Dijital Dünyanın İnsan Sağlığına Etkisi: Ebe/Hemşirenin Rolü
Özet
Dijital dünya, teknolojinin hızlı gelişimiyle birlikte yaşamın ayrılmaz bir parçası haline gelmiş ve insan sağlığı üzerinde çok yönlü etkiler oluşturmuştur. Uzun süreli ekran kullanımı; hareketsizlik, obezite, kas-iskelet sistemi rahatsızlıkları, duruş bozuklukları, göz yorgunluğu ve uyku düzensizliklerine yol açabilmektedir. Özellikle çocuklar ve ergenlerde aşırı dijital maruziyet dikkat sorunları ve akademik performans düşüşü ile ilişkilendirilmektedir. Sosyal medya kullanımının artması ise kaygı, stres, yalnızlık hissi ve depresyon riskini artırabilmekte; siber zorbalık ruh sağlığını olumsuz etkileyebilmektedir. Bununla birlikte dijital sağlık uygulamaları, mobil sağlık sistemleri ve tele-sağlık hizmetleri sağlık hizmetlerine erişimi kolaylaştırmakta, erken tanı ve izlem süreçlerini desteklemektedir. Bu noktada ebe ve hemşireler önemli bir role sahiptir. Bireylerin dijital teknolojileri bilinçli, güvenli ve dengeli kullanmaları konusunda eğitim verir, dijital bağımlılık riskini değerlendirir ve koruyucu danışmanlık sağlar. Ayrıca uzaktan hasta izlem, çevrim içi danışmanlık ve dijital kayıt sistemleri aracılığıyla bakımın sürekliliğini destekler. Sağlık okuryazarlığını artırarak bireylerin doğru bilgiye ulaşmasını sağlar ve toplum sağlığının geliştirilmesine katkıda bulunur.
The digital world has become an integral part of life with the rapid development of technology and has created multidimensional effects on human health. Prolonged screen use can lead to physical inactivity, obesity, musculoskeletal disorders, poor posture, eye strain, and sleep disturbances. Especially in children and adolescents, excessive digital exposure is associated with attention problems and decreased academic performance. Increased use of social media may raise the risk of anxiety, stress, feelings of loneliness, and depression, while cyberbullying can negatively affect mental health. On the other hand, digital health applications, mobile health systems, and telehealth services facilitate access to healthcare and support early diagnosis and monitoring processes. At this point, midwives and nurses play an important role. They educate individuals on the conscious, safe, and balanced use of digital technologies, assess the risk of digital addiction, and provide preventive counseling. In addition, they support continuity of care through remote patient monitoring, online counseling, and digital record systems. By improving health literacy, they help individuals access accurate information and contribute to the promotion of public health.
Referanslar
Saboga-Nunes, L, Bittlingmayer, UH, & Bakibinga, P. The Digital Lifeworld and Salutogenesis. In M. B. Mittelmark (Eds.) et. al., The Handbook of Salutogenesis.2022; (2nd ed., pp. 625–634). Springer.
Yao, R., Zhang, W., Evans, R., Cao, G., Rui, T., & Shen, L. (2022). Inequities in Health Care Services Caused by the Adoption of Digital Health Technologies: Scoping Review. Journal of medical Internet research, 24(3), e34144. https://doi.org/10.2196/34144
Khosla, R., Mishra, V, & Singh, S. Sexual and reproductive health and rights and bodily autonomy in a digital world. Sexual and reproductive health matters; 2023;31(4), 2269003. https://doi.org/10.1080/26410397.2023.2269003
Pyper, E., McKeown, S., Hartmann-Boyce, J., & Powell, J. Digital Health Technology for Real-World Clinical Outcome Measurement Using Patient-Generated Data: Systematic Scoping Review. Journal of medical Internet research;2023; 25, e46992. https://doi.org/10.2196/46992
Hurwitz, E, Butzin-Dozier, Z., Master, H., O'Neil, S. T, Walden, A, Holko, M, Patel, R C, & Haendel, M A Harnessing Consumer Wearable Digital Biomarkers for Individualized Recognition of Postpartum Depression Using the All of Us Research Program Data Set: Cross-Sectional Study. JMIR mHealth and uHealth;2024;12, e54622. https://doi.org/10.2196/54622
Ronquillo, Y, Meyers, A, & Korvek, SJ (2023). Digital Health. In StatPearls. StatPearls Publishing.
