Sivas Cumhuriyet Üniversitesi Hastanesi Kadın Hastalıkları ve Doğum Polikliniğine başvuran gebelerde sigara kullanımı ve pasif içiciliğin değerlendirilmesi
Küçük Resim Yok
Tarih
2022
Yazarlar
Dergi Başlığı
Dergi ISSN
Cilt Başlığı
Yayıncı
Cumhuriyet Üniversitesi
Erişim Hakkı
info:eu-repo/semantics/openAccess
Özet
Sigara kullanımı ve pasif içicilik; ülkemizde ve dünyada başlıca sağlık sorunlarından biridir. Sağlıklı bir gebelik ve doğum için gebelik sürecinde de üzerinde dikkatle durulması gereken bir konudur. Bu çalışmaya katılan gebelerin sigara içme ve pasif içicilik durumlarının sosyodemografik veriler ile birlikte değerlendirilmesi amaçlanmıştır. Çalışmamız bir tanımlayıcı tarama çalışması olup 304 gebe dahil edilmiştir. Tüm katılımcıların sosyodemografik bilgileri, sigara kullanma durumları ve sigara dumanına maruz kalma durumları sorgulanmıştır. Sigara kullanan katılımcılara sigara içme davranışlarını değerlendirmeye yönelik Fagerström Nikotin Bağımlılık Testini de içeren anket formu uygulanmıştır. Çalışmaya katılan gebelerin %10.2'sinin (n:31) kişinin hâlâ aktif olarak sigara kullandığı, %9.9'unun (n:30) bıraktığı, %79.9'unun (n:243) daha önce hiç sigara kullanmadığı görülmüştür. Sigara öyküsü ile aile tipi, yerleşim yeri, gelir düzeyi, kronik hastalık bilgileri karşılaştırıldığında anlamlı bir ilişki saptanmamıştır. Eşi sigara içen, düşük eğitim seviyesi olan ve işçi olarak çalışan kadınlarda sigara öyküsü anlamlı olarak daha yüksek bulunmuştur (p<0.05). Çalışmaya katılan gebelerin %62.8'i (n:191) sigara dumanına maruz kalmakta ve %55.6'sının (n:169) eşi sigara kullanmaktaydı. Sigara maruziyeti ile yaş, aile tipi, evlilik süresi, gebelik sayısı arasında istatiksel olarak anlamlı bir fark bulunmamıştır. Kendisinin ve eşinin eğitim seviyesi düşük olan gebeler ile eşi esnaf olarak çalışan gebelerin sigara maruziyeti oranları anlamlı olarak anlamlı derecede yüksek bulunmuştur (p<0.05). Sigara dumanı maruziyeti bulunan gebelerin yanlarında sigara içildiğinde tepki gösterme oranlarının, sigara dumanına maruz kalmayan gebelere göre oldukça düşük olduğu istatiksel olarak anlamlı bulunmuştur (p<0.05). Gebelik sürecinde hekim veya yardımcı sağlık personeli tarafından sigara kullanımı ve pasif içicilik hakkında bilgilendirilmediklerini belirten katılımcı oranı oldukça yüksek saptandı. Gebelere ve eşlerine bu konuda gerekli eğitimin verilmesi toplumun bilinçlenmesine katkıda bulunacaktır. Bırakmak isteyenlere önderlik edilerek ve psikososyal destek verilerek gebelik süreci sigarayı bıraktırmak için bir fırsata çevrilebilir.
Smoking and passive smoking is one of the main health problems in our country and in the world. It is also an issue that should be carefully considered during pregnancy for a healthy pregnancy and birth. It is aimed to evaluate the smoking and passive smoking status of the pregnant women participating in this study together with sociodemographic data. Our study is an descriptive screening study and 304 pregnant women have been included. Sociodemographic information, smoking status and exposure to cigarette smoke of all participants were questioned. A questionnaire including the Fagestrom Nicotine Addiction Test was applied to the smokers to evaluate their smoking behaviors. It was observed that 10.2% (n:31) of the pregnant women who participated in the study were still actively smoking, 9.9% (n:30) had quit, and 79.9% (n:243) had never smoked before. There isn't significant relationship was found between the history of smoking and family type, settlement, income level and chronic disease information. Smoking history was found to be significantly higher in women with a smoking spouse, low education level and working as a worker (p<0.05). In the study, it was determined that 55.6% (n:169) of the pregnant women had husbands smoking and 62.8% were exposed to cigarette smoke. There was no statistically significant difference between smoking exposure and age, family type, duration of marriage, and number of pregnancies. The rates of exposure to smoking were found to be significantly higher in pregnant women with a low education level, whose husbands had a low education level, and whose husbands worked as a tradesman. (p<0.05). It was found that the rate of reaction while smoking near the pregnant women who were exposed to cigarette smoke was significantly lower than the pregnant women who were not exposed to cigarette smoke (p<0.05). The rate of participants who stated that they were not informed about smoking and passive smoking by the physician or allied health personnel during pregnancy was found to be quite high. Providing the pregnant women and their husbands with the necessary training in this regard will contribute to the awareness of the society. By guiding those who want to quit and providing psychosocial support, the pregnancy process can be turned into an opportunity to quit smoking.
Smoking and passive smoking is one of the main health problems in our country and in the world. It is also an issue that should be carefully considered during pregnancy for a healthy pregnancy and birth. It is aimed to evaluate the smoking and passive smoking status of the pregnant women participating in this study together with sociodemographic data. Our study is an descriptive screening study and 304 pregnant women have been included. Sociodemographic information, smoking status and exposure to cigarette smoke of all participants were questioned. A questionnaire including the Fagestrom Nicotine Addiction Test was applied to the smokers to evaluate their smoking behaviors. It was observed that 10.2% (n:31) of the pregnant women who participated in the study were still actively smoking, 9.9% (n:30) had quit, and 79.9% (n:243) had never smoked before. There isn't significant relationship was found between the history of smoking and family type, settlement, income level and chronic disease information. Smoking history was found to be significantly higher in women with a smoking spouse, low education level and working as a worker (p<0.05). In the study, it was determined that 55.6% (n:169) of the pregnant women had husbands smoking and 62.8% were exposed to cigarette smoke. There was no statistically significant difference between smoking exposure and age, family type, duration of marriage, and number of pregnancies. The rates of exposure to smoking were found to be significantly higher in pregnant women with a low education level, whose husbands had a low education level, and whose husbands worked as a tradesman. (p<0.05). It was found that the rate of reaction while smoking near the pregnant women who were exposed to cigarette smoke was significantly lower than the pregnant women who were not exposed to cigarette smoke (p<0.05). The rate of participants who stated that they were not informed about smoking and passive smoking by the physician or allied health personnel during pregnancy was found to be quite high. Providing the pregnant women and their husbands with the necessary training in this regard will contribute to the awareness of the society. By guiding those who want to quit and providing psychosocial support, the pregnancy process can be turned into an opportunity to quit smoking.
Açıklama
Tıp Fakültesi, Aile Hekimliği Ana Bilim Dalı
Anahtar Kelimeler
Aile Hekimliği, Family Medicine
