Pediatri Yoğun Bakım Ünitesinden Taburcu Olan Çocuk ve Ebeveynlerinde Travma Sonrası Stres Bozukluğunun Değerlendirilmesi

Yıl 2023, Cilt: 33 Sayı: 2, 212 - 218, 30.04.2023

Ayşegül Karaca , Ayfer Açıkgoz

https://doi.org/10.54005/geneltip.1234458

Öz

ÖZ
Amaç: Çalışma, yoğun bakım ünitesinde yatmış 8-12 yaş arası çocuklar ve ebeveynlerinde TSSB (Travma Sonrası Stres Bozukluğu) gelişimini belirlemek amacıyla yapıldı.
Yöntem: Kesitsel tipte bir çalışmadır. Çalışmaya; 110 çocuk, 98 anne ve 80 baba dahil edildi.
Bulgular: Çocuklarda TSSB puanı ortalaması 34,46±15,89, annelerde 53,66±16,93, babalarda 33,24±14,61 olarak bulundu. Çocuk, anne ve babanın TSSB puanları arasında pozitif yönde ilişki saptandı (p<0,05).
Sonuç: Çalışma sonucunda yoğun bakımda yatan çocuklarda ve ebeveynlerinde TSSB gelişebildiği görüldü.
Anahtar Kelimeler: Çocuk, Yoğun Bakım, Aile, TSSB

Anahtar Kelimeler

Çocuk, Yoğun Bakım, Aile, TSSB

Posttraumatic Stress Disorder in Parents and Children After Discharge From the Pediatric Intensive Care Unit

Öz

Posttraumatic Stress Disorder in Parents and Children After Discharge
From the Pediatric Intensive Care Unit

ABSTRACT
Background/Aims: This study was conducted to determine the development of post-traumatic stress disorder (PTSD) in children who had spent time in an intensive care unit as well as in their parents.
Methods: The study was a cross-sectional study. 110 children, 98 mothers and 80 fathers were included in the study.
Results: A positive relationship was found between the PTSD scores of the children, the mothers and the fathers (p<0.05).
Conclusion: The study found that PTSD could develop in children and their parents after the children had been hospitalized in intensive care.
Keywords: Child, Intensive Care, Parent, PTSD

