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Examination of the Relationship between Pregnancy Stress and Health Practices in Pregnant Women and the Factors Affecting It

Year 2024, Volume: 17 Issue: 3, 362 - 373
https://doi.org/10.46483/jnef.1516048

Abstract

Background: It is reported that the health practices applied during the pregnancy period cause some psychological effects during this period.

Objective: This study aimed to examine the effects of health practices during pregnancy on pregnancy stress.

Method: This study, which describes the health practices of pregnant women and seeks a relationship with pregnancy stress, was conducted on 368 pregnant women who applied to the obstetrics clinic of a hospital in eastern Turkey between July 2021 and August 2021. The data were collected using the Personal Information Form, the Health Practices in Pregnancy Scale (HPQ-II), and the Pregnancy Stress Assessment Scale (PSRS). In the analysis of data; descriptive statistics methods were used.

Results: It was found that the participants’ HPQ-II mean score was 103.90±15.46 and PSRS mean score was 73.20±20.52. It was observed that the mean HPQ-II scores were different according to the age, education level, occupation of the pregnant women, family type, pregnancy period, number of pregnancies, number of births, having a pregnancy plan, time between two pregnancies and gender preference (p<0.05). The difference in the mean PSRS score of the participants according to age, number of pregnancies, number of births, planned pregnancy and gender preference was found to be statistically significant (p<0.05). It was determined that there was a low level of statistically significant positive correlation between the HPQ-II score average of the pregnant women and the PSRS score average (r=0.132).

Conclusion: It has been observed that pregnancy stress increases as the quality of health practice increases during pregnancy.

