Research Article
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Year 2020, Volume: 5 Issue: 1, 1 - 18, 01.04.2020

Hülya Kulakçı Altıntaş , Tülay Kuzlu Ayyıldız , Funda Veren Nihal Kalıncı

https://doi.org/10.25279/sak.469597
Cited By: 1

Abstract

This
study was performed to evaluate psychosocial health status and health practices
of pregnant women in Turkey. This
comparative descriptive study was
conducted at a pregnancy polyclinic of Zonguldak Maternity and Children's Hospital in T
between 12.04.2012 – 03.04.2013. A total of 1086 pregnant women
participated in the study. Data were collected by using
Pregnant Information Form, Pregnancy Psychosocial
Health Assessment Scale and Health
Practices Questionnaire in Pregnancy-II. Numerical
and percentage values, student t test, Mann Whitney-U test, One-Way Analysis of
Variance (ANOVA), Kruskal-Wallis variance analysis  and correlation analysis were used for data
analysis. In this study, there
is a positive correlation between psychosocial health status and health
practices of pregnant women (p < .050). However,
psychosocial health status and health practices of pregnant women show significant
differences based on some characteristics of pregnant women such as age,
marital status, family type, education level, employment status, presence of
social insurance, economic income, number of children, number of abortion and
curettage, chronic disease status, BMI before pregnancy, number of pregnancy,
pregnancy planning status, complication associated with pregnancy and social
support (p < .050). Besides physical assessments, evaluation of
psychosocial health status and health practices of pregnant women, early
diagnosis of risky conditions and provision of protective and therapeutic
services are recommended during pregnancy follow-ups.

