4-36 Ay Arası Bebeklerin Diş Çıkarma Sürecinde Yaşadıkları Sorunlar ve Annelerin Yaptıkları Uygulamalar
Öz
Giriş: Diş çıkarma, bütün bebeklerin yaşadığı fizyolojik bir süreçtir. Bu süreçte birçok lokal ve sistemik semptom görülmektedir. Amaç: Araştırma, 4-36 ay arası bebeklerin diş çıkarma sürecinde yaşadıkları sorunları ve annelerin sorunlarla baş etmek için yaptıkları uygulamaları belirlemek amacıyla gerçekleştirildi. Yöntem: Tanımlayıcı ve kesitsel tipteki araştırma 30 Ekim 2020-10 Ocak 2021 tarihleri arasında İstanbul ilinde bulunan bir Aile Sağlığı Merkezi’nde yürütüldü. Araştırmanın örneklemini bu merkeze kayıtlı 145 bebeğin annesi oluşturdu. Veriler araştırmacılar tarafından literatür taraması sonucu hazırlanan ‘Anket Formu’ aracılığıyla toplandı. Verilerin analizi SPSS 22.0 programında yapıldı. Bulgular: Bebeklerin ortalama diş çıkarma zamanının 7.55 ± 2.24 (min=4; max=18) ay olduğu bulundu. Bebeklerin çıkan ilk dişinin, sağ alt ön kesici diş (%49.0) olduğu, bunu sol alt ön kesici dişin (%32.4) izlediği saptandı. Diş çıkarma sırasında bebeklerin çoğunun (%95.9) en az bir sorun yaşadığı ve en fazla görülen sorunların huzursuzluk (%76.6), diş etlerinde kızarıklık ve kaşıntı (%64.8), ısırma ve çiğnemede artış (%55.2), salyada artış (%52.4), uykusuzluk (%49.7) ve ateş (%48.3) olduğu saptandı. Bu sorunlara yönelik annelerin en fazla yaptıkları uygulamaların; çiğnemesi için yiyecek verme (%71.0), diş kaşıma halkası verme (%60.0), diş jeli sürme (%43.4), hekimin önerdiği ağrı kesici ilaç verme (%35.9), diş etine masaj yapma (%34.5) olduğu bulundu. Sonuç: Annelerin tamamına yakını diş çıkma sürecinde bebeklerinin sorun yaşadığını belirtmektedir. Hemşireler tarafından bu sorunlara yönelik uygun yöntemlerin seçilmesi konusunda ebeveynlere bilgi verilmelidir.
Anahtar Kelimeler
Kaynakça
- 1. Elbur AI, Yousif MA, Albarraq AA, Abdallah MA. Parental knowledge and practices on infant teething, Taif, Saudi Arabia. BMC Res Notes 2015;8(699):1-6.
- 2. Baykan Z, Sahin F, Beyazova U, Özçakar B, Baykan, A. Experience of Turkish parents about their infants’ teething. Child Care Health Dev 2004;30(4):331–336.
- 3. Kılınç G, Edem P, Günay T, Aydın A, Halıcıoğlu O, Sevinç N. Annelerin çocuklarının süt dişlerinin sürmesi ile ilgili şikâyet ve yaklaşımları. Turkiye Klinikleri J Dental Sci 2015;21(2):90-94.
- 4. Çelen R, Taş Arslan F. Bebeklerde diş çıkarma süreci ve bu süreçte karşılaşılan sorunlara yönelik uygulamalar. Güncel Pediatri 2018;16(2):181-186.
- 5. Un Lam C, Hsu CS, Yee R, Koh D, Lee YS, Chong MF ve ark. Influence of metabolic-linked early life factor on the eruption timing of the first primary tooth. Clin Oral Investig 2016;20(8):1871-1879.
- 6. Zaidi I, Thayath MN, Singh S, Sinha A. Preterm birth: a primary etiological factor for delayed oral growth and development. Int J Clin Pediatr Dent 2015;8(3):215-219.
- 7. Arıkan D, Bekar P. Çocukların diş çıkarma ağrısında yapılan uygulamalar ve hemşirenin rolü. GÜSBD 2020;9(1):44-47.
- 8. Ispas RS, Mahoney EK, Whyman RA. Teething signs and symptoms: persisting misconceptions among health professionals in New Zealand. N Z Dent J 2013;109(1):2-5.
- 9. Plutzer K, Spencer AJ, Keirse MJNC. How first-time mothers perceive and deal with teething symptoms: a randomized controlled trial. Child Care Health Dev 2012;38(2):292-299.
- 10. Uğurlu E, Kalkım A, Sağkal T. 0-1 yaş arası bebeklerde sık karşılaşılan ağrı durumları ve ailelerin yaklaşımları. Fırat Tıp Dergisi 2014;19(1):25-30.
