Çocuk istismarı ve ihmali önleme ve izleme grubu ilk verileri
Küçük Resim Yok
Tarih
2006
Dergi Başlığı
Dergi ISSN
Cilt Başlığı
Yayıncı
Erişim Hakkı
info:eu-repo/semantics/openAccess
Özet
Amaç: Çocuk istismarı ve ihmali nedeniyle hastanemize başvuran hastaların değerlendirilmesi ve istismar ve ihmalden şüphelenilmesi gereken durumların ortaya konması amaçlanmıştır. Gereç ve Yöntem: Ocak 2002-Mayıs 2004 tarihleri arasında bir üniversite hastanesinde Çocuk İstismarı ve İhmalini Önleme ve İzleme Grubu tarafından değerlendirilen, yaş ortalaması 8,87 yıl (1 ay-16yaş) olan 21 (10E/11K) hastanın kayıtları geriye dönük olarak incelenmiştir. Bu çalışmaya duygusal istismar olguları dahil edilmemiştir. Bulgular: 8 olgu acil servis, 13 olgu poliklinik aracılığıyla başvurmuştur. 13 olgunun ebeveynlerden biri veya ikisi, 2'sinin 1. derece yakın akrabası, 6 olgunun kendisinden yaşça büyük tanıdık kimseler tarafından istismara uğradığı saptanmıştır. 10 olguda ebeveynlerden birinin ölmüş veya boşanmış olması, 3 babada alkol bağımlılığı, bir annede psikiyatrik rahatsızlık risk faktörü olarak saptanmıştır. İstismar tipi: 10 cinsel istismar (3E/7K), 9 fiziksel istismar, 2 çocuk ihmalidir. 13 olguda istismarı destekler fizik bulgular saptanmıştır. Cinsel istismara uğrayan kız çocuklardan 4'ünde istismar ensest (3 olguda baba, 1 olguda dede), 1'inde cinsel pazarlama (anne tarafından), 2'sinde cinsel taciz ve tecavüz şeklinde çocuğun tanıdığı aile dışı birisi tarafından uygulanmıştır. Fiziksel istismara uğrayan 9 olgu içerisinde 2 yaşından küçük olan 5 olgudan 4'ünde kafa travması saptanmış, 2'si ölüm, biri nörolojik sekelle sonuçlanmıştır. Olguların 7'si Çocuk Cerrahisi, 3'ü Beyin Cerrahisi kliniğine yatırılmış, 11 olgu Çocuk Psikiyatrisi polikliniği tarafından izleme alınmıştır. Sonuç: Özellikle küçük çocuklarda hayatı tehdit eden kafa travması nedeniyle acil servis başvurularında istismardan şüphelenilmelidir. Kız çocuklarında cinsel istismarın çoğunlukla aile içi birisi tarafından yapılması, uzun süreli ve tekrarlayıcı olması önemli özellikler arasında saptanmıştır. Kayıtlı verilerin çoğalması, konunun gündemde tutulmasıyla olgu sayılarının giderek artması olasıdır.
Aim: To review patients who had been subjected to child abuse and negligence and identifying cases in which to suspect negligence and abuse. Material and Methods: The records of patients between January 2002 and May 2004 with an average age of 8.87 years, who had been evaluated by the Child Abuse and Negligence Prevention and Follow-up Group, were reviewed retrospectively. Results: 13 cases were admitted to the outpatient clinics while 8 cases were admitted to the emergency department. In 13 cases the child was subjected to abuse by one or both parents. In 2 cases, children were abused by a first degree relative while in 6 cases by a familiar to the child and older in age. In 10 cases, death or divorce of one of parent's, in 3 cases an alcoholic father and in one case a mother with a psychiatric illness were considered as risk factors. Type of abuse: sexual abuse (n: 10) (3M/7F), physical abuse (9), negligence (2). In 3 cases, physical signs suggesting abuse were present. Among the girls who were subjected to sexual abuse, 4 were cases of incest (in 3 cases the father, in one case the grandfather), one was sexually marketed (forced prostitution) by the mother while 2 cases had been sexually assaulted (raped) or harassed by someone outside the family. Of the 9 cases who had been subjected to physical abuse, 4 out of 5 cases whose were below the age of two years had head trauma; 2 of them died and one survived with a neurological squeal. 7 cases were admitted to the Pediatric surgery department, 3 to the Neurosurgery department and 11 cases as follow-up patients at the Pediatric Psychiatric outpatient clinic. Conclusion: Child abuse and negligence is a condition that should be taken into consideration in younger children who present to the emergency department with life threatening head trauma. Girls are sexually abused mostly by a family member and the repetitive nature and long period of subjectivity makes it an important issue. The number of patients can be increased by increasing recorded data and awareness on this issue.
Aim: To review patients who had been subjected to child abuse and negligence and identifying cases in which to suspect negligence and abuse. Material and Methods: The records of patients between January 2002 and May 2004 with an average age of 8.87 years, who had been evaluated by the Child Abuse and Negligence Prevention and Follow-up Group, were reviewed retrospectively. Results: 13 cases were admitted to the outpatient clinics while 8 cases were admitted to the emergency department. In 13 cases the child was subjected to abuse by one or both parents. In 2 cases, children were abused by a first degree relative while in 6 cases by a familiar to the child and older in age. In 10 cases, death or divorce of one of parent's, in 3 cases an alcoholic father and in one case a mother with a psychiatric illness were considered as risk factors. Type of abuse: sexual abuse (n: 10) (3M/7F), physical abuse (9), negligence (2). In 3 cases, physical signs suggesting abuse were present. Among the girls who were subjected to sexual abuse, 4 were cases of incest (in 3 cases the father, in one case the grandfather), one was sexually marketed (forced prostitution) by the mother while 2 cases had been sexually assaulted (raped) or harassed by someone outside the family. Of the 9 cases who had been subjected to physical abuse, 4 out of 5 cases whose were below the age of two years had head trauma; 2 of them died and one survived with a neurological squeal. 7 cases were admitted to the Pediatric surgery department, 3 to the Neurosurgery department and 11 cases as follow-up patients at the Pediatric Psychiatric outpatient clinic. Conclusion: Child abuse and negligence is a condition that should be taken into consideration in younger children who present to the emergency department with life threatening head trauma. Girls are sexually abused mostly by a family member and the repetitive nature and long period of subjectivity makes it an important issue. The number of patients can be increased by increasing recorded data and awareness on this issue.
Açıklama
Anahtar Kelimeler
Cerrahi
Kaynak
Çocuk Cerrahisi Dergisi
WoS Q Değeri
Scopus Q Değeri
Cilt
20
Sayı
3
