Turkiye Klinikleri Journal of Medical Sciences

.: ORIGINAL RESEARCH
Riyad Uluslararası Türk Okulu Öğrencilerinde Sağlık Taraması: En Yaygın Sorunlar Diş Çürükleri ve Uyku Düzensizlikleri
Health Screening Among Riyadh International Turkish School Students: Most Prominent Problems are Dental Caries and Irregular Sleep
Zekeriya AKTÜRKa, Hilmi DÖNMEZb, Metin GÜÇLÜc, Canan KORUd
aSuudi Arabistan Sağlık Bakanlığı, bRiyad Uluslararası Türk Okulu, cTC Riyad Büyükelçiliği, dTC Riyad Büyükelçiliği, Suudi Arabistan
Turkiye Klinikleri J Med Sci. 2010;30(3):940-6
doi: 10.5336/medsci.2008-9568
Article Language: TR
Full Text
ÖZET
Amaç: Dünya Sağlık Örgütü de dahil, sağlık camiası okul taramalarına büyük önem vermektedir. Riyad Uluslararası Türk Okulu (RUTO) öğrencilerinin sağlık sorunlarını saptamak ve çözüm yolları üretmek amacıyla ana sınıfı-beşinci sınıf öğrencileri arasında bir sağlık taraması yapıldı. Gereç ve Yöntemler: Aralık 2007de RUTO ana sınıfı-beşinci sınıflarda bulunan 958 öğrenci, velilerinden imzalı izin alınarak taramaya davet edildi. Katılımcılarda şişmanlık, boy kısalığı, şaşılık, kırma kusuru, kansızlık, uyku bozuklukları, beslenme durumu, kalpte üfürüm ve diş sağlığı sorunları tarandı. Ayrıca, bir anket aracılığıyla sosyal güvence, ailedeki kişi sayısı ve baba mesleği gibi demografik özellikler sorgulandı. Sonuçlar bilgisayarla analiz edildi. Bulgular: Sağlık taramasına 910 öğrenci katıldı (%95). Katılımcıların 443ü (%48.7) kız, 467si (%51.3) erkekti. En sık bildirilen baba meslekleri lokantacı (%17.7; n= 145), oto tamircisi (%16.3; n= 133), berber (%7.5; n= 61) ve kaynakçı (%6.9; n= 56) idi. Altı yüz on dokuz ailenin (%80) sağlık sigortası yoktu. Öğrencilerin evlerinde oda başına düşen birey sayısı 1.6 ± 0.5 idi. Öğrencilerin %90dan fazlası (n=731) akşam 22:00 ve sonrasında yatmaktaydı. Ortalama uyku süreleri 10:49 ± 0:58 saat olarak bulundu. Öğrenci yaşı arttıkça uyku süresi anlamlı olarak azalmaktaydı (p< 0.001). Öğrencilerden %44.7si (371 kişi) sabah dişlerini fırçalamamıştı, %80inde (675 kişi) diş çürüğü vardı. Kızların diş sağlığı erkeklerden daha iyiydi (p< 0.001). Yüz sekiz öğrencide (%13.1) kırma kusuru saptanırken bunlardan 32si (%4.0) gözlük kullanmaktaydı. Sonuç: RUTO ana sınıfı-beşinci sınıf öğrencilerinin çoğunluğu işçi ailelerinden gelmektedir ve sağlık güvenceleri yoktur. Diş sağlığı sorunları, uyku düzensizlikleri ve kırma kusuru saptanan önemli sağlık sorunlarıdır. Öğrencilere ve velilere yönelik sağlık eğitim programlarının başlatılması, okulda bir sağlık kabini oluşturulması, sağlık personeli istihdam edilmesi ve ailelerin sağlık güvencesine kavuşturulması için çalışmalar yapılmalıdır.

Anahtar Kelimeler: Öğrenci sağlığı; diş hastalıkları; uyku bozuklukları; miyopi; Türkiye; Suudi Arabistan
ABSTRACT
Objective: Health professionals including organizations such as the World Health Organization give much emphasis to screening programs in schools. A health screening program was planned for pupils in the classes of KG to grade five in the Riyadh International Turkish School (RUTO). Material and Methods: In December 2007, all of 958 students of RUTO were invited for the screening using a written informed consent from parents. Screened problems consisted of obesity, short stature, strabismus, myopia, anemia, sleep disorders, nutrition, heart murmurs, and tooth decay. Additionally, a questionnaire was applied about demographic characteristics such as social security, number of family members, and fathers occupation. Results were analyzed on computer. Results: Nine hundred ten students (95%) participated in the study (443 females and 467 males). Most frequent occupations of fathers were cook (17.7%; n= 145), car mechanic (16.3%; n= 133), barber (7.5%; n= 61), and welder (6.9%; n= 56). Eighty percent of the families (n= 619) did not have a health insurance. Participants were living in houses with 1.6 ± 0.5 persons per room. More than 90% of the students (n= 731) were going to sleep after 10 pm. Mean sleep time was calculated as 10.49 ± 0.58 hours. As the age of students increased, the total sleep duration decreased (p< 0.001). Forty four point seven percent (n= 371) of the students did not brush their teeth in the morning, and 80% (n= 675) had dental caries. Girls had a better oral health than boys (p< 0.001). While 108 students (13.1%) had myopia, only 32 (4.0%) of them were using eye glasses. Conclusion: Most parents of the RUTO students are expatriate workers without any health insurance. Most important health problems encountered are tooth decay, inappropriate sleep, and myopia. Health education programs should be started for students involving the families. Establishing a health cabin, employing a health care professional, and taking initiatives to provide health care for the families will be useful.

Keywords: Student health services; tooth diseases; sleep disorders; myopia; Turkey; Saudi Arabia

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