Plasenta Previa Tanılı Hastalarda Peripartum Histerektominin Depresyon Düzeylerine Etkisi

Abstract

Amaç: Bu çalışmada plasenta previa tanılı hastaların, operasyonlarından sonraki dönemde depresif belirti şiddetleri araştırıldı ve uterusu kaybetmenin sonucunda duygu durumlarındaki değişim incelendi. Gereçler ve Yöntem: Çalışmaya Mart 2012-Kasım 2014 tarihleri arasında plasenta previa nedeniyle sezaryen histerektomi yapılan toplam 59 hasta ile aynı tanı nedeniyle sezaryen olan ancak histerektomi yapılmayan toplam 60 hasta alındı. Hastalarda depresyon varlığı araştırıldı ve Beck Depresyon Ölçeği (BDÖ) ile depresif belirti şiddeti değerlendirildi. Bulgular: Peripartum histerektomi yapılan hasta grubunda ortalama BDÖ puanı 11±6, histerektomi yapılmayan grupta ise 4±2 bulundu. Histerektomi yapılan grupta ortalama BDÖ puanları istatistiksel olarak anlamlı bulundu (p<0.001). Sonuç: Çalışma bulgularımız, peripartum histerektomi yapılan plasenta previa hastalarında depresif belirti şiddetinin daha yüksek olduğunu ve bu durumun depresyona zemin hazırladığını göstermektedir. Plasenta previa nedeniyle takip edilen olgulara histerektomi öncesi ve sonrası dönemde psikolojik destek vermenin önemli olduğu kanaatindeyiz.

Keywords

• Doğum Sonrası Depresyon
• Histerektomi
• Plasenta Previa

The Effect of Peripartum Hysterectomy on Depression Levels in Patients have diagnosis of Placenta Previa

Abstract

Aim: The aim of this study was to investigate the depressive symptom severity of patients diagnosed with placenta previa after surgery and to evaluate mood changes as a result of losing the uterus. Materials and Method: Between March 2012 and November 2014, a total of 59 placenta previa patients who underwent cesarean hysterectomy and a total of 60 placenta previa patients who did not undergo cesarean hysterectomy were included. The presence of depression was assessed, and the depressive symptom severity was evaluated using the Beck Depression Inventory (BDI). Results: The mean BDI score was 11±6 in the patients who underwent peripartum hysterectomy and 4±2 in the patients without hysterectomy. The mean BDI score was statistically significantly higher in the patients with hysterectomy (p<0.001). Conclusion: Our study results suggest that depressive symptom severity is higher in placenta previa patients undergoing peripartum hysterectomy, providing a basis for depression. We believe that psychological support is necessary for patients who are followed for placenta previa before and after hysterectomy.

Keywords

• Hysterectomy
• Placenta previa
• Postpartum Depression

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