Aile Eğitim Programı ve Ebeveynlik Becerileri Arasındaki İlişkilerin Karşılaştırmalı Olarak İncelenmesi

This study was conducted to examine the effects of the family education program organized by the Ministry of Family, Labor and Social Services on positive parent-child relationship and parenting skills. Quantitative design was used in the research. Participants consist of a practice group of 77 people who participated in the family education program in Karabük and a control group of 100 people who did not attend this training. The survey answer data of the participants were analyzed with the SPSS program and the relationship between the family education program and parenting skills was revealed by comparing the answers of the practice and control groups. According to the research results; The socio-demographic characteristics of the practice and control groups are similar to each other, the practice group has more information about the developmental stages of the child than the control group, 88% of the application group and 66% of the control group gave privacy training to their children, 90.9% of the practice group and 69% of the control group stated that they gave their children a sense of responsibility, 56% of the control group used verbal violence and 17% of them used physical violence as a method of disciplining the child, while it is seen that verbal violence decreased to 23.4% and physical violence to 1.3% in the practice group. Considering the scores of the Child-Parent Relationship Scale, it is seen that the average score of the control group is 63.8 and the average score of the practice group is 50.1, the high score obtained on the scale indicates a negative relationship, and it is observed that the practice group has a more positive relationship with their children than the control group. In addition, while there was no significant difference between genders in the practice group between the groups (p = .233), a significant difference was observed in the control group by gender (p = .023). In this context, it is seen that parents who benefit from family education program can establish a more positive relationship with their children by getting rid of stereotyped parenting roles according to gender. Similarly, no significant difference was observed in the practice group depending on the education level (P = .150), while a significant difference was observed in the control group according to the education level (P = .017). It can be said that the family education program contributes to the establishment of a more positive parent-child relationship by eliminating the disadvantages created by the low education level. As a result, it is seen that the family education program contributes to improving parenting skills and establishing a more positive parent-child relationship. In order for the program to be more functional, it is recommended to conduct pre-post research that measures the development of the participants and to update the training program to include various support services, group work and home visits.Bu araştırma Aile, Çalışma ve Sosyal Hizmetler Bakanlığınca düzenlenen aile eğitim programının pozitif ebeveyn-çocuk ilişkisi kurma ve ebeveynlik becerilerini geliştirmeyle olan ilişkisini incelemek amacıyla gerçekleştirilmiştir. Araştırma kapsamınca nicel desen kullanılmıştır. Katılımcılar Karabük ilinde aile eğitim programına katılan 77 kişiden oluşan uygulama grubu ve bu eğitime katılmamış 100 kişiden oluşan kontrol grubunu içermektedir. Katılımcıların anket sorularına verdikleri cevaplardan oluşan veriler SPSS programı ile analiz edilmiş, uygulama ve kontrol grubunun cevapları karşılaştırılarak aile eğitim programının ebeveynlik becerileriyle olan ilişkisi ortaya konmuştur. Araştırma sonuçlarına göre; uygulama ve kontrol grubunun sosyo-demografik özelliklerinin birbiriyle benzer özellikler gösterdiği, uygulama grubunun kontrol grubuna göre çocuğun gelişim dönemleriyle ilgili daha çok bilgi sahibi olduğu, uygulama grubunun %88’inin kontrol grubunun ise %66’sının çocuklarına mahremiyet eğitimi verdiği, uygulama grubunun %90.9’unun, kontrol grubunun ise %69’unun çocuğuna sorumluluk bilinci kazandırdığını ifade ettiği, çocuğu disiplin yöntemi olarak kontrol grubunun %56’sının sözlü şiddet, %17’sinin fiziksel şiddet uyguladığını belirtirken uygulama grubunda sözlü şiddetin %23.4 fiziksel şiddetin %1.3’e düştüğü görülmektedir. Çocuk-Anababa ilişki ölçeğinin ölçek puanlarına bakıldığında kontrol grubunun ortalama puanının 63.8, uygulama gbunun ortalama puanının ise 50.1 olduğu, ölçek üzerinden alınan yüksek puan olumsuz ilişkiyi göstermekte olup uygulama grubunun kontrol grubuna oranla çocuklarıyla daha olumlu bir ilişki içinde olduğu görülmektedir. Ayrıca gruplar arasında uygulama grubunda cinsiyetler arası anlamlı bir farklılık gözlemlenmezken (p=.233) kontrol grubunda cinsiyete göre anlamlı bir farklılık gözlemlenmektedir(p=.023). Bu bağlamda aile eğitim programından faydalanan ebeveynlerin cinsiyete göre kalıplaşmış ebeveynlik rollerinden sıyrılarak çocuklarıyla daha olumlu bir ilişki kurabildiği görülmektedir. Benzer şekilde uygulama grubunda eğitim düzeyine bağlı anlamlı bir farklılık gözlemlenmezken (P=.150) kontrol grubunda eğitim düzeyine göre anlamlı bir farklılık gözlemlenmektedir(P=.017). Aile eğitim programının düşük eğitim seviyesinin yarattığı dezavantajları ortadan kaldırarak daha olumlu bir ebeveyn çocuk ilişkisi kurulmasına katkı sağladığı söylenebilir. Sonuç olarak aile eğitim programının ebeveynlik becerilerini geliştirmeye ve daha olumlu bir ebeveyn-çocuk ilişkisi kurmaya katkı sağladığı görülmektedir. Programın daha işlevsel olması için katılımcıların gelişimini ölçen öncesi-sonrası araştırmalarının yapılması ve çeşitli destek hizmetlerini, grup çalışmalarını ve ev ziyaretlerini içerecek şekilde eğitim programın güncellenmesi önerilmektedir

