Aslihan AKSU, Aysu BULDUM, Filiz DEĞİRMENCİ, Duygu VEFİKULUÇAY YILMAZ

ERKEN POSTPARTUM DÖNEMDE ANNELERIN VAJINAL DOĞUM SONRASI ANKSIYETE DÜZEYLERI ILE TABURCULUĞA HAZIR OLUŞLUKLARI ARASINDAKI İLIŞKI

Amaç: Bu araştırmada vajinal doğum yapmış annelerin anksiyete düzeyleri ile taburculuğa hazır olma durumları arasındaki ilişkinin belirlenmesi amaçlanmıştır. 130 Relationship Between Mothers’ Anxiety Levels and Discharge... JSHS, 2023, Cilt 8, Sayı 1, Sayfa 129-140 Yöntem: Araştırmanın örneklemini vajinal doğum sonrası postpartum servisinde yatan 93 anne oluşturmaktadır. Araştırma verilerinin toplanmasında “Kişisel Bilgi Formu”,“Durumluk Kaygı Ölçeği” (DKÖ) ve “Hastane Taburculuğuna Hazır Oluşluk Ölçeği-Yeni Doğum Yapmış Anne Formu” (HTHÖ-YDAF) kullanılmıştır. Verilerin değerlendirilmesinde tanımlayıcı istatistikler, Student t testi, Tek Yönlü Varyans Analizi, Tukey testi ve Pearson Korelasyon Katsayısı kullanılmıştır. Bulgular: Araştırmada annelerin yaş ortalamaları 25,37±5,40 bulunmuştur. Annelerin DKÖ ve HTHÖ-YDAF puan ortalamaları sırasıyla 35,15±9,59 ile 145,64±32,35’dir. Araştırmaya katılan annelerin %11,8’nin taburculuğa hazır olmadıkları ve %39,8’nin kaygı yaşadığı belirlenmiştir. Annelerin DKÖ ile HTHÖ- YDAF toplam puan ortalamaları arasında ise istatistiksel olarak anlamlı orta düzeyde negatif yönde bir ilişki bulunmuştur (r=-0,445; p<0,001). Sonuçlar ve Öneriler: Bu çalışmada annelerin kaygı düzeylerinin artmasının taburcu olmaya hazır oluşlarını azalttığı bulunmuştur. Bu doğrultuda postpartum erken dönemde annelerin taburculuk eğitimi öncesi kaygı düzeylerinin değerlendirilmesi ve taburculuğa hazır oluşlukları için gerekli hemşirelik bakımının sağlanması önerilmektedir.

Anahtar Kelimeler:

Postpartum dönem, Anne, Anksiyete, Taburculuk, Hemşirelik bakımı

Relationship Between Mothers’ Anxiety Levels and Discharge Readiness in the Early Postpartum Period After Vaginal Delivery

Aim: The present study aimed to determine whether there was a relationship between anxiety and discharge readiness during early postpartum period in women who had given birth via vaginal delivery. Method: The sample of study consisted of 93 mothers hospitalized in our postpartum ward after vaginal delivery. Research data were collected using “Personal Information Form”, “State scale of the State-Trait Anxiety Inventory(STAI)” and “Readiness for Hospital Discharge Scale–New Mother Form(RHD-NMF)”. Descriptive statistics, Student’s t-test, one-way analysis of variance (ANOVA), Tukey’s test and Pearson’s correlation coefficients were used in evaluation of the data. Results: The mean age of the mothers included in the study was 25.37±5.40 years. The mean STAI and RHD-NMF scores of the mothers were 35.15±9.59 and 145.64±32.35, respectively. It was determined that 11.8% of mothers were not ready for discharge and 39.8% had anxiety. A statistically significant moderate negative correlation was found between STAI and RHD-NMF scores (r=-0,445; p<0,001). Conclusions and Suggestions: In the present study, it was found that increased anxiety levels of mothers decreased their readiness for discharge. In this respect, it is recommended to evaluate the anxiety levels of mothers before discharge training in the early postpartum period and to provide the necessary nursing care for their readiness for discharge.