Anahtar Kelimeler

Child, Intensive Care, Parent, PTSD, Çocuk, Yoğun Bakım, Aile, TSSB

Kaynakça

• Aykut S. The importance of social work on the basis of post-traumatic stress disorder and the Covid-19. Pandemic Toplumsal Politika Dergisi, 2020; 1(1): 56-66.
• American Psychiatric Association. Desk reference to the diagnostic criteria from DSM-5,. American Psychiatric Publishing, 2013; 143-155.
• American Psychiatric Association. Diagnostic and statistical manual of mental disorders: DSM-IV,. 1994; 4th ed. Washington (DC): American Psychiatric Association.
• Düzkaya DS, Yıldız S. Posttraumatic stress disorder after discharge in pediatric intensive care unit. Journal of Health Science and Profession, 2014; 1(1): 46-57. https://doi.org/10.17681/hsp.61946
• Erer M, Akbaş M, Yıldırım G. Evolutionary development of nursing process. Lokman Hekim Dergisi, 2017; 7(1): 1-5.
• Çavuşoğlu H. Çocuk Sağlığı Hemşireliği. Ankara, Turkey: Sistem Ofset Basımevi; 2019; 51-67.
• Weathers Frank W, et al. "The PTSD Checklist (PCL): Reliability, Validity, And Diagnostic Utility." Annual Convention Of The İnternational Society For Traumatic Stress Studies, San Antonio, TX. 1993; Vol. 462.
• Kocabaşoğlu N, et al. The validity and safety of turkish “PTSD checklist - civilian version (PCL - C) scale. Yeni Symposium, 2005; 43(3): 126-134.
• Pynoos RS, et al. Life Threat And Posttraumatic Stress İn School-Age Children. Archives of General Psychiatry, 1987; 44(12): 1057-1063. http://doi.org/10.1001/archpsyc.1987.01800240031005
• Erden G, et al. The Validity And Reliability Study Of Turkish Version Of Child Posttraumatic Stress Reaction İndex. Çocuk ve Gençlik Ruh Sağlığı Dergisi, 1999; 6(3): 143-149.
• Köse SK. Korelasyon ve regresyon analizi. 2019. (Retrieved: November 25, 2019), Retrieved from http://www.scribd.com/doc/2066772/korelasyonanalizi
• Rady HI, et al. Increased Psychiatric Risk İn Children After Pediatric İntensive Care Unit Admission. The Journal Of Nervous And Mental Disease, 2020; 208(2): 147-151. http://doi.org/10.1097/NMD.0000000000001123
• Stowman S, et al. Mediators Of İnitial Acute And Later Posttraumatic Stress İn Youth İn A PICU. Pediatric Critical Care Medicine, 2015; 16(4): e113-e118. http://doi.org/10.1097/PCC.0b013e31822f1916
• Rees G, et al. Psychiatric Outcome Following Paediatric İntensive Care Unit (PICU) Admission: A Cohort Study. Intensive Care Medicine, 2004; 30(8): 1607-1614. http://doi.org/10.1007/s00134-004-2310-9
• Terp K, Sjöström-Strand A. Parents Experiences And The Effect On The Family Two Years After Their Child Was Admitted To A PICU—An İnterview Study. Intensive And Critical Care Nursing, 2017; 43: 143-148. https://doi.org/10.1016/j.iccn.2017.06.003
• Woolf C, et al. Early Traumatic Stress Responses İn Parents Following A Serious İllness İn Their Child: A Systematic Review. Journal Of Clinical Psychology İn Medical Settings, 2016; 23(1): 53-66. http://doi.org/10.1007/s10880-015-9430-y
• Masa’deh R, Jarrah S.Post Traumatic Stress Disorder İn Parents Of Children With Cancer İn Jordan. Archives Of Psychiatric Nursing, 2017; 31(1), 8-12. https://doi.org/10.1016/j.apnu.2016.07.012
• Moğulkoç H. Determiners Of Posttraumatic Stress Disorder And Posttraumatic Growth İn Parents Of Children And Adolescent With Cancer: Social Support, Rumination And Explanatory Styles (Master Thesis). Uludağ Üniversitesi, Bursa (in Turkish); 2014.
• Ay B. Comparison Of Executive Functions İn Adolescent With Post Traumatic Stress Disorder Who Exposed To Different Trauma Types With Healthy Controls (Master Thesis). Dokuz Eylül University Medical School Children And Adolescent Mental Health And Diseases Department, İzmir (in Turkish); 2018.
• Okcu E. Travmaya Maruz Kalan Çocuklarda TSSB Gelişimi ve Şiddetiyle İlişkili Faktörlerin İncelenmesi (The Factors Related To Development Of Post-Traumatic Stress Disorder And Violence İn Children) (Master Thesis). Hasan Kalyoncu University, Gaziantep (in Turkish); 2016.
• Akça SÖ, et al. (2018). Effect Of Gender And Age Differences On Depression Of Adolescents, Anxiety Disorder, Self-İnjury, Psychosis, Post-Traumatic Stress Disorder, Alcohol-Drug Addiction And Attention Deficit Hyperactivity Disorder. Dicle Medical Journal, 2018, 45(3): 255-264. https://doi.org/10.5798/dicletip.457235
• Gizli Çoban Ö. Assesment Of Psychopathology, Quality Of Life, Post Traumatic Stress Disorder And Behavioral Disorders İn Healthy Siblings Of Children Who Underwent Bone Marrow Transplantation (Master Thesis). Akdeniz University, Faculty Of Medicine, Department Of Child And Adolescent Mental Health And Diseases. Antalya (İn Turkish), 2016.
• Ayaz AB, et al. Traumatic Symptoms And Related Factors İn Adolescents After A Friend's Death. Klinik Psikiyatri Dergisi, 2012; 15(4): 199-207.
• Burg MM, Soufer R. Post-Traumatic Stress Disorder And Cardiovascular Disease. Current Cardiology Reports, 2016; 18(10): 1-7. https://doi.org/10.1007/s11886-016-0770-5
• Cordova MJ, et al. Post-Traumatic Stress Disorder And Cancer. The Lancet Psychiatry, 2017; 4(4): 330-338. https://doi.org/10.1016/S2215-0366(17)30014-7
• Orsini A, et al. Post-Traumatic Stress, Anxiety, And Depressive Symptoms in Caregivers Of Children Tested For COVID-19 in The Acute Phase Of The Italian Outbreak. Journal Of Psychiatric Research, 2021; 135: 256-263. https://doi.org/10.1016/j.jpsychires.2021.01.024
• Polimanti R, et al. Association Of Economic Status And Educational Attainment With Posttraumatic Stress Disorder: A Mendelian Randomization Study. JAMA Network Open, 2019; 2(5): e193447-e193447. https://doi.org/10.1001/jamanetworkopen.2019.3447
• Kaynak H, Özçelik ÇÇ. The Effect Of Parents On The Hospital Anxiety Level Of Hospitalized Children. Koç Üniversitesi Hemşirelikte Eğitim ve Araştırma Dergisi, 2020; 17(4): 312-316. https://doi.org/10.5222/HEAD.2020.65471
• Lopes-Júnior LC, et al.Psychological And Psychiatric Outcomes Following PICU Admission: A Systematic Review Of Cohort Studies. Pediatric Critical Care Medicine, 2018; 19(1): e58-e67. https://doi.org/10.1097/PCC.0000000000001390