TY  - JOUR
T1  - Relationship Between Mothers’ Anxiety Levels and Discharge Readiness in the Early Postpartum Period After Vaginal Delivery
TT  - ERKEN POSTPARTUM DÖNEMDE ANNELERIN VAJINAL DOĞUM SONRASI ANKSIYETE DÜZEYLERI ILE TABURCULUĞA HAZIR OLUŞLUKLARI ARASINDAKI İLIŞKI
AU  - Aksu, Aslihan
AU  - Buldum, Aysu
AU  - Değirmenci, Filiz
AU  - Vefikuluçay Yılmaz, Duygu
PY  - 2023
DA  - April
DO  - 10.47115/jshs.1122385
JF  - Samsun Sağlık Bilimleri Dergisi
JO  - JSHS
PB  - Ondokuz Mayıs Üniversitesi
WT  - DergiPark
SN  - 2791-9722
SP  - 129
EP  - 140
VL  - 8
IS  - 1
LA  - en
AB  - Aim: The present study aimed to determine whether there was a relationshipbetween anxiety and discharge readiness during early postpartum period in womenwho had given birth via vaginal delivery.Method: The sample of study consisted of 93 mothers hospitalized in our postpartumward after vaginal delivery. Research data were collected using “PersonalInformation Form”, “State scale of the State-Trait Anxiety Inventory(STAI)” and“Readiness for Hospital Discharge Scale–New Mother Form(RHD-NMF)”. Descriptivestatistics, Student’s t-test, one-way analysis of variance (ANOVA), Tukey’stest and Pearson’s correlation coefficients were used in evaluation of the data.Results: The mean age of the mothers included in the study was 25.37±5.40years. The mean STAI and RHD-NMF scores of the mothers were 35.15±9.59 and145.64±32.35, respectively. It was determined that 11.8% of mothers were not readyfor discharge and 39.8% had anxiety. A statistically significant moderate negativecorrelation was found between STAI and RHD-NMF scores (r=-0,445; p
KW  - Postpartum period
KW  - Mothers
KW  - Anxiety
KW  - Discharge
KW  - Nursing care
N2  - Amaç: Bu araştırmada vajinal doğum yapmış annelerin anksiyete düzeyleri iletaburculuğa hazır olma durumları arasındaki ilişkinin belirlenmesi amaçlanmıştır.Yöntem: Araştırmanın örneklemini vajinal doğum sonrası postpartum servisindeyatan 93 anne oluşturmaktadır. Araştırma verilerinin toplanmasında “KişiselBilgi Formu”,“Durumluk Kaygı Ölçeği” (DKÖ) ve “Hastane Taburculuğuna HazırOluşluk Ölçeği-Yeni Doğum Yapmış Anne Formu” (HTHÖ-YDAF) kullanılmıştır.Verilerin değerlendirilmesinde tanımlayıcı istatistikler, Student t testi, Tek YönlüVaryans Analizi, Tukey testi ve Pearson Korelasyon Katsayısı kullanılmıştır.Bulgular: Araştırmada annelerin yaş ortalamaları 25,37±5,40 bulunmuştur.Annelerin DKÖ ve HTHÖ-YDAF puan ortalamaları sırasıyla 35,15±9,59ile 145,64±32,35’dir. Araştırmaya katılan annelerin %11,8’nin taburculuğa hazırolmadıkları ve %39,8’nin kaygı yaşadığı belirlenmiştir. Annelerin DKÖ ile HTHÖ-YDAF toplam puan ortalamaları arasında ise istatistiksel olarak anlamlı ortadüzeyde negatif yönde bir ilişki bulunmuştur (r=-0,445; p
CR  - Akın, B., & Şahingeri, M. (2010). Validity and reliability of Turkish Version of Readiness for Hospital Discharge Scale–New Mother Form (RHD-NMF). Journal of Anatolia Nursing and Health Sciences, 13(1), 7-14.
CR  - Alkan, H.Ö. (2016). Patient education and behavior change development. Journal of Cardiovascular Nursing, 7(2), 41-7. https://doi.org/10.5543/khd.2016.29591.
