ÖZET
Amaç:
Bu araştırma, annelere Ani Bebek Ölüm Sendromu (ABÖS) ve güvenli uyku konusunda verilen eğitimin etkinliğinin incelenmesi amacıyla yapılmıştır.
Gereç ve Yöntem:
Bu araştırma yarı deneysel, tek gruplu ön test-son test tasarımında bir çalışmadır. Araştırma Ağustos 2018-Şubat 2019 tarihleri arasında yenidoğan polikliniğine bebeğini getiren 0-1 ay arası bebeği olan 207 anne ile yürütülmüştür. Araştırmada 207 anne eğitime alınmış, eğitim sonrasında 141 anne ile araştırma tamamlanmıştır. Eğitim öncesinde annelere ön test uygulanmıştır. Araştırmacı tarafından konuya ilişkin PowerPoint sunumu ile eğitim yapılmış ve eğitim videosu izletilmiştir. Eğitim sonrasında annelere son test uygulanmıştır. Eğitimlerden 1 ay sonrasında eğitim verilen annelerden poliklinik randevularına gelen annelere takip testi uygulanmıştır.
Bulgular:
Eğitim öncesinde annelerin, %51,2’sinin bebeklerini yan pozisyonda, %67,1’inin yumuşak yatakta yatırdığı, %57,5’inin ise yastık kullandığı belirlenmiştir. Annelerin ortalama ön test puanı 5,65±1,85, ortalama son test puanı 9,89±0,33 ve eğitimden bir ay sonra ortalama takip puanı 8,95±1,07’dir. Annelerin eğitim öncesi, eğitimden hemen sonrası ve eğitimden 1 ay sonrası puan ortalamaları arasında istatistiksel olarak anlamlı fark bulunmuştur (p<0,05).
Sonuç:
Çalışmada annelerin ABÖS risk oluşturan davranışlarda bulunduğu ve bebeklerini güvenli olmayan uyku ortamında uyuttuğu bulunmuştur. Annelerin çoğunluğunun bebeklerini yan pozisyonda uyuttuğu, yumuşak yatak ve yastık kullandığı belirlenmiştir. Annelere ABÖS ve güvenli uyku konusunda verilen eğitimin etkili olduğu sonucuna varılmıştır.
References
1
Moon RY, Fu L. Sudden infant death syndrome: an update. Pediatr Rev 2012;33:314-20.
2
Task Force On Sudden Infant Death Syndrome. SIDS and Other Sleep-Related Infant Deaths: Updated 2016 Recommendations for a Safe Infant Sleeping Environment. Pediatrics 2016;138:e20162938.
3
Centers for Disease Control and Prevention (CDC). Sudden unexpected infant death and sudden infant death sydrome. Available from: https://www.cdc.gov/sids/index.htm.
4
Goldstein RD, Trachtenberg FL, Sens MA, Harty BJ, Kinney HC. Overall Postneonatal Mortality and Rates of SIDS. Pediatrics 2016;137:e20152298.
5
Alparslan Ö, Uçan S. Determination of risk factors related to sudden infant death syndrome in infants in a health centre region. Journal of Research and Development in Nursing 2011;13:25–34.
6
Yikilkan H, Unalan PC, Cakir E, Ersu RH, Cifcili S, Akman M, Uzuner A, Dagli E. Sudden infant death syndrome: how much mothers and health professionals know. Pediatr Int 2011;53:24-8.
7
Healthy People. Available from: https://www.healthypeople.gov/node/4830/data_details
8
Whiteside-Mansell L, Nabaweesi R, Caballero AR, Mullins SH, Miller BK, Aitken ME. Assessment of Safe Sleep: Validation of the Parent Newborn Sleep Safety Survey. J Pediatr Nurs 2017;35:30-5.
9
Task Force on Sudden Infant Death Syndrome; Moon RY. SIDS and other sleep-related infant deaths: expansion of recommendations for a safe infant sleeping environment. Pediatrics 2011;128:e1341-67.
