Kırsal Kesimde Yaşayan Gebelerin Kaygı Düzeylerinin Belirlenmesi

Year 2023, Volume: 5 Issue: 1, 25 - 33, 27.03.2023

Sezer Avcı , Dilek Kaytan

Abstract

Araştırma Türkiye’nin Akdeniz Bölgesinde yer alan bir ilin bir ilçesindeki köylerinde yaşayan gebelerin kaygı düzeylerini belirlemek amacıyla kesitsel olarak planlanmıştır. Araştırma Aralık 2020-Nisan 2021 tarihleri arasında 16., 22. ve 35. haftada olan 230 gebeyle yapılmıştır. Veri toplama araçları “Gebe Tanıtım Formu” ve “Cambridge Kaygı Ölçeği (CKÖ)” nden oluşmaktadır. Veriler bilgisayar ortamında sayı, yüzde, ortalama, standart sapma varyans analizi, Kruskal Wallis H ve Mann Whitney U testi ile değerlendirilmiştir. Gebeliği 16. haftada olan gebelerin eşlerinin yaş grubuyla, ev halkı hane sayısıyla, gelir durumlarıyla ve gebelik sayısıyla CKÖ’nden aldıkları puan ortalamaları arasında istatistiksel olarak anlamlı düzeyde farkın olduğu tespit edilmiştir (p<0.05). Şu anki gebeliğinde riskli durumu olduğunu ifade eden 16., 22. ve 35. haftada olan tüm gebelerin CKÖ puan ortalamaları gebeliğinde riskli durum olmadığını ifade edenlere göre istatistiksel olarak anlamlı düzeyde yüksek olarak bulunmuştur (p<0.05). Sonuç olarak gebelik haftası arttıkça gebelerin kaygı düzeyinin arttığı ve gebelerde kaygıyı arttıran bazı değişkenlerin olduğu görülmüştür. Sağlık çalışanları, gebedeki kaygıya sebep olan durumları belirleyip ona göre duyarlı davranmalı, eğitim ve danışmanlık hizmeti vermelidir.

Keywords

Gebelik, Kaygı, Kırsal Kesim

Supporting Institution

Yoktur

Project Number

Yoktur.

Thanks

Yoktur.

Determination of Anxiety Levels of Pregnant Women Living in Rural Areas

Abstract

The research was planned sectionally for determining the anxiety levels of pregnant women living in a village in a region located in the Mediterranean Region of Turkey. The research took part between December 2020 and April 2021 with 230 women who were 16, 22, and 35 weeks pregnant. Data collection tools consist of the "Pregnant Identification Form" and "Cambridge Anxiety Scale (CAS)." The data were assessed by number, percentage, mean, standard deviation analysis of variance, Kruskal Wallis H, and Mann Whitney U tests in a computer environment. A statistically significant difference was determined between the age group of the spouses of the pregnant women, household size, income status and the number of pregnancies at 16 weeks of pregnancy, and the mean scores they got from the CAS (p<0.05). All pregnant women at 16, 22, and 35 weeks who stated that they had a risky situation in their current pregnancy had mean CAS scores that were statistically significantly higher than those who stated that there was no risky situation in their pregnancy (p<0.05). Consequently, it was observed that as the week of pregnancy increased, the anxiety level increased as well, and there were some variables that increased anxiety in pregnant women. Health professionals should determine the situations causing anxiety in pregnant women and act sensitively accordingly and provide training and consultancy services.

Keywords

pregnancy, anxiety, rural area

Project Number

Yoktur.