References

  • Akın, Ö. ve Erbil, N. (2022). Turkish validity and reliability study of the pregnancy stress rating scale. Middle Black Sea Journal of Health Science, 8(2), 208-222. https://doi.org/ 10.19127/mbsjohs.1015480
  • Alhusen, J. L., Ayres, L. ve DePriest, K. (2016). Effects of maternal mental health on engagement in favorable health practices during pregnancy. Journal of Midwifery and Women’s Health, 61(2), 210-216. https://doi.org/10.1111/jmwh.12407
  • American College of Obstetricians and Gynecologists. Guidelines for Perinatal Care. (2017). 21 Mayıs 2021 tarihinde https://www.acog.org/clinical-information/physician-faqs/-/media/3a22e153b67446a6b31fb051e469187c.ashx adresinden erişildi.
  • Ayyala, M. S., Coughlin, J. W., Martin, L., Henderson, J., Ezekwe, N., Clark, J. M., ... Bennett, W. L. (2020). Perspectives of pregnant and postpartum women and obstetric providers to promote healthy lifestyle in pregnancy and after delivery: a qualitative in-depth interview study. Biomed Central Women’s Health, 20(1), 1-9. https://doi.org/10.1186/s12905-020-0896-x
  • Barakat, R. (2021). An exercise program throughout pregnancy: Barakat model. Birth Defects Research, 113(3), 218-226. https://doi.org/10.1002/bdr2.1747
  • Beyaz, E., Gökçeoğlu, S. ve Özdemir, N. (2020). Muş il merkezinde gebelerin sağlık uygulama düzeylerinin belirlenmesi. Van Sağlık Bilimleri Dergisi, 13(2), 9-16.
  • Brand, J. S., Gaillard, R., West, J., McEachan, R. R., Wright, J., Voerman, E., ... Lawlor, D. A. (2019). Associations of maternal quitting, reducing, and continuing smoking during pregnancy with longitudinal fetal growth: Findings from Mendelian randomization and parental negative control studies. PLoS Medicine, 16(11), e1002972. https://doi.org/10.1371/journal.pmed.1002972
  • Chen, J., Chi, H. ve Liu, D. (2017). Pregnancy stress and its influencing factors among didymous elderly pregnant women. Chinese Nursing Management, 13 (8), 112-115. https://doi.org/10.1016/j.midw.2024.104006
  • Çaycı Esen N. (2019). Gebelikte Sağlık Uygulamaları ve Prenatal Bağlanmanın Doğum Sonuçları Üzerine Etkisi. Yüksek Lisans Tezi, İstinye Üniversitesi, İstanbul.
  • Danielewicz, H., Myszczyszyn, G., Dębińska, A., Myszkal, A., Boznański, A. ve Hirnle, L. (2017). Diet in pregnancy—more than food. European Journal of Pediatrics, 176, 1573-1579. https://doi.org/10.1007/s00431-017-3026-5
  • Drake, P., Driscoll, A. K. ve Mathews, T. J. (2018). Cigarette smoking during pregnancy: United States, 2016. NCHC Data Brief, 4 (15), 303- 305.
  • Er S. (2006). Gebelikte Sağlık Uygulamaları Ölçeği Türkçe Formunun Geçerlilik ve Güvenirlik Çalışması. Yüksek Lisans Tezi, Ege Üniversitesi, İzmir.
  • Esper, L. H. ve Furtado, E. F. (2010). The association of stressful events and psychiatric morbidity in pregnant women. SMAD. Revista Eletrônica Saúde Mental Alcool e Drogas, 6(spe), 368-386.
  • Harding, K. L., Matias, S. L., Mridha, M. K., Vosti, S. A., Hussain, S., Dewey, K. G. ve Stewart, C. P. (2017). Eating down or simply eating less? The diet and health implications of these practices during pregnancy and postpartum in rural Bangladesh. Public Health Nutrition, 20(11), 1928-1940. https://doi.org/10.1017/S1368980017000672
  • Hou, Q., Li, S., Jiang, C., Huang, Y., Huang, L., Ye, J., ... Yang, X. (2018). The associations between maternal lifestyles and antenatal stress and anxiety in Chinese pregnant women: A cross-sectional study. Scientific Reports, 8(1), 1-9. https://doi.org/10.1038/s41598-018-28974-x
  • Kasyanov, V. V., Minasyan, L. A., Borodai, V. A., Ponomarev, I. E., Samygin, P. S., Vorobyev, G. A. ve Skvortsov, D. V. (2018). Health management and the strategies to meet a healthy society. International Transaction Journal of Engineering, Management, Applied Sciences and Technologies, (9), 4. https://doi.org/10.14456/ITJEMAST.2018.32
  • Koldaş Mir, S. (2021). Gebelerin Depresyon Belirtileri İle Sağlık Uygulama Davranışları Arasındaki İlişki. Yüksek Lisans Tezi, Akdeniz Üniversitesi, Antalya.
  • Koyucu, R.G., Ülkar, D. ve Erdem, B. (2020). Primipar ve multipar gebelerin gebelik streslerinin karşılaştırılması. İnönü Üniversitesi Sağlık Hizmetleri Meslek Yüksek Okulu Dergisi, 8(3), 652-663. https://doi.org/10.33715/inonusaglik.745511
  • Lau, Y. ve Yin, L. (2011). Maternal, obstetric variables, perceived stress and health-related quality of life among pregnant women in Macao, China. Midwifery, 27(5), 668-673. https://doi.org/10.1016/j.midw.2010.02.008
