Postpartum dönemde posttravmatik stres bozukluğu görülme durumunun annelik adaptasyonu ve yenidoğan algısına etkisi
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Dosyalar
Tarih
2021
Yazarlar
Dergi Başlığı
Dergi ISSN
Cilt Başlığı
Yayıncı
Selçuk Üniversitesi Sağlık Bilimleri Enstitüsü
Erişim Hakkı
info:eu-repo/semantics/openAccess
Özet
Bu araştırma, annelerin postpartum dönemde posttravmatik stres bozukluğu görülme durumunun annelik adaptasyonu ve yenidoğan algısına etkisini incelemek amacıyla tanımlayıcı türde yapılmıştır. Çalışmanın örneklemini, Aksaray il merkezinde bulunan 9 adet aile sağlı merkezine bağlı bölgede yaşayan, Aralık 2019- Eylül 2020 tarihleri arasında doğum sonu 6-8. haftalarında olan toplam 378 anne oluşturmaktadır. Araştırma verileri, Kişisel Bilgi Formu (KBF), yenidoğan algısına yönelik soru formu, annelerin vajinal doğuma bağlı posttravmatik semptomlarının belirlenmesi için Olayların Etkisi Ölçeği (OEÖ), anneliğe uyumunu değerlendirmek amacıyla Postpartum Kendini Değerlendirme Ölçeği (PKDÖ) ile toplanmıştır. Verilerin analizinde, sayı, yüzde, ortalama ve standart sapma, Skewness (1,37 ile 1,19) ve Kurtosis (-0,71 ile 1,19), bağımsız gruplarda t testi, Mann Whitney U testi, Pearson ki-kare testi, Yates düzeltmeli ki-kare testi ve Fisher exact testi kullanılmıştır. Araştırmaya dahil olan annelerin yaş ortalaması 24,98±4,58, eşinin yaş ortalaması 27,17±4,19, annelerin %49,2'si üniversite ve üzeri öğrenim düzeyine sahip, %40,7'si gelir getiren bir işte çalışmakta, %83,3'ü gebeliği istemekte, %71,2'si doğum öncesi ebeden bakım almış, %86,2'si anne olacağını duyduğunda mutlu olmuş, %69,8'i kendini anneliğe hazır hissetmekte olduğu belirlenmiştir. Çalışmaya katılan annelerin PKDÖ toplam puan ortalaması 159,76±53,90, OEÖ toplam puan ortalaması 23,99±17,95 olarak saptanmıştır. Postpartum PTSB görülen annelerde PKDÖ toplam puan ortalamasının 215,02±58,95, postpartum PTSB olmayanlara 140,69±36,02 göre yüksek olduğu, gruplar arasında çok ileri düzeyde anlamlı farkın olduğu saptanmıştır (p<0,001). Postpartum PTSB olan annelerin annelik adaptasyonunun, postpartum PTSB olmayan annelere göre daha zayıf düzeyde olduğu tespit edilmiştir. Yeni doğan algısına yönelik sorulan soruların tamamında postpartum PTSB görülen annelerde postpartum PTSB görülmeyen annelere göre çok ileri düzeyde anlamlı farkın olduğu saptanmıştır (p<0,001). Araştırma sonucuna göre doğum eylemini travmatik olarak yaşayan primipar anneler postpartum dönemde posttravmatik stres bozukluğu görülme riski artmakta ve buna bağlı olarak annelik adaptasyonu ve yenidoğan algısı olumsuz etkilenmektedir. Ebeveynlik sürecine geçiş döneminin zorluğunu hem fiziksel hem mental olarak anneler ebeler tarafından doğum sonu dönemde desteklenmeli, doğum öncesi ve sonrası eğitimler verilip kaygı düzeyi azaltılarak anneliğe ve yenidoğanı karşılamaya hazır olması sağlanmalı, doğumda desteklenip rahatlatılarak, ortamı konforlu hale getirilmelidir. Her annenin hayal ettiği doğumu yaşamaya hakkı olduğu unutulmamalı ebeler buna yönelik destekleyici bakım sağlamalıdır.
