Examining the Reproductive Health Behaviors of Women with Chronic Disease

Year 2019, Volume: 6 Issue: 2, 83 - 91, 30.07.2019

Mesude Duman , Sermin Timur Taşhan Emine Kaplan Serin

Abstract

Aim: This study was conducted to examine the reproductive health behaviors of women with chronic disease. Material and Methods: This descriptive study was conducted between 15 October 2016-15 October 2017 with 160 married women who applied to internal medicine outpatient clinics or were hospitalized in internal diseases clinics of a private hospital in Adıyaman and were diagnosed with at least one chronic disease. During the study period, the total number of women with chronic disease in reproductive age who was applied to the internal medicine outpatient clinics and admitted to the internal clinics was 297. In the study, no sampling was performed and all women who met the sample selection criteria and accepted the study were included in the study. The data were collected using “Participant Information Form”. Percentage, arithmetic mean and standard deviation were used in statistical analysis. The necessary permission was received from the institution where the study was conducted and ethical approval was received from the Non-interventional Clinical Studies Ethics Committee. Results: 88.1% of the women who participated in the study reported that having a disease did not affect their decision of having a child in the future, 40% of them had pregnancy after being diagnosed with the illness, 63.8% of them had shortened the duration of breastfeeding due to their disease, 13.8% of them had a perinatal loss after the diagnosis and 10% of them reported that their sexual life was affected because of their illness. In addition, it was determined that 71.9% of women currently use a modern contraceptive method and 26.5% of women who use modern methods prefer condom. Conclusion: The study results showed that having a chronic disease did not affect the desire of having children, shortening the duration of breastfeeding and the high rate of contraceptive use in women with chronic disease. It is recommended that nurses should be more susceptible to possible reproductive health problems in women with chronic diseases, consider reproductive health problems more carefully and provide the necessary additional health care. 

Keywords

Chronic illness, nursing, reproductive health, woman

Kronik Hastalığı Olan Kadınların Üreme Sağlığı Davranışlarının İncelenmesi

Abstract

Amaç: Araştırma kronik hastalığı olan kadınların üreme sağlığı davranışlarını incelemek amacıyla yapılmıştır.
Gereç ve Yöntem: Araştırma tanımlayıcı türdedir. 15 Ekim 2016- 15 Ekim 2017 tarihleri arasında Adıyaman’da özel bir hastanenin dâhili polikliniklerine başvuran veya dahili kliniklerinde yatan ve en az bir kronik hastalık tanısı konulmuş 160 evli kadın ile yürütülmüştür. Araştırmanın yapıldığı tarihlerde polikliniğe başvuran veya klinikte yatan, kronik bir hastalığı bulunan ve üreme çağında olan toplam kadın sayısı 297’dir. Araştırmada herhangi bir örneklem hesabına gidilmemiş olup örneklem seçim kriterlerine uyan ve araştırmaya kabul eden kadınların tamamı örnekleme alınmıştır. Verilerin toplanmasında “Katılımcı Bilgi Formu” kullanılmıştır. İstatistiksel analizde yüzdelik, aritmetik ortalama ve standart sapma kullanılmıştır. Araştırmanın yapılabilmesi için gerekli kurum izni ve etik kurul onayı alınmıştır.
Bulgular: Araştırmaya katılan kadınların %88.1’i hastalıklarının gelecekte çocuk sahibi olma kararını etkilemediğini, %40’ı hastalık tanısı konulduktan sonra gebelik geçirdiğini, %63.8’i hastalıklarından ve kullandıkları ilaçlardan dolayı emzirme sürelerinin kısaldığını, %13.8’i hastalık tanısı konulduktan sonra perinatal kayıp yaşadığını ve %10’u cinsel yaşamının hastalıktan etkilendiğini belirtmiştir. Ayrıca kadınların %71.9’unun şu an modern bir korunma yöntemi kullandığı ve modern korunma yöntemleri kullanan kadınların %26.5’inin kondomu tercih ettiği belirlenmiştir.
Sonuç: Araştırma kronik hastalığın çocuk sahibi olma düşüncesini etkilemediğini ancak, emzirme sürelerini kısalttığını göstermiştir. Kronik hastalığı olan kadınlar yüksek oranda kontraseptif kullanmaktadır. Hemşirelerin kronik hastalığa sahip kadınlarda olası üreme sağlığı sorunlarına ilişkin daha duyarlı olması, üreme sağlığı sorunlarını daha dikkatli ele alması ve gerekli ek sağlık bakımı sunması önerilmektedir.

Keywords

kadın, kronik hastalık, hemşirelik, üreme sağlığı

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