Gebelerin Psikososyal Sağlık Durumları İle Annelik Rolü Algısı Arasındaki İlişki

Amaç: Araştırma, gebelerin psikososyal sağlık durumları ile annelik rolü algısı arasındaki ilişkiyi değerlendirmek amacıyla tanımlayıcı olarak yapılmıştır.Yöntem: Araştırma, Erzurum il merkezinde bulunan Nenehatun Kadın Doğum Hastanesi polikliniklerine Eylül 2013-Haziran 2014 tarihleri arasında antenatal kontrolleri için gelen 420 gebe ile yürütülmüştür. Veriler, ‘Kişisel Bilgi Formu’, ‘Gebelikte Psikososyal Sağlığı Değerlendirme Ölçeği (GPSDÖ)’ ve ‘Anlamsal Farklılık Ölçeği-Anne Olarak Ben (AOB) ölçeği’ kullanılarak toplanmıştır. Verilerin değerlendirilmesinde; sayı, yüzde ve ortalama ortalama gibi tanımlayıcı istatistikler, t-testi, Tek Yönlü Varyans analizi, Kruskall- Wallis H, Mann Whitney-U testi ve Pearson Korelasyon analizi kullanılmıştır. Bulgular: Gebelerin, GPSDÖ’den aldıkları toplam puan ortalamasının 4.33±0.37 olduğu, AOB ölçeğinden alınan toplam puan ortalamasının ise 60.5±9.9 olduğu saptanmıştır. Gebelerin gelir durumu algısı, gebelik sayısı, gebeliğin planlanma durumu ve eşin gebeliği istemesi durumuna göre GPSDÖ puan ortalamaları arasında fark olduğu belirlenmiştir (p<0.05). Gebelerin; gebelik haftası, gebeliğin planlanma durumu ve eşin gebeliği istemesi durumuna AOB ölçek puan ortalamaları arasında fark olduğu saptanmıştır (p<0.05). GPSDÖ ile AOB ölçeği puan ortalamaları arasında pozitif yönde zayıf ilişki olduğu bulunmuştur ( p<0.01, r= .162).Sonuç: Bu çalışmada, gebelerin, psikososyal sağlık ile annelik rolü algısının iyi düzeyde olduğu saptanmıştır. Psikososyal sağlık düzeyi arttıkça kendilerini anne olarak daha olumlu algıladıkları belirlenmiştir.

Anahtar Kelimeler:

Annelik rolü, Gebelik, Psikososyal sağlık

The Relationship Between Psychosocial Health Status of Pregnants and Perception of Maternal Role

Objective: The research was carried out as a descriptive study to evaluate the relationship between the psychosocial health status of pregnant women and the perception of motherhood role.Methods: The study was conducted with 420 pregnant women who went to the polyclinics of Nenehatun Maternity Hospital in the center of Erzurum city for their antenatal controls between September 2013 and June 2014. The data were collected by using the ‘Personal Information Form’, ‘Pregnancy Psychosocial Health Assessment Scale (PPHAS)’ and ‘Semantic Differential Scale- Myself as a Mother (MaM)’scale. In the evaluation of the data; Descriptive statistics such as number, percentage and mean mean, t-test, One-Way Analysis of Variance, Kruskall-Wallis H, Mann Whitney-U test and Pearson Correlation analysis were used.Results: It was determined that the total mean score of the pregnant women from the GPSSS was 4.33±0.37, and the total mean score from the AOB scale was 60.5±9.9. It was determined that there was a difference between the GPSSS mean scores according to the perception of income status, number of pregnancies, planning of pregnancy and the spouse's desire for pregnancy (p<0.05). It was determined that there was a difference between the mean AOB scale scores in terms of gestational week, planning status of pregnancy and the spouse's desire for pregnancy (p<0.05). It was found that there was a weak positive correlation between GPSDS and AOB scale mean scores ( p<0.01, r= .162). Conclusion: In this study, it was determined that pregnant women had a good level of perception of psychosocial health and the perception of motherhood role. It was determined that as the level of psychosocial health increased, they perceived themselves more positively as mothers.

