Aile Hekimlerinin Sağlam Çocuk İzlemleri Konusundaki Bilgi Düzey ve Tutumlarının Değerlendirilmesi

Büşra Karabekiroğlu; Celal Kuş; Raziye Şule Gümüştakım

doi:10.4274/jcp.2022.42243

ABSTRACT

Introduction:

Follow-up of healthy children is one of the most important parts of primary care preventive health services. It is of vital importance that healthy child follow-ups are fully implemented in order to raise a healthy society. In this study, we aimed to determine the knowledge levels and attitudes of family physicians and their relationship with their sociodemographic characteristics.

Materials and Methods:

This descriptive and cross-sectional study was conducted on family physicians in Turkey. The sample size was calculated as 380 and 402 physicians were included in the study. The 65-question questionnaire, which aims to evaluate the knowledge and attitudes of family physicians about healthy child follow-up, was developed by the researcher using the literature and guidelines, and was administered to volunteer physicians either face-to-face or via the internet. Data analysis was done with SPSS 21.0 package program.

Results:

Of the 402 physicians participating in the study, 42.0% (n=169) were male. The mean age of the physicians was 34.75±9.51 years and the mean working time in the profession was 9.90±9.56 years. Of the participants, 46.5% (n=187) were family physicians, 35.3% (n=142) were family medicine research assistants, and 18.2% (n=73) were family medicine specialists. The mean knowledge score of the physicians was 28.09±12.75 (minimum: 2, maximum: 64). A statistically significant difference was found between gender, institution of employment, time allotted to follow-ups, education about follow-ups, utilization of an algorithm/guide while making follow-ups, and knowledge levels. The mean score of attitude was 46.96±4.40 (minimum: 20, maximum: 60). The Cronbach’s alpha value of the attitude questionnaire was found to be 0.663.

Conclusion:

Level of knowledge of family physicians on healthy child follow-up is below the average, but it is hopeful that their attitudes on this issue are positive. In our study, the subjects with an accuracy rate of less than 50% are obesity, autism spectrum disorder, attention deficit hyperactivity disorder, developmental dysplasia of the hip, undescended testis, visual acuity, blood pressure, and we think that further studies are needed on these specific subjects. In addition, most of the physicians found it wrong to evaluate these follow-ups with negative performance, and this shows that new policies should be developed to encourage physicians.

Keywords:

Preventive medicine, child health, primary health care, family practice

References

Vitrinel A, Erdağ GÇ. Sağlam çocuk izlemi. Türkiye Aile Hekimliği Dergisi 2007;11:101-6.

Nurdan E. Sağlam çocuk izlemi derleme. Türk Pediatri Arşivi 2007;42:6-10.

Gür E. Sağlam Çocuk İzlemi. İÜ Cerrahpaşa Tıp Fakültesi Sürekli Tıp Eğitimi Etkinlikleri Sağlam Çocuk İzlemi Sempozyum Dizisi 2003;35:9-16.

T.C. Halk Sağlığı Kurumu Çocuk ve Ergen Sağlığı Daire Başkanlığı. Bebek, Çocuk, Ergen İzlem Protokolleri (2018). (Son erişim tarihi: 20.10.2020). https://hsgm.saglik.gov.tr/depo/birimler/cocuk_ergen_db/dokumanlar/yayinlar/Kitaplar/Bebek_Cocuk_Ergen_Izlem_Protokolleri_2018.pdf

Yılmaz T, Şencan İ, Yılmaz TE, Kasım İ, Kaya A, Kahveci R, et al. The assessment of knowledge levels and practices of family physicians practicing in family health centers in Ankara with regard to well child follow-up. Ankara Medical Journal 2018;18:312-21.

Yılmaz MŞ, Şahin MK. Tıp Fakültesi Son Sınıf Öğrencilerinin Sağlam Çocuk Izlemi Hakkındaki Bilgi Düzeylerinin Değerlendirilmesi. OTSBD 2021;6:216-23.

Tugay D, Görpelioğlu S, Top M. Aile hekimlerinin periyodik muayene rehberine yönelik bilgi tutum ve davranışlarının değerlendirilmesi. Türkiye Aile Hekimliği Dergisi 2018;22:104-17.

Rourke L, Godwin M, Rourke J, Pearce S, Bean J. The Rourke Baby Record Infant/Child Maintenance Guide:do doctors use it, do they find it useful, and does using it improve their well-baby visit records? BMC Family Practise 2009; p.28.

Tezel B. Bebeklerde D vitamini eksikliğinin önlenmesi programı ve değerlendirilmesi. XII Pediatrik Endokrinoloji ve Diyabet Kongresi, 2013; p.63-5.

Yılmaz O, Dizdar TH, Eser B, Taşçı B, Aşkın ÖE, Şerbetçioğlu MB. Aile sağlığı merkezi hekimlerinin ulusal yenidoğan işitme. Türkiye Klinikleri Sağlık Bilimleri Dergisi 2021;6:281-90.

Duzova A, Yalçınkaya F, Baskin E, Bakkaloglu A, Soylemezoglu O. Prevalence of hypertension and decreased glomerular filtration rate in obese children: results of a population-based field study. Nephrology Dialysis Transplantation 2013;28:166-71.

Sarıkan İ, Öngel K. Investigation of Hypertension Prevalance and Risk Factors in School Children in Isparta. Med J SDU 2020;27:541-5.

Sabuncuoğlu M, Cebeci S, Hossein M, Manouchehr H. Autism spectrum disorder and attention deficit hyperactivity disorder: knowledge and attitude of family medicine residents in Turkey. Turkish Journal of Family Medicine & Primary Care 2015;9:46-53.

Erden G, Akçakın M, Doğan DG, Ertem İÖ. Çocuk Hekimleri ve Otizm: Tanıda zorluklar. Türkiye Klinikleri J Pediatr 2020;19:9-15.

Gürbüz AB. Aile hekimliği uzmanlık öğrencilerinin otizme yönelik bilgi düzeylerinin incelenmesi. Sağlık Bakanlığı Sağlık Bilimleri Üniversitesi İzmir Bozyaka Eğitim ve Araştırma Hastanesi, Aile Hekimliği Uzmanlık Tezi, 2020.