Ulus Travma Acil Cerrahi Derg. 2011; 17(5): 430-434 | DOI: 10.5505/tjtes.2011.23427

Hala bilinmeyen bir konu: Çocuk istismarý ve “Sarsýlmýþ Bebek Sendromu”

Elçin Balcý¹, Ýskender Gün¹, Þule Mutlu Þarlý¹, Fatma Akpýnar¹, Fatih Yaðmur², Ahmet Öztürk¹, Osman Günay^1
1Erciyes Üniversitesi Týp Fakültesi Halk Saðlýðý Anabilim Dalý
²Erciyes Üniversitesi Týp Fakültesi Adli Týp Anabilim Dalý

AMAÇ
Sarsýlmýþ bebek sendromu (SBS) çocuða yapýlan fiziksel istismarýn ciddi bir formu olup ölüme dahi sebep olmaktadýr. Bu araþtýrmada birinci basamak saðlýk çalýþanlarýnýn çocuk istismarý ve ihmali konusunda eðitim alýp almadýklarý, istismar olgularýný tanýyýp tanýyamayacaklarý, bir istismar türü olan SBS konusunda bilgili olup olmadýklarýnýn araþtýrýlmasý amaçlandý.
GEREÇ VE YÖNTEM
Araþtýrma kapsamýna Kayseri birinci basamak saðlýk kuruluþlarýnda hizmet veren saðlýk personeli alýndý. Katýlýmcýlara anket uygulandý.
BULGULAR
Araþtýrma grubunun %35,0’i hekimdi. Grubun %43,7’si daha önce çocuk istismarý ve ihmaline iliþkin herhangi bir eðitim almadýklarýný, %52,1’i toplumda en çok fiziksel istismarýn görüldüðünü düþündüklerini ifade etti. Katýlýmcýlarýn %64,1’i SBS’yi daha önceden duymuþ olduðunu söylerken; duyanlarýn %10,4’ü duyduðunu ancak bilmediðini ifade etti. Ýstismar konusuyla ilgili eðitim alma durumu meslek gruplarý arasýnda anlamlý olarak farklý bulundu.
SONUÇ
Çocuk istismarý, ihmali ve istismarýn bir alt baþlýðý olan SBS konusunda, birinci basamak saðlýk personelinin bilgi eksiði ve eðitim ihtiyacý vardýr. Mezuniyet öncesi ve sonrasý eðitimlerde çocuk istismarý ve SBS konularýna yeterince yer verilmesi farkýndalýk ve duyarlý birey sayýsýnýn artmasýna yardýmcý olacaktýr.

Anahtar Kelimeler: Çocuk istismarý, eðitim; saðlýk personeli; hizmet içi eðitim; sarsýlmýþ bebek sendromu.

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Still an unknown topic: child abuse and “shaken baby syndrome”

Elçin Balcý¹, Ýskender Gün¹, Þule Mutlu Þarlý¹, Fatma Akpýnar¹, Fatih Yaðmur², Ahmet Öztürk¹, Osman Günay^1
1Erciyes University Medical Faculty Department Of Public Health
²Erciyes University Medical Faculty Department Of Forensic Medicine

BACKGROUND
Shaken baby syndrome (SBS) is a severe form of physical child abuse, and can even cause death. In this study, we aimed to investigate whether or not the primary healthcare workers had received any education regarding child abuse and neglect, whether they could diagnose the cases, whether they had sufficient knowledge about SBS as a part of child abuse, and whether they were in need of education on the topic.
METHODS
Health workers in the primary healthcare centers in the province of Kayseri were enrolled. A questionnaire was applied.
RESULTS
In this study, 35.0% of the study group were physicians. 43.7% of the study group stated that they had not recieved any education regarding child abuse and neglect, and 52.1% stated that they believed that physical abuse was the most prominent form of abuse in society. While 64.1% of the participants stated that they had heard about SBS, 10.4% of these stated that they had heard about it, but did not have adequate knowledge on the topic.
CONCLUSION
There is a lack of knowledge and a need for education regarding child abuse and neglect among the personnel working in primary healthcare, especially on the subject of SBS. Undergraduate and postgraduate education regarding child abuse and SBS will help to increase the number of people well-informed and sensitive to this important issue.

Keywords: Child abuse, education; health personnel; in-service training; shaken baby syndrome.

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ATIF KOPYALA