Davis, J A, Ohan, J L, Gibson, L Y, Prescott, S L, & Finlay-Jones, A L.Understanding Engagement in Digital Mental Health and Well-being Programs for Women in the Perinatal Period: Systematic Review Without Meta-analysis. Journal of medical Internet research;2022; 24(8), e36620. https://doi.org/10.2196/36620
Von Au, A, Wallwiener, S, Matthies, LM, Friedrich, B, Keim, S, Wallwiener, M, Reisenauer, C, & Brugger, S. The burden of incontinence in a real-world data environment-insights from a digital patient companion. International urogynecology journal ;2022; 33(4), 977–984. https://doi.org/10.1007/s00192-021-04683-4
Gammeltoft, T. M., Nguyen, T. A., Dung, T. K., Thi Dang, N. A., Phuong Nguyen, T. M., Nguyen, V. T., & Bygbjerg, I. C. The pioneers of Vietnam's epidemiological transition: an ethnographic study of pregnant women's experiences of gestational diabetes. Global health action;2024; 17(1), 2341521. https://doi.org/10.1080/16549716.2024.2341521
Afaq M, Abraham DE, Patel SH, Al-Dhoon AD, Arshad Z. Empowering Women's Health: A Global Perspective on Artificial Intelligence and Robotics. Cureus. 2023 Nov 28;15(11):e49611. doi: 10.7759/cureus.49611. PMID: 38161831; PMCID: PMC10755639.
LeFevre, Amnesty Elizabeth, et al. "The impact of a direct to beneficiary mobile communication program on reproductive and child health outcomes: a randomised controlled trial in India." BMJ Global Health 6.Suppl 5 (2022): e008838. doi:10.1136/bmjgh-2022-008838
Andrew Tong, J. W., & Hee, M. Q. (2023). The impact of an online educational game on breast cancer awareness among university female students, Malaysia: a pilot study. BMC cancer, 23(1), 947. https://doi.org/10.1186/s12885-023-11427-8
Romeo, R. R, Leonard, J A, Robinson, S T, West, MR, Mackey, AP, Rowe, ML, & Gabrieli, JD Beyond the 30-million-word gap: Children’s conversational exposure is associated with language-related brain function. Psychological science; 2018; 29(5), 700-710.10.1177/0956797617742725
Sundqvist, A, Koch, FS, Birberg Thornberg, U, Barr, R, & Heimann, M. Growing Up in a Digital World - Digital Media and the Association With the Child's Language Development at Two Years of Age. Frontiers in psychology;2021; 12, 569920. https://doi.org/10.3389/fpsyg.2021.569920
Poitras, VJ, Gray, C E, Janssen, X., Aubert, S., Carson, V., Faulkner, G, Goldfield, GS, Reilly, J. J., Sampson, M, & Tremblay, MS. Systematic review of the relationships between sedentary behaviour and health indicators in the early years (0-4 years). BMC public health;2017;17(Suppl 5), 868. https://doi.org/10.1186/s12889-017-4849-8
Fang, K, Mu, M, Liu, K., & He, Y. Screen time and childhood overweight/obesity: A systematic review and meta-analysis. Child: care, health and development;2019; 45(5), 744–753. https://doi.org/10.1111/cch.12701
Jones, A, Armstrong, B, Weaver, R G., Parker, H, von Klinggraeff, L., & Beets, M. W. Identifying effective intervention strategies to reduce children's screen time: a systematic review and meta-analysis. The international journal of behavioral nutrition and physical activity, 2021; 18(1), 126. https://doi.org/10.1186/s12966-021-01189-6
Schwarzfischer, P, Gruszfeld, D, Socha, P, Luque, V, Closa-Monasterolo, R., Rousseaux, D., Moretti, M., ReDionigi, A., Verduci, E., Koletzko, B., & Grote, V. Effects of screen time and playing outside on anthropometric measures in preschool aged children. PloS one; 2020; 15(3), e0229708. https://doi.org/10.1371/journal.pone.0229708
Bozzola, E, Spina, G, Agostiniani, R, Barni, S, Russo, R, Scarpato, E, Di Mauro, A, Di Stefano, A. V., Caruso, C., Corsello, G, & Staiano, A. The Use of Social Media in Children and Adolescents: Scoping Review on the Potential Risks. International journal of environmental research and public health;2022; 19(16), 9960. https://doi.org/10.3390/ijerph19169960
Ponti M. Screen time and preschool children: Promoting health and development in a digital world. Paediatrics & child health; 2023;28(3), 184–202. https://doi.org/10.1093/pch/pxac125
Cullen, J, Muntz, A., Marsh, S., Simmonds, L, Mayes, J, O'Neill, K., & Duncan, S. Impacts of digital technologies on child and adolescent health: recommendations for safer screen use in educational settings. The New Zealand medical journal; 2024;137(1598), 9–13. https://doi.org/10.26635/6965.6565
Glover, J, Ariefdjohan, M., ve Fritsch, S L KidsAnxiety and the Digital World.Kuzey Amerika'nın çocuk ve ergen psikiyatri klinikleri; 2022; 31(1), 71–90. https://doi.org/10.1016/j.chc.2021.06.004
Jensen, M, George, M. J, Russell, M.A., Lippold, M. A., & Odgers, C. L. Daily Parent-Adolescent Digital Exchanges. Research on child and adolescent psychopathology,2021; 49(9), 1125–1138. https://doi.org/10.1007/s10802-020-00765-x
Tanusha, N, Leelavathi, M, & Azimah, NM.Parent's perception of digital device use among their preschool children and its associated factors in Kota Setar, Kedah. The Medical journal of Malaysia; 2023;78(6), 763–767.
