Araştırma Makalesi
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Sünnet Sonrasında Çocukların Duygusal Stres Yaşama Durumunun Belirlenmesi

Yıl 2023, Cilt: 37 Sayı: 1, 59 - 66, 03.04.2023
https://doi.org/10.18614/deutip.1177362

Öz

Amaç: Bu çalışmada, sünnet sonrasında çocuklarda duygusal stres yaşama durumlarının belirlenmesi amaçlanmıştır.
Materyal ve Metot: Araştırma tanımlayıcı, bir araştırma olarak tasarlanmıştır. Araştırma verilerinin toplanmasında klinikte sünnet olan ve araştırmaya dahil edilme kriterlerini sağlayan çocukların ebeveynlerine, sünnettin üzerinden 1 ay geçmiş olan ebeveynlere online olarak hazırlanmış olan anket formu gönderilerek çalışmaya katılmaya davet edilmiştir. Araştırma Ekim 2021- Şubat 2022 tarihleri arasında yapılmıştır. Araştırmaya 228 gönüllü ebeveyn katılmıştır. Araştırmanın verilerinin toplanmasında çocuk ebeveyn tanıtım bilgi formu ve Çocukluk Çağı Travma Sonrası Duygusal Stres Ölçeği (ÇÇTSDSÖ) kullanılmıştır.
Bulgular: Çocukların %93,90’unun sünnet olması için tıbbı bir gereklilik olmadığı belirlenmiştir. Sünnet sonrası en sık yaşanan fiziksel semptomların ağrı (% 86,0), yara yerinde şişme (% 63, 60) olduğu belirlenmiştir. Çalışmada ÇÇTSDSÖ puan ortalaması … bulunmuştur. Sünnet sonrası ağrı, kanama ve şişme semptomları yaşayan çocukların ÇÇTSDSÖ puanları semptom yaşamayan çocuklardan yüksek olduğu belirlenmiştir (p=0,022; p=0,002; p=0,030). Çalışmada sünnet öncesi işleme hazırlanan, sünnetten önce ve sünnet günün doktoru ve hemşiresi ile tanıştırılan çocukların ÇÇTSDSÖ puanları diğer gruplardaki çocuklardan anlamlı şekilde düşük olduğu saptanmıştır (p=0, 009; p=0,013; p=0,029).
Sonuç: Sünnet kültürel, dini ve tıbbı yönleri olan çok boyutlu bir olgudur. Bu nedenle sünnetin etkileri değerlendirilirken toplumsal özellikleri göz ardı etmemek gerekir. Çalışmamızda çocukların sünnet sonrası duygusal stres yaşama durumlarının yüksek olmadığı belirlenmiştir.