10
Carlin RF, Moon RY. Risk Factors, Protective Factors, and Current Recommendations to Reduce Sudden Infant Death Syndrome: A Review. JAMA Pediatr 2017;171:175-80.
11
Gelfer P, Cameron R, Masters K, Kennedy KA. Integrating "Back to Sleep" recommendations into neonatal ICU practice. Pediatrics 2013;131:e1264-70.
12
Adams SM, Ward CE, Garcia KL. Sudden infant death syndrome. Am Fam Physician 2015;91:778-83.
13
Çalışır H, Özvurmaz S, Tuğrul, E. The ınvestigation of risk factors for sudden ınfant death syndrome (sids) in 0-11 month old ınfants in Aydın province center. Journal of Cumhuriyet University School of Nursing 2007;11:7-17.
14
Efe E, Balcı Yangın H, Eravşar K. Mother' knowledge about sudden infant death syndrome and risk factors living in the region of two primary health centers in Antalya. The Journal of the Child 2007;7:255-61.
15
Erdoğan Ç, Turan T. Risky Behaviors of Mothers with Infants on Sudden Infant Death Syndrome in Turkey. J Pediatr Nurs 2018;38:e2-6.
16
Grazel R, Phalen AG, Polomano RC. Implementation of the American Academy of Pediatrics recommendations to reduce sudden infant death syndrome risk in neonatal intensive care units: An evaluation of nursing knowledge and practice. Adv Neonatal Care 2010;10:332-42.
17
Pinho AP, Nunes ML. Epidemiological profile and strategies for diagnosing SIDS in a developing country. J Pediatr (Rio J) 2011;87:115-22.
18
Efe E, İnal S, Bal Yılmaz H, Çetin H, Turan T, Altun E, Çalışır H, Arıkan D. Nurses’ and paediatricians’ knowledge about infant sleeping positions and the risk of sudden infant death syndrome in Turkey. HealthMED 2012;6:140-7.
19
Bezerra MADL, Carvalho KM, Bezerra JLDO, Novaes LFG, Moura THMD, Leal LP. Factors associated with knowledge of mothers on Sudden Infant Death Syndrome. Escola Anna Nery 2015;19:303-9.
20
Varghese S, Gasalberti D, Ahern K, Chang JC. An analysis of attitude toward infant sleep safety and SIDS risk reduction behavior among caregivers of newborns and infants. J Perinatol 2015;35:970-3.
21
Barsman SG, Dowling DA, Damato EG, Czeck P. Neonatal nurses' beliefs, knowledge, and practices in relation to sudden infant death syndrome risk-reduction recommendations. Adv Neonatal Care 2015;15:209-19.
22
Damato EG, Haas MC, Czeck P, Dowling DA, Barsman SG. Safe Sleep Infant Care Practices Reported by Mothers of Twins. Adv Neonatal Care 2016;16:E3-14.
23
Dufer H, Godfrey K. Integration of safe sleep and sudden infant death syndrome (SIDS) education among parents of preterm infants in the Neonatal Intensive Care Unit (NICU). J Neonatal Nursing 2017;23:103-8.
24
Shipstone R, Young J, Kearney L. New Frameworks for Understanding Sudden Unexpected Deaths in Infancy (SUDI) in Socially Vulnerable Families. J Pediatr Nurs 2017;37:35-41.
25
Rohana J, Ishak S, Wan Nurulhuda WMZ. Sudden infant death syndrome: Knowledge and practise in parents of preterm infants. Pediatr Int 2018;60:710-3.
26
Çam MO, Arabacı L. Qualitative and Quantitative Steps on Attitude Scale Construction. Turkish Journal of Research & Development in Nursing 2010;12:59-71.