Keywords:

Role of motherhood, Pregnancy, Psychosocial health,

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1. Körükcü, Ö., Deliktaş, A., Aydın, R., & Kabukcuoğlu, K. (2017). Investigation of the relationship between the psychosocial health status and fear of childbirth in healthy pregnancies. Clin Exp Health Sci, 7(4), 152-158.
2. Özşahin, Z., Erdemoğlu, Ç., & Karakayalı, Ç. (2018). Psychosocial health level and related factors in pregnancy. The Journal of Turkish Family Physician, 9(2), 34-46.
3. Haakstad, A. H. L., Torset, B., & Kari, B. (2016). What is the effect of regular group exercise on maternal psychological outcomes and common pregnancy complaints? An assessor blinded RCT. Midwifery, 32(6), 81-6.
4. Boybay, K. S., & Dereli, Y. S. (2015). The effect of some socio-demographic and obstetric characteristics on the psychosocial health level of last trimester nulliparous pregnant women. Journal of Ege University Faculty of Nursing, 31(2), 53-66.
5. Daş, Z. (2016). Psychosocial and cultural dimension of pregnancy. Ed: Taşkın L. Obstetrics and gynecology nursing. 13. Printing. Ankara: Reaksiyon Matbaacılık; 218-30.
6. Yıldız, H. (2011). Study of development of pregnancy psychosocial health assessment scale. Maltepe University Nursing Science and Art Journal, 4, 64-71.
7. Özkan, S., & Serçekuş, P. (2017). Psychosocial aspect of being a mother. Ed: Kabukcuoğlu K. Psychosomatic reflections of women's health problems. 1. Printing. Ankara: Detay Yayıncılık.
8. Özkan, H., & Polat, S. (2011). Learning process of motherhood behavior and support of nursing. Bozok Medical Journal, (1), 35-39.
9. Karaçam, Z., & Ançel, G. (2009). Depression, anxiety and influecing factors in pregnancy: a study in Turkish population. Midwifery, 25(4), 344-56.
10. Çalışır, H. (2003). Investigation of factors affecting success of motherhood role of primipara women. (Unpublished Doctoral Thesis). Ege University Health Sciences Institute, Department of Pediatric Nursing, IZMİR.
11. Walker, L. O., Crain, H., & Thompson, E. (1986). Mothering behavior and maternal role attainment during the postpartum period. Nursing Research, 35, 352–55.
12. Seguin, L., St-Denis, M., & Loiselle, J. (1995). Cronic stressors, social support and depression during pregnancy. Obstetrics & Gynecology, 85, 583-88.
13. Affonso, D., Lovett, S., Arizmendi, T., Nussbown, & R., Newman, L. (1991). Predictors of depression symptoms during pregnancy and postpartum. Journal of Psychosomatic Obstetrics & Gynecology, 12, 255–71.
14. Gülseren, L. (1999). Postpartum depression: A review. Turkish Psychiatry Journal, 10, 58–67.
15. Gözüyeşil, E. (2003). Examination of depression in pregnant women and factors affecting this. (Unpublished Postgraduate Thesis). Ege University, Health Sciences Institute, Department of Nursing, IZMİR.
16. Büyükkoca, M. (2001). Examination of relationship between perceived social support and postpartum depression. (Unpublished Postgraduate Thesis). Dokuz Eylül University, Health Sciences Institute, Department of Nursing of Gynecology and Obstetrics, İZMİR.
17. Özkan, H. (2010). Effect of training regarding motherhood identity development on acquisition of motherhood role and infant perception of primiparas. (Unpublished Doctoral Dissertation). Atatürk University, Health Sciences Institute, Department of Department of Pediatric Nursing. ERZURUM.
18. Gager, C., McLanahan, S., & Glei, D. (2002). Preparing for parenthood: Who's ready, who's not? In N. Halfon, K. McLearn, & M. Schuster (Eds.), Child rearing in America: challenges facing parents with young children (pp. 50-80). Cambridge University Press.
19. Ossa, X., Bustos, L., & Fernandez, L. (2011). Prenatal attachment and associated factors during the third trimester of pregnancy in temuco. Chili Midwifery, 28, 689-96.
20. Collins, N. L., Schetter, D., Lobel, M., & Susan, C. M. (1993). Social support in pregnancy: Psychosocial correlates of birth outcome and postpartum depression. J Personal Soc Psychol, 65, 1243-58.
21. Okanlı, A., Tortumoğlu, G., & Kırpınar, İ. (2003). Relationship between social support perceived by pregnant women and their problem solving skills. Anatolian Psychiatry Journal, 4, 98-105.