Türkiye'deki Gebelerde Algılanan Sosyal Desteğin Prenatal Emzirme Öz-yeterliğine Etkisi: Web tabanlı kesitsel bir çalışma

Öz

Amaç: Bu çalışmada, gebelerde algılanan sosyal desteğin prenatal emzirme öz-yeterliliğe etkisinin incelenmesi amaçlanmıştır. Gereç-Yöntem: Kesitsel özellikte yürütülen bu çalışma 10 Mayıs - 20 Temmuz 2022 tarihleri arasında, web yolu ile sosyal medya (facebook, instagram gibi) forum veya grup sayfalarında paylaşılarak araştırmaya katılmaya gönüllü 572 gebe kadın üzerinde çalışma yürütülmüştür. Çalışmaya katılmaya gönüllü gebelerden literatür incelenerek hazırlanan Bilgi Formu, Çok Boyutlu Algılanan Sosyal Destek Ölçeği ve Prenatal Emzirme Öz-Yeterlilik Ölçeği’ni içeren e-anket ile toplanmıştır. Bulgular: Çalışmaya katılan gebelerin yaş ortalaması 30,89±5,74 ve gebelik haftası ortalaması 26,59±7,70’dir. Gebelerin %78,6’sının isteyerek evlendiği, %71,4’ünün eşleriyle uyumlu olduğunu düşündüğü ve %78,0’ının gebeliğe karşı olumlu duygular beslediği belirlenmiştir. Gebelerin Prenatal Emzirme Öz-Yeterlilik Ölçeği (PEÖYÖ) toplam puan ortalaması 75,98±30,42, Çok Boyutlu Algılanan Sosyal Destek Ölçeği (ÇBASDÖ) toplam puan ortalaması 64,90±25,62, ÇBASDÖ’nün aile alt boyut puan ortalaması 21,69±8,51, arkadaşlar alt boyut puan ortalaması 21,53±8,62 ve özel ilişkiler alt boyut puan ortalaması 21,68±8,54 olarak bulunmuştur. Gebelerin PEÖYÖ ile ÇBASDÖ ölçeği toplam ve alt boyut puan ortalamaları arasında istatistiksel olarak pozitif yönde anlamlı bir ilişki saptanmıştır (p<0,001). Sonuç: Gebelerin, gebelik sürecinde aileleri, arkadaşları ile özel ilişki kurdukları bireyler tarafından algıladıkları sosyal desteğin artmasıyla birlikte prenatal emzirme öz-yeterliliği de artmaktadır.

Anahtar Kelimeler

• Gebe
• algılanan sosyal destek
• prenatal
• emzirme
• öz-yeterlilik.

The Effect of Perceived Social Support on Prenatal Breastfeeding Self-Efficacy in Pregnants in Turkey: A web-based cross-sectional study

Öz

Purpose: This study aimed to assess the effect of perceived social support on prenatal breastfeeding self-efficacy in pregnant women. Methods: This cross-sectional study was conducted on 572 pregnant women who volunteered to participate in the research by sharing them on social media (such as Facebook, Instagram) forums or group pages between 10 May and 20 July 2022. The Information Form prepared by examining the literature from the pregnant women who volunteered to participate in the study was collected with an e-questionnaire including the Multidimensional Scale of Perceived Social Support (MSPSS) and the Prenatal Breastfeeding Self-Efficacy Scale (PBSES). Results: The mean age of the pregnant women participating in the study was 30.89±5.74 and week of gestation was 26.59±7.70. It was determined that 78.6% of the pregnant women got married voluntarily, 71.4% thought they were compatible with their spouses, and 78.0% had positive feelings towards pregnancy. PBSES total score average of pregnant is 75.98±30.42, MSPSS total score average is 64.90±25.62, MSPSS mean family sub-dimension score is 21.69±8.51, friends sub-dimension mean score was 21.53±8.62, and significant other sub-dimension mean score was 21.68±8.54. A statistically positive and significant correlation was found between the PBSES and MSPSS scale total and sub-dimension mean scores of the pregnant women (p<0.001). Conclusions: All pregnant women must be evaluated for breastfeeding self-efficacy and support systems, and it must be routine of the control when visiting hospital for prenatal examination by health care practitioners.

Anahtar Kelimeler

• prenatal
• Pregnant
• perceived social support
• breastfeeding
• self-efficacy

Kaynakça

1. Abbass-Dick, J., Brown, H. K., Jackson, K. T., Rempel, L., & Dennis, C. L. (2019). Perinatal breastfeeding interventions including fathers/partners: A systematic review of the literature. Midwifery, 75, 41-51. http://dx.doi.org/10.1016/j.midw.2019.04.001
2. Alyousefi, N., Alemam, A., Altwaijri, D., Alarifi, S., & Alessa, H. (2022). Predictors of Prenatal Breastfeeding Self-Efficacy in Expectant Mothers with Gestational Diabetes Mellitus. International Journal of Environmental Research and Public Health, 19(7), 4115. http://dx.doi.org/10.3390/ijerph19074115
3. Aydın, A., & Pasinlioğlu, T. (2018). Reliability and Validity of a Turkish version of the Prenatal Breastfeeding Self Efficacy Scale. Midwifery, 64, 11-6.
4. Azimi, M., Fahami, F., & Mohamadirizi, S. (2018). The relationship between perceived social support in the first pregnancy and fear of childbirth. Iranian Journal of Nursing and Midwifery Research, 23(3), 235–9.
5. Baharvand, P., Anbari, K., & Hamidi, H. (2022). Perceived social support in pregnant women with gestational diabetes attending hospitals in western Iran compared to healthy controls and its relationship with perceived anxiety. J Diabetes Metab Disord. https://doi.org/10.1007/s40200-022-01100-5
6. Bandura, A. (1997). Self-efficacy: The exercise of control. New York: W.H. Freeman and Company.
7. Cankaya, S., & Atas, A. (2022). The relationship of breastfeeding self-efficacy with relationship satisfaction and family function in mothers during the first year postpartum. Early Child Development and Care. http://dx.doi.org/10.1080/03004430.2022.2042278
8. Eker, D., Arkar, H., & Yaldiz, H. (2001). Factorial Structure, Validity, and Reliability of Revised Form of the Multidimensional Scale of Perceived Social Support. Turkish Journal of Psychiatry, 12(1), 17-25.

