6284 sayılı Ailenin Korunması ve Kadına Yönelik Şiddetin Önlenmesine Dair Kanun Kapsamında Sağlık Tedbir Kararlarının Değerlendirilmesi: Türkiye'de Bir İlçe Sağlık Müdürlüğü Örneği

Öz

Bu retrospektif arşiv çalışmasının amacı, sağlık tedbiri kararı sonrasında İlçe Sağlık Müdürlüğü’ne yönlendirilen bireylerin sosyodemografik özelliklerini, sağlık tedbirine ilişkin detayları, bu kararlara konu olan tanı durumlarını ve muayene/tedaviye uyum düzeylerini belirlemektir. Veriler, Türkiye’de Ocak 2020 ile Aralık 2023 tarihleri arasında İlçe Sağlık Müdürlüğü’nde sağlık tedbiri uygulanan 320 bireyin kayıtlarından elde edilmiştir. Sağlık tedbiri uygulanan katılımcıların yaş ortalaması 37,85±11,17 olup, %93,8’i erkektir. Katılımcıların %81,9’u kadınlara yönelik, %22,5’i ise eşlerine yönelik şiddet eyleminde bulunmuştur. Şiddet türleri açısından bakıldığında, %75,9’unun psikolojik, %52,8’inin fiziksel şiddet gösterdiği, %47,5’inin ise alkol veya madde bağımlılığı/kötüye kullanımı sorununa sahip olduğu belirlenmiştir. Planlanan randevulara katılım, sağlık tedbiri süresi 1–60 gün arasında olanlarda daha yüksek bulunmuş; sağlık tedbiri süresi uzadıkça katılım oranlarının azaldığı gözlemlenmiştir. Bu bulgular, Türkiye’de 6284 sayılı Kanun kapsamında uygulanan sağlık tedbirleri sürecinde etkili izleme sistemleri ve müdahale programlarının gerekliliğini vurgulamaktadır. Bu tür sağlık tedbirlerinin kullanımı yaygın olmasına rağmen, sonuçlarına ilişkin ampirik araştırmalar sınırlıdır. Özellikle bağımlılıkla ilişkili şiddeti ele alan hedefe yönelik müdahale stratejilerinin geliştirilmesi, daha etkili önleme ve takip uygulamalarına katkı sağlayabilir.

Anahtar Kelimeler

• Kadın
• Sağlık Tedbiri
• Şiddet
• Aile

The Evaluation of Health Measures Decisions within the Scope of Law No. 6284 on the Protection of Family and the Prevention of Violence Against Women: A District Health Directorate Sample in Türkiye

Öz

This retrospective archival study aimed to identify the socio-demographic characteristics, health measure details, diagnosed conditions relevant to the health measure decisions, and the adherence to examinations/treatments among individuals referred to the District Health Directorate following a health measure decision. Data were obtained from the records of 320 individuals who underwent health measures at District Health Directorate in Türkiye between January 2020 and December 2023. The mean age of the participants subjected to health measures was 37.85±11.17 years, with 93.8% being male. Among the participants, 81.9% had committed acts of violence against women, and 22.5% against their partners. Regarding the types of violence, 75.9% exhibited psychological violence, 52.8% physical violence, and 47.5% had issues related to alcohol or substance addiction/abuse. Attendance at scheduled appointments was higher among those with health measure durations of 1-60 days, and attendance decreased as the duration of health measure increased. These findings underscore the need for effective monitoring systems and intervention programs within the scope of health measures implemented under Law No. 6284 in Turkey. Although the use of such health measures is widespread, empirical research on their outcomes remains limited. Expanding research and developing targeted intervention strategies—particularly addressing addiction-related violence—may contribute to more effective prevention and follow-up practices.

Anahtar Kelimeler

• Woman
• Health Measure
• Violence
• Family

Kaynakça

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