References

  • Arslan, B. (2010). Socio-demographic features associated with anxiety and depression in pregnant women. (Master), Süleyman Demirel University., Isparta,Turkey.
  • Bahar, A. (2006). Evaluation of the anxiety levels of pregnant women at prenatal and postnatal period. Journal of Anatolia Nursing and Health Sciences, 9(4), 45-53.
  • Blackmore, E. R., Carroll, J., Reid, A., Biringer, A., Glazier, R. H., Midmer, D., . . . Stewart, D. E. (2006). The use of the Antenatal Psychosocial Health Assessment (ALPHA) tool in the detection of psychosocial risk factors for postpartum depression: a randomized controlled trial. J Obstet Gynaecol Can, 28(10), 873-878. doi:10.1016/s1701-2163(16)32268-x
  • Caliskan, D., Oncu, B., Kose, K., Ocaktan, M. E., & Ozdemir, O. (2007). Depression scores and associated factors in pregnant and non-pregnant women: a community-based study in Turkey. J Psychosom Obstet Gynaecol, 28(4), 195-200. doi:10.1080/01674820701450649
  • Carroll, J. C., Reid, A. J., Biringer, A., Midmer, D., Glazier, R. H., Wilson, L., . . . Stewart, D. E. (2005). Effectiveness of the Antenatal Psychosocial Health Assessment (ALPHA) form in detecting psychosocial concerns: a randomized controlled trial. Cmaj, 173(3), 253-259. doi:10.1503/cmaj.1040610
  • Cornelius, M. D., Goldschmidt, L., DeGenna, N., & Day, N. L. (2007). Smoking during teenage pregnancies: effects on behavioral problems in offspring. Nicotine Tob Res, 9(7), 739-750. doi:10.1080/14622200701416971
  • Çakır, L., & Can, H. (2012 (online publication)). Relation between sociodemographic variables with the levels of depression and anxiety in pregnancy. Turkish Family Physician, 3(2), 35-42.
  • Dejin-Karlsson, E., & Ostergren, P.-O. (2003). Psychosocial factors, lifestyle, and fetal growth: the added value of both pre- and post-natal assessments. European journal of public health, 13(3), 210-217. doi:10.1093/eurpub/13.3.210
  • Eberhard-Gran, M., Eskild, A., Tambs, K., Samuelsen, S. O., & Opjordsmoen, S. (2002). Depression in postpartum and non-postpartum women: prevalence and risk factors. Acta Psychiatr Scand, 106(6), 426-433.
  • Elsenbruch, S., Benson, S., Rucke, M., Rose, M., Dudenhausen, J., Pincus-Knackstedt, M. K., . . . Arck, P. C. (2007). Social support during pregnancy: effects on maternal depressive symptoms, smoking and pregnancy outcome. Hum Reprod, 22(3), 869-877. doi:10.1093/humrep/del432
  • Er, S. (2006). Turkish version of Health Practices Questionnaire in Pregnancy validity and reliability study. (Master), Ege University, İzmir, Turkey.
  • Eskici, L., Demir-Akca, A. S., Atasoy, N., Arıkan, İ., & Harma, M. (2012). The effects of depression and anxiety disorders in pregnant women on obstetric outcomes and newborn. Anatolian Journal of Clinical Investigation, 6, 10-16.
  • Evans, J., Heron, J., Francomb, H., Oke, S., & Golding, J. (2001). Cohort study of depressed mood during pregnancy and after childbirth. Bmj, 323(7307), 257-260.
  • Fisher, J., Cabral de Mello, M., Patel, V., Rahman, A., Tran, T., Holton, S., & Holmes, W. (2012). Prevalence and determinants of common perinatal mental disorders in women in low- and lower-middle-income countries: a systematic review. Bulletin of the World Health Organization, 90(2), 139-149H. doi:10.2471/BLT.11.091850
  • Gözüyeşil, E. Y., Şirin, A., & Çetinkaya, Ş. (2008). Depression of the pregnants and the analysis of the factors which affect the depression. Fırat Sağlık Hizmetleri Dergisi, 3, 39-66.
  • Harley, K., & Eskenazi, B. (2006). Time in the United States, social support and health behaviors during pregnancy among women of Mexican descent. Social science & medicine (1982), 62(12), 3048-3061. doi:10.1016/j.socscimed.2005.11.036
  • Harrison, P. A., & Sidebottom, A. C. (2008). Systematic prenatal screening for psychosocial risks. J Health Care Poor Underserved, 19(1), 258-276. doi:10.1353/hpu.2008.0003
  • Heaman, M. I., Gupton, A. L., & Moffatt, M. E. (2005). Prevalence and predictors of inadequate prenatal care: a comparison of aboriginal and non-aboriginal women in Manitoba. J Obstet Gynaecol Can, 27(3), 237-246.