27
Burgess A, Bell T, Cirelli J, Clymer BJ, Goodstein MH. Nursing Students' Knowledge and Attitudes Toward Infant Sleep Safety. Teach Learn Nurs 2017;12:289-94.
28
Horne RS, Hauck FR, Moon RY. Sudden infant death syndrome and advice for safe sleeping. BMJ 2015;350:h1989.
29
National Institute of Child Health and Human Development. Available at: https://safetosleep.nichd.nih.gov/
30
Okur A, Arı G. Readability of texts turkish textbooks in grades 6, 7, 8. Elementary Education Online 2013;12:202-26.
31
Von Kohorn I, Corwin MJ, Rybin DV, Heeren TC, Lister G, Colson ER. Influence of prior advice and beliefs of mothers on infant sleep position. Arch Pediatr Adolesc Med 2010;164:363-9.
32
Cesar JA, Marmitt LP, Carpena MX, Pereira FG, Neto JDM, Neumann NA, Acevedo JD. Maternal Knowledge and Unsafe Baby Sleep Position: A Cross-Sectional Survey in Southern Brazil. Matern Child Health J 2019;23:183-90.
33
Mathews A, Oden R, Joyner B, He J, McCarter R, Moon RY. Differences in African-American Maternal Self-Efficacy Regarding Practices Impacting Risk for Sudden Infant Death. J Community Health 2016;41:244-9.
34
Yiğitalp G, Gümüş F. Traditional Infant Care Practices of Women Aged 15-49 in Diyarbakır. Turkish Journal of Pediatric Disease 2017;11:188-96.
35
Zhang K, Wang X. Maternal smoking and increased risk of sudden infant death syndrome: a meta-analysis. Leg Med (Tokyo) 2013;15:115-21.
36
Friedmann I, Dahdouh EM, Kugler P, Mimran G, Balayla J. Maternal and obstetrical predictors of sudden infant death syndrome (SIDS). J Matern Fetal Neonatal Med 2017;30:2315-23.
37
Luijk MP, Mileva-Seitz VR, Jansen PW, van IJzendoorn MH, Jaddoe VW, Raat H, Hofman A, Verhulst FC, Tiemeier H. Ethnic differences in prevalence and determinants of mother-child bed-sharing in early childhood. Sleep Med 2013;14:1092-9.
38
Hauck FR, Thompson JM, Tanabe KO, Moon RY, Vennemann MM. Breastfeeding and reduced risk of sudden infant death syndrome: a meta-analysis. Pediatrics 2011;128:103-10.
39
Thompson JMD, Tanabe K, Moon RY, Mitchell EA, McGarvey C, Tappin D, Blair PS, Hauck FR. Duration of Breastfeeding and Risk of SIDS: An Individual Participant Data Meta-analysis. Pediatrics 2017;140:e20171324.
40
Shin SH, Ksinan Jiskrova G, Kimbrough T, Trowbridge K, Lee E, Ayers CE. Impact of a Comprehensive Hospital-Based Program to Remove Unsafe Items from Infant's Sleeping Area: A Prospective Longitudinal Study. Clin Pediatr (Phila) 2019;58:1440-3.
41
Canter J, Rao V, Patrick PA, Alpan G, Altman RL. The impact of a hospital-based educational video on maternal perceptions and planned practices of infant safe sleep. J Spec Pediatr Nurs 2015;20:187-92.
42
Voos KC, Terreros A, Larimore P, Leick-Rude MK, Park N. Implementing safe sleep practices in a neonatal intensive care unit. J Matern Fetal Neonatal Med 2015;28:1637-40.
43
Goodstein MH, Bell T, Krugman SD. Improving infant sleep safety through a comprehensive hospital-based program. Clin Pediatr (Phila) 2015;54:212-21.
44
Issler RM, Marostica PJ, Giugliani ER. Infant sleep position: a randomized clinical trial of an educational intervention in the maternity ward in Porto Alegre, Brazil. Birth 2009;36:115-21.