Keywords:

Postpartum period, Mothers, Anxiety, Discharge, Nursing care,

PDF

___

Akın, B., & Şahingeri, M. (2010). Validity and reliability of Turkish Version of Readiness for Hospital Discharge Scale–New Mother Form (RHD-NMF). Journal of Anatolia Nursing and Health Sciences, 13(1), 7-14.
Alkan, H.Ö. (2016). Patient education and behavior change development. Journal of Cardiovascular Nursing, 7(2), 41-7. https://doi.org/10.5543/khd.2016.29591.
Bernstein, H.H., Spino, C., Lalama, C.M., Finch, S.A., Wasserman, R.C., McCormick, M.C. (2013). Unreadiness for post¬partum discharge following healthy term pregnancy: impact on health care use and outcomes. Academic Pediatrics, 13(1), 27-39. https://doi.org/10.1016/j.acap.2012.08.005
Beydağ, K.D. (2007). Adaptation to motherhood in the postpartum period and the nurse’s role. TAF Preventive Medicine Bulletin, 6(6), 479-84.
Britton, J.R. (2005). Pre‐discharge anxiety among mothers of well newborns: Prevalence and correlates. Acta Paediatrica, 94(12), 1771-1776. https://doi.org/10.1111/j.1651-2227.2005.tb01852.x
Çelik, A.S., Türkoğlu, N., Pasinlioğlu, T. (2014). The determination of the factors that affect the readiness of mothers for discharge after birth. Cumhuriyet Nursing Journal, 3(2), 1-7.
Dağ, H., Dönmez, S., Şen, E., Şirin, A. (2013). Postpartum discharge readiness situation of women who had vaginal deliveries. Gaziantep Medical Journal, 19(2), 65-70. https://doi.org/10.5455/GMJ-30-2012-115.
Darvill, R., Skirton, H., Farrand, P. (2010). Psychological factors that impact on women’s experiences of first-time motherhood: a qualitative study of the transition. Midwifery, 26(3), 357-66. http://dx.doi.org/10.1016/j. midw.2008.07.006
Dennis, C.L., Brown, H.K., Falah-Hassani, K., Marini, F.C., Vigod, S.N. (2017). Identifying women at risk for sustained postpartum anxiety. Journal of Affective Disorders, 213, 131-7. https://doi.org/10.1016/j.jad.2017.02.013
Dönmez, S., Yeniel, Ö.A., Kavlak, O. (2014). comparison of the stait anxiety levels of pregnants women who have vaginal or cesarean delivery. Gumushane University Journal of Health Sciences, 3(3), 908-20.
Erdem, Ö., Erten Bucaktepe, G., Özen, Ş., Kara, İ.H. (2010). Evaluation of anxiety and depression levels of mothers during prepartum and postpartum periods. Duzce Medical Journal, 2(3), 24-31. Turkish.
Erenoğlu, R., Başer, M. (2017). Mothers preparation levels in the tablet. Journal of Health Sciences, 27(2), 100-5.
Faul, F., Erdfelder, E., Buchner, A., Lang, A.G. (2009). Statistical power analyses using G*Power 3.1: tests for correla¬tion and regression analyses. Behav Res Methods, 41(4), 1149-60.
Field, T. (2017). Postpartum anxiety prevalence, predictors and effects on child development: A review. Journal of Psychiatry and Psychiatric Disorders, 1(2), 86-102.
Fonseca, A., Monteiro, F., Canavarro, M.C. (2018). Dysfunctional beliefs towards motherhood and postpartum de¬pressive and anxiety symptoms: uncovering the role of experiental avoidance. J Clin Psychol, 74, 2134-44. https://doi.org/10.1002/jclp.22649.
Gölbaşı, Z. (2003). Early postpartum discharge home care services and nursing. CÜ Hemşirelik Yüksekokulu Dergisi, 7(2), 15-22.
Goodman, J.H., Watson, G.R., Stubbs, B. (2016). Anxiety disorders in postpartum women: a systematic review and meta-analysis. Journal of Affective Disorders, 203, 292-331. https://doi.org/10.1016/j.jad.2016.05.033
Jing, L., Bethancourt, C.N., McDonagh, T. (2017). Assessing infant and maternal readiness for newborn dis¬charge. Current Opinion in Pediatrics, 29(5), 598-605. https://doi.org/10.1097/MOP.0000000000000526
