Çocuklara Önerilen D Vitamini Desteğinde Annelerin Bilgi, Tutum ve Davranışları

Year 2020, , 231 - 239, 15.06.2020

Gizem Kara Elitok , Lida Bülbül Burhan Turan , Taha Akın Sinan Uslu Ali Bülbül

https://doi.org/10.31832/smj.692741

Cited By: 2

Abstract

Amaç
Çocuklara D vitamini profilaksisinin verilmesinde önemli bir rolü olan annelerin, D vitamini desteğiyle ilgili bilgi, tutum ve davranışlarının belirlenmesi amaçlandı.
Gereç ve Yöntemler
Kesitsel ileriye dönük olan bu araştırma, 0-12 ay arası çocuğu olan annelerle Sağlam Çocuk Polikliniğinde yapıldı. Katılımcıların sosyodemografik özellikleri, D vitamini desteğiyle ilgili bilgi, tutum ve davranışlarını içeren yirmi beş sorudan oluşan anket uygulandı.
Bulgular
Çalışmaya 467 anne katıldı. Annelerin %83,7’sine (n 391) D vitamini desteği vermeleri gerektiği bilgisi verilmişti. Bu bilgiyi %69,8’ine doktor, %29,4’üne hemşire vermişti. Annelerin %75,2’si (n: 351) çocuklarına D vitamini desteği veriyordu. Çocuklara D vitamini ortalama 17,7±18,2 günde başlanmıştı. D vitamini desteği verenlerin; %83,9’unun 400 IU/gün, %8,2’sinin ≥600 IU/gün dozunda verdiği saptandı. D vitamini desteğini vermemelerinin ilk üç nedeni; %50,8 henüz ilacı başlama zamanı gelmemesi, %33,6 mamalarda yeteri kadar olduğunu düşünmeleri, % 20,7 bu konuda bilgi verilmemesiydi. Annelerin %47,3’ü gebelikte, %19,3’ü emzirirken D vitamini desteği almıştı. Çocuklara D vitamini desteğinin verilme nedenleri sorulduğunda ilk üç neden: %58,9 kemik gelişimi için, %21 diş gelişimi için, %18,6 bıngıldak kapanması idi.
Sonuç
Çalışmamızda annelerin çocuklara önerilen D vitamini destek programına uyduğunu, desteğin başlanma zamanının ve dozunun çoğunlukla uygun olduğunu tespit ettik. Düşük bir oranda annenin D vitaminini yüksek dozda verdiğini saptadık. Annelerin D vitaminiyle ilgili bilgi düzeylerinin yeterli olmadığını, gebelik ve emzirme döneminde D vitamini desteğini kullanım oranın düşük olduğunu belirledik. Annelere bu konuda eğitim programlarının düzenlenmesinin, çocuklara ve kendilerine önerilen D vitamini destek programlarına uyumu arttıracağını düşünmekteyiz.

Keywords

vitaminD, bilgi, tutum

Knowledge, Attitudes and Practices the Mothers Regarding Recommendation of Vitamin D Supplementation to Children

Abstract

Objective: We aimed to determine the mothers' knowledge, attitudes and practices about vitamin D supplementation
Methods: This cross-sectional prospective study was conducted with mothers whose child was between 0-12 months of age in Well Child Clinic. A questionnaire consisting of twenty-five questions including socio-demographic characteristics of the participants, knowledge, attitudes and practices about vitamin D supplementation was performed.
Results: 467 mothers participated in this study. 83.7%(n:391) of mothers were informed they should give vitamin D supplementation. This information was given to 69.8% by doctors and 29.4% by nurses. 75.2%(n:351) of mothers administered vitamin D supplementation to children. Vitamin D was started to children on average 17.7±18.2 days. 83.9% of mothers gave vitamin D supplementation dose at 400 IU/day and 8.2% at ≥600 IU/day. The first three reasons why they didn't give vitamin D;50.8% not starting time of drug,33.6% thought formula was enough,20.7% was not informed about this issue.47.3% of mothers received vitamin D during pregnancy, 19.3% while breastfeeding. When asked why children are given vitamin D, the first three reasons was:58.9% for bone development, 21% for tooth development, 18.6% for fontanel closure.
Conclusion: We found that the starting time and dose of vitamin D supplementation were mostly appropriate but a few number of mothers gave high doses of vitamin D. The level of knowledge of mothers about vitamin D was not sufficient, and the rate of received vitamin D supplementation during pregnancy and breastfeeding was low. We think that education programs for mothers will increase compliance with vitamin D supplementation.

Keywords

vitaminD, knowledge, attitude

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