BESİN ALERJİSİ OLAN ÇOCUĞUN ANNESİ OLMAK: STRES, YILMAZLIK VE ANNELİK FONKSİYONU

Yıl 2023, Cilt: 4 Sayı: 2, 221 - 234, 21.09.2023

Aylin Kurt , Fatma Dinç , Tülin Kurt Alkan

Öz

Amaç: Besin alerjisi olan çocukların annelerinin yaşadığı stres, annelik fonskiyonu ve yılmazlığı arasındaki ilişkiyi incelemeyi amaçladık.
Yöntem: Bu kesitsel çalışma, bir sağlık uygulama ve araştırma merkezinin çocuk alerji polikliniğinde Mart-Aralık 2022 tarihleri arasında çocuğuna besin alerjisi/intoleransı tanısı konulan 372 anne ile yapıldı. Tanıtıcı Bilgi Formu, Ebeveynlik Stres Ölçeği Türkçe Formu, Barkın Annelik Fonksiyonu Ölçeği ve AnneYılmazlık Ölçeği veri toplama formlarıdır. Bulgular: Çocukların %59.5'i kızdı ve yaş ortalaması 8.00±7.56 aydı. Çocukların %73.8'i besin alerjisi, %26.2'si besin intoleransı tanısı almıştı. Hekim tarafından besin alerjisi (r=0.623, p=0.000) ve intolerans (r=0.767, p=0.006) tanısı alan çocukların annelerinin annelik fonksiyonu arttıkça yılmazlık düzeyi de yükseliyordu. Stres ile annenin yılmazlığı ve annenin işlevi arasında ilişki yoktu (p>0.05).
Sonuç: Özel beslenme gereksinimi olan ve alerjik astım/rinit semptomları olan besin alerjisi olan çocukların ebeveynlerine destek olunması, tedavi ve bakım programlarının oluşturulması önerilmektedir.

Anahtar Kelimeler

Çocuk, besin alerjisi, anne, stres, yılmazlık

BEING MOTHER OF A CHILD WITH FOOD ALLERGY: STRESS, RESILIENCE AND MATERNAL FUNCTION

Öz

Aim: We aimed to examine the relationship between the stress experienced by mothers of children with food allergy and resilience and maternal function of mothers.
Methods: This cross-sectional study was conducted with 372 mothers whose child was diagnosed with food allergy/intolerance between March and December 2022 in the pediatric allergy outpatient clinic of a health practice and research center. Introductory Information Form, Parenting Stress Scale Turkish Form, Barkin Maternal Function Scale and Mother Resilience Scale were data collection forms.
Results: In this study, 59.5% of the children were girls and the mean age was 8.00±7.56 months. 73.8% of the children had a diagnosis of food allergy and 26.2% of them had a diagnosis of food intolerance. The level of resilience increased as the maternal function of mothers of children diagnosed with food allergy (r=0.623, p=0.000) and intolerance (r=0.767, p=0.006) by the physician increased. There was no relationship between stress and maternal resilience and maternal function (p>0.05).
Conclusion: It is recommended that parents of children with food allergies who have special dietary needs and allergic asthma/rhinitis symptoms be supported, and that treatment and care programs should be established.

