Abstract
Tedavi reddi çocuk acil servislerinde hekim ve hasta için önemli bir sağlık sorunudur. Hastalar acil tıbbi tedaviyi herhangi bir zamanda reddedebilir. Bu çalışmada çocuk acil servise başvuran ebeveynlerin çocuklarının tedavisini reddetme nedenlerinin belirlenmesi amaçlanmıştır. Sağlık Bilimleri Üniversitesi Dr Sami Ulus Kadın Doğum Çocuk Sağlığı ve Hastalıkları Eğitim Araştırma Hastanesi Çocuk Acil Kliniği’ne 2016 - 2018 yılları arasında başvuran ve ebeveynlerinin tedaviyi reddettiği hastaların verileri red formları ve elektronik kayıtları incelenerek geriye dönük incelendi.İki yıllık dönemde çocuk acil kliğine 207.494 hasta başvurusundan 118 (%0,05) hastanın ebeveyni tedaviyi reddetmiştir. Hastaların tanıları sıklık sırasıyla; alt solunum yolu enfeksiyonu 46 (%39), akut odağı olmayan ateş 14 (%11.9), beşer hasta ilaç zehirlenmesi ve akut gastroenterit idi. Hastaların 71’i (%60.2) tedaviye evde devam etmek için, 24’ü (%20.3) takip ve tedaviyi başka merkezde yaptırmak istediği için tedaviyi reddetmiştir. 16 (%13.5) hasta lomber ponksiyon girişimini kabul etmeyerek tedaviyi reddetti. Çocuk acil servise 2 yıllık sürede başvuran hastaların %0,05 tedaviyi reddetmiştir. En sık tedavi reddi nedenleri; ailelerin tedaviyi evde veya başka merkezlerde devam etmek istemesi ve girişimsel işlemler ile ilgili olası yan etkilerin ailelerde korkulara neden olup, hastada ağrı olasılığı nedeniyle tedaviyi reddetme karar vermesi olarak görülmektedir.
References
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Abstract
References
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- 3. Rochdale Borough Safeguarding Adults Board. Multi Agency Practice Guide: Refusal of Medical Treatment Guidelines. 2013. Available at: www. Rochdale.gov.uk.
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- 8. Sitaresmi MN, Mostert S, Schook RM, Sutaryo, Veerman AJP. Treatment refusal and abandonment in childhood acute lymphoblastic leukemia in Indonesia: An analysis of causes and consequences. Psychooncology. 2010;19:361–7.
- 9. Wang Y rong, Jin R ming, Xu J wei, Zhang Z quan. A report about treatment refusal and abandonment in children with acute lymphoblastic leukemia in China, 1997-2007. Leuk Res. 2011;35:1628–31.
- 10. Prasad VSV, Chawla N, Salukuti S.Profile of LAMA (Left against Medical Advice) Patients from a PediatricEmergency Room: A two year experience from a tertiary care children’s hospital. Crıtıcal Care Ped.2018;1: 19-22.
- 11. Keser N, Arguz P. Parents’ reasons for refusing treatment of their children. Turk J Pediatr Dis 2010; 4: 5-11.
- 12. Gündüz RC, Halil H, Gürsoy C, Çifci A, Özgün S, Kodaman T, et al. Refusal of medical treatment in the pediatric emergency service: Analysis of reasons and aspects. Turk J, Pediatr. 2014; 56:638–42.
- 13. Lee B, Ishimine P, Joseph M. Et al. Evaluation and Treatment of Minors Ann Emerg Med. 2017: 1-8.
- 14.-Dreisinger N, Zapolsky N.; Complexities of Consent: Ethics in the Pediatric Emergency Department, Pediatr Emerg Care. 2018; 34:288-290.
- 15.Altınel-Açoglu E, Oguz M.M, Sarı E, Yücel et al. Parental Attitudes and Knowledge About Lumbar Puncture in Children.Ped Emerg Care. 2018 Sep 21.
Details
| Primary Language | Turkish |
|---|---|
| Subjects | Emergency Medicine |
| Journal Section | Original research articles |
| Authors | |
| Publication Date | August 1, 2021 |
| Submission Date | March 26, 2020 |
| Acceptance Date | July 14, 2020 |
| Published in Issue | Year 2021 Volume: 6 Issue: 2 |
Cited By
Yenidoğan Tarama Programı Hakkında Annelerin Bilgi ve Tutumlarına Etki Eden Faktörlerin Değerlendirilmesi
Ordu Üniversitesi Hemşirelik Çalışmaları Dergisi
https://doi.org/10.38108/ouhcd.1073792
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