- 11. Adam VY, Abhulimhen-Iyoha BI. Teething: beliefs and behaviors of mothers attending well baby clinics in Benin City, Nigeria. Afr J Med Health Sci 2015;14(1):8-12.
- 12. Hadadi MH. Parental knowledge and practices on infant teething. International Journal of Medicine in Developing Countries, 2019;3(6):521-525.
- 13. Noor-Mohammed R, Basha S. Teething disturbances; prevalence of objective manifestations in children under age 4 months to 36 months. Med Oral Patol Oral Cir Bucal 2012;17(3):e491-494.
- 14. Bankole O.O, Lawal F.B. Teething: misconceptions and unhealthy practices among residents of a rural community in Nigeria. Int Q Community Health Educ 2017;37(2):99-106.
- 15. Owais AI, Zawaideh F, Bataineh O. Challenging parents’ myths regarding their children’s teething. Int J Dent Hyg 2010;8(1):28-34.
- 16. Haznedaroğlu E, Mentes A. The internet versus pediatricians as a source of infant teething information for parents in Turkey. Clinics 2016;71(8):430-434.
- 17. Kariya P, Tandon S, Singh S, Tewari N. Polymorphism in emergence of deciduous dentition: a cross-sectional study of Indian children. J Invest Clin Dent 2018;9(1). doi: 10.1111/jicd.12266.
- 18. Choi NK, Yang KH. A study on the eruption timing of primary teeth in Korean children. ASDC J Dent Child 2001;68(4):244-249.
- 19. Prado AMC, Oliveira FS, de Melo Abrão L, de Paiva Novaes MS, Basso Prado TT. Perception of parents of children with and without disabilities about teething disturbances and practices adopted. Braz J Oral Sci 2013;12(2):76-79.
- 20. Altaş B. Kutlama ve armağanlarca kuşatılan annelik: diş buğdayı, baby shower ve annelik eksenindeki diğer ritüeller. Mediterranean Journal of Humanities 2018;VIII(2):1-31.
- 21. Memarpour M, Soltanimehr E, Eskandarian T. Signs and symptoms associated with primary tooth eruption: a clinical trial of nonpharmacological remedies. BMC Oral Health 2015;15(88). doi: 10.1186/s12903-015-0070-2.
- 22. Azevedo MS, Portela AR, Romano AR, Cenci MS. Prevalence of teething symptoms in primary teeth and associated factors: cross sectional study in children aged 12-23 months in Pelotas, Brazil. Br Res Pediatr Dent Integr Clinic 2015;15(1):217-225.
- 23. Getaneh A, Derseh F, Abreha M, Yirtaw T. Misconceptions and traditional practices towards infant teething symptoms among mothers in Southwest Ethiopia. BMC Oral Health 2018;18(1):159. doi: 10.1186/s12903-018-0619-y.
- 24. Ferreira FV, Machado MVS, Ardenghi TM, Praetzel JR. Systemic and/or localized manifestations associated with primary tooth eruption: a retrospective study. Pesq Bras Odontoped Clin Integr 2009;9(2):235-239.
- 25. Olczak-Kowalczyk D, Turska-Szybka A, Gozdowski D, Boguszewska-Gutenbaum H, Krasuska-Sławińska E, Sobiech P ve ark. Longitudinal study of symptoms associated with teething: Prevalence and mothers’ practices. Pediatria Polska 2016;91(6):533-540.
- 26. Feldens CA, Faraco IM, Ottoni AB, Feldens EG, Vítolo MR. Teething symptoms in the first year of life and associated factors: a cohort study. J Clin Pediatr Dent 2010;34(3):201-206.
- 27. American Academy of Pediatric Dentistry. Perinatal and infant oral health care. The Reference Manual of Pediatric Dentistry. Chicago, III: American Academy of Pediatric Dentistry; 2020:252-256. URL: https://www.aapd.org/globalassets/media/policies_guidelines/bp_perinataloralhealthcare.pdf
- 28. Aliyu I, Adewale A, Teslim LO. Teething myths among nursing mothers in North-Western Nigeria. Medical Journal of Dr. D.Y. Patil University 2015;8(2):144-8.
- 29. Ige OO, Olubukola PB. Teething myths among nursing mothers in a Nigerian community. Niger J Med 2013;54(2):107-110.
- 30. El-Gilany AH, Abusaad FES. Mothers’ teething beliefs and treatment practices in Mansoura, Egypt. Saudi Dent J 2017;29(4):144-148.