  • Lindgren, K. (2005). Testing the health practices in pregnancy questionnaire–II. Journal of Obstetric, Gynecologic and Neonatal Nursing, 34(4), 465-472. https://doi.org/10.1177/0884217505276308
  • Lynn, F. A., Alderdice, F. A., Crealey, G. E. ve McElnay, J. C. (2011). Associations between maternal characteristics and pregnancy-related stress among low-risk mothers: An observational cross-sectional study. International Journal of Nursing Studies, 48(5), 620-627. https://doi.org/10.1016/j.ijnurstu.2010.10.002
  • Maddahi, M. S., Dolatian, M. ve Talebi, A. (2016). Correlation of maternal-fetal attachment and health practices during pregnancy with neonatal outcomes. Electronic Physician, 8(7), 2639. https://doi.org/10.19082/2639
  • Mathews, T. J., MacDorman, M. F. ve Thoma, M. E. (2015). Infant mortality statistics from the 2013 period linked birth/infant death data set. CDC Data Set, 64 (9), 1-29.
  • National Institute for Health and Care Excellence. (2010). Weight management before, during and after pregnancy. 11 Mayıs 2021 tarihinde https://www.nice.org.uk/guidance/ph27/resources adresinden erişildi.
  • Omidvar, S., Faramarzi, M., Hajian-Tilak, K., ve Nasiri Amiri, F. (2018). Associations of psychosocial factors with pregnancy healthy life styles. PloS One, 13(1), e0191723. https://doi.org/10.1371/journal.pone.0197389
  • Onat, G. ve Aba, Y. (2014). Health-promoting lifestyles and related factors among pregnant women. Turkish Journal of Public Health, 12(2), 69-79.
  • Özcan, H. ve Kızılkaya Beji, N. (2015). Health practices of pregnant women in Gumushane City Center. Perinatal Journal, 23(1), 13-19. https://doi.org/10.2399/prn.15.0231003
  • Özkan, İ. A. ve Mete, S. (2010). Pregnancy planning and antenatal health behaviour: findings from one maternity unit in Turkey. Midwifery, 26(3), 338-347. https://doi.org/10.1016/j.midw.2008.07.005
  • Pineles, B. L., Park, E. ve Samet, J. M. (2014). Systematic review and meta-analysis of miscarriage and maternal exposure to tobacco smoke during pregnancy. American Journal of Epidemiology, 179(7), 807-823. https://doi.org/10.1093/aje/kwt334
  • Polanska, K., Jurewicz, J. ve Hanke, W. (2015). Smoking and alcohol drinking during pregnancy as the risk factors for poor child neurodevelopment-A review of epidemiological studies. International Journal of Occupational Medicine and Environmental Health, 28(3), 419. https://doi.org/10.13075/ijomeh.1896.00424
  • Rocha, J. S., Arima, L. Y., Werneck, R. I., Moyses, S. J. ve Baldani, M. H. (2018). Determinants of dental care attendance during pregnancy: a systematic review. Caries Research, 52(1-2), 139-152. https://doi.org/10.1159/000481407
  • Royal College of Obstetricians Gynaecologists. Nutrition in pregnancy. 11 Mayıs 2021 tarihinde https://www.rcog.org.uk/en/guidelines-research-services/ adresinden erişildi.
  • Sezer, G. ve Şen, S. (2020). The effect of individual counseling intervention on health practices in pregnancy: a randomized controlled trial. Health Education Research, 35(5), 450-459. https://doi.org/10.1093/her/cyaa025
  • Shamaki, M.A. ve Buang, A. (2017). Sociocultural practices in maternal health among women in a less developed economy: An overview of Sokoto State, Nigeria. Geografia-Malaysian Journal Of Society And Space, 10 (6), 14-17.
  • Sis Çelik, A, ve Aksoy Derya, Y. (2019). Gebelerin öz bakım gücü ile sağlık uygulamaları düzeylerinin ve etkileyen faktörlerin belirlenmesi. Gümüşhane Üniversitesi Sağlık Bilimleri Dergisi, 8(1), 111-119.
  • Trivedi, S., Lal, N., ve Singhal, R. (2015). Periodontal diseases and pregnancy. Journal of Orofacial Science, 7, 67. https://doi.org/10.4103/0975-8844.157408
  • Yanıkkerem, E., Ay, S. ve Piro, N. (2013). Planned and unplanned pregnancy: effects on health practice and depression during pregnancy. Journal of Obstetrics and Gynaecology Research, 39(1), 180-187. https://doi.org/10.1111/j.1447-0756.2012.01958.x
  • Yüksel, A., Dabanlı, Z. ve Yılmaz, B. (2020). Gebelerde bilinçli farkındalık ile depresyon, anksiyete ve stres düzeyleri arasındaki ilişkinin belirlenmesi. Journal of Academic Research in Nursing, 6 (2), 195-202. https://doi.org/10.5222/jaren.2020.55707
  • Zhou, S. J., Condo, D., Ryan, P., Skeaff, S. A., Howell, S., Anderson, P. J., ... Makrides, M. (2019). Association between maternal iodine intake in pregnancy and childhood neurodevelopment at age 18 months. American Journal of Epidemiology, 188(2), 332-338. https://doi.org/10.1093/aje/kwy225

