik bilgi düzeyleri ve uygulamalari. Dokuz Eylül Üniversitesi Hemşirelik Fakültesi Elektronik Dergisi, 13, 124-130. https://doi.org/10.46483/deuhfed.569185
• Bergman H, Henschke N, Hungerford D, Pitan F, Ndwandwe D, Cunliffe N, ve ark. (2021). Vaccines for preventing rotavirus diarrhoea: Vaccines in use. Cochrane Database of Systematic Reviews, 11(11), CD008521. https://doi.org/10.1002/14651858.CD008521.pub6
• Burlačenko D, Istomina N, Truš M. (2023). Parental awareness of rotavirus infection. Slauga. Mokslas ir praktika, 4(7 (319)). https://doi.org/10.47458/Slauga. 2023.4.19
• Colomina J, Martinez-Macias O, Vaya M, Dominguez V, Guerrero A. (2012). Level of knowledge and acceptance of the anti-rotavirus vaccination by parents of children hospitalised due to gastroenteritis. Anales de Pediatría, 77(1), 69-70. https://doi.org/ 10.1016/j.anpedi.2011.09.022
• Cura Ecevit P, Kayhan Tetik B, Ertürk A, Arıkan Fİ, Dallar Bilge Y. (2019). Knowledge, attitudes, behaviors of families on rotavirus vaccine. Turkish Journal of Family Medicine and Primary Care, 273-278. https://doi.org/10.21763/tjfmpc.610635
• Del Duca E, Chini L, Graziani S, Sgrulletti M, Moschese V, Italian Pediatric Immunology and Allergology Society (SIAIP) Vaccine Committee. (2021). Pediatric health care professionals’ vaccine knowledge, awareness and attitude: a survey within the Italian Society of Pediatric Allergy and Immunology. Italian Journal of Pediatrics, 47, 1-7.
• Di Martino G, Mazzocca R, Camplone L, Cedrone F, Di Giovanni P, Staniscia T. (2023). Attitudes and beliefs towards rotavirus vaccination in a sample of italian women: A cross-sectional study. Vaccines (Basel), 11(6). https://doi.org/10.3390/vaccines11061041
• Domingo JD, Patrzalek M, Cantarutti L, Arnould B, Meunier J, Soriano-Gabarro M, ve ark. (2012). The impact of childhood acute rotavirus gastroenteritis on the parents’ quality of life: prospective observational study in European primary care medical practices. BMC Pediatrics, 12(58). https://doi.org/10.1186/1471 -2431-12-58
• Fan Q. (2022). A clinical nursing care study on the prevalence of rotavirus infection and acute diarrhea in vaccinated chinese pediatric population from 2019-2022. Infection and Drug Resistance, 15, 6129-6142. https://doi.org/10.2147/IDR.S383979
• Gundogdu Z. (2020). Parental attitudes and perceptions towards vaccines. Cureus, 12(4), e7657. https://doi.org/10.7759/cureus.7657
• Gundogdu Z, Yendur Sezer O. (2023). Changing parental attitudes towards rotavirus vaccine. Cureus, 15(2), e35348. https://doi.org/10.7759/cureus.35348
• Guzel M, Akpinar O, Kilic MB. (2020). Prevalence of rotavirus-associated acute gastroenteritis cases in early childhood in Turkey: Meta-analysis. Children (Basel), 7(10). https://doi.org/10.3390/children710 01 59 Izevbuwa OE, Okhuebor OS. (2021). Public health significance of rotavirus gastroenteritis. RADS Journal of
• Biological Research ve Applied Sciences, 12, 75-80. https://doi.org/10.37962/jbas.v12i1.300
• Kaçmaz Ersü N, Ersü A, Kılıç Öztürk Y, Helvacı M, Öngel K. (2016). Characteristics of children who hospitalized by gastroenteritis and knowledge level of their parents for rotavirus vaccinization. Journal of Dr Behcet Uz Children's Hospital, 6(3), 203-208. https://doi.org/ 10.5222/buchd.2016.203
• Köksal A, Köksal T. (2012). Ankara’da ebeveynlerin rotavirüs hakkında bilgi düzeyleri ve çocukların rotavirüs aşılanma oranları. Gaziantep Medical Journal, 18(3). https://doi.org/10.5455/gmj-30-2012-104
• Kristinsdottir I, Haraldsson A, Love A, Asgeirsdottir TL, Thors V. (2021). Burden of rotavirus disease in young children in Iceland - Time to vaccinate? Vaccine, 39(38), 5422-5427. https://doi.org/10.1016/j.vaccine. 2021.07.053
• Kürtüncü M, Alkan İ, Bahadır Ö, Arslan N. (2017). Zonguldak’in kirsal bir bölgesinde yaşayan çocuklarin aşilanma durumu hakkinda annelerin bilgi düzeyleri. Electronic Journal of Vocational Colleges, 7(1), 8-17.
