Sağlık yüksekokulu öğrencilerinin evlilik dışı cinsel ilişki, istemli düşükler ve kontraseptif kullanımı konusundaki görüşleri

Abstract

Amac: Bu calismanin amaci; saglik yuksekokulu ogrencilerinin evlilik oncesi cinsel iliski, istemli dusukler ve kontraseptif yontem kullanimi konusunda goruslerini belirlemek ve toplumsal deger yargilarini mesleki yasantilarina yansitmamalari konusunda farkindalik yaratmaktir. Yontem: Kesitsel olarak planlanan arastirmaya, Mayis-2008’de Trakya ve Namik Kemal Universitesi saglik yuksek okullarinda ogrenim goren toplam 338 ebelik ve hemsirelik ogrencisinin katilmistir. Veriler arastirmacilar tarafindan hazirlanan 25 maddelik bir soru formu ile toplanmistir. Bulgular: Arastirmaya katilanlarin yas ortalamasi 20.9±1.6’dir ve %97’si kadindir. Ogrencilerin %66.9’u “evlenmeden once cinsel iliskiye girmek yanlistir”; %63.6’si “evlilik disi iliskiler bizim ahlaki ve kulturel degerlerimizi tahrip ediyor”; %52.1’i “istemli dusuk ahlaksal olarak yanlistir”; yalnizca %2.1’i ise “kontraseptif yontemler ile ilgili bilgi yalnizca evli ciftlere verilmelidir” onermesine katildiklarini belirtmislerdir. Sonuc: Gelecegin saglik calisanlari evlilik disi cinsel iliski, istemli dusukler ve kontraseptif kullanimi ile ilgili konularda toplumsal deger yargilari ve mesleki yaklasimlari arasinda ikilem yasamaktadirlar. Evlilik disi cinsel iliski ve istemli dusukler ahlaksal olarak yanlis bulunurken; planlanmamis bir gebelik durumunda istemli dusugun kabul edilebilecegini ve evli olmayan genc kadinlarin istemli dusuk hizmetlerinin, kurtajin fiziksel ve psikolojik sonuclarini da kapsayacak sekilde verilmesi bu ikilemi acikca gostermektedir. Saglik alaninda toplumsal deger yargilarinin mesleki bagimsizligi ve tibbi etik yaklasimlari etkilemesi olasiligini en aza indirmek amaciyla mufredat gozden gecirilmelidir. Anahtar Kelimeler: Ureme sagligi hizmetleri, evlilik oncesi cinsel iliski, ergenler, mesleki tutum, kulturel degerler, ebelik ve hemsirelik egitimi Opinions of health college students on premarital sex, induced abortions and contraceptive use of young people Objective: The aim of the study was to investigate the health college students’ opinions towards premarital sexual intercourse, induced abortion, and contraceptive use and to raise awareness about not to pass social and cultural values through to their professional life. Method: The cross-sectional study was conducted in Edirne and Tekirdag health colleges with participation of 338 nursing and midwifery students, in May-2008. A 25 item questionnaire form prepared by researchers was used for collecting data. Results: The mean age of the participants is 20.9±1.6 and 97% of them are women. Of the students, 66.9% expressed that “premarital sex is unacceptable in premarital period”; 63.6% “fornication was battered our moral and cultural values”; 52.1% “curettage morally wrong” and only 2.1% of the students said they participated the “only married couples should be enlightened about contraceptive methods” proposition. Conclusion: Findings displayed a dilemma of the health professional of the future between society’s condemnation and ethic rules of their profession about premarital sexual intercourse, induced abortions and contraceptive use of unmarried couples. Although most of the students believe premarital sexual intercourse and abortion morally wrong, they said adolescent abortion is acceptable in case of unplanned pregnancy and abortions services for unmarried young women should be comprised the physical and psychological consequences of induced abortions. Midwifery and nursing education should be considered in order to rule out the impact of the cultural values on professional independence and ethical approaches. Key Words: Reproductive health services, premarital sexual intercourse, adolescents, professional attitude, cultural values, midwifery and nursing education