This descriptive study was conducted to examine the effect of post-traumatic stress disorder in the postpartum period on maternal adaptation and newborn perception. The sample of the study comprised of a total of 378 mothers who were in postpartum 6-8 weeks between December 2019 and September 2020 and living in the vicinity of 9 family health centers in Aksaray city center. Research data were collected with a personal information form (PIF), a questionnaire for newborn perception, the Impact of Events Scale (IES), to determine the posttraumatic symptoms of mothers due to vaginal birth, and the Prenatal Self Evaluation Questionnaire (PSEQ), to evaluate adaptation to motherhood. In the analysis of the data, number, percentage, mean, standard deviation, Skewness (1,37 to 1,19), and Kurtosis (-0,71 to 1,19) were used. In independent groups, t test, the Mann Whitney U test, the Pearson chi-square test, the Yates corrected chi-square test, and the Fisher exact test were used. The mean age of the mothers was 24,98±4,58 years and the mean age of their spouses was 27,17±4,19 years. It was found that 49,2% of the mothers had a university or higher education level. Of the mothers, 40,7% were employed, 83,3% had wanted pregnancy, 71,2% received prenatal care from a midwife, 86,2% were happy when they heard that they would be mothers, and 69,8% felt ready for motherhood. The mean PSES total score of the mothers participating in the study was 159,76±53,90, and the mean IES total score was 23,99±17,95. It was determined that the mean PSES total score was 215,02±58,95 in mothers with PTSD and 140,69±36,02 in mothers without PTSD, and there was a very significant difference between the groups (p<0,001). It was determined that maternal adaptation of mothers with PTSD was weaker than mothers without PTSD. In all of the questions asked about newborn perception, it was determined that there was a very significant difference in mothers with PTSD compared to mothers without PTSD (p<0,001). According to the results of this research, the risk of post-traumatic stress disorder increases in the postpartum period in primiparous mothers who experience traumatic labor, and accordingly, maternal adaptation and newborn perception are negatively affected. Mothers should be supported both physically and mentally by midwives during the postpartum period. Pre- and post-natal education should be provided, and anxiety level should be reduced, and it should be ensured that they are ready for motherhood and meeting the newborn. Women should be supported and relieved during childbirth and their environment should be made comfortable. It should be noted that every mother has the right to have the birth she dreams of, and midwives should provide supportive care for this.
This descriptive study was conducted to examine the effect of post-traumatic stress disorder in the postpartum period on maternal adaptation and newborn perception. The sample of the study comprised of a total of 378 mothers who were in postpartum 6-8 weeks between December 2019 and September 2020 and living in the vicinity of 9 family health centers in Aksaray city center. Research data were collected with a personal information form (PIF), a questionnaire for newborn perception, the Impact of Events Scale (IES), to determine the posttraumatic symptoms of mothers due to vaginal birth, and the Prenatal Self Evaluation Questionnaire (PSEQ), to evaluate adaptation to motherhood. In the analysis of the data, number, percentage, mean, standard deviation, Skewness (1,37 to 1,19), and Kurtosis (-0,71 to 1,19) were used. In independent groups, t test, the Mann Whitney U test, the Pearson chi-square test, the Yates corrected chi-square test, and the Fisher exact test were used. The mean age of the mothers was 24,98±4,58 years and the mean age of their spouses was 27,17±4,19 years. It was found that 49,2% of the mothers had a university or higher education level. Of the mothers, 40,7% were employed, 83,3% had wanted pregnancy, 71,2% received prenatal care from a midwife, 86,2% were happy when they heard that they would be mothers, and 69,8% felt ready for motherhood. The mean PSES total score of the mothers participating in the study was 159,76±53,90, and the mean IES total score was 23,99±17,95. It was determined that the mean PSES total score was 215,02±58,95 in mothers with PTSD and 140,69±36,02 in mothers without PTSD, and there was a very significant difference between the groups (p<0,001). It was determined that maternal adaptation of mothers with PTSD was weaker than mothers without PTSD. In all of the questions asked about newborn perception, it was determined that there was a very significant difference in mothers with PTSD compared to mothers without PTSD (p<0,001). According to the results of this research, the risk of post-traumatic stress disorder increases in the postpartum period in primiparous mothers who experience traumatic labor, and accordingly, maternal adaptation and newborn perception are negatively affected. Mothers should be supported both physically and mentally by midwives during the postpartum period. Pre- and post-natal education should be provided, and anxiety level should be reduced, and it should be ensured that they are ready for motherhood and meeting the newborn. Women should be supported and relieved during childbirth and their environment should be made comfortable. It should be noted that every mother has the right to have the birth she dreams of, and midwives should provide supportive care for this.
Açıklama
Anahtar Kelimeler
Adaptasyon, annelik, Adaptation, maternal
Kaynak
WoS Q Değeri
Scopus Q Değeri
Cilt
Sayı
Künye
Yurt, G. (2021). Postpartum Dönemde Posttravmatik Stres Bozukluğu Görülme Durumunun Annelik Adaptasyonu ve Yenidoğan Algısına Etkisi. (Yüksek Lisans Tezi). Selçuk Üniversitesi, Sağlık Bilimleri Enstitüsü, Konya.
