Postpartum depresyonun maternal bağlanma üzerine etkisi
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Dosyalar
Tarih
2017
Dergi Başlığı
Dergi ISSN
Cilt Başlığı
Yayıncı
Erişim Hakkı
info:eu-repo/semantics/openAccess
Özet
Amaç: Bu çalışma, annelerin postpartum dönemde yaşadıkları depresyonun maternal bağlanma üzerine etkisini incelemek amacıyla tanımlayıcı olarak yapılmıştır.Gereç ve Yöntem: Çalışma Konya il merkezine bağlı altı farklı aile sağlığı merkezinde, doğum sonu 4-6 aylık dönemde olan, çalışmaya katılmayı kabul eden 227 gönüllü anne ile yapılmıştır. Verilerin toplanmasında; annelerin sosyo-demografik, obstetrik ve bebeklerine ait özelliklerini incelemek amacıyla anket formu, Maternal Bağlanma Ölçeği (MBÖ) ve Edinburgh Doğum Sonrası Depresyon Ölçeği (EDDÖ) kullanılmıştır. Veriler SPSS programı ile değerlendirilmiştir.Bulgular: İlk kez doğum yapan, normal vajinal yolla doğumunu yapan, kendi isteği ile gebe kalan ve ilk (tek) çocuk veya iki yaş ve üstü çocuğa sahip olan, bebeğini anne sütü ile besleyen, eşi ile aralarındaki ilişki durumu iyi olan, bebek bakımı konusunda eşi destek olan, sıkıntı durumunda konuşabileceği bir arkadaşı olan annelerin MBÖ toplam puan ortalamaları yüksek bulunurken, EDDÖ puan ortalamalarının düşük olduğu saptanmış, aradaki fark istatistiksel olarak anlamlı bulunmuştur (p0,05). Annelerin MBÖ puan ortalamaları 94,39,2, EDDÖ puan ortalamaları 9,75,6'dır.Sonuç: Sonuç olarak; postpartum depresyon maternal bağlanmayı olumsuz yönde etkilemektedir. Özellikle birinci basamakta çalışan sağlık personeli anne-bebek bağlanmasına olumsuz yönde etkileyebilecek faktörlerin farkında olmalı, annelerin postpartum dönemdeki bakım gereksinimlerinin öncelikli olarak ele alarak, annelik rolüne uyumları kolaylaştırmalı ve postpartum dönemdeki emosyonel sorunların azalmasına yardımcı olmalıdır
Objective: This study was conducted as a definitive study, in order to analyze the effect of the depression experienced by mothers in postpartum period, on maternal attachment.Material and Methods: The study was conducted with 227 volunteer mothers all from six different family health centers located in the Konya city center who agreed to participate in the study, and whose pregnancies were between 4 and 6 months. For the data collection; a questionnaire form was used to investigate the mothers’ socio-demographic and obstetric characteristics, and characteristics of infants by evaluating Maternal Attachment Inventory (MAI) and Edinburgh Postpartum Depression Scale (EPDS). The data were analyzed with SPSS software.Results: The MAI total scores of the mothers who had vaginal delivery, had planned pregnancies, had a child or children over two years old, who breastfed their children, who had good relationships with their spouses, whose spouses took active rolls in baby care, had friends to talk to in case they had problems, were all high. However, their EPDS score averages were low and the difference between the two scores was found statistically significant (p0.05). The mean of the Maternal Attachment Inventory scores of the mothers was 94.39.2, and mean of the EPDS scores was 9.75.6.Conclusion: In conclusion, postpartum depression affects maternal attachment unfavorably. Health care personnel working during the first phases of mother-baby bonding should especially be aware of the factors which may affect mother-baby attachment, and as a first priority tackle the mothers’ care needs in the postpartum period. They should make the mothers’ adaptation to the role of motherhood easy and help to reduce the problems in the postpartum period
Objective: This study was conducted as a definitive study, in order to analyze the effect of the depression experienced by mothers in postpartum period, on maternal attachment.Material and Methods: The study was conducted with 227 volunteer mothers all from six different family health centers located in the Konya city center who agreed to participate in the study, and whose pregnancies were between 4 and 6 months. For the data collection; a questionnaire form was used to investigate the mothers’ socio-demographic and obstetric characteristics, and characteristics of infants by evaluating Maternal Attachment Inventory (MAI) and Edinburgh Postpartum Depression Scale (EPDS). The data were analyzed with SPSS software.Results: The MAI total scores of the mothers who had vaginal delivery, had planned pregnancies, had a child or children over two years old, who breastfed their children, who had good relationships with their spouses, whose spouses took active rolls in baby care, had friends to talk to in case they had problems, were all high. However, their EPDS score averages were low and the difference between the two scores was found statistically significant (p0.05). The mean of the Maternal Attachment Inventory scores of the mothers was 94.39.2, and mean of the EPDS scores was 9.75.6.Conclusion: In conclusion, postpartum depression affects maternal attachment unfavorably. Health care personnel working during the first phases of mother-baby bonding should especially be aware of the factors which may affect mother-baby attachment, and as a first priority tackle the mothers’ care needs in the postpartum period. They should make the mothers’ adaptation to the role of motherhood easy and help to reduce the problems in the postpartum period
Açıklama
Anahtar Kelimeler
Genel ve Dahili Tıp, Maternal bağlanma, doğum sonu depresyon, depresyon, doğum sonu bakım
Kaynak
Acıbadem Sağlık Bilimleri Dergisi
WoS Q Değeri
Scopus Q Değeri
Cilt
8
Sayı
4
Künye
Çankaya, S., Yılmaz, S. D., Can, R., Kodaz, N. D. (2017). Postpartum Depresyonun Maternal Bağlanma Üzerine Etkisi. Acıbadem Sağlık Bilimleri Dergisi, 8(4), 232-240.
