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ÇOCUKLUK DÖNEMİ OBEZİTESİNİN YÖNETİMİNDE HEMŞİRENİN ROLÜ

Yıl 2011, Cilt: 13 Sayı: 1, 72 - 80, 01.04.2011

Öz

Çocukluk dönemi obezitesinin önlenmesi ve tedavisinde ilk adım, sorunun tanınması ve kabul edilmesidir. İkinci adım çocukların doğru alışkanlık kazanmalarında önemli olan ebeveyn eğitimidir. Birinci Basamak Sağlık Hizmetleri’nde çalışan hemşirelerin, çocuğu beş yaşından önce en az on iki kere değerlendirme olanağı bulunmaktadır. Bu süre hemşireler için ebeveynlerinobezite ile ilgili bilgi ve algılarlarını değerlendirmek ve girişimlerde bulunmak için uygun zamandır. Çalışmalar annelerin obezite ile ilgili bilgi ve algılarının uygun olmadığını göstermektedir. Hemşireler ebeveynlere obezitenin ne olduğu ve büyüme eğrileri ile ilişkisi hakkında eğitim vermede anahtar rol oynarlar. Bu eğitime çocuk doğduğunda başlanır ve sağlıklı çocuk ziyaretleri sırasında devam edilir. Çocukların yeme alışkanlıkları ve besin tercihleri yaşamın erken dönemlerinde öğretilmektedir. Hemşireler çocuklukdönemi obezitesinden korunma ve tedavi edilmesinde çevresel etmenleri değiştirme ve uygun hale getirmede önemli sorumluluklara sahiptirler