  • Karacam, Z., & Ancel, G. (2009). Depression, anxiety and influencing factors in pregnancy: a study in a Turkish population. Midwifery, 25(4), 344-356. doi:10.1016/j.midw.2007.03.006
  • Kuğu, N., & Akyüz, G. (2001). Psychical situation in pregnancy. Cumhuriyet Medical Journal, 23, 61-64.
  • Lee, D. T., Yip, A. S., Leung, T. Y., & Chung, T. K. (2000). Identifying women at risk of postnatal depression: prospective longitudinal study. Hong Kong Med J, 6(4), 349-354.
  • Lin, Y. H., Tsai, E. M., Chan, T. F., Chou, F. H., & Lin, Y. L. (2009). Health promoting lifestyles and related factors in pregnant women. Chang Gung Med J, 32(6), 650-661.
  • Lindgren, K. (2003). A Comparison of Pregnancy Health Practices of Women in Inner‐City and Small Urban Communities. Journal of Obstetric, Gynecologic & Neonatal Nursing, 32(3), 313-321. doi:https://doi.org/10.1177/0884217503253442
  • Lindgren, K. (2005). Testing the Health Practices in Pregnancy Questionnaire-II. J Obstet Gynecol Neonatal Nurs, 34(4), 465-472. doi:10.1177/0884217505276308
  • Matthey, S. (2005). Assessing for psychosocial morbidity in pregnant women. CMAJ : Canadian Medical Association Journal, 173(3), 267-269. doi:10.1503/cmaj.050727
  • Mermer, G., Bilge, A., Yücel, U., & Çeber, E. (2010). Evaluation of perceived social support levels in pregnancy and postpartum periods. Journal of Psychiatric Nursing, 1, 71-76.
  • Midmer, D., Bryanton, J., & Brown, R. (2004). Assessing antenatal psychosocial health. Randomized controlled trial of two versions of the ALPHA form. Can Fam Physician, 50, 80-87.
  • Okanlı, A., Tortumluoğlu, G., & Kırpınar, İ. (2003). The relationship between pregnant women perceived social support from family and problem solving skill. Anatolian Journal of Psychiatry, 4, 98-105.
  • Özçelik, G. (2010). Health problems during pregnancy and their relationship with quality of life in the city of Aydın. . (Master), Adnan Menderes University, Aydın,Turkey.
  • Özkan, A., & Mete, S. (2010). Pregnancy planning and antenatal health behaviour: Findings from one maternity unit in Turkey. . Midwifery,, 26, 338-347.
  • Reichman, N. E., & Pagnini, D. L. (1997). Maternal age and birth outcomes: data from New Jersey. Fam Plann Perspect, 29(6), 268-272, 295.
  • Silva, R., Jansen, K., Souza, L., Quevedo, L., Barbosa, L., Moraes, I., . . . Pinheiro, R. (2012). Sociodemographic risk factors of perinatal depression: a cohort study in the public health care system. Rev Bras Psiquiatr, 34(2), 143-148.
  • Şahin, M. (2011). The assessment of the effects of gestational age in maternal and newborn health. ( Master), Mersin University. , Mersin, Turkey.
  • Şen, E., Güneri-Er, S., Yanikkerem, E., Hadimli, A., Kavlak, A., & Saruhan, A. (2012). Determination of knowledge requirements and health practices of adolescent pregnant women. International Journal of Caring Sciences, 5, 171-178.
  • Taşkın, L. (2017). Doğum ve kadın sağlığı hemşireliği (13 ed.). Ankara, Turkey: Akademisyen Yayınevi.
  • Vırıt, O., Akbaş, E., Savaş, H. A., Sertbaş, G., & Kandemir, H. (2008). Association between the level of depression and anxiety with social support in pregnancy. Archives of Neuropsychiatry, 45, 9-13.
  • Westdahl, C., Milan, S., Magriples, U., Kershaw, T. S., Rising, S. S., & Ickovics, J. R. (2007). Social Support and Social Conflict as Predictors of Prenatal Depression. Obstetrics and Gynecology, 110(1), 134-140. doi:10.1097/01.AOG.0000265352.61822.1b
  • Yanikkerem, E., Ay, S., & Piro, N. (2013). Planned and unplanned pregnancy: effects on health practice and depression during pregnancy. J Obstet Gynaecol Res, 39(1), 180-187. doi:10.1111/j.1447-0756.2012.01958.x
  • Yeşilçiçek Çalık, K., & Aktas, S. (2011). Depression in Pregnancy: Prevalence, Risk Factors and Treatment. Current Approaches in Psychiatry, 3, 142-162.
  • Yeşiltepe-Oskay. (2004). Nursing care in high risk pregnancy. Journal of Perinatology, 12, 11-16.
  • Yıldız, H. (2011). Development study of the Pregnancy Psychosocial Health Assessment Scale. Maltepe Üniversitesi Hemşirelik Bilim ve Sanatı Dergisi, 4, 63-74.