- 31. Güçyetmez Topal B, Falay SB. Hekimler diş sürme dönemi semptomları için kehribar takı kullanımını tavsiye ediyor mu?. Güncel Pediatri 2020;18(1):63-73.
Problems Experienced by Babies Between 4-36 Months During Teething Process and the Practices Made by Mothers
Öz
Background: Teething is a physiological process that all babies experience. Many local and systemic symptoms are seen in this process. Objective: The study was carried out to determine the problems experienced by babies between 4-36 months during the teething process and the practices of mothers to cope with the problems. Methods: The descriptive and cross-sectional study was conducted between 30 October 2020-10 January 2021 in a Family Health Center in Istanbul. The sample of the study was the mothers of 145 babies registered in this center. The data were collected through the ‘Questionnaire Form’ prepared by the researchers as a result of the literature review. Data analysis was done in SPSS 22.0 program. Results: It was found that the mean eruption time of babies was 7.55 ± 2.24 (min = 4; max = 18) months. It was determined that the first tooth of the babies erupted was the right lower anterior incisor (49.0%), followed by the left lower anterior incisor (32.4%). It was found that most babies (95.9%) had at least one problem during teething and the most common problems were restlessness (76.6%), redness and itching of the gums (64.8%), increased bitting and chewing (55.2%), increased salivation (52.4%), sleeplessness (49.7%) and fever (48.3%). It was found that the most common practices of mothers for these problems were giving food to chew (71.0%), giving teething ring (60.0%), applying dental gel (43.4%), giving pain medication recommended by the physician (35.9%), and massaging the gums (34.5%). Conclusion: Almost all mothers stated that their babies have problems during the teething process. Parents should be informed about the selection of appropriate methods for these problems by the nurses.
Anahtar Kelimeler
Kaynakça
- 1. Elbur AI, Yousif MA, Albarraq AA, Abdallah MA. Parental knowledge and practices on infant teething, Taif, Saudi Arabia. BMC Res Notes 2015;8(699):1-6.
- 2. Baykan Z, Sahin F, Beyazova U, Özçakar B, Baykan, A. Experience of Turkish parents about their infants’ teething. Child Care Health Dev 2004;30(4):331–336.
- 3. Kılınç G, Edem P, Günay T, Aydın A, Halıcıoğlu O, Sevinç N. Annelerin çocuklarının süt dişlerinin sürmesi ile ilgili şikâyet ve yaklaşımları. Turkiye Klinikleri J Dental Sci 2015;21(2):90-94.
- 4. Çelen R, Taş Arslan F. Bebeklerde diş çıkarma süreci ve bu süreçte karşılaşılan sorunlara yönelik uygulamalar. Güncel Pediatri 2018;16(2):181-186.
- 5. Un Lam C, Hsu CS, Yee R, Koh D, Lee YS, Chong MF ve ark. Influence of metabolic-linked early life factor on the eruption timing of the first primary tooth. Clin Oral Investig 2016;20(8):1871-1879.
- 6. Zaidi I, Thayath MN, Singh S, Sinha A. Preterm birth: a primary etiological factor for delayed oral growth and development. Int J Clin Pediatr Dent 2015;8(3):215-219.
- 7. Arıkan D, Bekar P. Çocukların diş çıkarma ağrısında yapılan uygulamalar ve hemşirenin rolü. GÜSBD 2020;9(1):44-47.
- 8. Ispas RS, Mahoney EK, Whyman RA. Teething signs and symptoms: persisting misconceptions among health professionals in New Zealand. N Z Dent J 2013;109(1):2-5.
- 9. Plutzer K, Spencer AJ, Keirse MJNC. How first-time mothers perceive and deal with teething symptoms: a randomized controlled trial. Child Care Health Dev 2012;38(2):292-299.
- 10. Uğurlu E, Kalkım A, Sağkal T. 0-1 yaş arası bebeklerde sık karşılaşılan ağrı durumları ve ailelerin yaklaşımları. Fırat Tıp Dergisi 2014;19(1):25-30.
- 11. Adam VY, Abhulimhen-Iyoha BI. Teething: beliefs and behaviors of mothers attending well baby clinics in Benin City, Nigeria. Afr J Med Health Sci 2015;14(1):8-12.
- 12. Hadadi MH. Parental knowledge and practices on infant teething. International Journal of Medicine in Developing Countries, 2019;3(6):521-525.
- 13. Noor-Mohammed R, Basha S. Teething disturbances; prevalence of objective manifestations in children under age 4 months to 36 months. Med Oral Patol Oral Cir Bucal 2012;17(3):e491-494.
- 14. Bankole O.O, Lawal F.B. Teething: misconceptions and unhealthy practices among residents of a rural community in Nigeria. Int Q Community Health Educ 2017;37(2):99-106.