• Ma W, Zhang L, Ren D, Meng X, Yin J, Sun Q. (2023). Parental preferences for rotavirus vaccination for their children under 5 years old in China: A discrete choice experiment. Human Vaccines & Immunotherapeutics, 19(1), 2179222. https://doi.org/10.1080/21645515 .2023.2179222
• MacDougall DM, Halperin BA, Langley JM, MacKinnon-Cameron D, Li L, Halperin SA, ve ark. (2016). Knowledge, attitudes, beliefs, and behaviors of parents and healthcare providers before and after implementation of a universal rotavirus vaccination program. Vaccine, 34(5), 687-695. https://doi.org/ 10.1016/j.vaccine.2015.09.089
• Magzoub MA, Bilal NE, Bilal JA, Osman OF. (2013). Rotavirus infection among Sudanese children younger than 5 years of age: a cross sectional hospital-based study. The Pan African Medical Journal, 16, 88. https://doi.org/10.11604/pamj.2013.16.88.2519
• Marchetti F, Vetter V, Conforti G, Esposito S, Bonanni P. (2017). Parents' insights after pediatric hospitalization due to rotavirus gastroenteritis in Italy. Human Vaccines & Immunotherapeutics, 13(9), 2155-2159. https://doi.org/10.1080/21645515.2017. 1336271
• Mast TC, DeMuro-Mercon C, Kelly CM, Floyd LE, Walter EB. (2009). The impact of rotavirus gastroenteritis on the family. BMC Pediatrics, 9, 11. https://doi.org/10.1186/1471-2431-9-11
• Miron VD, Toma AR, Filimon C, Bar G, Craiu M. (2022). Optional vaccines in children-knowledge, attitudes, and practices in romanian parents. Vaccines (Basel), 10(3). https://doi.org/10.3390/vaccines10030404
• Napolitano F, Ali Adou A, Vastola A, Angelillo IF. (2019). Rotavirus infection and vaccination: knowledge, beliefs, and behaviors among parents in Italy. International Journal of Environmental Research and Public Health, 16(10). https://doi.org/10.3390/ijerph16101807
• Patel MM, Pitzer VE, Alonso WJ, Vera D, Lopman B, Tate J, ve ark. (2013). Global seasonality of rotavirus disease. The Pediatric Infectious Disease Journal, 32(4), 134-147. https://doi.org/10.1097/INF.0b013 e31827d3b68
• Schollin Ask L, Hjern A, Lindstrand A, Olen O, Sjogren E, Blennow M, ve ark. (2017). Receiving early information and trusting Swedish child health centre nurses increased parents' willingness to vaccinate against rotavirus infections. Acta Paediatrica, 106(8), 1309-1316. https://doi.org/10.1111/apa.13872
• Tayanöz B, Kurudirek F. (2023). Rotavirüs gastroenteriti olan çocuklarin annelerinin kaygi düzeyi, sosyal el yikama ve hastaliğa yönelik bilgi durumunun belirlenmesi. Sağlık Bilimleri Üniversitesi Hemşirelik Dergisi, 5(3), 187-196. https://doi.org/10.48071/sbu hemsirelik.1263283
• Üzüm Ö, Eliaçık K, Hortu Örsdemir H, Karadağ Öncel E. (2019). Ebeveynlerin aşi yaklaşimlarini etkileyen faktörler: Bir eğitim araştirma hastanesine ilişkin değerlendirme. Journal of Pediatric Infection, 13(3), 144-149. https://doi.org/10.5578/ced.68398
• Yüksel F, Kara Uzun A. (2021). Ebeveynlerin çocukluk çaği aşilari hakkindaki bilgi, davraniş ve tutumları. Turkish Journal of Pediatric Disease, 1-8. https://doi.org/10.12956/tchd.825092