Remzi SÜNTAR, Melike MERCAN BAŞPINAR, Süleyman SALMAN, Okcan BASAT

Gebelerde Coronavirus ilişkili anksiyete sıklığı ve etkileyen faktörlerin değerlendirilmesi: Kesitsel çalışma

Amaç: Araştırmamız, gebelerde Covid nedenli anksiyete sıklığı ve etkili faktörlerin tespit edilmesini amaçlamıştır. Yöntem: Gözlemsel (kesitsel) tipte olan çalışma Eylül 2020- Aralık 2020 tarihlerinde bir pandemi hastanesi Aile Hekimliği ve Gebe İzlem Polikliniklerine başvuran 1027 gebe ile gerçekleşmiştir. Katılımcılara demografik soru formu ve Covid anksiyete ölçeği uygulanmıştır. Covid anksiyetesi sıklığını arttıran risk faktörlerinin tespitinde lojistik regresyon testleri kullanılmıştır. Bulgular: Gebelerde, Covid anksiyete sıklığı %13,24 olup birinci, ikinci ve üçüncü trimesterde benzer oranda saptanmıştır (sırasıyla %14,0, %13,8, %12,4 ve p=0,783). Anksiyete ilgili en sık semptom %40,51 ile uyku bozukluğu olarak tespit edilmiştir. Ailede Covid pozitif birey olması 2,470 kat (p<0,001; %95GA:1,584-3,851), bilinen kronik hastalık varlığı 2,726 kat (p<0,001; %95GA:1,627-4,569) Covid nedenli anksiyete görülme sıklığını arttıran risk faktörü olarak izlenmiştir. Sonuç: Çalışmamızda, pandemi gibi beklenmedik acil bir durumda gebelerde nedene özel anksiyetenin belirleyicileri mevcut kronik hastalık varlığı ve yakınlarının etkene maruziyeti olmuştur. Bu durum gelecek yeni afet ve acil durumlarda gebe ruh sağlığında kontrol edilebilir risk faktörü olduğu için gebede kronik hastalık yönetimine dikkat çekmiştir.

Anahtar Kelimeler:

Gebelik, gebe kadın, Coronavirus, anksiyete

Evaluation of the frequency of anxiety related coronavirus and affecting factors in pregnant women: A cross-sectional study

Objective: Our search aimed to determine the prevalence of Covid-induced anxiety and effective factors in pregnant women. Method: The observational (cross-sectional) type study, was carried out with 1027 pregnant women who applied to the Family Medicine and Pregnant Follow-up Clinics of a pandemic hospital between September 2020 and December 2020. Demographic questionnaire and Covid anxiety scale were applied to the participants. Logistic regression tests were used to identify risk factors that increase the frequency of Covid anxiety. Results: The presence of Covid anxiety in pregnant women was 13,24%, and it was found at a similar rate in the first, second and third trimesters (14.0%, 13.8%, 12.4%, and p=0.783, respectively). The most common symptom related to anxiety was found to be sleep disorder with 40.51%. The presence of a Covid positive individual in the family was 2,470 times (p<0.001; 95%CI: 1,584-3,851) and the presence of a known chronic disease 2.726 times (p<0.001; 95%CI: 1.627-4,569) was observed as a risk factor that increased the presence of Covid-induced anxiety. Conclusion: In our study, the determinants of cause-specific anxiety in pregnant women in an unexpected emergency situation such as a pandemic were the presence of a chronic disease and the exposure of relatives to the agent. This situation has drawn attention to chronic disease management in pregnant women, as it is a controllable risk factor in pregnant mental health in future disasters and emergencies.

Keywords:

Pregnancy, pregnant woman, Coronovirus, anxiety,

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