References

• Referans1 Akbas, E., Vırıt, O., Kalenderoglu, A., Savas, A.H., Sertbas, G. (2008). Association between sociodemographic variables with the levels of depression and anxiety in pregnancy. Archives of Neuropsychiatry,45(3), 85-92.
• Referans2 Akbas, N. (2018). The Relationship with Weight Gain and Anxiety and Depression in Term Pregnancy. (Unpublished Master's Thesis), Adnan Menderes University, Institute of Health Sciences, Aydın.
• Referans3 Akinsulore, A., Temidayo, A.M., Oloniniyi, I.O., Olalekan, B.O., Yetunde, O.B. (2021). Pregnancy-related anxiety symptoms and associated factors amongst pregnant women attending a tertiary hospital in south-west Nigeria. South African Journal of Psychiatry, 27(1), 1-9.
• Referans4 Antenatal Care Management Guide 2014. https://sbu.saglik.gov.tr/Ekutuphane/kitaplar/dogumonubakim.pdf Received time: July 15, 2021.
• Referans5 Arslan, B. (2010). Sociodemographic Features Associated with Anxiety and Depression in Pregnant Women. (Unpublished PhD Thesis). Suleyman Demirel University Faculty of Medicine, Isparta.
• Referans6 Can, R., Yılmaz, S., Cankaya, S., Kodaz S. (2019). Problems experienced during pregnancy and their associatıons with quality of life. Health and Society, 29(2), 59-64.
• Referans7 Celen, R. (2013). The Anxiety Levels of Parents of Premature Babies and Related Factors. (Unpublished Master's Thesis), Selcuk University Institute of Health Sciences, Konya.
• Referans8 Dikmen, A.H. (2020). The relationship between perceived social support level and distress, depression and sleep quality in pregnant women. Turkiye Klinikleri Journal of Health Sciences, 5(3), 450-9.
• Referans9 Ertekin, P.S., Arslan, S., Polat, K., CiftCi, D., Cesur, B., Daglar, G. (2014). Examining the association of perceived stress with sleep quality in pregnancy. Dokuz Eylul University School of Nursing Electronic Journal, 7(3), 171–7.
• Referans10 Green, J.M., Kafetsios, K., Statham, H., Snowdon, C. (2003). Factor structure, validity and reliability of the Cambridge Worry Scale in a pregnant population. Journal Health Psychology. 8, 753-764.
• Referans11 Gourounti, K., Anagnostopoulos, F., Sandall, J. (2014). Poor marital support associate with anxiety and worries during pregnancy in Greek pregnant women. Midwifery, 30(6), 628-635.
• Referans12 Guler, K. (2021). Investigation of the relationship between separation anxiety, marital adjustment and life satisfaction in married women, Cyprus Turkish Journal of Psychiatry & Psychology, 3(4), 272-278.
• Referans13 Gumusdas, M., Apay, S.E., Ozorhan E.,Y. (2014). Comparison of psycho-social health in pregnant women with and without risk. Journal of Health Sciences and Professions, 1(2), 32–42.
• Referans14 Gunay, E.Y. (2013). Worry Level in Pregnant Women: 'Validity and Reliability Study of 'Cambridge Worry Scale'. (Unpublished Master's Thesis), Istanbul University, Institute of Medical Sciences, Department of Midwifery, Istanbul.
• Referans15 Gunay, E.Y., Gul, A. (2015). Reliability and validity of the Cambridge Worry Scale in pregnant Turkish women. Midwifery, 31(3), 359-364.
• Referans16 Kaplan S., Bahar A., Sertbas G. (2007). Evaluation of the Anxiety Levels of Pregnant Women at Prenatal and Postnatal Period, Journal of Ataturk University School of Nursing, 10(1), 113-121.
• Referans17 Kılıcarslan, S. (2008). Sociodemographic Characteristics, Health Qualities and Anxiety Levels of Third Trimester Pregnant Women Living in Edirne. (Unpublished PhD Thesis). Trakya University Faculty of Medicine, Edirne.
• Referans18 Kitapcıoglu, G., Yanıkkerem, E., Sevil, U., Yuksel, D. (2008). Fear of childbirth and the postpartum period: A scale development and validation study. Journal of ADU Faculty of Medicine, 9(1), 47-54.
