فراوانی کودک آزاری و عوارض آن در کودکان مراجعه کننده به اورژانس اجتماعی

نوع مقاله : مقاله پژوهشی

نویسندگان

1 Associate professor, Department of Psychiatry, Clinical Research Development Unit- Kargarnejad/Matini Hospitals, Kashan University of Medical Sciences, Kashan, Iran

2 Assistant professor, Department of Psychiatry, Clinical Research Development Unit- Kargarnejad/Matini Hospitals, Kashan University of Medical Sciences, Kashan, Iran

3 Medical student, Kashan University of Medical Sciences, Kashan, Iran

4 Medical student, Iran University of Medical Sciences, Tehan, Iran

چکیده

مقدمه: بدرفتاری با کودک یکی از مشکلات سلامت عمومی محسوب شده و عواقب گوناگون آن میتواند بر سراسر زندگی قربانیان تاثیر بگذارد. مطالعه حاضر به منظور تعیین فراوانی کودک­آزاری در مراجعین به اورژانس اجتماعی شهر کاشان انجام شد.
روش کار: در این مطالعه مقطعی به روش سرشماری با استفاده از کلیه پرونده های  کودک آزاری اورژانس  اجتماعی کاشان (268پرونده) طی سالهای 1384 تا 1394 انجام گرفت. داده ها با نرم افزار  SPSSو آزمونهای آماری مجذور خی و دقیق فیشر تحلیل شدند.
نتایج : میانگین سنی کودکان 28/4± 06/8 سال بود. بر اساس نوع کودک­آزاری 192 مورد (6/71%)  غفلت، 95 مورد (4/35%) سوء استفاده  روانی، 87 مورد ( 5/32% ) سوء استفاده  جسمی و 12 مورد (5/4%) سوء استفاده جنسی گزارش شد. در بین کودکان مورد سوء استفاده، اضطراب با 3/12% به عنوان بیشترین عارضه سوء استفاده روانی گزارش شد. افت تحصیلی و سوءتغذیه به عنوان فراوان ترین عارضه غفلت و بی توجهی گزارش شد. در مورد سوءاستفاده جسمی، بیشترین عوارض کبودی، تورم، جراحت و سوختگی بودند. بی قیدی جنسی از عوارض سوءاستفاده جنسی به دست آمد. در این مطالعه بین متغیر جنسیت و بدرفتاری جسمی (001/0p <) و سوءاستفاده غفلت (غفلت جسمی) (04/0=P) تفاوت معناداری به دست آمد.
نتیجه گیری: به نظر می رسد سوءاستفاده از کودکان مخصوصا غفلت در کودکان مورد بررسی وجود دارد و پسران، بیشتر در معرض خطر سوءاستفاده و غفلت جسمی هستند.  

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