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Yıl:2010; Cilt: 48; Sayı: 3>> Özet
TAM METİN
Yeni Symposium; 2010;48(3):198-206
Epilepsi Tanısı Konan Çocukların Aile İşlevleri, Anne- Babalarındaki Kaygı ve Başa Çıkma Tutumları
K Fazlıoğlu, Ç Hocaoğlu, FM Sönmez, A Cansu
Rize Üniversitesi Tıp Fakültesi
Amaç: Bu çalışmada epilepsi tanısı konan çocukların âile işlevleri, anne-babasındaki kaygı ve başa çıkma tutumlarının bazı sosyodemografik ve klinik özelliklere göre incelenmesi amaçlandı. Yöntem: Çalışmanın hasta grubu Kasım 2006 - Haziran 2007 tarihleri arasında Karadeniz Teknik Üniversitesi Tıp Fakültesi Çocuk Nörolojisi Polikliniği'nde 6-16 yaş arası epilepsi tanısı konan 60 hastanı n anne veya babalarından oluşturuldu. Kontrol grubu ise 6-16 yaş arası sağlıklı 60 çocuğun anne veya babalarından (yaş, cinsiyet, öğrenim düzeyi, yerleşim yeri: köy, ilçe ve şehir merkezi açısından hasta grubuyla eşleştirilerek) oluşturuldu. Bütün katılımcılara sırasıyla Sosyodemografik Veri Formu, Âile Değerlendirme Ölçeği, Durumluk Kaygı Envanteri ve Başa Çıkma Tutumları Ölçeği uygulandı. Bulgular: Epilepsi tanılı çocuğu olan anne-babalar, sağlıklı çocuğu olan anne-babalara göre âile işlevleri (roller, duygusal tepki verme, gereken ilgiyi gösterme ve genel fonksiyonlar) açısından daha işlevsiz bulundu. Ayrıca epileptik çocuğu olan anne-babaların kaygılarının sağlıklı çocuğu olan anne-babalardan yüksek olduğu bulundu. Başa çıkma tutumları açısından epileptik çocukların anne-babalarının zihinsel boş verme başa çıkma becerisi, sağlıklı çocukları olan anne-babalara göre anlamlı düzeyde düşük bulundu. Tartışma ve Sonuç: Epilepsi tanılı çocuğa sâhip olmak, ebeveynlerin hem âile işlevlerini olumsuz etkilemekte, hem de kaygı düzeylerini belirgin olarak artırmaktadır. Bununla birlikte başa çıkma tutumları anlamlı düzeyde etkilenmemektedir.
Family Functioning, Parental Anxiety and Coping Skills in Children With Epilepsy
Objective: In this study, we aimed to investigate the family functioning, anxiety and coping skillsof parents of children with epilepsy according to sociodemographic and clinical characteristics.Method: The study population included either mothers or fathers of 60 children at 6 to 16 [year]s of age, who were diagnosed with epilepsy in Karadeniz Technical University Medical School Pediatric Neurology Clinic in November 2006 to June 2007. Control group included either mothers or fathers (matched with patient group in terms of age, gender, level of education and place of residence: village, township, town centre) of 60 healthy children aged between 6 to 16 [year]s. Sociodemographic Data Form, Family Assessment Device, State Anxiety Inventory, and Cope Attitudes Scale were applied to all participants, respectively. Findings: Parents of children with epilepsy were found to be dysfunctional in respect of family functions (roles, emotional reaction, care giving, general functions) when compared to parents of healthy children. Additionally, level of anxiety in parents of children with epilepsy was more than the level observed in parents of healthy children. In respect of coping skills, mental coping strategies of parents having epileptic children were found to be significantly lower than parents of healthy children. Discussion and Conclusion: Having a child with epilepsy effects family functioning negatively besides significantly increasing the level of anxiety in parents. On the other hand, coping skills are not affected significantly.

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