Destekleyen Kurum

Destek alınmamıştır

Kaynakça

  • 1. Jacobs AJ. Male circumcision. Assigning Responsibility for Children’s Health When Parents and Authorities Disagree: Whose Child? The International Library of Bioethics. 2022; 259-75.
  • 2. Prabhakaran S, Ljuhar D, Coleman R, Nataraja, RM. Circumcision in the paediatric patient: A review of indications, technique and complications. Journal of Paediatrics and Child Health. 2018;54(12):1299-1307.
  • 3. Sılay MS. Fallik Dönemde Sünnet ve Psikolojik Etkileri Pediatrik Üroloji Bülteni. 2018; (1): 21-24.
  • 4. Yavuz M, Demir T, Doğangün B. Sünnetin Çocuk Ruh Sağlığı Üzerine Etkisi: Gözden Geçirme Çalışması. Turk Psikiyatri Derg. 2011: 22: 1-9
  • 5. Yilmaz E, Batislam E, Basar MM, Basar H. Psychological trauma of circumcision in the phallic period could be avoided by using topical steroids. International Journal of Urology. 2003;10(12):651-6.
  • 6. Özkan H, Karakoç H, Yapanoğlu T, Tedik S. E. Annelerin Sünnet Hakkındaki Bilgi Durumlarının Belirlenmesi. Anadolu Hemşirelik ve Sağlık Bilimleri Dergisi. 2019:22(1);1-7.
  • 7. Ramos S, Boyle GJ. Ritual and medical circumcision among Filipino boys: Evidence of post-traumatic stress disorder. Eds: Denniston GC, Hodges FM, Milos MF. Understanding Circumcision: A Multi-Disciplinary Approach to a Multi-Dimensional Problem. 2001.New York, Plenum.
  • 8. American Psychiatric Association. Diagnostic and Statistical Manual of Mental Disorders. Washington, DC: American Psychiatric Association. 2013
  • 9. Kozanhan B, Kocaoğlu C, Gündüz M, Akça, ÖF. Posttraumatic stress disorder symptoms in children exposed to circumcision under general or local anesthesia. Turkish Journal of Pediatrics. 2018;60: (6):718-25.
  • 10. Saylor CF, Swenson CC, Reynolds SS, Taylor M. The Pediatric Emotional Distress Scale: A brief screening measure for young children exposed to traumatic events. Journal of Clinical Child Psychology. 1999;28(1):70-81.
  • 11. Göktepe K, & İşiten, HN. Pediatric emotional distress scale adaptation, validity and reliability study, Üsküdar University Institute of Social Sciences, Master thesis, 2014.
  • 12. Sancar S, Demirci H, Guzelsoy M, Coban S, Askin R, Uzun, ME, Turkoglu, AR. Fear of circumcision in boys considerably vanishes within ten days of procedure. Urology Journal. 2016;13(1):2541-5.
  • 13. Altunkol A, Abat D, Topuz AN, Alma E, Gürbüz ZG, Verit A. Muslim mothers mainly saw circumcision in terms of religion or tradition but wanted it to be carried out medical professionals. Acta Paediatrica. 2020;109(2);396-403.
  • 14. Didişen NA, Karakul A, Özdemir, HNÇ. Determining the Knowledge level of parents relating to circumcision. The Journal of Pediatric Research. 2021; 8(4):424-431.
  • 15. Yıldız D, Suluhan D, Fidanci BE, Padishah W, Surer I. Circumcision: Is it For Sexual Health or Being Man?. International Journal of Caring Sciences. 2021;14(3):1771.
  • 16. Corduk N, Unlu G, Sarioglu‐Buke A, Buber A, Savran B, Zencir M. Knowledge, attitude and behaviour of boys and parents about circumcision. Acta Paediatrica. 2013;102(4): 169-173.
  • 17. Şahin F, Beyazova U, Aktürk A Attitudes and practices regarding circumcision in Turkey. Child Care Health Dev. 2003; 29(4): 275-80 18. Bartik K, & Toruner EK. Effectiveness of a preoperative preparation program on children's emotional states and parental anxiety. Journal of PeriAnesthesia Nursing, 2018; 33(6):972-980.
  • 19. Yadav M, Kodi SM, Deol, R. Effect of Preoperative Educational Schedule on Anxiety and Coping Mechanism Among Children and Their Parents: A Randomized Controlled Trail. Journal of Pediatric Surgical Nursing. 2020;9(4):127-135.
  • 20. Juanita F. The Audio-visual Distraction Minimizes the Children's Level of Anxiety During Circumcision. Jurnal Ners. 2007;2(2):95-99. 21. Buyuk ET, Odabasoglu E, Uzsen H, Koyun M. The effect of virtual reality on Children's anxiety, fear, and pain levels before circumcision. Journal of Pediatric Urology. 2021; 17(4): 567-581.
  • 22. Bozdogan Yesilot S, Ciftci H, Ozcelik Z. The effect of virtual reality on mothers' anxiety during children's circumcision: A randomized controlled study. International Journal of Nursing Practice. 2021;27(4):e12906.
  • 23. Kestel M, Tarhan H. Şahin H. Erkek Sünneti. Muğla Sıtkı Koçman Üniversitesi Tıp Dergisi. 2018);5 (1):27-33