Kaplan, S., Bahar, A., Sertbaş, G. (2007). Evaluation of the anxiety levels of pregnant women at prenatal and post¬natal period. Journal of Anatolia Nursing and Health Sciences. 10(1), 113-21.
Korttila, K. (1991). Anaesthesia for ambulatory surgery: firm definitions of “home readiness needed” Annals of Medicine, 23(6), 635-636. http://dx.doi.org/10.3109/07853899109148095.
Le Compte, W.A., Oner, N. (1976). Development of the Turkish edition of the State-trait anxiety inventory. Cross-Cul¬tural Anxiety, 1, 51-67.
Liabsuetrakul, T., Vittayanont, A., Pitanupong, J. (2007). Clinical applications of anxiety, social support, stressors, and self-esteem measured during pregnancy and postpartum for screening postpartum depression in Thai women. Journal of Obstetrics and Gynaecology Research, 33(3), 333-40.
Malagon-Maldonado, G., Connelly, C.D., Bush. R.A. (2017). Predictors of readiness for hospital discharge after birth: Building evidence for practice. Worldviews on Evidence-Based Nursing, 14(2), 118-27 https://doi. org/10.1111/wvn.12208
Matthies, L.M., Müller, M., Doster, A., Sohn, C., Wallwiene, M., Reck, C., Wallwiener, S. (2019). Maternal–fetal attach¬ment protects against postpartum anxiety: the mediating role of postpartum bonding and partnership sat¬isfaction. Archives of Gynecology and Obstetrics, 301(1), 107-17. https://doi.org/10.1007/s00404-019-05402-7.
Paul, I.M., Downs, D.S., Schaefer, E.W., Beiler, J.S., Weisman, C.S. (2013). Postpartum anxiety and maternal-infant health outcomes. Pediatrics, 131(4), 1218-24. https://doi.org/10.1542/peds.2012-2147
Pawluski, J.L., Lonstein, J.S., Fleming, A.S. (2017). The neurobiology of postpartum anxiety and depression. Trends in Neurosciences, 40(2), 106-20. https://doi.org/10.1016/j.tins.2016.11.009
Şenol, K.D., Özkan, S.A., Şahin, N.H. (2017). An investigation of postpartum mothers’ readiness for hospital discharge and the affecting factors. Journal of Human Sciences, 14(2), 1484-91. https://doi.org/10.14687/jhs.v14i2.4586
Tietz, A., Zietlow, A.L., Reck, C. (2014). Maternal bonding in mothers with postpartum anxiety disorder: the crucial role of subclinical depressive symptoms and maternal avoidance behaviour. Archives of Women’s Mental Health, 17(5), 433-42. https://doi.org/10.1007/s00737-014-0423-x
Türkmen, H., Özbaşaran, F. (2017). Examination of Status of Readiness for Hospital discharge among puerperant women who gave vaginal delivery. Journal of Duzce University Health Sciences Institute, 7(1), 24-29. Weiss, M.E., Piacentine, L.B. (2006). Psychometric properties of the readiness for hospital discharge scale J Nurs Meas, 14(3), 163-80. https://doi.org/10.1891/jnm-v14i3a002
Weiss, M.E., Ryan, P., Lokken, L. (2006). Validity and reliability of the perceived readiness for discharge after birth scale. Journal of Obstetric, Gynecologic & Neonatal Nursing, 35(1), 34-45. https://doi.org/10.1111/j.1552- 6909.2006.00020.x
Yanıkkerem, E., Esmeray, N., Karakuş, A., Üstgörül, S., Baydar, Ö., Göker, A. (2018). Factors affecting readiness for discharge and perceived social support after childbirth. Journal of Clinical Nursing, 27(13-14), 2763-75 https://doi.org/10.1111/jocn.14248
Yıldız, D., Akbayrak, N. (2014). The effect of postpartum education and counseling services given to primipar a mothers during postpartum period on infant care, anxiety level and role of motherhood. Gulhane Medi¬cal Journal, 56(1), 36-41. https://doi.org/105455/gulhane.24869.