Kaynakça

  • Adams CK(2006) Children and Adolescent Obe- sity: A Winning way to fight this ‘Losing Battle’ Nort- heast. Florida Medicine 57(4), 47-49.
  • Akbari N, Forozandeh N, Delaram M(2007) The effects of education on parental perception of obe- sity in their 6–12 year old children. International Jo- urnal of Endocrinology and Metabolism 5(2), 76-81.
  • Akgün S, Bakar C, Kut A, Tulgar Kınık S (2006) Başkent Üniversitesi Hastanesi Pediatri Polik- liniklerine Başvuran Beş Yaş Altı Çocuklarda Obezite Görülme Sıklığı ve Etkileyen Faktörler. STED 15(4), 60-66.
  • Altındağ Ö, Sert C(2009) Çocuklarda vücut kompozisyonu ve fiziksel aktivite ilişkisi: Pilot çalış- ma. Türk Fiz. Tıp Rehabilitasyon Dergisi 55, 60–3.
  • Babaoğlu K, Hatun S(2009) Çocukluk Çağında Obezite. GEN BİLİM Türkiye Bilim sitesi. Retrieved july 10, 2009, from http://www.genbilim.com/index2.
  • Batch JA, Baur LA(2005) Management and pre- vention of obesity and its complications in children and adolescents. The Medical Journal of Australia 182(3),130–135.
  • Berberoğlu M (2008) Adölesanlarda Obezite. İÜ Cerrahpaşa Tıp Fakültesi Sürekli Tıp Eğitimi Etkinlik- leri: Adölesan Sağlığı II, Sempozyum Dizisi No:63, 78-79.
  • Bereket A(2009) Çocuk ve ergenlerde obezitenin tedavisi. Marmara Üniversitesi Tıp Fakültesi, Çocuk Endokrinoloji Bilim. GÜNCELPEDİATRİ. Retrieved july 8,2009, from http://www.guncelpediatri.com.
  • Borra ST, Kelly L, Shirreffs MB, Neville K, Ge- iger CJ(2003) Developing health messages: Qualita- tive studies with children, parents, and teachers help identify communications opportunities for healthful li- festyles and the prevention of obesity. Journal of the American Dietetic Association 103(6),721-728.
  • Branca F, Nikogosian H, Lobstein T(2007) The challenge of obesity in the WHO European Region and the strategies for response Summary. World He- alth Organization. Retrieved july 17,2009, from http://www.euro.who.int/document/E89858.pdf.
  • Burke L, Swigart V, Turk M, Derro N, Ewing L(2009) Experiences of self-monitoring: successes and struggles during treatment for weight loss. Quali- tative Health Research 19(6), 815-828.
  • Campbell M, Williams J, Hampton A, Wake M (2006) Maternal concern and perceptions of overwe- ight in Australian preschool children. The Medical Jo- urnal of Australia 184(6), 274-277.
  • Carnell S, Edwards C, Croker H, Boniface D, Wardle J(2005) Parental perceptions of overweight in 3-5 y olds. International Journal of Obesity (Lond.) 29(4), 353-355.
  • Chesser B(2006) Take Action : A Nurse practiti- oner practıce guıde for preventıon of childhood obe- sity. a master’s project submitted to the faculty of the college of nursing master of science, The University Of Arizona. Retrieved july 8,2009, from http://www.nursing.arizona.edu/Library/The_BC.pdf.
  • Crawford MA(2008) Marathoners: A Childhood Obesity Preventıon Program. A Masters project sub- mitted to the faculty of the college of nursing, The Unıversıty Of Arızona. Retrieved july 8,2009, from http://www.nursing.arizona.edu/Library/081_Craw- ford_Maria.pdf.
  • Davison KK, Francis LA, Birch LL(2005a) Links between parents’ and girls’ television viewing behaviors: A longitudinal examination. The Journal of Pediatrics 147(4), 436-442.
  • Davison KK, Francis LA, Birch LL(2005b) Re- examining obesigenic families: Parents’ obesity-rela- ted behaviors predict girls’ change in BMI. Obesity Research 13(11), 1980-1990.
  • Drohan SH (2002) Managing early childhood obesity in the primary care setting: A behavior modifi- cation approach. Pediatr Nurs, 28(6) © 2002 Jannetti Publications, Inc. Retrieved july 8,2009, from http://www.medscape.com/viewarticle/448019.
  • Eckstein KC, Mikhail LM, Ariza AJ, Thomson S, Millard SC, Binns HJ(2006) Parents’ perceptions of their child’s weight and health. Pediatrics 117(3), 681-690.
  • El-Mubasher A, Palcic JL(2008) Children and families: Partners for child weight management. obe- sity management 4(3), 130-131.
  • Esenay FI, Yigit R, Erdogan S (2010) Turkish mothers’ perceptions of their children’s weight. JSPN 15(2), 14-153.