9. Faridvand, F., Mirghafourvand, M., Malakouti, J., & Mohammad-Alizadeh-Charandabi, S. (2017). Relationship between social support and breastfeeding self-efficacy among women in Tabriz, Iran. British Journal of Midwifery, 25(2), 103-9.
10. Hamid, S.B.A., & Zaidi, N.M. (2020). Predictors of prenatal breastfeeding self-efficacy in Malaysian women: a cross-sectional study. J Gizi dan Pangan, 15(1), 53-62. http://dx.doi.org/10.25182/jgp.2020.15.1.53-62
11. Hicyilmaz, B.D., & Acikgoz, I. (2017). The Association Between Breastfeeding Self-efficacy, Breastfeeding Attitude, Social-professional Support and Breastfeeding Control. Journal of Nursing Sciences, 9(2), 133-43.
12. Izadirad, H., Niknami, S., Zareban, I., & Hidarnia, A. (2017). Effects of Social Support and Self-Efficacy on Maternal Prenatal Cares Among the First-Time Pregnant Women, Iranshahr, Iran. Journal of Family and Reproductive Health, 11(2), 67-73.
13. Kanig, M., Eroglu, K. (2019). Perceived Level of Social Support among Pregnant Women and Affecting Factors. Journal of Education and Research In Nursing, 16(2), 125-33.
14. Karbandi, S., Hosseini, S. M., Hosseini, S. A., Sadeghi, F., Hesari, M., & Masoudi, R. (2017). Evaluating the effectiveness of using a progressive muscle relaxation technique on the self-efficacy of breastfeeding in mothers with preterm infants. Journal of Nursing Research, 25(4), 283-8.
15. Konukoglu, T., & Pasinlioglu, T. (2021). Breastfeeding Self-Efficacy In Pregnant Women And Evaluation Of Affecting Factors. J Midwifery and Health Sci, 4(1), 12-22.
16. Maleki-Saghooni, N., Amel Barez, M., & Zahra Karimi, F. (2020). Investigation of the relationship between social support and breastfeeding self-efficacy in primiparous breastfeeding mothers. The Journal of Maternal-Fetal & Neonatal Medicine, 3(18), 3097-102. http://dx.doi.org/10.1080/14767058.2019.1568986
17. Mirghafourvand, M., Malakouti, J., Mohammad-Alizadeh-Charandabi, S., & Faridvand, F. (2018). Predictors of breastfeeding self-efficacy in Iranian women: A cross-sectional study. Int J Women & Health Reprod Sci, 6(3), 380-85.
18. Okanli, A., Tortumluoğlu, G., & Kirpinar, İ. (2003). The relationship between pregnant women perceived social support from family and problem solving skill. Alpha Psychiatry, 4(2), 98-105.
19. Otsuka, K., Taguri, M., Dennis, C.L., Wakutani, K., Awano, M., Yamaguchi, T., & Jimba, M. (2014). Effectiveness of a breastfeeding self-efficacy intervention: Do hospital practices make a difference? Matern. Child Health J, 18(1), 296–306.
20. Razurel, C., Kaiser, B., Antonietti, J. P., Epiney, M., & Sellenet, C. (2017). Relationship between perceived perinatal stress and depressive symptoms, anxiety, and parental self-efficacy in primiparous mothers and the role of social support. Women & Health, 57(2), 154-72. http://dx.doi.org/10.1080/03630242.2016.1157125
21. Safa’ah, N. (2021). Relationship of Social Support with Breastfeeding Self Efficacy Post-Partum Mothers in Community Health Center. Aloha International Journal of Health Advancement, 4(6), 126-31. http://dx.doi.org/10.33846/aijha40601
22. Wang, S.W., Chen, J.L., Chen, Y.H., & Wang, R.H. (2022). Factors Related to Psychological Distress in Multiparous Women in the First Trimester: A Cross-Sectional Study. Journal of Nursing Research, 30(3), e210. http://dx.doi.org/10.1097/jnr.0000000000000485
23. Wells, K.J., Thompson, N.J., & Kloeblen-Tarver, A.S. (2006). Development and psychometric testing of the prenatal breast-feeding self-efficacy scale. American Journal of Health Behavior, 30(2), 177-87.
24. WHO-World Health Organization. (2022). Breastfeeding. https://www.who.int/health-topics/breastfeeding#tab=tab_1
25. Yanik, D., & Ozcanarslan, F. (2019). The Relationship Between Perceived Social Support And The Level Of Coping With Stress In The Risky Pregnant. J Midwifery and Health Sci, 2(3), 96-104.
26. Yuksel, A., & Bayrakci, H. (2019). Self-efficacy, psychological well-being and perceived social support levels in pregnant women. International Journal of Caring Sciences, 12(2), 1-10.
27. Zhu, J., Chan, W. C. S., Zhou, X., Ye, B., & He, H. G. (2014). Predictors of breast feeding self-efficacy among Chinese mothers: A cross-sectional questionnaire survey. Midwifery, 30(6), 705-711.
28. Zimet, G. D., Dahlem, N. W., Zimet, S. G., & Farley, G. K. (1988). The multidimensional scale of perceived social support. Journal of Personality Assessment, 52(1), 30-41.