Annelerin Erken Postpartum Dönemdeki Eş Desteği Algısının Postpartum Stres Üzerine Etkisi

Yıl 2022, Cilt: 31 Sayı: 2, 126 - 133, 29.04.2022

Ruveyde Aydın , Özge Palancı Ay , Tuğba Yazıcı Topçu , Songül Aktaş

https://doi.org/10.17942/sted.1027517

Cited By: 3

Öz

Amaç: Bu çalışmada; annelerin erken postpartum dönemdeki eş desteği algısının postpartum stres üzerine etkisinin incelenmesi amaçlanmıştır.
Yöntem: Bu çalışma kesitsel ve analitik tiptedir. Çalışmanın verileri postpartum erken dönemde olan 389 anneden online olarak toplanılmıştır. Veriler; tanıtıcı bilgi formu, Erken Lohusalık Sürecinde Kadınların Algıladığı Eş Desteği Ölçeği ve Doğum Sonu Stres Etkenleri Ölçeği kullanılarak toplanmıştır. Verilerin analizinde tanımlayıcı istatistikler (sayı, yüzde, toplam puan) ve çoklu doğrusal regresyon analizi kullanılmıştır.
Bulgular: Annelerin algıladığı eş desteği puanının artmasının, postpartum stres düzeyini azaltmada etkisinin olduğu saptanmıştır (β=-0,093, p=0,049). Annenin gelir getiren bir işte çalışma durumunun (β=-2,330, p=0,000), gelirini gidere denk (β=-1,975, p=0,014) ve gelirini giderden fazla algılamasının (β=-1,998, p=0,030) postpartum stres üzerinde azaltıcı etkisinin olduğu belirlenmiştir. Annelerin; eşlerinin eğitim düzeyinin lisans ve üstü olması (β=2,611, p=0,036), üç ve daha fazla sayıda çocuğunun olması (β=0,092, p=0,046) ve il merkezinde yaşamaları (β=2,653, p=0,033) postpartum stresi artırdığı bulunmuştur.
Sonuç: Annelerin erken pospartum dönemde eş desteği algısı arttıkça postpartum stresi azalmaktadır. Bazı sosyo-demografik ve obstetrik faktörler, annenin postpartum stresini artırmaktadır.