  • Erkekoğlu P, Giray B, Şahin G (2007) Çocukluk ve adölesan dönemde kullanılan antiobezitik ilaçların toksikolojik açıdan değerlendirilmesi. Hacettepe Tıp Dergisi 38(4), 199-211.
  • Floriani V, Kennedy C (2007) Çocuklarda obezi- tenin tedavisinde/ önlenmesinde birinci basamakta fi- ziksel aktivitenin teşvik edilmesi. Current Opinion in Pediatrics (Türkçe Baskı) 2(1), 51-58.
  • Foster GD, Makris AP, Bailer BA(2005) Beha- vioral treatment of obesity. The American Journal of Clinical Nutrition 82(suppl), 230–5.
  • Freedman MR, Stern JS (2004) The Role of op- timal healing environments in the management of childhood obesity. The Journal of Alternative and Complementary Medicine 10(1 ), 231-244.
  • George D, McMillan M (2007) Obesity preventi- on in children: What is the data and how should we respond? Northeast Florida Medicine 58(4), 11-15.
  • He M, Evans A(2007) Are parents aware that the- ir children are overweight or obese? Do they care? Canadian Family Physician 53(9), 1493-1499.
  • Jeffery AN, Voss LD, Metcalf BS, Alba S, Wil- kin TJ (2004) Parents’ awareness of overweight in themselves and their children: cross sectional study within a cohort (Early Bird 21). Copyright 2004 BMJ Publishing Group Ltd. Retrieved july 10,2009,from http://www.bmj.com/cgi/rapidpdf/bmj.38315.451539 .F7v1.
  • Karasalihoğlu S (2005) Çocukluk çağı obezitesi. Turkiye Klinikleri International Journal Of Medical Sciences 1(37), 66–71.
  • Köksal G, Gökmen Özel H (2008) Çocukluk ve ergenlik döneminde obezite. Hacettepe Üniversitesi- Sağlık Bilimleri Fakültesi Beslenme ve Diyetetik Bö- lümü, ANKARA. Retrieved july 8,2009, from http://www.beslenme.saglik.gov.tr/content/files/ya- yinlar/kitaplar.
  • Latzer Y, Edmunds L, Fenig S, Golan M, Gur
  • E, Hochberg Z, Levin-Zamir D, Zubery E, Speise
  • P W, Stein D (2009) Managing childhood overweight
  • Behavior, family, pharmacology, and bariatric surgery
  • interventions. Obesity 17(3 ), 411–423.
  • Lesperance E (2007) Treatment of childhood obe- sity: Behavior modification therapy. Retrieved july 17,2009, from http://www.thedietchannel.com/Child- hood-Obesity-Treatment-With-Behavior-odificati- on.htm.
  • Öztora S, Hatipoğlu S, Barutçugil B, Salihoğlu B, Yıldırım R, Şevketoğlu E (2006) İlköğretim ça- ğındaki çocuklarda obezite prevalansının belirlenmesi ve risk etmenlerinin araştırılması. Bakırköy Tıp Dergi- si 2(1), 11-14.
  • Parlak A, Çetinkaya Ş (2007) Çocuklarda obezi- tenin oluşumunu etkileyen faktörler. Fırat Sağlık Hiz- metleri Dergisi 2(5), 24-35.
  • Pietiläinen KH, Kaprio J, Borg P, Plasqui G, Yki-Järvinen H, Kujala UM, Westerterp KR, Ris- sanen A(2008) Physical inactivity and obesity: a vici- ous circle. Obesity (Silver Spring) 16(6), 409-14.
  • Plourde G (2006) Preventing and managing pedi- atric obesity. Canadian Family Physician/ Médecin de Famille Canadien 52(3), 322–328.
  • Plummer M(2007) The Nurses role in the preven- tion of childhood obesity, Nursing 211: Research Final Version, Fall 2007, Retrieved july 8,2009, from http://nurs211f07researchfinal.blogspot.com/2007/12/ nurses-role-in-prevention-of-childhood.html.
  • Regber S, Berg-Kelly K, Marild S (2007) Paren- ting styles and treatment of adolescents with obesity. Pediatric Nursing 33(1), 21-28.
  • Şimşek F, Ulukol B, Berberoğlu M, Gülnar S, Adıyaman P, Öcal G (2005) Ankara’da bir ilköğretim okulu ve lisede obezite sıklığı. Ankara Üniversitesi Tıp Fakültesi Mecmuası 58, 163-166.
  • Uskun E, Öztürk M, Kişioğlu AN, Kırbıyık S, Demirel R (2005) İlköğretim öğrencilerinde obezite gelişimini etkileyen risk faktörleri. S.D.Ü Tıp Fakül- tesi Dergisi 12(2), 19-25.
  • Vandewater EA, Huang X (2006) Parental weight status as a moderator of the relationship between tele- vision viewing and childhood overweight. Archives of Pediatrics & Adolescent Medicine 160, 425-431.
  • Vaughn K, Waldrop J(2007) Parent education key to beating early childhood obesity. The Nurse Practitioner 32(3), 37-41.
  • Wing RR, Tate DF(2002) Behavıor Modıfıcatıon For Obesıty. ENDOTEX. Retrieved july 8,2009, from http://www.endotext.org/obesity/obesity17/obesity17. htm.