Determination Of Children's Emotional Stress After Circumcision

Yıl 2023, Cilt: 37 Sayı: 1, 59 - 66, 03.04.2023
https://doi.org/10.18614/deutip.1177362

Öz

Objective: In this study, it was aimed to determine the emotional stress in children after circumcision.
Materials and Methods: The research was designed as a descriptive study. In the collection of the research data, the parents of the children who were circumcised in the clinic and met the inclusion criteria, and the parents who had been circumcised one month after the circumcision were sent an online questionnaire and were invited to participate in the study. The research was conducted between October 2021 and February 2022. 228 volunteer parents participated in the study. Child-parent information form and Childhood Post-Traumatic Emotional Stress Scale (CPESS) were used to collect the data of the study.
Results: It was determined that 93.90% of the children were not a medical necessity for circumcision. It was determined that the most common physical symptoms after circumcision were pain (86.0%) and wound swelling (63.60%). In the study, the mean score of CPESS was found to be …. It was determined that children who experienced pain, bleeding and swelling symptoms after circumcision had higher CPESS scores than children who did not experience symptoms (p=0.022; p=0.002; p=0.030). In the study, it was determined that the CPESS scores of the children who were prepared for the pre-circumcision procedure and were introduced to the doctor and nurse of the circumcision day and before the circumcision were significantly lower than the children in the other groups (p=0.009; p=0.013; p=0.029).
Conclusion: Circumcision is a multidimensional phenomenon with cultural, religious and medical aspects. For this reason, it is necessary not to ignore the social characteristics when evaluating the effects of circumcision. In our study, it was determined that the children's emotional stress after circumcision was not high

