Lohusalarda Yalnızlık Hissinin Sosyal Destek, Emzirme ve Maternal Bağlanma ile İlişkisi

Giriş: Doğum sonu dönem fizyolojik, psikolojik ve sosyal değişimlerin yaşandığı en önemli dönemlerden biridir. Kadınların, bu dönemde yalnız hissetmeleri sosyal çevresine ve bebeğine olan ilgisini etkileyebilmektedir.

Anahtar Kelimeler:

Emzirme, postpartum dönem, sosyal destek, yalnızlık

The Relationship of Loneliness with Social Support, Breastfeeding, and Maternal Attachment

Introduction: Postpartum is one of the most important period in terms of physiological, psychological, and social changes. Feeling lonely during postpartum can affect women's interest in social support and baby.Aim: The study was conducted to determine the relationship between loneliness in postpartum women and social support, breastfeeding self-efficacy, and maternal attachment.Method: The descriptive-correlational research was conducted in a research hospital in Malatya. The data were collected within the first 24 hours of postpartum with 391 puerperal women who gave birth between July and October 2018. Data was gathered using Personal Information Survey, UCLA Loneliness Scale, Multidimensional Scale of Perceived Social Support, Breastfeeding Self-Efficacy Scale, and Maternal Attachment Scale.Results: The average age of the puerperal women was 27.91 ± 5.74, 27.9% were secondary school graduates, and 72.1% were multiparous. Postpartum women (93.9%) experienced moderate loneliness. The mean score of the postpartum women's UCLA Loneliness Scale was 49.77 ± 5.28, Multidimensional Perceived Social Support Scale score was 70.86 ± 14.26, Breastfeeding Self- Efficacy Scale score was 59.81 ± 10.14, and Maternal Attachment Scale score was 100.42 ± 7.09. Analyses showed a statistically significant low negative correlation between the UCLA Loneliness Scale and Multidimensional Scale of Perceived Social Support, and Breastfeeding Self-Efficacy Scale (r= -0.193, p=0.000; r= -0.132, p=0.009, respectively). There was no statistically significant relationship between UCLA Loneliness Scale and the Maternal Attachment Scale (p > 0.05).Conclusion: Social support and breastfeeding self-efficacy decrease as loneliness increases in postpartum. Loneliness in postpartum women was not related to maternal attachment.

Keywords:

Beast-feeding, loneliness, postpartum period, social support,

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Aksakallı, M., Çapık, A., Ejder Apay, S., Pasinlioğlu, T., ve Bayram, S. (2012). Loğusaların destek ihtiyaçlarının ve doğum sonu dönemde alınan destek düzeylerinin belirlenmesi. Psikiyatri Hemşireliği Dergisi, 3(3), 129-135. doi: 10.5505/phd.2012.57441
Alan, H., ve Ege, E. (2013). The influence of social support on maternalinfant attachment in Turkish Society. Journal of Anatolia Nursing and Health Sciences, 16(4), 234-240. doi: 10.17049/AHSBD.87204
Aluş Tokat, M., Okumus, H., & Dennis, C.L. (2010). Translation and psychometric assessment of the breast-feeding self-efficacy scale-short form among pregnant and postnatal women in Turkey. Midwifery, 26(1), 101- 108. doi: 10.1016 / j.midw.2008.04.002
Barimani, M., Oxelmark, L., Johansson, S.E., Langius-Eklöf, A., & Hylander, I. (2014). Professional support and emergency visits during the first two weeks postpartum. Scandinavian Journal of Caring Sciences, 28(1), 57–65. doi: 10.1111 / scs.12036
Barimani, M., Oxelmark, L., Johansson, S.E., & Hylander, I. (2015). Supportand continuity during the first 2 weeks postpartum. Scandinavian Journal of Caring Sciences, 29(3), 409-417. doi: 10.1111/scs.12144
Bich, T.H., Hoa, D.T., & Malqvist, M. (2014). Fathers as supporters for improved exclusive breastfeeding in Vietnam. Maternal and Child Health Journal, 18(6), 1444–1453. doi: 10.1007 / s10995-013-1384-9
Cacioppo, J.T., & Cacioppo, S. (2018). The growing problem of loneliness. The Lancet, 391(10119), 426. doi: 10.1016/S0140- 6736(18)30142-9
Demir, A.G. (1989). UCLA Yalnızlık Ölçeğinin geçerlik ve güvenirliği. Psikoloji Dergisi, 7(23), 14-18.
Dennis, C.L. (1999). Theoretical underpinnings of breastfeeding confidence: a self-efficacy framework. Journal of Human Lactation, 15(3), 195–201. doi: 10.1177/089033449901500303
Dennis, C.L. (2003). The breastfeeding self-efficacy scale: psychometric assessment of the short form. Journal of Obstetric, Gynecologic, & Neonatal Nursing, 32(6), 734–744. doi: 10.1177/0884217503258459
Dennis, C.L. (2006). Identifying predictors of breastfeeding selfefficacy in the ımmediate postpartum period. Research in Nursing & Health, 29(4), 256–268. doi: 10.1002/nur.20140
Duru, E. (2008). Yalnızlığı yordamada sosyal destek ve sosyal bağlılığın rolü. Türk Psikoloji Dergisi, 23(61), 15-24.
Duru, E. (2016). Üniversiteye uyum sürecinde yalnızlığı yordamada sosyal destek ve sosyal bağlılığın doğrudan ve dolaylı rolleri. Turkish Psychological Counseling and Guidance Journal, 3(29), 13-23.
Eker, D., Arkar, H., ve Yaldız, H. (2001). Çok Boyutlu Algılanan Sosyal Destek Ölçeğinin gözden geçirilmiş formunun faktör yapısı, geçerlik ve güvenirliği. Türk Psikiyatri Dergisi, 12(1), 17-25.
Faridvand, F., Mirghafourvand, M., Malakouti, J., & Mohammad Alizadeh Charandabi, S. (2017). Relationship between social support and breastfeeding self-efficacy among women in Tabriz, Iran. British Journal of Midwifery, 25(2), 103–109. doi: 10.12968/bjom.2017.25.2.103
Figueiredo, B., Costa, R., Pacheco, A., & Pais, Á. (2009). Mother to infant emotional involvement at birth. Maternal and Child Health Journal, 13(4), 539-549. doi: 10.1007 / s10995-008-0312-x
Gao, L.L., Sun, K., & Chan, S.W.C. (2014). Social support and parenting self-efficacy among Chinese women in the perinatal period. Midwifery, 30, 532-538.
Hopkins, J., Miller, J.L., Butler, K., Gibson, L., Hedrick, L., & Boyle, D.A. (2018). The relation between social support, anxiety and distress symptoms and maternal fetal attachment. Journal of Reproductive and Infant Psychology, 36(4), 381-392. doi: 10.1080/02646838.2018.1466385
Inandi, T., Bugdayci, R., Dundar, P., Sumer, H., & Sasmaz, T. (2005). Risk factors for depression in the first postnatal year. Social Psychiatry and Psychiatric Epidemiology, 40(9), 725-730. doi:10.1007/s00127-005-0949-3
Kavlak, O., ve Şirin, A. (2009). Maternal bağlanma ölçeğinin Türk toplumuna uyarlanması. Uluslararası İnsan Bilimleri Dergisi, 6(1), 188-202.
McCarter Spaulding, D., & Gore, R. (2012). Social support ımproves breastfeeding self- efficacy in a sample of black women. Clinical Lactation, 3(3), 114–117. doi: 10.1891/215805312807022923
Meedya, S., Fahy, K., & Kable, A. (2010). Factors that positively influence breastfeeding duration to 6 months: a literature review. Women Birth, 23(4), 135–145. doi: 10.1016 / j.wombi.2010.02.002
Müller, M.E. (1994). A questionnaire to measure mother-to-infant attachment. Journal of Nursing measurement, 2(2), 129-141.
Ngo, L.T.H., Chou, H.F., Gau, M.L., & Liu, C.Y. (2019). Breastfeeding self-efficacy and related factors in postpartum Vietnamese women. Midwifery, 70, 84-91. doi: 10.1016 / j.midw.2018.12.014
Pollard, D., & Guill, M. (2009). The relationship between baseline self-efficacy and breastfeeding duration. Southern Online Journal of Nursing Research, 9(4), 1-6.
Prates, L.A., Schmalfuss, J.M., & Lipinski, J.M. (2015). Social support network of post-partum mothers in the practice of breastfeeding. Escola Anna Nery, 19(2), 310–315. doi: 10.5935/1414-8145.20150042
Russell, D., Peplau, L.A., & Ferguson, M.L. (1978). Developing a Measure of Loneliness. Journal of Personality Assessment, 42(3), 290–294. doi: 10.1207/s15327752jpa4203_11
Russell, D., Peplau, L. A., & Cutrona, C. E. (1980). The revised UCLA Loneliness Scale: Concurrent and discriminant validity evidence. Journal of Personality and Social Psychology, 39(3), 472–480. doi: 10.1037/0022-3514.39.3.472
Türkoğlu, N., Sis Çelik, A., ve Pasinlioğlu, T. (2014). Annelerin doğum sonrası sosyal destek ihtiyaçlarının ve alınan desteğin belirlenmesi. Hemşirelikte Eğitim ve Araştırma Dergisi, 11(1), 18-24.
Üstgörül, S., ve Yanıkkerem, E. (2014). Doğum sonrası depresyonun maternal bağlanmaya etkisinin incelenmesi. SSTB International Refereed Academic Journal of Sports, Health & Medical Sciences, 12(4), 14-30.
Yarcheski, A., Mahon, N.E., Yarcheski, T.J., Hanks, M.M., & Cannella, B.L. (2009). A meta-analytic study of predictors of maternal-fetal attachment. International Journal of Nursing Studies, 46(5), 708–715. doi: 10.1016/j.ijnurstu.2008.10.013
Zimet, G. D., Dahlem, N. W., Zimet, S. G., & Farley, G. K. (1988). The multidimensional scale of perceived social support. Journal of Personality Assessment, 52(1), 30-41. doi:10.1207/s15327752jpa5201_2
Zubaran, C., & Foresti, K. (2013). The correlation between breastfeeding self-efficacy and maternal postpartum depression in Southern Brazil. Sexual & Reproductive Healthcare, 4(1), 9–15. doi: 10.1016/j.srhc.2012.12.001