GEBELERİN PSİKOSOSYAL SAĞLIK DURUMLARI VE SAĞLIK UYGULAMALARININ DEĞERLENDİRİLMESİ

Year 2020, Volume: 5 Issue: 1, 1 - 18, 01.04.2020

Hülya Kulakçı Altıntaş , Tülay Kuzlu Ayyıldız , Funda Veren Nihal Kalıncı

https://doi.org/10.25279/sak.469597
Cited By: 1

Abstract

Bu
çalışma, gebe kadınların psikososyal sağlık durumlarını ve sağlık
uygulamalarını değerlendirmek
amacıyla yapıldı. Tanımlayıcı-karşılaştırmalı tipteki
araştırma, Zonguldak Kadın Doğum ve Çocuk
Hastalıkları Hastanesi’nin Gebe Polikliniği’nde 04.12.2012 – 04.03.2013 tarihleri arasında yürütüldü.
Çalışmaya toplam 1086
gebe katıldı. Veriler Gebe Bilgi
Formu, Gebelikte Psikososyal Sağlığı Değerlendirme Ölçeği ve
Gebelikte Sağlık Uygulamaları Ölçeği kullanılarak toplandı. Verilerin değerlendirilmesinde sayı ve yüzde değerleri,
student t testi, Mann-Whitney
U testi, Tek Yönlü Varyans Analizi (ANOVA), Kruskal-Wallis varyans analizi ve korelasyon analizi
kullanıldı. Bu çalışmada, gebelerin psikososyal
sağlık durumları ile sağlık uygulamaları arasında pozitif yönde bir ilişki bulunmaktadır
(p < .050). Bununla birlikte, gebelerin
psikososyal sağlık durumları ve sağlık uygulamaları gebelerin bazı
özelliklerine (yaş, medeni durum, aile tipi, eğitim düzeyi, çalışma durumu,
eşin eğitim düzeyi, eşin çalışma durumu, sosyal güvence varlığı, ekonomik
gelir, çocuk sayısı, düşük ve küretaj sayısı, kronik hastalık durumu, gebelik
öncesi BKI, gebelik sayısı, gebelik sürecini planlama durumu, gebelik ile
ilgili komplikasyon durumu ve sosyal destek durumu) göre anlamlı farklılıklar
göstermektedir (p < .050). Gebe
izlemlerinde fiziksel değerlendirmelerin yanı sıra gebelerin psikososyal sağlık
durumları ve sağlık uygulamalarının değerlendirilmesi, riskli durumların erken
dönemde tanılanarak koruyucu ve
tedavi edici hizmetlerin sağlanması önerilmektedir.