Nurse’s Role in the Management of Childhood Obesity

Yıl 2011, Cilt: 13 Sayı: 1, 72 - 80, 01.04.2011

Öz

The first step in the prevention and treatment of childhood obesity is recog- nizing and accepting the problem. The second step is parent education, which is important for making children to acquire correct eating habits. Nur- ses working in Primary Health Care have the opportunity to assess children at least twelve times before the age of five, which is the appropriate time for nurses to evaluate parental perceptions of obesity and to make necessary at- tempts. Studies carried out so far indicate that mothers’ knowledge and per- ceptions of obesity are not appropriate. Nurses play a crucial role to inform and educate the parents about the obesity in general and its relation with growth curves. This education starts when a child is born and continues du- ring the during the visits of healthy child. Children are taught healthy eating habits and food preferences at young ages. Nurses also have important res- ponsibilities for changing environmental factors and making them healthier in order to prevent and treat childhood obesity

Kaynakça

  • Adams CK(2006) Children and Adolescent Obe- sity: A Winning way to fight this ‘Losing Battle’ Nort- heast. Florida Medicine 57(4), 47-49.
  • Akbari N, Forozandeh N, Delaram M(2007) The effects of education on parental perception of obe- sity in their 6–12 year old children. International Jo- urnal of Endocrinology and Metabolism 5(2), 76-81.
  • Akgün S, Bakar C, Kut A, Tulgar Kınık S (2006) Başkent Üniversitesi Hastanesi Pediatri Polik- liniklerine Başvuran Beş Yaş Altı Çocuklarda Obezite Görülme Sıklığı ve Etkileyen Faktörler. STED 15(4), 60-66.
  • Altındağ Ö, Sert C(2009) Çocuklarda vücut kompozisyonu ve fiziksel aktivite ilişkisi: Pilot çalış- ma. Türk Fiz. Tıp Rehabilitasyon Dergisi 55, 60–3.
  • Babaoğlu K, Hatun S(2009) Çocukluk Çağında Obezite. GEN BİLİM Türkiye Bilim sitesi. Retrieved july 10, 2009, from http://www.genbilim.com/index2.
  • Batch JA, Baur LA(2005) Management and pre- vention of obesity and its complications in children and adolescents. The Medical Journal of Australia 182(3),130–135.
  • Berberoğlu M (2008) Adölesanlarda Obezite. İÜ Cerrahpaşa Tıp Fakültesi Sürekli Tıp Eğitimi Etkinlik- leri: Adölesan Sağlığı II, Sempozyum Dizisi No:63, 78-79.
  • Bereket A(2009) Çocuk ve ergenlerde obezitenin tedavisi. Marmara Üniversitesi Tıp Fakültesi, Çocuk Endokrinoloji Bilim. GÜNCELPEDİATRİ. Retrieved july 8,2009, from http://www.guncelpediatri.com.
  • Borra ST, Kelly L, Shirreffs MB, Neville K, Ge- iger CJ(2003) Developing health messages: Qualita- tive studies with children, parents, and teachers help identify communications opportunities for healthful li- festyles and the prevention of obesity. Journal of the American Dietetic Association 103(6),721-728.
  • Branca F, Nikogosian H, Lobstein T(2007) The challenge of obesity in the WHO European Region and the strategies for response Summary. World He- alth Organization. Retrieved july 17,2009, from http://www.euro.who.int/document/E89858.pdf.
  • Burke L, Swigart V, Turk M, Derro N, Ewing L(2009) Experiences of self-monitoring: successes and struggles during treatment for weight loss. Quali- tative Health Research 19(6), 815-828.