Gebelerin Sağlık Uygulamaları ile Gebelik Stresi İlişkisi ve Etkileyen Faktörlerin İncelenmesi

Year 2024, Volume: 17 Issue: 3, 362 - 373
https://doi.org/10.46483/jnef.1516048

Abstract

Giriş: Gebelik dönemi boyunca uygulanan sağlık uygulamalarının bu dönemde bir takım psikolojik etkilere neden olduğu bildirilmektedir.

Amaç: Bu araştırma gebelikte sağlık uygulamalarının gebelik stresi üzerine etkisini incelemek amaçlanmıştır.

Yöntem: Gebelerin sağlık uygulamalarını tanımlayan ve gebelik stresi ile ilişki arayan bu çalışma Temmuz 2021-Ağustos 2021 tarihlerinde Türkiye’nin doğusunda yer alan bir hastanenin kadın doğum polikliniğine başvuran 368 gebe üzerinde yürütülmüştür. Veriler, Kişisel Bilgi Formu, Gebelikte Sağlık Uygulamaları Ölçeği (GSUÖ) ve Gebelik Stresini Değerlendirme Ölçeği (GSDÖ-36) kullanılarak toplanmıştır. Verilerin analizinde; tanımlayıcı istatistikler yöntemler kullanılmıştır.

Bulgular: Katılımcıların GSUÖ puan ortalamasının 103.90±15.46 ve GSDÖ-36 puan ortalamasının 73.20±20.52 olduğu bulunmuştur. Gebelerin yaşı, eğitim düzeyi, meslekleri, aile tipi, gebelik dönemi, gebelik sayısı, doğum sayısı, gebeliğin planı olma durumu, iki gebelik arası süre ve cinsiyet tercihine göre GSUÖ puan ortalamasının farklı olduğu görülmüştür (p<0.05). Katılımcıların yaş, gebelik sayısı, doğum sayısı, gebeliğin planlı olma durumu ve cinsiyet tercihine göre GSDÖ-36 puan ortalamasının farkının istatistiksel olarak anlamlı olduğu bulunmuştur (p<0.05). Gebelerin GSUÖ puan ortalaması ile GSDÖ-36 puan ortalaması arasında düşük düzeyde istatiksel olarak anlamlı pozitif yönlü ilişkinin olduğu belirlenmiştir (r=0.132).

Sonuç: Gebelikte sağlık uygulama kalitesi arttıkça gebelik stresinin arttığı görülmüştür.