Post-operative Unexpected Bilateral Massive Pulmonary Embolism in a Thirty-Year-Old Woman: A Case Report

Pulmonary embolism (PE) is a rare, yet serious complication. That, generally follows invasive procedures in adults. The present report details the case of bilateral pulmonary embolism in a thirty-year-old women after ovarian cyst surgery. A thirty-year-old female patient, who had ovarian cystectomy ten days previously, consulted the emergency department with the complaints of sickness and syncope. Her blood pressure, pulse and respiratory rate were 90/40 mmHg, 150/min. and 35/min, respectively. During examination and phlebotomy, she had a cardiac arrest and responded to a 3-minute cardiopulmonary resuscitation (CPR) with tracheal intubation. During imaging procedures, she had three further cardiac arrests and was admitted to the intensive care unit. The preliminary diagnoses were acute renal failure (ARF) and PE. Fluid replacement, inotropic support, anticoagulant therapies, as well as sedation to prevent brain damage were started immediately. Thrombolytic therapy was not attempted because she had surgery ten days ago and hematoma was observed on abdominal ultrasound. Inhaled nitric oxide and inhaled iloprost with sildenafil were employed to reduce pulmonary hypertension. When discharged 136 days after hospitalization she was a tracheotomized and, spontaneously breathing home care patient with hypoxic brain injury. Early detection and treatment of PE are of great importance for a good prognosis and prevention of life-threatening complications

Acute Respiratory Insufficiency After Adenotonsillectomy

Adenotonsillectomy is one of the frequently performed surgical procedures in children and the most common complications of this procedure are bleeding and respiratory insufficiency. Here, we present a 20-month-old boy who was born prematurely. He underwent adenotonsillectomy and bilateral grommet insertion due to recurrent tonsilitis, snoring, and obstructive sleep apnea syndrome. The patient required a prolonged intensive care unit stay due to postoperative respiratory insufficiency. In this paper, we aimed to evaluate the potential complications of adenotonsillectomy. (The Medical Bulletin of Haseki 2013;51:193-6

Effect of Nitrous Oxide Anaesthesia on Endotracheal Cuff Pressure

Aim: When N2Ois used for general anaesthesia, it diffuses into the air-filled endotracheal cuff causing the cuff pressure to rise by over inflating the cuff, which results in tracheal damage. This study aimed to estimate changes in the endotracheal-cuff pressure with time during oxygen-air- and oxygen-N2O -induced anaesthesia and to determine its sore throat and hoarseness incidence. Methods: Fifty patients with American Society of Anesthesiologists physical status 1-2, aged 18-60 years were icluded to our study. Orotracheal intubation was performed using polyvinyl chloride high volume-low pressure endotracheal tubes. The AIR group 40% O2/60% air and N2O group 40% O2/60% N2O was used. The endotracheal cuff pressure at 5, 10, 15, 20 minutes immediately after intubation and at 10-minute intervals were recorded. When the cuff pressure reached 45 cm H2O, was attenuated to 25-30-cm H2O. At the post operative first and the 24th hour, the patients were queried for sore throat and hoarseness. Results: The N2O -group cuff pressure rose from the fifth minute onwards. Also, the N2O group had a higher incidence of sore throat and hoarseness. Conclusion: N2O results in elevated cuff pressure and tracheal morbidities. Cuff-pressure should be routinely monitored during anaesthesia using N2O