  • Campbell M, Williams J, Hampton A, Wake M (2006) Maternal concern and perceptions of overwe- ight in Australian preschool children. The Medical Jo- urnal of Australia 184(6), 274-277.
  • Carnell S, Edwards C, Croker H, Boniface D, Wardle J(2005) Parental perceptions of overweight in 3-5 y olds. International Journal of Obesity (Lond.) 29(4), 353-355.
  • Chesser B(2006) Take Action : A Nurse practiti- oner practıce guıde for preventıon of childhood obe- sity. a master’s project submitted to the faculty of the college of nursing master of science, The University Of Arizona. Retrieved july 8,2009, from http://www.nursing.arizona.edu/Library/The_BC.pdf.
  • Crawford MA(2008) Marathoners: A Childhood Obesity Preventıon Program. A Masters project sub- mitted to the faculty of the college of nursing, The Unıversıty Of Arızona. Retrieved july 8,2009, from http://www.nursing.arizona.edu/Library/081_Craw- ford_Maria.pdf.
  • Davison KK, Francis LA, Birch LL(2005a) Links between parents’ and girls’ television viewing behaviors: A longitudinal examination. The Journal of Pediatrics 147(4), 436-442.
  • Davison KK, Francis LA, Birch LL(2005b) Re- examining obesigenic families: Parents’ obesity-rela- ted behaviors predict girls’ change in BMI. Obesity Research 13(11), 1980-1990.
  • Drohan SH (2002) Managing early childhood obesity in the primary care setting: A behavior modifi- cation approach. Pediatr Nurs, 28(6) © 2002 Jannetti Publications, Inc. Retrieved july 8,2009, from http://www.medscape.com/viewarticle/448019.
  • Eckstein KC, Mikhail LM, Ariza AJ, Thomson S, Millard SC, Binns HJ(2006) Parents’ perceptions of their child’s weight and health. Pediatrics 117(3), 681-690.
  • El-Mubasher A, Palcic JL(2008) Children and families: Partners for child weight management. obe- sity management 4(3), 130-131.
  • Esenay FI, Yigit R, Erdogan S (2010) Turkish mothers’ perceptions of their children’s weight. JSPN 15(2), 14-153.
  • Erkekoğlu P, Giray B, Şahin G (2007) Çocukluk ve adölesan dönemde kullanılan antiobezitik ilaçların toksikolojik açıdan değerlendirilmesi. Hacettepe Tıp Dergisi 38(4), 199-211.
  • Floriani V, Kennedy C (2007) Çocuklarda obezi- tenin tedavisinde/ önlenmesinde birinci basamakta fi- ziksel aktivitenin teşvik edilmesi. Current Opinion in Pediatrics (Türkçe Baskı) 2(1), 51-58.
  • Foster GD, Makris AP, Bailer BA(2005) Beha- vioral treatment of obesity. The American Journal of Clinical Nutrition 82(suppl), 230–5.
  • Freedman MR, Stern JS (2004) The Role of op- timal healing environments in the management of childhood obesity. The Journal of Alternative and Complementary Medicine 10(1 ), 231-244.
  • George D, McMillan M (2007) Obesity preventi- on in children: What is the data and how should we respond? Northeast Florida Medicine 58(4), 11-15.
  • He M, Evans A(2007) Are parents aware that the- ir children are overweight or obese? Do they care? Canadian Family Physician 53(9), 1493-1499.
  • Jeffery AN, Voss LD, Metcalf BS, Alba S, Wil- kin TJ (2004) Parents’ awareness of overweight in themselves and their children: cross sectional study within a cohort (Early Bird 21). Copyright 2004 BMJ Publishing Group Ltd. Retrieved july 10,2009,from http://www.bmj.com/cgi/rapidpdf/bmj.38315.451539 .F7v1.
