Primipar Gebelerde Gebeliğe Uyum ve Kaygı Düzeyleri ve Etkileyen Faktörlerin Belirlenmesi

Year 2023, , 280 - 286, 29.12.2023

Pınar Kara , Ebru Var , Evşen Nazik

https://doi.org/10.5152/JANHS.2023.23505

Abstract

Amaç: Bu çalışma, primipar gebelerin gebeliğe uyum ve kaygı düzeylerini ve etkileyen faktörleri belirlemek amacıyla yapılmıştır.

Yöntemler: Kesitsel tipte olan bu çalışma, Türkiye’deki bir devlet hastanesinin kadın doğum polikliniğinde ikinci ve üçüncü trimesterlerindeki toplam 136 primipar gebe ile gerçekleştirilmiştir. Araştırmanın verileri “Kişisel Bilgi Formu”, “Prenatal Kendini Değerlendirme Ölçeği (PKDÖ)” ve “Durumluk-Sürekli Kaygı Envanteri (DSKE; DKE-SKE)” aracılığıyla toplanmıştır.

Bulgular: Çalışmaya katılan gebelerin yaş ortalaması 24,79 ± 5,04 idi. Katılımcıların toplam DKE, SKE ve PKDÖ puan ortalamaları sırasıyla 38,53 ± 7,69, 42,38 ± 7,95, ve 135,95 ± 25,43, olup, gebelerin gebeliklerine uyum sağladıkları ve kaygı yaşadıkları belirlenmiştir. Araştırmaya katılan gebelerin gebeliğe uyumunu belirleyen en önemli değişkenlerin SKE ve DKE düzeyleri (sırasıyla β = 0,347, P < 0.001, β = 0,256, P = 0.001), doğuma hazırlık sınıflarına katılım (β = 0,202) ve en uzun süre yaşanan yer (β = −0,195, P = 0,004) olduğu bulunmuştur.

Sonuç: Primipar gebelerin gebeliklerine uyum sağladıkları ve antenatal dönemde anksiyete yaşadıkları görülmüştür. Bu dönemde yaşanan kaygı, kadının gebeliğe uyumunun en önemli belirleyicisi olmuştur

Keywords

Gebelik, primipar, gebeliğe uyum, kaygı, hemşirelik bakımı

Determination of Adaptation to Pregnancy and Anxiety Levels in Primiparous Pregnant Women and Affecting Factors

Abstract

Objective: This study was conducted to determine primiparous pregnant women’s adaptation to pregnancy, anxiety levels, and affecting factors.

Methods: This cross-sectional study was conducted with a total of 136 primiparous pregnant women in the second and third trimesters at the obstetrics policlinic of the state hospital in Turkey. The data for the study were collected through the “Personal Information Form,” the “Prenatal Self-Evaluation Questionnaire (PSEQ),” and the “State-Trait Anxiety Inventory (STAI; SAI-TAI).”

Results: The average age of the participating pregnant women was 24.79 ± 5.04 years. The participants’ total SAI, TAI, and PSEQ mean scores were found to be 38.53 ± 7.69, 42.38 ± 7.95, and 135.95 ± 25.43, respectively. The most important variables determining the participating pregnant women’s adaptation to pregnancy were found to be TAI and SAI levels (β = 0,347, P < 0.001; β = 0,256, P = 0.001 respectively), participation in the childbirth preparation classes (β = 0,202, P = 0.004), and the longest place of residence (β = -0,195, P <0.004)

Conclusion: The primiparous pregnant women adapted to their pregnancy, and they suffered from anxiety during the antenatal period. Anxiety experienced during this period was the most important determinant of the woman’s adaptation to pregnancy.

Keywords

Pregnancy, primiparous, adaptation to pregnancy, anxiety, nursing care

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