Keywords

Gebe Psikososyal Sağlık

References

  • Arslan, B. (2010). Socio-demographic features associated with anxiety and depression in pregnant women. (Master), Süleyman Demirel University., Isparta,Turkey.
  • Bahar, A. (2006). Evaluation of the anxiety levels of pregnant women at prenatal and postnatal period. Journal of Anatolia Nursing and Health Sciences, 9(4), 45-53.
  • Blackmore, E. R., Carroll, J., Reid, A., Biringer, A., Glazier, R. H., Midmer, D., . . . Stewart, D. E. (2006). The use of the Antenatal Psychosocial Health Assessment (ALPHA) tool in the detection of psychosocial risk factors for postpartum depression: a randomized controlled trial. J Obstet Gynaecol Can, 28(10), 873-878. doi:10.1016/s1701-2163(16)32268-x
  • Caliskan, D., Oncu, B., Kose, K., Ocaktan, M. E., & Ozdemir, O. (2007). Depression scores and associated factors in pregnant and non-pregnant women: a community-based study in Turkey. J Psychosom Obstet Gynaecol, 28(4), 195-200. doi:10.1080/01674820701450649
  • Carroll, J. C., Reid, A. J., Biringer, A., Midmer, D., Glazier, R. H., Wilson, L., . . . Stewart, D. E. (2005). Effectiveness of the Antenatal Psychosocial Health Assessment (ALPHA) form in detecting psychosocial concerns: a randomized controlled trial. Cmaj, 173(3), 253-259. doi:10.1503/cmaj.1040610
  • Cornelius, M. D., Goldschmidt, L., DeGenna, N., & Day, N. L. (2007). Smoking during teenage pregnancies: effects on behavioral problems in offspring. Nicotine Tob Res, 9(7), 739-750. doi:10.1080/14622200701416971
  • Çakır, L., & Can, H. (2012 (online publication)). Relation between sociodemographic variables with the levels of depression and anxiety in pregnancy. Turkish Family Physician, 3(2), 35-42.
  • Dejin-Karlsson, E., & Ostergren, P.-O. (2003). Psychosocial factors, lifestyle, and fetal growth: the added value of both pre- and post-natal assessments. European journal of public health, 13(3), 210-217. doi:10.1093/eurpub/13.3.210
  • Eberhard-Gran, M., Eskild, A., Tambs, K., Samuelsen, S. O., & Opjordsmoen, S. (2002). Depression in postpartum and non-postpartum women: prevalence and risk factors. Acta Psychiatr Scand, 106(6), 426-433.
  • Elsenbruch, S., Benson, S., Rucke, M., Rose, M., Dudenhausen, J., Pincus-Knackstedt, M. K., . . . Arck, P. C. (2007). Social support during pregnancy: effects on maternal depressive symptoms, smoking and pregnancy outcome. Hum Reprod, 22(3), 869-877. doi:10.1093/humrep/del432
  • Er, S. (2006). Turkish version of Health Practices Questionnaire in Pregnancy validity and reliability study. (Master), Ege University, İzmir, Turkey.
  • Eskici, L., Demir-Akca, A. S., Atasoy, N., Arıkan, İ., & Harma, M. (2012). The effects of depression and anxiety disorders in pregnant women on obstetric outcomes and newborn. Anatolian Journal of Clinical Investigation, 6, 10-16.
  • Evans, J., Heron, J., Francomb, H., Oke, S., & Golding, J. (2001). Cohort study of depressed mood during pregnancy and after childbirth. Bmj, 323(7307), 257-260.
  • Fisher, J., Cabral de Mello, M., Patel, V., Rahman, A., Tran, T., Holton, S., & Holmes, W. (2012). Prevalence and determinants of common perinatal mental disorders in women in low- and lower-middle-income countries: a systematic review. Bulletin of the World Health Organization, 90(2), 139-149H. doi:10.2471/BLT.11.091850
  • Gözüyeşil, E. Y., Şirin, A., & Çetinkaya, Ş. (2008). Depression of the pregnants and the analysis of the factors which affect the depression. Fırat Sağlık Hizmetleri Dergisi, 3, 39-66.
  • Harley, K., & Eskenazi, B. (2006). Time in the United States, social support and health behaviors during pregnancy among women of Mexican descent. Social science & medicine (1982), 62(12), 3048-3061. doi:10.1016/j.socscimed.2005.11.036
  • Harrison, P. A., & Sidebottom, A. C. (2008). Systematic prenatal screening for psychosocial risks. J Health Care Poor Underserved, 19(1), 258-276. doi:10.1353/hpu.2008.0003
  • Heaman, M. I., Gupton, A. L., & Moffatt, M. E. (2005). Prevalence and predictors of inadequate prenatal care: a comparison of aboriginal and non-aboriginal women in Manitoba. J Obstet Gynaecol Can, 27(3), 237-246.
  • Karacam, Z., & Ancel, G. (2009). Depression, anxiety and influencing factors in pregnancy: a study in a Turkish population. Midwifery, 25(4), 344-356. doi:10.1016/j.midw.2007.03.006
  • Kuğu, N., & Akyüz, G. (2001). Psychical situation in pregnancy. Cumhuriyet Medical Journal, 23, 61-64.
  • Lee, D. T., Yip, A. S., Leung, T. Y., & Chung, T. K. (2000). Identifying women at risk of postnatal depression: prospective longitudinal study. Hong Kong Med J, 6(4), 349-354.
