BİR SAĞLIK OCAĞI BÖLGESİNDEKİ BEBEKLERDE ANİ BEBEK ÖLÜMÜ SENDROMU İLE İLGİLİ RİSK FAKTÖRLERİNİN BELİRLENMESİ

Öz

Amaç: Çalışma, bir sağlık ocağı bölgesinde altı ayın altındaki bebeklerin“ani bebek ölümü sendromu” ile ilgili risk faktörlerini belirlemek amacıylayapılmıştır. Yöntem: Tanımlayıcı, kesitsel tipteki çalışmanın evrenini; 1 Ocak 2009–31Mayıs 2009 tarihleri arasında doğan bebekler n:73 ve anneleri oluşturmuştur. Anket formları annelerle yüz yüze görüşülerek doldurulmuştur. Elde edilen veriler bilgisayar ortamında Ki-kare, Fisher exact testleri ve yüzdelik tablolar ile değerlendirilmiştir.Bulgular: Bebeklerin %68.5’i pasif sigara içicisi, %56.2’si erkek, %65.8’i0-4 aylık idi ve anneleri ile aynı yatakta %26 , yumuşak yatak yüzeyinde %21.9 , yüzüstü pozisyonda %31.5 , yüzü örtülü olarak %49.3 yatırılıyordu. Anne eğitimi ve aile tipi gibi değişkenlerle bebeğin yatağının özelliğiarasında ilişki belirlendi p

Anahtar Kelimeler

• Ani bebek ölümü sendromu,bebek,risk faktörü

Determination of Risk Factors Related to Sudden Infant Death Syndrome in Infants in a Health Centre Region

Öz

Objective: This study was done to determine the risk factors for “sudden infant death syndrome” in infants less than six months in a health care centre. Method: The universe of this descriptive and cross- sectional study consisted of infants 73 and their mothers that were observed in January 2009- May 2009. The survey forms were administered using interview technique to mothers. The survey forms were administered using interview technique to mothers. The data obtained were investigated by Chi-square analysis, fisher exact test and percentage tables.Result: 68.5% of the infants were passive smokers, 56.2% were males , 65.8% were 0-4 months and were being kept in the same bed with their mothers 26% , on a soft mattress 21.9% , prone sleeping position 31.5% , as a veiled face 49.3% while they were sleeping. There was statistically significant relationship between the variables such as mother’s education, family type and the characteristics of the infant’s mattress. Conclusion: Passive smoking, 0-4 months and being male infant, sleeping while the face was covered were determined as risk factors. All mothers should be informed about prevention of the risk factors.

Anahtar Kelimeler

• Sudden infant death syndrome,infant,riskfactor

Kaynakça

1. Alm B, Lagercrantz H, Wennergren G (2006) Stop SIDS sleeping solitary supine, sucking soother, stopping smoking substitutes. Acta Paediatrica 95, 260-262.
2. American Academy of Pediatrics (AAP)(2000) Task force on infant sleep position and sudden infant death syndrome. Changing concepts of sudden infant death syndrome: Implications for infant sleeping envi- ronment and sleep position. Pediatrics 105(3), 650- 656.
3. Blair, PS, Fleming PJ, Smith IJ, Ward Platt M, Young J, Nadin P, Berry PJ, Golding J, ve CESDI SUDI research group(1999) Babies sleeping with parents: Case-control study of factors influencing the risk of sudden infant death syndrome. British Medical Journal 319, 1457-1462.
4. Blair PS, Ward Platt M, Smith IJ, Fleming PJ, CESDI SUDI Research Group(2006a). Sudden in- fant death syndrome and sleeping position in pre-term and low birth weight infants: An opportunity for targe- ted intervention. Archives of Disease in Childhood 91, 101-106.
5. Blair PS, Sidebotham P, Berry PJ, Evans M, Fleming PJ(2006b) Major epidemiological changes in sudden infant death syndrome: A 20-year populati- on-based study in the UK. Lancet 367(28), 314-319.
6. Blair PS, Sidebotham P, Combe CE, Edmonds M, Heackstal-Smith EMA, Fleming P(2009) Hazar- dous co sleeping environments and risk factors ame- nable to change: Case-control study of SIDS in south west England. British Medical Journal 339, b3666.
7. Bredemeyer SL(2004) Implentation of the SIDS Guidelines in midwifery practice. Australian Midwi- fery 17(4),17-21.
8. Bucley P, Rigda RS, Mundy L, McMillen IC (2002) Interaction between bed sharing and other sle- ep environments during the first six month life. Early Human Development 66,123-132.