References

  • Akın, Ö. ve Erbil, N. (2022). Turkish validity and reliability study of the pregnancy stress rating scale. Middle Black Sea Journal of Health Science, 8(2), 208-222. https://doi.org/ 10.19127/mbsjohs.1015480
  • Alhusen, J. L., Ayres, L. ve DePriest, K. (2016). Effects of maternal mental health on engagement in favorable health practices during pregnancy. Journal of Midwifery and Women’s Health, 61(2), 210-216. https://doi.org/10.1111/jmwh.12407
  • American College of Obstetricians and Gynecologists. Guidelines for Perinatal Care. (2017). 21 Mayıs 2021 tarihinde https://www.acog.org/clinical-information/physician-faqs/-/media/3a22e153b67446a6b31fb051e469187c.ashx adresinden erişildi.
  • Ayyala, M. S., Coughlin, J. W., Martin, L., Henderson, J., Ezekwe, N., Clark, J. M., ... Bennett, W. L. (2020). Perspectives of pregnant and postpartum women and obstetric providers to promote healthy lifestyle in pregnancy and after delivery: a qualitative in-depth interview study. Biomed Central Women’s Health, 20(1), 1-9. https://doi.org/10.1186/s12905-020-0896-x
  • Barakat, R. (2021). An exercise program throughout pregnancy: Barakat model. Birth Defects Research, 113(3), 218-226. https://doi.org/10.1002/bdr2.1747
  • Beyaz, E., Gökçeoğlu, S. ve Özdemir, N. (2020). Muş il merkezinde gebelerin sağlık uygulama düzeylerinin belirlenmesi. Van Sağlık Bilimleri Dergisi, 13(2), 9-16.
  • Brand, J. S., Gaillard, R., West, J., McEachan, R. R., Wright, J., Voerman, E., ... Lawlor, D. A. (2019). Associations of maternal quitting, reducing, and continuing smoking during pregnancy with longitudinal fetal growth: Findings from Mendelian randomization and parental negative control studies. PLoS Medicine, 16(11), e1002972. https://doi.org/10.1371/journal.pmed.1002972
  • Chen, J., Chi, H. ve Liu, D. (2017). Pregnancy stress and its influencing factors among didymous elderly pregnant women. Chinese Nursing Management, 13 (8), 112-115. https://doi.org/10.1016/j.midw.2024.104006
  • Çaycı Esen N. (2019). Gebelikte Sağlık Uygulamaları ve Prenatal Bağlanmanın Doğum Sonuçları Üzerine Etkisi. Yüksek Lisans Tezi, İstinye Üniversitesi, İstanbul.
  • Danielewicz, H., Myszczyszyn, G., Dębińska, A., Myszkal, A., Boznański, A. ve Hirnle, L. (2017). Diet in pregnancy—more than food. European Journal of Pediatrics, 176, 1573-1579. https://doi.org/10.1007/s00431-017-3026-5
  • Drake, P., Driscoll, A. K. ve Mathews, T. J. (2018). Cigarette smoking during pregnancy: United States, 2016. NCHC Data Brief, 4 (15), 303- 305.
  • Er S. (2006). Gebelikte Sağlık Uygulamaları Ölçeği Türkçe Formunun Geçerlilik ve Güvenirlik Çalışması. Yüksek Lisans Tezi, Ege Üniversitesi, İzmir.
  • Esper, L. H. ve Furtado, E. F. (2010). The association of stressful events and psychiatric morbidity in pregnant women. SMAD. Revista Eletrônica Saúde Mental Alcool e Drogas, 6(spe), 368-386.
  • Harding, K. L., Matias, S. L., Mridha, M. K., Vosti, S. A., Hussain, S., Dewey, K. G. ve Stewart, C. P. (2017). Eating down or simply eating less? The diet and health implications of these practices during pregnancy and postpartum in rural Bangladesh. Public Health Nutrition, 20(11), 1928-1940. https://doi.org/10.1017/S1368980017000672
  • Hou, Q., Li, S., Jiang, C., Huang, Y., Huang, L., Ye, J., ... Yang, X. (2018). The associations between maternal lifestyles and antenatal stress and anxiety in Chinese pregnant women: A cross-sectional study. Scientific Reports, 8(1), 1-9. https://doi.org/10.1038/s41598-018-28974-x
  • Kasyanov, V. V., Minasyan, L. A., Borodai, V. A., Ponomarev, I. E., Samygin, P. S., Vorobyev, G. A. ve Skvortsov, D. V. (2018). Health management and the strategies to meet a healthy society. International Transaction Journal of Engineering, Management, Applied Sciences and Technologies, (9), 4. https://doi.org/10.14456/ITJEMAST.2018.32
  • Koldaş Mir, S. (2021). Gebelerin Depresyon Belirtileri İle Sağlık Uygulama Davranışları Arasındaki İlişki. Yüksek Lisans Tezi, Akdeniz Üniversitesi, Antalya.
  • Koyucu, R.G., Ülkar, D. ve Erdem, B. (2020). Primipar ve multipar gebelerin gebelik streslerinin karşılaştırılması. İnönü Üniversitesi Sağlık Hizmetleri Meslek Yüksek Okulu Dergisi, 8(3), 652-663. https://doi.org/10.33715/inonusaglik.745511
  • Lau, Y. ve Yin, L. (2011). Maternal, obstetric variables, perceived stress and health-related quality of life among pregnant women in Macao, China. Midwifery, 27(5), 668-673. https://doi.org/10.1016/j.midw.2010.02.008
  • Lindgren, K. (2005). Testing the health practices in pregnancy questionnaire–II. Journal of Obstetric, Gynecologic and Neonatal Nursing, 34(4), 465-472. https://doi.org/10.1177/0884217505276308
