Üçüncü Trimesterde Primipar Gebelerin Öz Yeterlilik Algısı ve Uyku Kalitesi Arasındaki İlişki

Giriş: Araştırma, primipar gebelerde öz yeterlilik algısı ve uyku kalitesi arasındaki ilişkiyi belirlemek için tanımlayıcı olarak planlanmıştır. Yöntem: Araştırma, 28-32. gestasyonel haftalar arasında olan 181 primipar gebe ile gerçekleştirilmiştir. Araştırma verileri kişisel bilgi formu, Genel Öz Yeterlilik Ölçeği (GÖYÖ) ve Pittsburgh Uyku Kalitesi İndeksi (PUKİ) kullanılarak toplanmıştır. Verilerin değerlendirilmesinde, sayı-yüzde dağılımları, Mann-Whitney U testi, Kruskal-Wallis ve korelasyon testinden yararlanılmıştır.Bulgular: Gebelerin Genel Öz Yeterlilik Ölçeği toplam puan ortalamasının 30.50±4.16, toplam Pittsburgh Uyku Kalitesi İndeksi puan ortalamasının 7.59±2.79 olduğu saptanmıştır. Gebelerin %86,7’sinin kötü uyku kalitesine sahip olduğu belirlenmiştir. Genel Öz Yeterlilik ile Pittsburgh Uyku Kalitesi İndeksi toplam puan arasında anlamlı ilişki saptanmazken, Pittsburgh Uyku Kalitesi İndeksi’nin alt boyutu olan gündüz işlev bozukluğu ile genel öz-yeterlilik toplam puan ve alt boyutundan olan yetenek ve güven arasında anlamlı ilişki saptanmıştır. Sonuç: Çalışmadan elde edilen sonuçlar gebelerde uyku kalitesindeki düşüşe bağlı olarak gelişen gündüz işlev bozukluğunun gebelerin öz yeterliliğini olumsuz etkilediğini göstermektedir. Gebelerin uyku kalitesinin arttırmasına yönelik müdahalelerin anne ve çocuk sağlığını olumlu yönde etkiyeceği düşünülmektedir.

Anahtar Kelimeler:

Gebelik, öz yeterlilik, uyku kalitesi

The Relatıonshıp Between Prımıpary Pregnancy Perceptıon of Self-Effıcıency and Sleep Qualıty in The Thırd Trımester

Introduction: The study was planned descriptively to determine the relationship between self-efficacy perception and sleep quality in primipara pregnant women. Method: The study was carried out with 181 primiparous pregnant women at 28-32 weeks of gestation. Research data were collected using a personal information form, the General Self-Efficacy (GSE) Scale and the Pittsburgh Sleep Quality Index (PSQI). Number-percentage distributions, Mann-Whitney U test, Kruskal-Wallis and correlation test were used to evaluate the data. Results: It was determined that the total score average of the General Self-Efficacy Scale of the pregnant women was 30.50 ± 4.16, and the average score for the total Pittsburgh Sleep Quality Index was 7.59 ± 2.79. It was determined that 86.7% of the pregnant women had poor sleep quality. There is no significant relationship between general self-efficacy and Pittsburgh Sleep Quality Index total score. However, a significant relationship was found between daytime dysfunction, a sub-dimension of the Pittsburgh Sleep Quality Index, and general self-efficacy total score and ability and confidence from its sub-dimension. Conclusion: The results obtained from the study show that daytime dysfunction, which develops due to the decrease in sleep quality in pregnant women, negatively affects the self-efficacy of pregnant women. It is thought that interventions to increase the sleep quality of pregnant women will positively affect the health of the mother and child.

Keywords:

Pregnancy, self-efficacy, sleep quality,

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1. Zhianian A, Zareban I, Ansari-Moghaddam A, Rahimi F. Improving self-care behaviours in pregnant women in zahedan: applying self-efficacy theory. CJHR 2015;1(1):18-26.
2. Wang PV, Lin PH, Lin CY, Yang SY, Chen KL. Does ınterpersonal ınteraction really ımprove emotion, sleep quality, and self-efficacy among junior college students? Int J of. Environ Res Public Health 2020;17 (12):2-15.
3. Jaqin N, Syafar M, Hatta M, Nontj W, Chalid M. Increasing of pregnancy education on the self efficacy of pregnant women in groups accompanied by their husbands and groups unaccompanied husband in gowa regency. International Journal of Sciences: Basic and Applied Research (IJSBAR) 2019; 44: 33-42. 4. Vasanthi RM, Manju Bala Dash, Felicia Chitra A. Is prenatal self-efficacy enhancing educational programme effective in ımproving maternal self efficacy during ıntrapartum period? JOJ Pub Health 2019; 5(3):66-70.
5. Smyka M, Kosi ´nska-Kaczy ´nska K, Sochacki-Wójcicka N, Zgliczy ´nska M, Wielgo´s M. Sleep problems in pregnancy—a cross-sectional study in over 7000 pregnant women in Poland. Int J Environ Res Public Health 2020; 17(15):5306.
6. National Sleep Foundation. Summary of Findings of the 2007 Sleep in America Poll. 2007.
7. Palagini L, Gemignani A, Banti S, Manconi M, Mauri M, Riemann D. Chronic sleep loss during pregnancy as a determinant of stress: impact on pregnancy outcome. Sleep Med 2014; 15; 853–859.
8. Parry BL, Martinez F, Maurer E, Lopez A, Sorenson D, Meliska C. Sleep rhythms and womens mood: part 1. menstrual cycle, pregnancy and postpartum. Sleep Med Rev 2006; 10:129–44.
9. Schlarb AA, Kulessa D, Gulewitsch MD. Sleep characteristics, sleep problems, and associations of self-efficacy among German university students. Nat Sci Sleep 2012; 4 ;1–7.
10. Sönmez A, Aksoy Derya Y. Effects of sleep hygiene training given to pregnant women with restless leg syndrome on their sleep quality. Sleep Breath 2018; 22(2): 527.
11. Ağargün MY, Kara H, Anlar Ö. Pittsburgh uyku kalitesi indeksi’nin geçerliği ve güvenirliği. Türk Psikiyatri Dergisi 1996; 7 (2). https://doi.org/10.1016/j.archger.2007.10.011 12. Buysse DJ, Reynolds CF, Monk TH, Berman SR, Kupfer DJ, Buysse DJ, et al. The pittsburgh sleep quality ındex: a new instrument for psychiatric practice and research. Psychiatry Res 1989; 28:193–213.
13. Aypay, A. The adaptation study of general self-efficacy (GSE) scale to Turkish. Inonu University Journal of the Faculty of Education 2011; 11(2):113–131.
14. Muz G, Eğlence R. Hemodiyaliz uygulanan hastalarda öz bakım gücü ve öz yeterliliğin değerlendirilmesi. Balıkesir Sağlık Bilimleri Dergisi 2012; 2(1): 15-21. 15. Ölçer Z, Bakır N, Oskay Ü. Yüksek riskli gebelerin öz yeterlilik ve sosyal destek algıları. Anadolu Hemşirelik ve Sağlık Bilimleri Dergisi 2016; 19(1):25-33. 16. Effati-Daryani F, Mohammad-Alizadeh-Charandabi S, Mohammadi A, Zarei S, Mirghafourvand M. Evaluation of sleep quality and ıts socio-demographic predictors in three trimesters of pregnancy among women referring to health centers in Tabriz, İran: a crosssectional study. Evidence Based Care Journal 2019; 9 (1): 69-76. 17. Taskiran N. Pregnancy and sleep quality. J Turk Soc Obstet Gynecol 2011; 8(3): 181- 7. 18. Karagozoglu S, Bingöl N. Sleep quality and job satisfaction of Turkish nurses. Nursing Outlook 2008; 56(6):298-307. 19. Mirghaforvand M, Mohammad-Alizadeh-Charandabi S, Zarei S, Effati-Daryani F, Sarand FS. The relationship between depression and sleep quality in Iranian pregnant women. International Journal of Women's Health and Reproduction Sciences 2017; 5(2):147-52. 20. Polo-Kantola P, Aukia L, Karlsson H, Karlsson, Paavonen EJ. Sleep quality during pregnancy: associations with depressive and anxiety symptoms. AOGS 2016; 96(2): 198–206.
21. Hutchison BL, Stone PR, McCowan LME, Stewart AW, Thompson JMD, Mitchell E. A postal survey of maternal sleep in late pregnancy. BMC Pregnancy Childbirth 2012; 12:144. 22. Mindell JA, Cook RA, Nikolovski J. Sleep patterns and sleep disturbances across pregnancy. Sleep Med 2015; 16(4), 483–488.
23. Przepiórka A, Błachnio A, Yat-Fan Siu N. The relationships between self-efficacy, self-control, chronotype, procrastination and sleep problems in young adults. Chronobıol Int 2019; 36(8): 1025-1035.