  • Lin, Y. H., Tsai, E. M., Chan, T. F., Chou, F. H., & Lin, Y. L. (2009). Health promoting lifestyles and related factors in pregnant women. Chang Gung Med J, 32(6), 650-661.
  • Lindgren, K. (2003). A Comparison of Pregnancy Health Practices of Women in Inner‐City and Small Urban Communities. Journal of Obstetric, Gynecologic & Neonatal Nursing, 32(3), 313-321. doi:https://doi.org/10.1177/0884217503253442
  • Lindgren, K. (2005). Testing the Health Practices in Pregnancy Questionnaire-II. J Obstet Gynecol Neonatal Nurs, 34(4), 465-472. doi:10.1177/0884217505276308
  • Matthey, S. (2005). Assessing for psychosocial morbidity in pregnant women. CMAJ : Canadian Medical Association Journal, 173(3), 267-269. doi:10.1503/cmaj.050727
  • Mermer, G., Bilge, A., Yücel, U., & Çeber, E. (2010). Evaluation of perceived social support levels in pregnancy and postpartum periods. Journal of Psychiatric Nursing, 1, 71-76.
  • Midmer, D., Bryanton, J., & Brown, R. (2004). Assessing antenatal psychosocial health. Randomized controlled trial of two versions of the ALPHA form. Can Fam Physician, 50, 80-87.
  • Okanlı, A., Tortumluoğlu, G., & Kırpınar, İ. (2003). The relationship between pregnant women perceived social support from family and problem solving skill. Anatolian Journal of Psychiatry, 4, 98-105.
  • Özçelik, G. (2010). Health problems during pregnancy and their relationship with quality of life in the city of Aydın. . (Master), Adnan Menderes University, Aydın,Turkey.
  • Özkan, A., & Mete, S. (2010). Pregnancy planning and antenatal health behaviour: Findings from one maternity unit in Turkey. . Midwifery,, 26, 338-347.
  • Reichman, N. E., & Pagnini, D. L. (1997). Maternal age and birth outcomes: data from New Jersey. Fam Plann Perspect, 29(6), 268-272, 295.
  • Silva, R., Jansen, K., Souza, L., Quevedo, L., Barbosa, L., Moraes, I., . . . Pinheiro, R. (2012). Sociodemographic risk factors of perinatal depression: a cohort study in the public health care system. Rev Bras Psiquiatr, 34(2), 143-148.
  • Şahin, M. (2011). The assessment of the effects of gestational age in maternal and newborn health. ( Master), Mersin University. , Mersin, Turkey.
  • Şen, E., Güneri-Er, S., Yanikkerem, E., Hadimli, A., Kavlak, A., & Saruhan, A. (2012). Determination of knowledge requirements and health practices of adolescent pregnant women. International Journal of Caring Sciences, 5, 171-178.
  • Taşkın, L. (2017). Doğum ve kadın sağlığı hemşireliği (13 ed.). Ankara, Turkey: Akademisyen Yayınevi.
  • Vırıt, O., Akbaş, E., Savaş, H. A., Sertbaş, G., & Kandemir, H. (2008). Association between the level of depression and anxiety with social support in pregnancy. Archives of Neuropsychiatry, 45, 9-13.
  • Westdahl, C., Milan, S., Magriples, U., Kershaw, T. S., Rising, S. S., & Ickovics, J. R. (2007). Social Support and Social Conflict as Predictors of Prenatal Depression. Obstetrics and Gynecology, 110(1), 134-140. doi:10.1097/01.AOG.0000265352.61822.1b
  • Yanikkerem, E., Ay, S., & Piro, N. (2013). Planned and unplanned pregnancy: effects on health practice and depression during pregnancy. J Obstet Gynaecol Res, 39(1), 180-187. doi:10.1111/j.1447-0756.2012.01958.x
  • Yeşilçiçek Çalık, K., & Aktas, S. (2011). Depression in Pregnancy: Prevalence, Risk Factors and Treatment. Current Approaches in Psychiatry, 3, 142-162.
  • Yeşiltepe-Oskay. (2004). Nursing care in high risk pregnancy. Journal of Perinatology, 12, 11-16.
  • Yıldız, H. (2011). Development study of the Pregnancy Psychosocial Health Assessment Scale. Maltepe Üniversitesi Hemşirelik Bilim ve Sanatı Dergisi, 4, 63-74.
There are 41 citations in total.

Details

Primary Language English
Subjects Nursing
Journal Section Original research articles
Authors

Hülya Kulakçı Altıntaş 0000-0003-4191-1559

Tülay Kuzlu Ayyıldız 0000-0003-4191-1559

Funda Veren This is me 0000-0003-4191-1559

Nihal Kalıncı This is me 0000-0003-4191-1559

Publication Date April 1, 2020
Submission Date October 12, 2018
Acceptance Date January 30, 2019
Published in Issue Year 2020 Volume: 5 Issue: 1

Cite

APA Kulakçı Altıntaş, H., Kuzlu Ayyıldız, T., Veren, F., Kalıncı, N. (2020). GEBELERİN PSİKOSOSYAL SAĞLIK DURUMLARI VE SAĞLIK UYGULAMALARININ DEĞERLENDİRİLMESİ. Health Academy Kastamonu, 5(1), 1-18. https://doi.org/10.25279/sak.469597

Cited By

Evaluation of sleep quality and related factors in pregnant women
Cumhuriyet Medical Journal
https://doi.org/10.7197/cmj.1176709
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