Doğum Şekline Göre Annelerin Postpartum Ağrı, Yorgunluk Düzeyleri ve Emzirme Öz-Yeterlilikleri

Yıl 2018, Cilt: 11 Sayı: 3, 224 - 232, 01.08.2018

Gülşen Işık , Nuray Egelioğlu Cetişli Vesile Aycan Başkaya

Öz

Giriş: Doğum şekline göre annelerde ortaya çıkabilecek emzirme sorunlarının en aza indirilmesi ve emzirme öz-yeterliliğinin arttırılmasında, emzirme üzerine etkili faktörlerin belirlenmesi önemlidir. Amaç: Bu araştırmanın amacı doğum şekline göre annelerin postpartum 24. saatteki ve dördüncü haftadaki ağrı, yorgunluk düzeyleri ve emzirme öz-yeterliliklerini karşılaştırmaktır.Gereç ve Yöntem: Tanımlayıcı ve karşılaştırmalı türdeki araştırma, Ocak-Eylül 2016 tarihleri arasında bir üniversite hastanesinin kadın doğum kliniğinde yatan 153 anne ile yürütülmüştür. Veriler postpartum 24. saatte yüz yüze görüşme yöntemi ile hastanede, dördüncü haftada ise telefon yolu ile Birey Tanıtım Formu, Sayısal Ağrı Skalası ve Emzirme Öz-Yeterlilik Ölçeği-Kısa Şekli kullanılarak toplanmıştır. Verilerin değerlendirilmesinde tanımlayıcı istatistikler, kikare, Man-Whitney U testi, Wilcoxon testi ve korelasyon analizi kullanılmıştır.Bulgular: Çalışmada vajinal doğum yapan annelerin sezaryen ile doğum yapan annelere göre postpartum 24. saatteki ve dördüncü haftadaki ağrı puan ortalamaları daha düşük, 24. saatteki emzirme öz-yeterlilikleri daha yüksektir. Vajinal doğum yapan annelerin sadece postpartum dördüncü haftada ağrı ve emzirme öz-yeterlilikleri arasında ilişki varken, sezaryen ile doğum yapan annelerde ilişki yoktur. Doğum şekline göre annelerin yorgunluk ve emzirme öz-yeterlilikleri arasında da ilişki yoktur.Sonuç: Hemşireler doğum sonrası dönemde annelerin emzirme davranışlarını ve durumlarını dikkatli bir şekilde gözlemlemeli ve etkileyen faktörlere yönelik önlemler almalıdırlar.

Anahtar Kelimeler

Doğum Şekli, Ağrı, Yorgunluk, Emzirme Öz-yeterliliği.

Postpartum Pain, Fatigue Levels and Breastfeeding Self-Efficacy According to Type of Birth

Öz

Background: It is very important to determine the level of pain and fatigue experienced by the mother during the postpartum period and the
effect of breastfeeding self-efficacy on the type of birth. Objectives: The aim of this study was to determine maternal pain, fatigue levels and
breastfeeding self-efficacy at postpartum 24th hour and 4th week according to type of birth. Methods: The descriptive study was conducted
with 153 mothers in the postpartum period in a gynecology clinic of a university hospital between January-September 2016. The data were
collected by using face-to-face interview method in the 24th hour of postpartum at hospital and by phone in the 4th week of postpartum
period by using the Individual Identification Form, The Numeric Pain Rating Scale and Breastfeeding Self- Efficacy Scale-Short Form.
Descriptive statistics, chi square, Mann-Whitney U test and correlation analysis were used in the analysis of data. Results: It was found in
the study that mothers that had vaginal birth had lower pain scores in the 24th hour and 4th week of postpartum period compared to mothers
that had cesarean birth and their breastfeeding self-efficacy was higher. A relation was found only between self-efficacy breastfeeding and
pain in the 4th week of postpartum period of mothers that had vaginal birth. However, no relation was found for mothers that had cesarean
birth. Also there was no relation between maternal fatigue and breastfeeding self-efficacy regarding the birth type. Conclusion: Nurses
should know that the fatigue, pain and breastfeeding behaviors / successes that occur in the postpartum period may vary according to the
birth pattern. They should take immediate precautions to ensure that those conditions do not adversely affect the mother's quality of life,
baby care and breastfeeding

Anahtar Kelimeler

Type of Birth, Pain, Fatigue, Breastfeeding Self- efficacy

Kaynakça

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