Anahtar Kelimeler

Child, food allergy, mother, stress, resilience

Kaynakça

• Aika, S., Ito, M., & Yamamoto, Y. (2017). Food allergy response capabilities of mothers and related factors. Nursing and Health Sciences, 19(3), 340–350. https://doi.org/10.1111/nhs.12351
• Alanne, S., Laitinen, K., Söderlund, R., & Paavilainen, E. (2012). Mothers’ perceptions of factors affecting their abilities to care for infants with allergy. Journal of Clinical Nursing, 21(1–2), 170–179. https://doi.org/10.1111/j.1365-2702.2010.03587.x
• Aydın, R., & Kukulu, K. (2018). Adaptation of the Barkin Scale of Maternal Functioning and Examination of the Psychometric Properties. Health Care for Women International, 39(1), 50–64. https://doi.org/10.1080/07399332.2017.1385616.
• Aydoğan, D., & Özbay, Y. (2017). Validity and reliability study of the Parenting Stress Scale. International Journal of Early Childhood Education Studies, 2(2), 24–38.
• Bakaniene, I., Prasauskiene, A., & Vaiciene-Magistris, N. (2016). Health-related quality of life in children with myelomeningocele: a systematic review of the literature. Child: Care, Health and Development, 42(5), 625–643. https://doi.org/10.1111/cch.12367
• Barkin, J. L., Wisner, K. L., & Wisniewski, S. R. (2010). The Psychometric Properties of the Barkin Index of Maternal Functioning. Journal of Women’s Health, 19(12), 2239–2246. https://doi.org/10.1111/1552-6909.12505
• Beken, B., Celik, V., Gokmirza Ozdemir, P., Sut, N., Gorker, I., & Yazicioglu, M. (2019). Maternal anxiety and internet-based food elimination in suspected food allergy. Pediatric Allergy and Immunology, 30(7), 752–759. https://doi.org/10.1111/pai.13100
• Broome, S. B., Lutz, B. J., & Cook, C. (2015). Becoming the parent of a child with life-threatening food allergies. Journal of Pediatric Nursing, 30(4), 532–542. https://doi.org/10.1016/j.pedn.2014.10.012
• Chooniedass, R., Soller, L., Hsu, E., To, S., Cameron, S. B., & Chan, E. S. (2020). Parents of children with food allergy: A qualitative study describing needs and identifying solutions. Annals of Allergy, Asthma and Immunology, 125(6), 674–679. https://doi.org/10.1016/j.anai.2020.05.014
• Chow, C., Pincus, D. B., & Comer, J. S. (2015). Pediatric food allergies and psychosocial functioning: Examining the potential moderating roles of maternal distress and overprotection. Journal of Pediatric Psychology, 40(10), 1065–1074. https://doi.org/10.1093/jpepsy/jsv058
• Cuervo-Pardo, L., Barcena-Blanch, M. A., Gonzalez-Estrada, A., & Schroer, B. (2015). Apps for food allergy: A critical assessment. Journal of Allergy and Clinical Immunology: In Practice, 3(6), 980-981.e1. https://doi.org/10.1016/j.jaip.2015.06.011
• Cummings, A. J., Knibb, R. C., Erlewyn-Lajeunesse, M., King, R. M., Roberts, G., & Lucas, J. S. A. (2010). Management of nut allergy influences quality of life and anxiety in children and their mothers. Pediatric Allergy and Immunology, 21, 586–594. https://doi.org/10.1111/j.1399-3038.2009.00975.x
• Düzgün, M., Yazıcı, B., Sevdin, S., & Kermen, S. (2019). Evaluation of the presence of cow's milk protein allergy in 0-6 month old infants. Journal of Health and Life Sciences, 1(2), 7–11. https://doi.org/10.33308/2687248x.201912145
• Hoehn, J. L., Dahlquist, L. M., Hahn, A. L., & Bollinger, M. E. (2017). Parents of children with food allergy: Gender differences in perceived impact and perceived food allergy severity. Journal of Pediatric Psychology, 42(2), 186–197. https://doi.org/10.1093/jpepsy/jsw059
• Kaner, S., & Bayraklı, H. (2010). Psychometric Properties of the Maternal Resilience Scale. Educational Sciences and Practice, 9(17), 77–94. https://doi.org/10.21097/ksw.2016.02.11.1.117
• King, R. M., Knibb, R. C., & Hourihane, J. O. B. (2009). Impact of peanut allergy on quality of life, stress and anxiety in the family. Allergy, 64(3), 461–468. https://doi.org/10.1111/j.1398-9995.2008.01843.x
• MacKenzie, H., Grundy, J., Glasbey, G., Dean, T., & Venter, C. (2015). Information and support from dietary consultation for mothers of children with food allergies. Annals of Allergy, Asthma and Immunology, 114(1), 23–29. https://doi.org/10.1016/j.anai.2014.10.001
• Moen, Ø. L., Opheim, E., & Trollvik, A. (2019). Parents experiences raising a child with food allergy; A qualitative review. Journal of Pediatric Nursing, 46, e52–e63. https://doi.org/10.1016/j.pedn.2019.02.036
• Pitchforth, E., Weaver, S., Willars, J., Wawrzkowicz, E., Luyt, D., & Dixon-Woods, M. (2011). A qualitative study of families of a child with a nut allergy. Chronic Illness, 7(4), 255–266. https://doi.org/10.1177/1742395311411591
• Prescott, S. L., Pawankar, R., Allen, K. J., Campbell, D. E., Sinn, J. K. H., Fiocchi, A., Ebisawa, M., Sampson, H. A., Beyer, K., & Lee, B. W. (2013). A global survey of changing patterns of food allergy burden in children. World Allergy Organization Journal, 6(1), 1–12. https://doi.org/10.1186/1939-4551-6-21
• Rouf, K., White, L., & Evans, K. (2012). A qualitative investigation into the maternal experience of having a young child with severe food allergy. Clinical Child Psychology and Psychiatry, 17(1), 49–64. https://doi.org/10.1177/1359104511415636
• Sapan, N., Demir, E., Tamay, Z., Akçakaya, N., Güler, N., Yazıcıoğlu, M., Karaman, Ö., Akçay, A., & Öneş, Ü. (2013). "Pediatric allergy and asthma academy ” food allergy diagnosis and treatment protocol. Turkish Journal of Pediatrics Archive, 48, 270–274.