Sağlık ocaklarında çalışan ebe ve hemşirelerin koruyucu ruh sağlığına yönelik hizmetleri ve kadınlarda sık görülen ruhsal bozuklukları tanıma düzeyleri
Services which midwifes and nurses who work in primary care settings, give for preventive mental health and their recognizing levels the mental disorders which often encountered in women
Yazar: GÜLAY YILMAZ
Danışman: Y.DOÇ.DR. BELKIS KARATAŞ
Mersin Üniversitesi / Sağlık Bilimleri Enstitüsü / Hemşirelik Ana Bilim Dalı
Derece: Yüksek Lisans, 2007
Konu: Halk Sağlığı = Public Health ; Hemşirelik = Nursing ; Psikiyatri = Psychiatry
Dizin: Ebeler = Midwives ; Hemşireler = Nurses ; Kadınlar = Women ; Mental bozukluklar = Mental disorders ; Toplum sağlık merkezleri = Community health centers

Özet:
Bu qahgrna; saglik ocaklannda qalr~an ebe ve hemgirelerin toplurn ruhsaghgma yiinelik verdikleri koruyucu hizrnetleri ve kadinlarda s ~ gko riilen ruhsalbozukluklarl tanma diizeylerini degerlendirmek arnaclyla tanimlayrc~ olarakyaprlmqtlr. Calr~ma0 1.12.2005 - 31.05.2006 tarihleri araslnda sagllk ocaklanndaqal19an 182 ebe ve 58 hemyireye anket uygulanarak gerqekleytirilmigtir. Verilerinani~lizi SPSS v.11.5 for Windows ve MINITAB Release v.13.0 paket programlankullanllarak y nprlrnrytrr. Verilerin degerlendirilmesinde yiizdelik dagihm, ki-kareve iki ornn kargilagtlrma testi kullandmrgtlr.Ebelerin %31.3'ii 35-39 ya? arawnda, hemgirelerin %34.5'i 40 yay veiizerindedir. Ebelerin %64.3'ii, hemqirelerin %46.6'sr 10-19 ylldrrebeliklhern~irelik yapmaktadrr. Ebelerin %44'ii, hemqirelerin %8lYi hastanedeqal~~mrytiEr.b elerin Oh63.2'sinin ve hemqirelerin %77.5'inin en son bitirdigi okulB rllisil ns-lisnnstir. EbeIerin %9.3'niin ve hem~irelerin %5.2'sinin koruyucu ruhsaghgina yonelik hkmet i ~eigi tim almrstlr.Ebelerin %63,2'si ve hemqirelerin %72.4'ii koruyucu ruh saghgma yonelikgorevleri oldugunu diigiinmektedir. Ebelerin %35.7'si ve herngirelerin %22.4'iiqah~tiklarl saglrk ocagr bolgesinde ruhsal bozukluk aqumdan risk gruplanaraslnda ilk srrada kadmlarm oldugunu belirtrnektedir.Ebe vc hem~ireler en fazla okul oncesi qocuklara (%29.6), yeti~kinlere('X~251) .e adiilusanlara (Oh201 koruyucu ruh sagligi egitimi vermektedir. Okul: qagrqocuklann (Oh 11.2) ve ya~lrlarm (Oh12.9) koruyucu ruh sagligrna yonelik en azegitim verilen grup oldugu saptanmytrr. Kadlnlarda en slk g6ruIen ruhsalbozukluklarl tanrma diizeylerine baluldlgmda; ebe ve hemgireler, en fazla demans(%63.7), postpartum depresyon (%61.2), depresyon (V051.6) ve O m Ph44.5)belirtilerini tan~yabilmiy; hipokondriazis (%52.6) ve panik atak (x45.0)bzlirtilerini ise tanimakta zorlanm~glardir, Ayr~ca ebe ve hemqirelerin ruhsalbozukluk bclir tilerinc y iinelik sunduklarl onerilerin qo@nlukla uygun oldugubelirlenmigtir.Anahtar S8zciikler: Ebe, Hemfire, SagIrk ocagl, Kadln, Koruyucu ruhsagllg~R, uhsal boxukluklar.

Abstract:
This study was carried out to evaluate midwifes, and nurses who areworking in the primary care setting of preventive functions toward communitymental health, and recognizing levels of meeting mental disorders which are oftenencountered in women. The study was conducted between 01.12.2005 - 31.05.2006and 182 rnidw7ifes, and 58 nurses who are working in the primary care setting hadbccrl titlicn a poll. SPSS v.11.5 for Windows and MINITAB Release v.13.0 packageprogrammes was used for analysis of data. Percentage, chi-square and twoproportion comparison tests were used for evaluation of data.31.3% of midwifes are between 35-39 years-old, 34.5% of nurses are over 40years-old. 64.3% of midwifes, 46.6% of nurses have been working asmidwifelnurse for 10-19 years. 44% of midwifes, 81% of nurses had worked inhospitals. 63.2% of midwifes and 77.5% of nurses studied in 2 yearly pre-license orIiccnsu gri~duuted. 9.3'% of midwifes and 5.2% of nurses had taken in-sewicetraining for preventive of mental health had.63.2% of midwifes and 72.4% of nurses are thinking that they have duty atpreventive of mental health. 35.7% of midwifes and 22.4% of nurses aredetermining that women are between high risk groups for mental disorders in firstline in the primary care setting where nurses and midwifes worked in.hlidwifes and nurses mostly give preventive mental health education tochildren who preparing for school (29.6%), adults (25%), and adolescent (20%), ithad been determined that preschool age children (11.2%) and olds (12,9%) aregroups which are given education least toward preventive mental health. When welook at levels of recognize the mental disorders which are mostly encountered inwomen, midwifes and nurses can mostIy know the dementia (63.7%), thepostpartum-depression (61.2%) and the depression (51.6%), and obsessivect~~rr~~ulsdiivseo rder symptoms (44.5%), but they had been forced to knowhypocondriasis (52.6%) and panic attack symptoms (45.0%). Also it had beenexplained that was mostly appropriate of the offers which the midwifes and nurseshad presented the symptoms of mental disordersKcy words: Midwife, Nurse, Primary care setting, Woman, Preventive mentalhualtlr, Mental disorders.