• Referans19 Kocak, V., Ege, E. (2016). Anxiety level of pregnant women who underwent prenatal screening test and related factors. Journal of General Medicine, 26(4), 113-120.
• Referans20 Koyucu, G.R. Ulkar, D., Erdem, B. (2020). Comparison of Pregnancy Stresses in Primiparous and Multiparous Pregnants. Journal of Inonu University Health Services Vocational School, 8(3), 652-663.
• Referans21 Kugu, N., Akyuz, G. (2001). Mental state during pregnancy. Journal of the Faculty of Medicine Cumhuriyet University, 23(1), 61-64.
• Referans22 Kucukberber, H.(2017). Maternal Performing Birth Act and Fathers Accompanied by Birth Anxiety Levels. (Unpublished Master's Thesis), Istanbul Bilim University Institute of Health Sciences, Istanbul.
• Referans23 Kuçukkaya, B., Dindar, I, Ercel, O., Yılmaz, E. (2017). Anxieties of pregnant women related to delivery and postpartum period during gestational periods. JAREN, 4(1), 28-36.
• Referans24 Mermer, G., Bilge, A., Yucel, U., Ceber E. (2010). Evaluation of perceived social support levels in pregnancy and postpartum periods. Journal of Psychiatric Nursing,1(2), 71-76.
• Referans25 Ozdemir, N., Kariptas, E., Yalcın, S. (2017). Evaluation of the relationship between the number of pregnancies and the way of giving birth, and the level of state and trait anxiety before and after birth. Journal of Ahi Evran University, 2(1), 1-12.
• Referans26 Öhman, S.G., Grunewald, C., Waldenström, U. (2003). Women's worries during pregnancy: testing the Cambridge Worry Scale on 200 Swedish women. Scandinavian Journal of Caring Sciences, 17(2), 148-152.
• Referans27 Petersen, J.J., Paulitsch, M.A., Guethlin, C., Gensichen, J., Jahn, A. (2009). A survey on worries of pregnant women-testing the German version of the Cambridge Worry Scale. BMC Public Health, 9(1), 1-9.
• Referans28 Sen, E., Sirin, A.(2013). The factors affecting depression, anxiety and perceived social support level of pregnant women who have the diagnosis of preterm labor. Gaziantep Medical Journal, 19(3), 159-163.
• Referans29 Sogukpınar, N., Akmese, B.Z., Hadımlı, A., Balçık, M., Akın, B. (2018). Doğumevlerinde riskli gebelik profili: İzmir ili örneği. Journal of Academic Research in Nursing, 4(1), 37-44.
• Referans30 Tabur, F. (2007). The Research on Anxiety Levels of the Woman Who Have the Risk of Miscarriage. (Unpublished Master's Thesis), Afyon Kocatepe University Institute of Health Sciences, Afyonkarahisar.
• Referans31 Tepebas, U.M. (2019). Examining of Distress and Anxiety Levels of Women in Pregnancy Period as Effectors of Mental Health. (Unpublished Master's Thesis), Istanbul Sabahattin Zaim University, Institute of Social Sciences, Istanbul.
• Referans32 Turkey Demographic and Health Survey (2018). Hacettepe University Institute of Population Studies Ankara, Turkey. http://www.sck.gov.tr/wp-content/uploads/2020/08/TNSA2018_ana_Rapor.pdf Received time: December 15, 2021.
• Referans33 Unubol, H., Sunar, M., Sayar, G.H. (2020). To analyze the relationship between number of children and positive negative emotions in women. Cyprus Turkish Journal of Psychiatry & Psychology, 2(1), 35-40.
• Referans34 Ust, Z.D., Pasinlioglu, T.(2015). Determination of anxieties related to delivery and postpartum period in primiparous and multiparous pregnant women. Journal of Health Sciences and Professions, 2(3), 306-317.
• Referans35 Ustgorul, S., Yanıkkerem, E. (2017). Psycho-social health of women during pospartum period and affecting risk factors. JAREN, 3(Ek sayı):61-68.
• Referans36 Yanıkkerem, E., Ildan, Ç.S., Goker, A., Oruç, K.S. (2012). Opinions and needs of pregnant women with hyperemesis gravidarum. Gumushane University Journal of Health Sciences, 1, 269–83.
• Referans37 Yılmaz, B.E., Şahin, E. (2019). Factors associated with prenatal distress levels of pregnant women. Journal of Psychıatrıc Nursing, 10(3), 197-203.