  • Lynn, F. A., Alderdice, F. A., Crealey, G. E. ve McElnay, J. C. (2011). Associations between maternal characteristics and pregnancy-related stress among low-risk mothers: An observational cross-sectional study. International Journal of Nursing Studies, 48(5), 620-627. https://doi.org/10.1016/j.ijnurstu.2010.10.002
  • Maddahi, M. S., Dolatian, M. ve Talebi, A. (2016). Correlation of maternal-fetal attachment and health practices during pregnancy with neonatal outcomes. Electronic Physician, 8(7), 2639. https://doi.org/10.19082/2639
  • Mathews, T. J., MacDorman, M. F. ve Thoma, M. E. (2015). Infant mortality statistics from the 2013 period linked birth/infant death data set. CDC Data Set, 64 (9), 1-29.
  • National Institute for Health and Care Excellence. (2010). Weight management before, during and after pregnancy. 11 Mayıs 2021 tarihinde https://www.nice.org.uk/guidance/ph27/resources adresinden erişildi.
  • Omidvar, S., Faramarzi, M., Hajian-Tilak, K., ve Nasiri Amiri, F. (2018). Associations of psychosocial factors with pregnancy healthy life styles. PloS One, 13(1), e0191723. https://doi.org/10.1371/journal.pone.0197389
  • Onat, G. ve Aba, Y. (2014). Health-promoting lifestyles and related factors among pregnant women. Turkish Journal of Public Health, 12(2), 69-79.
  • Özcan, H. ve Kızılkaya Beji, N. (2015). Health practices of pregnant women in Gumushane City Center. Perinatal Journal, 23(1), 13-19. https://doi.org/10.2399/prn.15.0231003
  • Özkan, İ. A. ve Mete, S. (2010). Pregnancy planning and antenatal health behaviour: findings from one maternity unit in Turkey. Midwifery, 26(3), 338-347. https://doi.org/10.1016/j.midw.2008.07.005
  • Pineles, B. L., Park, E. ve Samet, J. M. (2014). Systematic review and meta-analysis of miscarriage and maternal exposure to tobacco smoke during pregnancy. American Journal of Epidemiology, 179(7), 807-823. https://doi.org/10.1093/aje/kwt334
  • Polanska, K., Jurewicz, J. ve Hanke, W. (2015). Smoking and alcohol drinking during pregnancy as the risk factors for poor child neurodevelopment-A review of epidemiological studies. International Journal of Occupational Medicine and Environmental Health, 28(3), 419. https://doi.org/10.13075/ijomeh.1896.00424
  • Rocha, J. S., Arima, L. Y., Werneck, R. I., Moyses, S. J. ve Baldani, M. H. (2018). Determinants of dental care attendance during pregnancy: a systematic review. Caries Research, 52(1-2), 139-152. https://doi.org/10.1159/000481407
  • Royal College of Obstetricians Gynaecologists. Nutrition in pregnancy. 11 Mayıs 2021 tarihinde https://www.rcog.org.uk/en/guidelines-research-services/ adresinden erişildi.
  • Sezer, G. ve Şen, S. (2020). The effect of individual counseling intervention on health practices in pregnancy: a randomized controlled trial. Health Education Research, 35(5), 450-459. https://doi.org/10.1093/her/cyaa025
  • Shamaki, M.A. ve Buang, A. (2017). Sociocultural practices in maternal health among women in a less developed economy: An overview of Sokoto State, Nigeria. Geografia-Malaysian Journal Of Society And Space, 10 (6), 14-17.
  • Sis Çelik, A, ve Aksoy Derya, Y. (2019). Gebelerin öz bakım gücü ile sağlık uygulamaları düzeylerinin ve etkileyen faktörlerin belirlenmesi. Gümüşhane Üniversitesi Sağlık Bilimleri Dergisi, 8(1), 111-119.
  • Trivedi, S., Lal, N., ve Singhal, R. (2015). Periodontal diseases and pregnancy. Journal of Orofacial Science, 7, 67. https://doi.org/10.4103/0975-8844.157408
  • Yanıkkerem, E., Ay, S. ve Piro, N. (2013). Planned and unplanned pregnancy: effects on health practice and depression during pregnancy. Journal of Obstetrics and Gynaecology Research, 39(1), 180-187. https://doi.org/10.1111/j.1447-0756.2012.01958.x
  • Yüksel, A., Dabanlı, Z. ve Yılmaz, B. (2020). Gebelerde bilinçli farkındalık ile depresyon, anksiyete ve stres düzeyleri arasındaki ilişkinin belirlenmesi. Journal of Academic Research in Nursing, 6 (2), 195-202. https://doi.org/10.5222/jaren.2020.55707
  • Zhou, S. J., Condo, D., Ryan, P., Skeaff, S. A., Howell, S., Anderson, P. J., ... Makrides, M. (2019). Association between maternal iodine intake in pregnancy and childhood neurodevelopment at age 18 months. American Journal of Epidemiology, 188(2), 332-338. https://doi.org/10.1093/aje/kwy225
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Details

Primary Language Turkish
Subjects Nursing (Other)
Journal Section Research Articles
Authors

Ebru Solmaz 0000-0003-1962-8669

Ebru Şahin 0000-0001-7798-0690

Early Pub Date July 15, 2024
Publication Date
Published in Issue Year 2024 Volume: 17 Issue: 3

Cite

APA Solmaz, E., & Şahin, E. (2024). Gebelerin Sağlık Uygulamaları ile Gebelik Stresi İlişkisi ve Etkileyen Faktörlerin İncelenmesi. Etkili Hemşirelik Dergisi, 17(3), 362-373. https://doi.org/10.46483/jnef.1516048

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