  • Karasalihoğlu S (2005) Çocukluk çağı obezitesi. Turkiye Klinikleri International Journal Of Medical Sciences 1(37), 66–71.
  • Köksal G, Gökmen Özel H (2008) Çocukluk ve ergenlik döneminde obezite. Hacettepe Üniversitesi- Sağlık Bilimleri Fakültesi Beslenme ve Diyetetik Bö- lümü, ANKARA. Retrieved july 8,2009, from http://www.beslenme.saglik.gov.tr/content/files/ya- yinlar/kitaplar.
  • Latzer Y, Edmunds L, Fenig S, Golan M, Gur
  • E, Hochberg Z, Levin-Zamir D, Zubery E, Speise
  • P W, Stein D (2009) Managing childhood overweight
  • Behavior, family, pharmacology, and bariatric surgery
  • interventions. Obesity 17(3 ), 411–423.
  • Lesperance E (2007) Treatment of childhood obe- sity: Behavior modification therapy. Retrieved july 17,2009, from http://www.thedietchannel.com/Child- hood-Obesity-Treatment-With-Behavior-odificati- on.htm.
  • Öztora S, Hatipoğlu S, Barutçugil B, Salihoğlu B, Yıldırım R, Şevketoğlu E (2006) İlköğretim ça- ğındaki çocuklarda obezite prevalansının belirlenmesi ve risk etmenlerinin araştırılması. Bakırköy Tıp Dergi- si 2(1), 11-14.
  • Parlak A, Çetinkaya Ş (2007) Çocuklarda obezi- tenin oluşumunu etkileyen faktörler. Fırat Sağlık Hiz- metleri Dergisi 2(5), 24-35.
  • Pietiläinen KH, Kaprio J, Borg P, Plasqui G, Yki-Järvinen H, Kujala UM, Westerterp KR, Ris- sanen A(2008) Physical inactivity and obesity: a vici- ous circle. Obesity (Silver Spring) 16(6), 409-14.
  • Plourde G (2006) Preventing and managing pedi- atric obesity. Canadian Family Physician/ Médecin de Famille Canadien 52(3), 322–328.
  • Plummer M(2007) The Nurses role in the preven- tion of childhood obesity, Nursing 211: Research Final Version, Fall 2007, Retrieved july 8,2009, from http://nurs211f07researchfinal.blogspot.com/2007/12/ nurses-role-in-prevention-of-childhood.html.
  • Regber S, Berg-Kelly K, Marild S (2007) Paren- ting styles and treatment of adolescents with obesity. Pediatric Nursing 33(1), 21-28.
  • Şimşek F, Ulukol B, Berberoğlu M, Gülnar S, Adıyaman P, Öcal G (2005) Ankara’da bir ilköğretim okulu ve lisede obezite sıklığı. Ankara Üniversitesi Tıp Fakültesi Mecmuası 58, 163-166.
  • Uskun E, Öztürk M, Kişioğlu AN, Kırbıyık S, Demirel R (2005) İlköğretim öğrencilerinde obezite gelişimini etkileyen risk faktörleri. S.D.Ü Tıp Fakül- tesi Dergisi 12(2), 19-25.
  • Vandewater EA, Huang X (2006) Parental weight status as a moderator of the relationship between tele- vision viewing and childhood overweight. Archives of Pediatrics & Adolescent Medicine 160, 425-431.
  • Vaughn K, Waldrop J(2007) Parent education key to beating early childhood obesity. The Nurse Practitioner 32(3), 37-41.
  • Wing RR, Tate DF(2002) Behavıor Modıfıcatıon For Obesıty. ENDOTEX. Retrieved july 8,2009, from http://www.endotext.org/obesity/obesity17/obesity17. htm.
Toplam 47 adet kaynakça vardır.

Ayrıntılar

Birincil Dil Türkçe
Bölüm Research Article
Yazarlar

Rana Yiğit Bu kişi benim

Yayımlanma Tarihi 1 Nisan 2011
Yayımlandığı Sayı Yıl 2011 Cilt: 13 Sayı: 1

Kaynak Göster

APA Yiğit, R. (2011). ÇOCUKLUK DÖNEMİ OBEZİTESİNİN YÖNETİMİNDE HEMŞİRENİN ROLÜ. Hemşirelikte Araştırma Geliştirme Dergisi, 13(1), 72-80.