- 15. Owais AI, Zawaideh F, Bataineh O. Challenging parents’ myths regarding their children’s teething. Int J Dent Hyg 2010;8(1):28-34.
- 16. Haznedaroğlu E, Mentes A. The internet versus pediatricians as a source of infant teething information for parents in Turkey. Clinics 2016;71(8):430-434.
- 17. Kariya P, Tandon S, Singh S, Tewari N. Polymorphism in emergence of deciduous dentition: a cross-sectional study of Indian children. J Invest Clin Dent 2018;9(1). doi: 10.1111/jicd.12266.
- 18. Choi NK, Yang KH. A study on the eruption timing of primary teeth in Korean children. ASDC J Dent Child 2001;68(4):244-249.
- 19. Prado AMC, Oliveira FS, de Melo Abrão L, de Paiva Novaes MS, Basso Prado TT. Perception of parents of children with and without disabilities about teething disturbances and practices adopted. Braz J Oral Sci 2013;12(2):76-79.
- 20. Altaş B. Kutlama ve armağanlarca kuşatılan annelik: diş buğdayı, baby shower ve annelik eksenindeki diğer ritüeller. Mediterranean Journal of Humanities 2018;VIII(2):1-31.
- 21. Memarpour M, Soltanimehr E, Eskandarian T. Signs and symptoms associated with primary tooth eruption: a clinical trial of nonpharmacological remedies. BMC Oral Health 2015;15(88). doi: 10.1186/s12903-015-0070-2.
- 22. Azevedo MS, Portela AR, Romano AR, Cenci MS. Prevalence of teething symptoms in primary teeth and associated factors: cross sectional study in children aged 12-23 months in Pelotas, Brazil. Br Res Pediatr Dent Integr Clinic 2015;15(1):217-225.
- 23. Getaneh A, Derseh F, Abreha M, Yirtaw T. Misconceptions and traditional practices towards infant teething symptoms among mothers in Southwest Ethiopia. BMC Oral Health 2018;18(1):159. doi: 10.1186/s12903-018-0619-y.
- 24. Ferreira FV, Machado MVS, Ardenghi TM, Praetzel JR. Systemic and/or localized manifestations associated with primary tooth eruption: a retrospective study. Pesq Bras Odontoped Clin Integr 2009;9(2):235-239.
- 25. Olczak-Kowalczyk D, Turska-Szybka A, Gozdowski D, Boguszewska-Gutenbaum H, Krasuska-Sławińska E, Sobiech P ve ark. Longitudinal study of symptoms associated with teething: Prevalence and mothers’ practices. Pediatria Polska 2016;91(6):533-540.
- 26. Feldens CA, Faraco IM, Ottoni AB, Feldens EG, Vítolo MR. Teething symptoms in the first year of life and associated factors: a cohort study. J Clin Pediatr Dent 2010;34(3):201-206.
- 27. American Academy of Pediatric Dentistry. Perinatal and infant oral health care. The Reference Manual of Pediatric Dentistry. Chicago, III: American Academy of Pediatric Dentistry; 2020:252-256. URL: https://www.aapd.org/globalassets/media/policies_guidelines/bp_perinataloralhealthcare.pdf
- 28. Aliyu I, Adewale A, Teslim LO. Teething myths among nursing mothers in North-Western Nigeria. Medical Journal of Dr. D.Y. Patil University 2015;8(2):144-8.
- 29. Ige OO, Olubukola PB. Teething myths among nursing mothers in a Nigerian community. Niger J Med 2013;54(2):107-110.
- 30. El-Gilany AH, Abusaad FES. Mothers’ teething beliefs and treatment practices in Mansoura, Egypt. Saudi Dent J 2017;29(4):144-148.
- 31. Güçyetmez Topal B, Falay SB. Hekimler diş sürme dönemi semptomları için kehribar takı kullanımını tavsiye ediyor mu?. Güncel Pediatri 2020;18(1):63-73.
Ayrıntılar
| Birincil Dil | Türkçe |
|---|---|
| Konular | Hemşirelik |
| Bölüm | Araştırma Makaleleri |
| Yazarlar | |
| Yayımlanma Tarihi | 15 Temmuz 2021 |
| Yayımlandığı Sayı | Yıl 2021 Cilt: 14 Sayı: 3 |
Dokuz Eylül Üniversitesi Hemşirelik Fakültesi Elektronik Dergisi ULAKBİM Türk Tıp Dizini, Türk Medline, Türkiye Atıf Dizini, Şubat 2021 tarihinden beri EBSCO Host ve 26 Ekim 2021 tarihinden itibaren DOAJ ve 18 Ocak 2022 tarihinden beri Index Copernicus tarafından indekslenmektedir.
