Gestasyonel Diyabetli Kadınlarda Prenatal Distres ve Depresyon Düzeylerinin Belirlenmesi

Abstract

Amaç: Gestasyonel diabetes mellitus (GDM) gebelikte en yaygın görülen sağlık problemlerinden biridir. Bu çalışmanın amacı gestasyoneldiyabetli kadınlarda prenatal distres ve depresyon düzeylerinin belirlenmesidir.

Gereç ve Yöntemler: Çalışma karşılaştırmalı tanımlayıcı türdedir. İstanbul’da bir üniversite hastanesinde takip edilen 308 gebe (155sağlıklı, 153 gestasyonel diyabetli) dahil edilmiştir. Sosyodemografik, obstetrik ve diyabetik veriler için yarı yapılandırılmış görüşmeformu kullanılmıştır. Ayrıca Çok Boyutlu Algılanan Sosyal Destek Ölçeği (ÇBASDÖ), Perinatal Distres Ölçeği (PDÖ) ve EdinburghDoğum Sonrası Depresyon Ölçeği (EDSDÖ) kullanılmıştır.

Bulgular: PDÖ ve EDSDÖ skoru GDM’li gebelerde sağlıklı gebelere göre anlamlı derecede yüksek bulundu. Her iki grupta da ÇBASDÖile EDSDÖ arasında negatif yönde anlamlı bir ilişki bulundu. PDÖ ve EDSDÖ arasında pozitif yönde anlamlı bir ilişki olduğu belirlendi.

Sonuç: GDM’li kadınlar daha fazla distres ve depresyon belirtileri gösterirler. Gebelikte distres ve depresyon düzeyinin yüksek olması özellikle diyabetli kadınlarda daha fazla tıbbi sorunlar yaşanmasına neden olmaktadır. Bu nedenle sağlık bakım profesyonellerininfarkındalığı artırılmalıdır.

Keywords

• gebelik,gestasyonel diyabet,depresyon,sosyal destek

Assesment of Prenatal Distress and Depressive Symptoms in Women with Gestational Diabetes

Abstract

Aim: Diabetes Mellitus is one of the most common health problem in pregnancy. The study was designed to assess the prenatal distress and depression symptoms prevalence during pregnancy with or without gestational diabetes mellitus (GDM).

Material and Methods: This study was a comparative descriptive. Three hundred and eight pregnant women (155 healty and 153 with GDM) attending at The Health Science University Hospital in Istanbul, Turkey, participated in the study. A semi-structured questionnaire form were used for sociodemografic, obstetric and diabetic data. Multidimensional Scale of Perceived Social Support (MSPSS) were used to measure social support, Perinatal Distress Scale (PDS) were used to measure perinatal distress and Edinburgh Postpartum Depression Scale (EPDS) were used to measure depression symptoms.

Results: PDS and EPDS score was significantly higher in GDM subjects compare to healty (without GDM) subjects. A significant negative correlation was found between MSPSS and EPDS scores in both groups. There was a significant positive correlation between the PDS and EPDS scores in both groups.

Conclusion: The women with GDM have more distress and depression symptoms. Higher rate of depression and distress in pregnancy deserves medical attention especially women with GDM, so awareness of health care professional should be increased.

Keywords

• pregnancy,gestational diabetes,depression,social support

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