Okul �ncesi �ocuklarda �st ekstremite k�r�klar� i�in psikolojik risk fakt�rleri: Bir vaka-kontrol �al��mas�

G�ltekin, Muhammet Zeki; Do�ar, Fatih; Sar�, Ahmet Sinan; Co�kun, Fatma; YILDIRIM, Ahmet

Cilt : Say� : Y�l : 2024

30/4Gelecek Say� Ar�iv Kapaklar Pop�ler Makaleler

ICMJE COI Form

H�zl� Arama

Turkish Journal of Trauma and Emergency Surgery Okul �ncesi �ocuklarda �st ekstremite k�r�klar� i�in psikolojik risk fakt�rleri: Bir vaka-kontrol �al��mas� [Ulus Travma Acil Cerrahi Derg]

Ulus Travma Acil Cerrahi Derg. Bask�daki Makaleler: UTD-23522 | DOI: 10.14744/tjtes.2024.23522

Okul �ncesi �ocuklarda �st ekstremite k�r�klar� i�in psikolojik risk fakt�rleri: Bir vaka-kontrol �al��mas�

Muhammet Zeki G�ltekin¹, Fatih Do�ar¹, Ahmet Sinan Sar�¹, Fatma Co�kun², Ahmet YILDIRIM¹
¹Konya �ehir Hastanesi, Ortopedi ve Travmatoloji Klini�i, Konya, T�rkiye
²Necmettin Erbakan �niversitesi, Meram T�p Fak�ltesi,�ocuk Ve Ergen Psikiyatri Ana Bilim Dal�, Konya, T�rkiye

Ama�: Okul �a�� ocuklar�nda �st ekstremite k�r�klar� gerek ebeveyn ve gerekse de �ocu�un kendisine ait etkenler ile ili�kili ve �ok fakt�rl� bir antitedir. Bu �al��ma, okul �ncesi �ocuklarda �st ekstremite k�r�klar� ile ili�kilendirilen psikolojik risk fakt�rlerini ara�t�rmay� ama�lamaktad�r.
Gere� ve Y�ntem: Bu tek merkezli, hastane tabanl�, ya� uyumlu vaka-kontrol �al��mas�, �st ekstremite k�r�� vakalar�n� i�eren 55 vaka ve b�y�me a�r�lar� ya�ayan 55 kontrol grubunu i�ermektedir. �ocuklar�n ebeveynleri y�z y�ze g�r��melerde bulundu. �st ekstremite k�r�� riski ile Anne-Bebek Ba�lanma �l�e�i (MIBS), Yeti�kin Dikkat Eksikli�i Hiperaktivite Bozuklu�u Kendi Bildirim �l�e�i (ASRS), Otizm Spektrum Kotas� (AQ), Durum-S�rekli Kayg� Envanteri (STAI) ve G��l�kler ve Yetenekler Anketi (SDQ) skorlar� aras�ndaki potansiyel ili�kiler incelendi.
Bulgular: �leri ya�ta ebeveynler ve d��k hane geliri, �st ekstremite k�r�klar� i�in risk fakt�rleri olarak ortaya ��kt�, annelerin daha uzun e�itim s�resi ise koruyucu bir fakt�r olarak tan�mland�. Univariate analizlerde, Otizm Spektrum Kotas� �leti�im alt �l�e�i (AQ-C), genel AQ skoru, G��l�kler ve Yetenekler Anketi Hiperaktivite alt �l�e�i (SDQ-H) ve G��l�kler ve Yetenekler Anketi Duygusal ve Akran Problemler alt �l�e�i (SDQ-Int) y�ksek skorlar�, artm�� bir k�r�k riski ile ili�kilendirildi (Odds Oran� (95% G�ven Aral��): 1.15 (1.05-1.27), OR: 1.05 (1.01-1.09), OR: 1.25 (1.01-1.54) ve OR: 1.19 (1.04-1.37), s�ras�yla). AQ-C ve SDQ-Int �l�ekleri, �st ekstremite k�r�klar� i�in risk fakt�rleri olarak �ok de�i�kenli regresyon analizlerinde istatistiksel olarak anlaml� kald� (OR: 1.15 (1.02-1.28) ve OR: 1.21 (1.02-1.43), s�ras�yla).
Sonu�: Bulgular�m�z, hem ebeveynleri hem de �ocuklar� etkileyen psikolojik fakt�rlerin, okul �ncesi �ocuklarda �st ekstremite k�r�klar� riskini potansiyel olarak art�rabilece�ini g�stermektedir.

Anahtar Kelimeler: Yaralanma, ekstremite k�r�klar�, okul �ncesi �ocuklar, risk fakt�rleri, psikolojik fakt�rler.

Psychological risk factors for upper extremity fractures in preschool children: A case-control study

Muhammet Zeki G�ltekin¹, Fatih Do�ar¹, Ahmet Sinan Sar�¹, Fatma Co�kun², Ahmet YILDIRIM¹
¹Department Of Orthopaedcis And Traumatology, Konya City Hospital, Konya, Turkey
²Department Of Child And Adolescent Psychiatry,konya Necmettin Erbakan University, Meram Medical Faculty, Konya, Turkey

Background: In school-age children, upper extremity fractures are associated with both parental and child-related factors and are a multifactorial entity. This study aims to explore the psychological risk factors associated with upper extremity fractures in preschool children.
Methods: This single-center, hospital-based, age-matched case-control study involved 55 cases of upper extremity fractures and 55 controls experiencing growing pains. Parents of the children participated in face-to-face interviews. The potential associations between scores on the Mother-to-Infant Bonding Scale (MIBS), Adult Attention Deficit Hyperactivity Disorder Self-Report Scale (ASRS), Autism-Spectrum Quotient (AQ), State-Trait Anxiety Inventory (STAI), and Strengths and Difficulties Questionnaire (SDQ), and the risk of upper extremity fractures were examined.
Results: Advanced parental age, as well as lower household income, emerged as risk factors for upper extremity fractures, while mothers' longer educational attainment was identified as a protective factor. In the univariate analyses, elevated scores on the Autism-Spectrum Quotient Communication subscale (AQ-C), overall AQ score, Strengths and Difficulties Questionnaire Hyperactivity subscale (SDQ-H), and Strengths and Difficulties Questionnaire Emotional and Peer Problems subscale (SDQ-Int) were associated with an increased fracture risk (Odds Ratio (95% Confidence Interval): 1.15 (1.05-1.27), OR: 1.05 (1.01-1.09), OR: 1.25 (1.01-1.54), and OR: 1.19 (1.04-1.37), respectively). AQ-C and SDQ-Int scales remained statistically significant as risk factors for upper extremity fractures (OR: 1.15 (1.02-1.28) and OR: 1.21 (1.02-1.43), respectively) in the multivariate regression analyses.
Conclusions: Our findings suggest that the psychological factors affecting both parents and children could potentially increase the risk of upper extremity fractures in preschool children.

Keywords: Injury, extremity fractures, preschool children, risk factors, psychological factors.

Sorumlu Yazar: Muhammet Zeki G�ltekin, T�rkiye
Makale Dili: �ngilizce

ARA�LAR Yazd�r Al�nt�y� �ndir RIS EndNote BibTex Medlars Procite Reference Manager E-Postala Payla� Yazara e-posta g�nder Benzer makaleler PubMed Google Scholar