Kaynakça

  • 1. Jacobs AJ. Male circumcision. Assigning Responsibility for Children’s Health When Parents and Authorities Disagree: Whose Child? The International Library of Bioethics. 2022; 259-75.
  • 2. Prabhakaran S, Ljuhar D, Coleman R, Nataraja, RM. Circumcision in the paediatric patient: A review of indications, technique and complications. Journal of Paediatrics and Child Health. 2018;54(12):1299-1307.
  • 3. Sılay MS. Fallik Dönemde Sünnet ve Psikolojik Etkileri Pediatrik Üroloji Bülteni. 2018; (1): 21-24.
  • 4. Yavuz M, Demir T, Doğangün B. Sünnetin Çocuk Ruh Sağlığı Üzerine Etkisi: Gözden Geçirme Çalışması. Turk Psikiyatri Derg. 2011: 22: 1-9
  • 5. Yilmaz E, Batislam E, Basar MM, Basar H. Psychological trauma of circumcision in the phallic period could be avoided by using topical steroids. International Journal of Urology. 2003;10(12):651-6.
  • 6. Özkan H, Karakoç H, Yapanoğlu T, Tedik S. E. Annelerin Sünnet Hakkındaki Bilgi Durumlarının Belirlenmesi. Anadolu Hemşirelik ve Sağlık Bilimleri Dergisi. 2019:22(1);1-7.
  • 7. Ramos S, Boyle GJ. Ritual and medical circumcision among Filipino boys: Evidence of post-traumatic stress disorder. Eds: Denniston GC, Hodges FM, Milos MF. Understanding Circumcision: A Multi-Disciplinary Approach to a Multi-Dimensional Problem. 2001.New York, Plenum.
  • 8. American Psychiatric Association. Diagnostic and Statistical Manual of Mental Disorders. Washington, DC: American Psychiatric Association. 2013
  • 9. Kozanhan B, Kocaoğlu C, Gündüz M, Akça, ÖF. Posttraumatic stress disorder symptoms in children exposed to circumcision under general or local anesthesia. Turkish Journal of Pediatrics. 2018;60: (6):718-25.
  • 10. Saylor CF, Swenson CC, Reynolds SS, Taylor M. The Pediatric Emotional Distress Scale: A brief screening measure for young children exposed to traumatic events. Journal of Clinical Child Psychology. 1999;28(1):70-81.
  • 11. Göktepe K, & İşiten, HN. Pediatric emotional distress scale adaptation, validity and reliability study, Üsküdar University Institute of Social Sciences, Master thesis, 2014.
  • 12. Sancar S, Demirci H, Guzelsoy M, Coban S, Askin R, Uzun, ME, Turkoglu, AR. Fear of circumcision in boys considerably vanishes within ten days of procedure. Urology Journal. 2016;13(1):2541-5.
  • 13. Altunkol A, Abat D, Topuz AN, Alma E, Gürbüz ZG, Verit A. Muslim mothers mainly saw circumcision in terms of religion or tradition but wanted it to be carried out medical professionals. Acta Paediatrica. 2020;109(2);396-403.
  • 14. Didişen NA, Karakul A, Özdemir, HNÇ. Determining the Knowledge level of parents relating to circumcision. The Journal of Pediatric Research. 2021; 8(4):424-431.
  • 15. Yıldız D, Suluhan D, Fidanci BE, Padishah W, Surer I. Circumcision: Is it For Sexual Health or Being Man?. International Journal of Caring Sciences. 2021;14(3):1771.
  • 16. Corduk N, Unlu G, Sarioglu‐Buke A, Buber A, Savran B, Zencir M. Knowledge, attitude and behaviour of boys and parents about circumcision. Acta Paediatrica. 2013;102(4): 169-173.
  • 17. Şahin F, Beyazova U, Aktürk A Attitudes and practices regarding circumcision in Turkey. Child Care Health Dev. 2003; 29(4): 275-80 18. Bartik K, & Toruner EK. Effectiveness of a preoperative preparation program on children's emotional states and parental anxiety. Journal of PeriAnesthesia Nursing, 2018; 33(6):972-980.
  • 19. Yadav M, Kodi SM, Deol, R. Effect of Preoperative Educational Schedule on Anxiety and Coping Mechanism Among Children and Their Parents: A Randomized Controlled Trail. Journal of Pediatric Surgical Nursing. 2020;9(4):127-135.
  • 20. Juanita F. The Audio-visual Distraction Minimizes the Children's Level of Anxiety During Circumcision. Jurnal Ners. 2007;2(2):95-99. 21. Buyuk ET, Odabasoglu E, Uzsen H, Koyun M. The effect of virtual reality on Children's anxiety, fear, and pain levels before circumcision. Journal of Pediatric Urology. 2021; 17(4): 567-581.
  • 22. Bozdogan Yesilot S, Ciftci H, Ozcelik Z. The effect of virtual reality on mothers' anxiety during children's circumcision: A randomized controlled study. International Journal of Nursing Practice. 2021;27(4):e12906.
  • 23. Kestel M, Tarhan H. Şahin H. Erkek Sünneti. Muğla Sıtkı Koçman Üniversitesi Tıp Dergisi. 2018);5 (1):27-33
Toplam 21 adet kaynakça vardır.

Ayrıntılar

Birincil Dil Türkçe
Konular Klinik Tıp Bilimleri
Bölüm Araştırma Makaleleri
Yazarlar

Sevim Çimke 0000-0002-2731-7134

Necip Fazıl Aras 0000-0003-2344-8409

Yayımlanma Tarihi 3 Nisan 2023
Gönderilme Tarihi 19 Eylül 2022
Yayımlandığı Sayı Yıl 2023 Cilt: 37 Sayı: 1

Kaynak Göster

Vancouver Çimke S, Aras NF. Sünnet Sonrasında Çocukların Duygusal Stres Yaşama Durumunun Belirlenmesi. DEU Tıp Derg. 2023;37(1):59-66.