Profiles of sexually abused girls

Amaç: Çocuk cinsel istismarı diğer istismar türlerine göre çocuklar üzerinde daha travmatik ve uzun süreli etkiler bırakmaktadır. Bu nedenle bu çalışma cinsel istismara uğrayan kız çocukların profillerini belirlemek amacıyla yapılmıştır.Yöntem: Araştırma, tanımlayıcı ve retrospektif nitelikte bir araştırmadır. Çalışma Mayıs-Haziran 2016 tarihinde yapılmıştır. Çalışmanın evrenini Manisa Ruh Sağlığı ve Hastalıkları Hastanesi Çocuk Kız Servisinde yatan 9-17 yaş arası kız çocuklar oluşturmaktadır. Araştırmada, örneklem seçimine gidilmeden evrenin tümüne ulaşılması hedeflenmiştir. Araştırmanın örneklemini 85 çocuk oluşturmuştur. 2014-2015 yılında kayıtlı olguların dosyaları ve adli raporları araştırmacılar tarafından geriye dönük olarak incelendi, istatistiksel analizde sayı yüzde testi kullanıldı.Bulgular: Cinsel istismara uğrayan çocukların %42,5'i 13-15 yaş arasındadır. En sık bildirilen cinsel istismar tipi kızlarda %69,4'ü vajinal penetrasyon, %62,4'ü bedene cinsel amaçlı dokunmaydı. Mağdurların %25,9'nun birden çok kez cinsel istismara maruz kaldığı saptandı. İstismarcıların tamamı erkek, %54,1'i tanıdık, %14,1'i ise akrabalardan biriydi. Olguların %25,9'nun birden çok istismarcı tarafından istismara uğradığı saptandı. %91,8'i cinsel istismara ek olarak duygusal istismar yaşamıştır. Olguların %83,5'inin istismar sonrası en az bir ruhsal bozukluk tanısı aldığı belirlendi. Olguların %37,6'sı ağır stres bozukluğu, %27,1'i depresyon, %22,4'ü davranış bozukluğu, %12,9'u Travma Sonrası Stres Bozukluğu (TSSB) saptandı.Sonuç: Bu sonuç, cinsel istismarına maruz kalmış kız çocukları için önemli bir yaşam stresörü olduğu ve istismara maruz kalmış kız çocuklarının psikiyatrik sorunlar açısından takip edilmeleri gerektiği sonucuna varılmıştır.Objective: Child sexual abuse exerts more traumatic and long-term effects on children than other types of abuse. Therefore, this study was conducted to determine the profile of sexually exploited female children.Methods: Research is descriptive and retrospective in nature. The population of the study consisted of female children aged 9-17 years hospitalized in Female Children's Mental Health Services of Manisa Mental Health and Disease Hospital. In the survey access to entire population was targeted instead of sample selection. The study sample consisted of 85 children. Hospital records and judicial reports of cases were examined by researchers retrospectively. Numbers, and percentage test were used in statistical analysis.Results: 42.5% of sexually abused children aged between 13-15 years. The most frequently reported sexual abuse type was vaginal penetration (69.4%), sexual touching (62.4%) in girls, and 25.9% of the victims were perpetrated many times. All of abusers were male, 54.1% of them were acquitances, and 14.1% of them were a relative. While 25.9% of them were abused by more than one abuser. Still 91.8% of them experienced emotional abuse in addition to sexual abuse. At least one mental disorder was diagnosed in 83.5% of the cases following the abuse including severe stress disorder (37.6%), depression (27.1%), behavioral disorders (22.4%) and, posttraumatic stress disorder (PTSD) (12.9%) in respective percentages of patients. Conclusion: These results suggest that sexual abuse is a significant life stressor for sexually abused girls and it was concluded that it should be beneficial to follow up girls who experienced sexual abuse as for psychiatric symptoms

Health professionals exposure to mobbing in a medical school hospital

Aim: This study was conducted to reveal the perceptions of the residents and nurses working in their workplace. Material and Methods: This study is a cross-sectional descriptive study. the study was carried out between October 2014 and January 2016. the study population consisted of the residents and nurses working in Manisa Celal Bayar University, Hafsa Sultan Hospital. the study sample included 110 people. the survey was performed using a questionnaire consisting of an Information Form and the Work Harassment Scale. Results: the employees’ mean age was 29.92±5.47; 73.6% of them were female and 59.1% married; 46.4% had bachelor’s degree; 61.8% had balanced income and expenses; 32.7% were residents and 60.9% nurses/midwives; and 26.4% were victims of mobbing. Some 13.6% of those who were subject to mobbing stated that they were exposed to mobbing for 6 to 11 months. Approximately 42.7% of the health professionals stated that they witnessed others being subject to mobbing. Some 24.5% of the health professionals expressed their need for psychological support. Conclusion: the study showed that those with high level of education, those in the younger adult group (22-30 years of age) and those who needed psychological support were at a higher risk of being exposed to mobbing, the difference being statistically significant (p<0.05). To reduce the level of mobbing and provide quality healthcare services in hospitals, arrangements should be made to increase the number of nurses/midwives and doctors at work, and to educate employees on subjects related to communication and mobbing by psychiatric nurses