Anahtar Kelimeler

anne, postpartum stres, eş desteği, postpartum bakım

Kaynakça

• 1. Radoš SN, Brekalo M, Matijaš M. Measuring stress after childbirth: development and validation of the maternal postpartum stress scale. Journal of Reproductive and Infant Psychology 2021;1-13.
• 2. Şahbaz G. Doğum sonu stres etkenleri ölçeği türkçe geçerlilik ve güvenilirliği. Ordu Üniversitesi Sağlık Bilimleri Enstitüsü Yüksek Lisans Tezi, Ordu, 2019.
• 3. Ay ÖP, Aktaş S. The effect of maternal functional and postpartum depression status on breastfeeding self-efficacy of the mothers: A cross-sectional study. Health Care for Women International 2021;1-15.
• 4. Razurel C, Kaiser B, Antonietti JP, Epiney M, Sellenet C. Relationship between perceived perinatal stress and depressive symptoms, anxiety, and parental self-efficacy in primiparous mothers and the role of social support. Women & Health 2017;57(2):154-172.
• 5. Murphey C, Carter P, Price LR, Champion JD, Nichols F. Psychological distress in healthy low-risk first-time mothers during the postpartum period: An exploratory study. Nursing Research and Practice 2017;1-12.
• 6. Leonard KS, Evans MB, Kjerulff KH, Downs DS. Postpartum perceived stress explains the association between perceived social support and depressive symptoms. Women's Health Issues 2020;30(4):231-239.
• 7. Eslahi Z, Bahrami N, Allen KA, Alimoradi Z. Spouse’s social support in the postpartum period, predictors and its relationship with postpartum depression in a sample of Iranian primiparous women. International Journal of Gynecology & Obstetrics 2021;154(1):24-30.
• 8. Akbay AS, Duran ET. How does spousal support affect women's quality of life in the postpartum period ın turkish culture?. Asian Women 2018;34(3):29-45.
• 9. Kızılırmak A, Calpbinici P, Tabakan G, Kartal B. Correlation between postpartum depression and spousal support and factors affecting postpartum depression. Health Care for Women International 2020;1-15.
• 10. Hung CH, Chung HH. The effects of postpartum stress and social support on postpartum women’s health status. Journal of Advanced Nursing 2001;36(5):676-684. 11. Reid KM, Taylor MG. Social support, stress, and maternal postpartum depression: A comparison of supportive relationships. Social Science Research 2015;54:246-262.
• 12. Gülşen Ç, Merih YD. Doğum sonu dönemde anneler kimden hangi desteği bekliyor?. Kadın Sağlığı Hemşireliği Dergisi 2018;4(1):20-34.
• 13. Pawluski JL, Lonstein JS, Fleming AS. The neurobiology of postpartum anxiety and depression. Trends in Neurosciences 2017;40(2):106-120.
• 14. Aktas S, Alemdar DK. An analysis of the relationship between insomnia-fatigue levels of the mothers and their depression and maternal attachment status. Medicine Science International Medical Journal 2018;7(4):728-32.
• 15. Aydın R, Aktaş S. An investigation of women’s pregnancy experiences during the Covid‐19 pandemic: A qualitative study. International Journal of Clinical Practice 2021;e14418.
• 16. Zanardo V, Manghina V, Giliberti L, Vettore M, Severino L, Straface G. Psychological impact of COVID‐19 quarantine measures in northeastern Italy on mothers in the immediate postpartum period. International Journal of Gynecology & Obstetrics 2020;150(2): 184-188.
• 17. Guvenc G, Yesilcinar İ, Ozkececi F, Öksüz E, Ozkececi CF, Konukbay D, Karasahin, KE. Anxiety, depression, and knowledge level in postpartum women during the COVID-19 pandemic. Perspectives in Psychiatric Care 2021;57(3):1449-1458. 18. Abdollahpour S, Heydari A, Ebrahimipour H, Faridhoseini F, Heidarian Miri H, Khadivzadeh T. Postpartum depression in women with maternal near-miss: A systematic review and meta-analysis. The Journal of Maternal-Fetal & Neonatal Medicine 2021;1-7.
• 19. Cömert D, Bingöl FB. The relationship of postpartum acute stress with perceived social support on and depression symptom level. Acıbadem Üniversitesi Sağlık Bilimleri Dergisi 2021;12(2):502-509.
• 20. Şahin NH, Dişsiz M, Dinç H, Soypak F. Erken lohusalık sürecinde kadınların algıladıkları eş desteği: Ölçek geliştirme çalışması. Anadolu Hemşirelik ve Sağlık Bilimleri Dergisi 2014;17(2):73-79.
• 21. Park ER, Psaros C, Traeger L, Stagg A, Jacquart J, Willett J, Ecker JL. Development of a postpartum stressor measure. Maternal and Child Health Journal 2015;19(10):2094-2101.
• 22. Mollard E, Kupzyk K, Moore T. Postpartum stress and protective factors in women who gave birth in the United States during the COVID-19 pandemic. Women's Health 2021;17:17455065211042190.
• 23. Cohen S, Janicki‐Deverts D. Who's stressed? Distributions of psychological stress in the United States in probability samples from 1983, 2006, and 2009. 1. Journal of Applied Social Psychology 2012;42(6):1320-1334.
• 24. Walker LO, Sterling BS, Latimer L, Kim SH, Garcia AA, Fowles ER. Ethnic-specific weight-loss interventions for low-income postpartum women: findings and lessons. Western Journal of Nursing Research 2012;34(5):654-676.
• 25. Osman H, Saliba M, Chaaya M, Naasan G. Interventions to reduce postpartum stress in first-time mothers: A randomized controlled trial. BMC Women's Health 2014;14(1):1-8.
• 26. Lewkowitz AK, Schlichting L, Werner EF, Vivier PM, Kahn LG, Clark MA. Risk factors for new-onset postpartum depression or anxiety symptoms during the COVID-19 pandemic. American Journal of Obstetrics & Gynecology MFM 2021;4(1):100502.
• 27. Yaksı N, Save D. How to do social and spousal support influence postpartum depression?. Marmara Medical Journal 2021;34(3):327-338. 28. Zörer PB, Akbulut ST, Dirik G. Role of attachment patterns and partner support in postpartum depression. Psikiyatride Guncel Yaklasimlar 2019;11(2):154-166.
• 29. Sampson M, Villarreal Y, Padilla Y. Association between support and maternal stress at one year postpartum: Does type matter?. Social Work Research 2015;39(1):49-60.
• 30. Bingöl FB, Bal MD. The risk factors for postpartum posttraumatic stress disorder and depression. Perspectives in Psychiatric Care 2020;56(4):851-857.
• 31. De Schepper S, Vercauteren T, Tersago J, Jacquemyn Y, Raes F, Franck E. Post-traumatic stress disorder after childbirth and the influence of maternity team care during labor and birth: A cohort study. Midwifery 2016;32:87-92.
• 32. Imširagić AS, Begić D, Šimičević L, Bajić Ž. Prediction of posttraumatic stress disorder symptomatology after childbirth– a croatian longitudinal study. Women and Birth 2017;30(1):17-23.
• 33. Meltzer-Brody S, Larsen JT, Petersen L, Guintivano J, Florio AD, Miller WC, Sullivan PF, Munk-Olsen T. Adverse life events increase risk for postpartum psychiatric episodes: A population-based epidemiologic study. Depress Anxiety 2018;35(2):160-167.
• 34. Lin PY, Chiu TH, Ho M, Chang JPC, Su KP. Major depressive episodes during pregnancy and after childbirth: A prospective longitudinal study in Taiwan. Journal of the Formosan Medical Association 2019;118(11):1551-1559.
• 35. Alshikh Ahmad H, Alkhatib A, Luo J. Prevalence and risk factors of postpartum depression in the Middle East: A systematic review and meta-analysis. BMC Pregnancy and Childbirth 2021;21(1):1-12.
• 36. İşbir GG, Inci F, Bektas M, Yıldız PD, Ayers S. Risk factors associated with post-traumatic stress symptoms following childbirth in Turkey. Midwifery 2016;41:96-103.