9. Çalışır H, Özvurmaz S, Tuğrul E (2007) Aydın il merkezindeki 0-11 aylık bebeklerde ani bebek ölümü sendromu ile ilgili risk faktörlerinin incelenmesi. C.Ü.Hemşirelik Yüksekokulu Dergisi 11(2), 7-17.
10. Gilbert R, Salanti G, Harden M, See S (2005) Infant Sleeping Position and SIDS: Systematic reviwv of observational studies and historical review of re- commendation from 1940 to 2002. Intarnational Jour- nal of Epidemiyology 34, 874-887.
11. Gökçe S, Baysal SU(2004) Ani bebek ölüm send- romu. İstanbul Tıp Fakültesi Mecmuası 67(1), 56-61.
12. Hauch R, Hunt C (2000) Sudden infant death syndrome in 2000. Current Problems in Pediatrics 30, 41-61.
13. Hunt CE, Lesko SM, Vezina RM, McCoy R, Corwin MJ, Mandell F, Willinger M, Hoffman HJ, Mitchell AA(2003) Infant sleep position and associ- ated health outcomes. Archives of Pediatrics & Ado- lescent Medicine 157, 469-474.
14. Hunter JG, Malloy M(2002) Effect of sleep and play positions on infant development: Reconciling de- velopmental concerns with SIDS prevention. Newborn and Infant Nursing Review 2(19), 9-16.
15. Kahn A, Sawaguchi T, Sawaguchi A, Groswas- serJ, Franco P, Scaillet S, Kelmanson I, Dan B (2002) Sudden infant deaths: From epidemiyology to physi- ology. Forensic Science International 130(5), 8-20.
16. Koturoğlu G, Akşit S, Kurugöl Z (2004) Ege Üniversitesi Tıp Fakültesi Çocuk Polikliniğinde izle- nen bebeklerin yatış pozisyonunun değerlendirilmesi. Türk Pediatri Arşivi 39, 78-82.
17. Leiter JC, Böhm I (2007) Mechanism of patho- genesis in the sudden infant death syndrome respira- tory. Physiology and Neurobiyology 159, 127-138.
18. McKinney CM, Halt UL, Cunningham ML, Le- roux BG, Starr JR(2008) Maternal and infant cha- racteristics associated with prone and lateral infant sle- ep positioning in Washington State, 1996-2002. Jour- nal of Pediatrics 153(2), 194-198.
19. Mitchell EA(2009) Risk factors for SIDS, We al- ready know enough; the challenge is how to change behavior. British Medical Journal 339, 873-874.
20. Mizzi J, Parscandalo RP, Montalto SA(2008) SIDS and infant saleeping position: Audit on the advi- sory campaing in Malta. Malta Medical Journal 20(4), 21-23.
21. Moon RY, Weese-Mayer MD, Silvestri JM (2003) Night time child care: Inadequate sudden infant death syndrome risk factor knowledge, practice and policies. Pediatrics 111(4), 795-799.
22. Nelson EAS, Taylor BJ(2001) International child care practice study. Infant sleeping envinronmet. Early Human Development 62, 43-55.
23. Polat A, Kavak N, Kavak S, Akalın N(1996) İn- fant uyuma pozisyonu ve bazı sosyodemografik özel- likler. Ege Pediatri Bülteni 3(4), 237- 239.
24. Sahni R, Fifer WP, Myers MM(2007) Ani bebek ölümü sendromu riski olan bebeklerin belirlenmesi. Current Opinion Pediatrics Turkish Edition 2(2), 59-65.
25. Scragg R, Mitchell EA, Taylor BJ, Stewart AW, Ford RP, Thompson JM, Allen EM, Becroft DM (1993) Bed sharing, smoking, and alcohol in the sud- den death syndrome. New Zealand Cot Death Study Group. British Medical Journal 307, 1312-1318.
26. Spitzer AR (2005) Current controversies in the pathophysiology and prevention of sudden infant de- ath syndrome. Neonatology and Perinatology, Current Opinion in Pediatrics 17(2), 181-185.
27. Sulliven FM, Barlow SM(2001) Review of risk factors for sudden infant death syndrome. Paediatric and Perinatal Epidemiology 15, 144-200.
28. Tappin D, Ecob R, Brooke H (2005) Bed sharing, room sharing, and sudden infant death syndrome in Scotland: A case control study. Journal of Pediatrics 147, 32-37.
29. Türkiye İşçi Sendikaları Konfederasyonu Araş- tırma Merkezi(Aralık 2007) Aralık 2007 Açlık Yok- sulluk Sınırı. http:// www. turkis.org.tr ( Erişim: Ocak 2008).
30. Wong DL, Hockenberry-Eaten M (2008) Wong’s Essentials of Pediatric Nursing. (8th ed.), St. Louis, Mosby Qnc. 404-405.
31. Zotter H, Kerbl R, Schwantzer G, Kurz R, Einspieler C(2004) Sudden infant death syndrome risk questionnaire: A mirror of parental awareness rat- her than prospective diagnostic tool. Acta Paediatrica 93, 255-257.