Hidayati HİDAYATİ, Wisnu BARLİANTO, Siti Candra Windu BAKTİYANİ

Postpartum Depresyonlu Kadınlarda Endorfin Masajının Edinburg Doğum Sonrası Depresyon Ölçeği (EPDS) ve β-endorfin Seviyesi Üzerine Etkileri

Amaç: Bu çalışmada postpartum dönemde depresyonlu olan kadınlarda endorfin masajının -endorfin seviyesi ve EPDS üzerine etkilerinin incelenmesi amaçlanmıştır. Materyal ve Metod: Çalışma için potpartum dönemde olan 20 anne gönüllü olarak seçilmiş olup hepsinden katılımları ile ilgili yazılı izin alınmıştır. Çalışmaya dahil edilen postpartum depresyonlu kadınlar, postpartum dönemin 3. gününde olup EPDS değerleri de 9" dan büyüktür. Ayrıca postpartum depresyon geçmişleri de yoktur. Annelere yapılan masaj tedavisi öncesinde ve sonrasında; β-endorfin değerleri ve EPDS ölçümleri alınmıştır. Endorfin masajı araştırmacılar veya gerekli bilgi verildikten sonra hastaların eşleri tarafından günde 1 defa 20 dakika haftada 4 kez ; her birine 5 dakika olmak üzere sağ kol, sol kol, boyun ve sırt bölgelerine yapılmıştır. Bulgular: Endorfin masajı tedavisi β-endorfin seviyesini tedavi öncesine kıyasla önemli derecede arttırmıştır (p< 0,05). EPDS değeri ise tedavi öncesi döneme kıyasla ciddi derecede azalmıştır (p< 0,05). β-endorfin seviyesi ve EPDS değeri arasında önemli derecede negatif korelasyon vardır (r = -0,517; P < 0.05). Tartışma: Endorfin masajı postpartum depresyonlu kadınlarda β-endorfin seviyesini arttıran, EPDS değerini azaltan iyi bir alternatif tedavi yöntemidir.

Anahtar Kelimeler:

Endorfin masajı; minör depresyon; skorlama; hormonal

Effects of endorphin massage on B-endorphin level and Edinburgh Postnatal Depression Scale (EPDS) score in women with postpartum blues

Purpose: This study aimed to investigate the effects of endorphin massage on B-endorphin level and EPDS score in women with postpartum blues. Material and Methods: Twenty postpartum women volunteered for the study. All of them gave written consent regarding their participation. The inclusion criteria were mother with post partum blues at third day post partum and EPDS score > 9, while the exclusion criteria were mother with history of depression post partum. The measurement of marker (B-endorphin) and EPDS scoring was done prior and after massage treatment.Endorphin massage was done by her husband or researcher according instruction that provided, 4 times a week, once in morning for 20 minutes including right arm, left arm, neck, and lower back (5 minutes each). Results: Endorphin massage treatment significantly increase the B-endorphin level compared to before treatment (P 0.05). The level of EPDS significantly decrease after treatment than that before treatment (P 0.05). There is significantly negative correlation between B-endorphin level and EPDS score (r = -0,517; P 0.05). Conclusion: Endorphin massage is good alternative treatment to increase B-endorphin level and decresae EPDS score among mother with postpartum blues.

Keywords:

endorphin massage; minor depression; scoring; hormonal.,

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YazışmaAdresi / Address for Correspondence: Dr.HidayatiHidayati Midwifery Master Study Programme, Faculty of Medicine, Brawijaya University, Jl. Veteran, Malang, East Java INDONESIA Email: hidayatikhalik@gmail.com G eliş tarihi/Received on: 03.02.2014

Kabul tarihi/Accepted on:04.03.2014