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ORIJINAL ARAŞTIRMA

Türkiye’de Yaşayan Suriyeli Mülteci Amputelerin Depresyon Durumunun Değerlendirilmesi
Evaluation of the Depression Status of Syrian Refugee Amputees Living in Turkey
Received Date : 27 Aug 2019
Accepted Date : 16 Mar 2020
Available Online : 01 May 2020
Doi: 10.31609/jpmrs.2019-71184 - Makale Dili: EN
J PMR Sci. 2020;23(2):69-76
ÖZET
Amaç: Bu çalışmanın amacı Türkiye’de yaşayan Suriyeli mülteci amputelerin depresyon durumlarını Beck Depresyon Ölçeği-II (BDÖ-II) kullanarak araştırmaktı. Gereç ve Yöntemler: Çalışma yaş ortalaması olan 35,22±13,56 yıl olan 93 (82 erkek, 11 kadın) Suriyeli mülteci ampute üzerinde gerçekleştirildi. Olguların sosyo-demografik özellikleri ve ampütasyon sebebi/seviyesi, protez kullanım süresi, medeni durum, eğitim seviyesi, iş durumu ve fantom ağrısı gibi tanımlayıcı bilgileri alındı. Olguların BDÖ-II’yi doldurmaları istendi. Çoklu karşılaştırmalar için Kruskal Wallis Test, ikili karşılaştırmalar için Bağımsız t test Mann-Whitney U Test kullanıldı. Bulgular: Hastaların %67,7’sinin minimal, %25,8’inin hafif-orta, %6,5’inin ise şiddetli seviyede depresyonu gösteren Beck Depresyon Puanına (BDP) sahip olduğu görüldü. Kadın amputelerin BDP ortalaması erkek amputelerden istatistiksel olarak anlamlı düzeyde yüksek bulundu (p:0,039). Amputasyon etyolojisi açısından karşılaştırıldığında, diyabet/kronik hastalık grubunun diğerlerinden anlamlı düzeyde yüksek ortalamaya sahip olduğu görüldü (p:0,045). Sonuç: Türkiye’de, mülteci olarak da olsa, göreceli olarak iyi şartlar altında yaşamaları ve yeterli tıbbi destek alabilmeleri, hastalar üzerindeki psikolojik baskıyı azaltıcı unsurlardır. Geniş ve kapsayıcı Suriye aile yapısı, mülteci dayanışması gibi unsurların olguların BDP’larını azaltmakta etkin olduğu düşünülmektedir.
ABSTRACT
Objective: To investigate the depression status of Syrian refugee amputees living in Turkey using the Beck Depression Inventory- II (BDI-II). Material and Methods: The study was conducted in 93 (82 male, 11 female) Syrian refugee amputees with an average age of 35.22±13.56 years. Socio-demographic and descriptive data of the participants such as cause/level of amputation, duration of prosthesis uses, marital status, education level, job status, and phantom pain were also collected. Participants were asked to complete the self-report BDIII. Kruskal Wallis Test was used for multiple comparisons, Independent t test and Mann-Whitney U Test was used for binary comparisons. Results: It was observed that 67.7% of the patients had a Beck Depression Inventory Score (BDIS) indicating minimal depression, 25.8% had mild-moderate depression, and 6.5% had severe depression. The mean BDIS of the female amputees was found to be statistically higher than that of the male amputees (p:0.039). When the etiology of amputation was compared, it was observed that the diabetes/chronic disease group had a significantly higher average BDIS than that of the others (p:0.045). Conclusion: Patients, though as refugee, live in Turkey in relatively better conditions and have been receiving adequate medical support, both of which may be mitigating factors reducing the psychological pressure. Factors such as the large and inclusive Syrian family structure and solidarity among refugees are also considered to be effective in reducing their BDIS.
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