Muppalla, S K, Vuppalapati, S, Reddy Pulliahgaru, A, & Sreenivasulu, H. Effects of Excessive Screen Time on Child Development: An Updated Review and Strategies for Management. Cureus, 2023;15(6), e40608. https://doi.org/10.7759/cureus.40608
Whiting, S, Buoncristiano, M, Gelius, P, Abu-Omar, K., Pattison, M, Hyska, J., Duleva, V., Musić Milanović, S., Zamrazilová, H., Hejgaard, T, Rasmussen, M., Nurk, E., Shengelia, L., Kelleher, C. C., Heinen, M. M., Spinelli, A., Nardone, P., Abildina, A., Abdrakhmanova, S., Aitmurzaeva, G., … Breda, J. Physical Activity, Screen Time, and Sleep Duration of Children Aged 6-9 Years in 25 Countries: An Analysis within the WHO European Childhood Obesity Surveillance Initiative (COSI) 2015-2017. Obesity facts;2021;14(1), 32–44. https://doi.org/10.1159/000511263
Brushe, M E., Haag, D G., Melhuish, E. C., Reilly, S., & Gregory, T. Screen Time and Parent-Child Talk When Children Are Aged 12 to 36 Months. JAMA pediatrics,2024; 178(4), 369–375. https://doi.org/10.1001/jamapediatrics.2023.6790
McGough K. Pediatric screen time. Journal of the American Association of Nurse Practitioners, 2021;34(4), 631–638. https://doi.org/10.1097/JXX.0000000000000682
Zysset, A E., Schwärzler, P., & Dratva, J. Seeking Health in a Digital World: Exploring Immigrant Parents' Quest for Child Health Information-A Scoping Review. International journal of environmental research and public health; 2023;20(19), 6804. Https://doi.org/10.3390/ijerph20196804
Chong, SC, Teo, WZ, & Shorey, S. Exploring the perception of parents on children's screentime: a systematic review and meta-synthesis of qualitative studies. Pediatric research;2023; 94(3), 915–925. https://doi.org/10.1038/s41390-023-02555-9
Priftis, N. ve Panagiotakos, D. Çocuklarda ve Ergenlerde Ekran Süresi ve Sağlık Sonuçları. Çocuklar (Basel, İsviçre);2023; 10(10), 1665. https://doi.org/10.3390/children10101665
Priftis, N, & Panagiotakos, D. Screen time and its health consequences in children and adolescents. Children, 2023;10(10), 1665.
Nudin, B., Sihab, W., Aldinata, N., & Imaduddin, M. D. The Role Of Parents And Families In Children's Education In The Digital Era. Linguanusa: Social Humanities, Education and Linguistic;2024;2(1), 9-22.
Ho, Ken Hok Man, et al. "Nursing and midwifery in a changing world: Addressing planetary health and digital literacy through a global curriculum." Nursing open 11.1 (2023): e2075. doi: 10.1002/nop2.2075
Çelik, İsa, and Murat Bektaş. "Effects of digital game addiction on cardiovascular health behavior on secondary school students during the COVID-19 pandemic." Journal of Pediatric Nursing 70 (2023): 117-125. doi: 10.1016/j.pedn.2023.03.001
Hançer TH, Kesgin M.K,. "Hemşirelik öğrencilerinin Dijital Oyun Bağımlılığı ve Dijital Oyun Bağımlılığına İlişkin Farkındalık Düzeyleri: Tanımlayıcı İlişkisel Çalışma." Gümüshane Üniversitesi Saglik Bilimleri Dergisi 13.4 (2024).