CR  - Bernstein, H.H., Spino, C., Lalama, C.M., Finch, S.A., Wasserman, R.C., McCormick, M.C. (2013). Unreadiness for post¬partum discharge following healthy term pregnancy: impact on health care use and outcomes. Academic Pediatrics, 13(1), 27-39. https://doi.org/10.1016/j.acap.2012.08.005
CR  - Beydağ, K.D. (2007). Adaptation to motherhood in the postpartum period and the nurse’s role. TAF Preventive Medicine Bulletin, 6(6), 479-84.
CR  - Britton, J.R. (2005). Pre‐discharge anxiety among mothers of well newborns: Prevalence and correlates. Acta Paediatrica, 94(12), 1771-1776. https://doi.org/10.1111/j.1651-2227.2005.tb01852.x
CR  - Çelik, A.S., Türkoğlu, N., Pasinlioğlu, T. (2014). The determination of the factors that affect the readiness of mothers for discharge after birth. Cumhuriyet Nursing Journal, 3(2), 1-7.
CR  - Dağ, H., Dönmez, S., Şen, E., Şirin, A. (2013). Postpartum discharge readiness situation of women who had vaginal deliveries. Gaziantep Medical Journal, 19(2), 65-70. https://doi.org/10.5455/GMJ-30-2012-115.
CR  - Darvill, R., Skirton, H., Farrand, P. (2010). Psychological factors that impact on women’s experiences of first-time motherhood: a qualitative study of the transition. Midwifery, 26(3), 357-66. http://dx.doi.org/10.1016/j. midw.2008.07.006
CR  - Dennis, C.L., Brown, H.K., Falah-Hassani, K., Marini, F.C., Vigod, S.N. (2017). Identifying women at risk for sustained postpartum anxiety. Journal of Affective Disorders, 213, 131-7. https://doi.org/10.1016/j.jad.2017.02.013
CR  - Dönmez, S., Yeniel, Ö.A., Kavlak, O. (2014). comparison of the stait anxiety levels of pregnants women who have vaginal or cesarean delivery. Gumushane University Journal of Health Sciences, 3(3), 908-20.
CR  - Erdem, Ö., Erten Bucaktepe, G., Özen, Ş., Kara, İ.H. (2010). Evaluation of anxiety and depression levels of mothers during prepartum and postpartum periods. Duzce Medical Journal, 2(3), 24-31. Turkish.
CR  - Erenoğlu, R., Başer, M. (2017). Mothers preparation levels in the tablet. Journal of Health Sciences, 27(2), 100-5.
CR  - Faul, F., Erdfelder, E., Buchner, A., Lang, A.G. (2009). Statistical power analyses using G*Power 3.1: tests for correla¬tion and regression analyses. Behav Res Methods, 41(4), 1149-60.
CR  - Field, T. (2017). Postpartum anxiety prevalence, predictors and effects on child development: A review. Journal of Psychiatry and Psychiatric Disorders, 1(2), 86-102.
CR  - Fonseca, A., Monteiro, F., Canavarro, M.C. (2018). Dysfunctional beliefs towards motherhood and postpartum de¬pressive and anxiety symptoms: uncovering the role of experiental avoidance. J Clin Psychol, 74, 2134-44. https://doi.org/10.1002/jclp.22649.
CR  - Gölbaşı, Z. (2003). Early postpartum discharge home care services and nursing. CÜ Hemşirelik Yüksekokulu Dergisi, 7(2), 15-22.
CR  - Goodman, J.H., Watson, G.R., Stubbs, B. (2016). Anxiety disorders in postpartum women: a systematic review and meta-analysis. Journal of Affective Disorders, 203, 292-331. https://doi.org/10.1016/j.jad.2016.05.033
CR  - Jing, L., Bethancourt, C.N., McDonagh, T. (2017). Assessing infant and maternal readiness for newborn dis¬charge. Current Opinion in Pediatrics, 29(5), 598-605. https://doi.org/10.1097/MOP.0000000000000526
CR  - Kaplan, S., Bahar, A., Sertbaş, G. (2007). Evaluation of the anxiety levels of pregnant women at prenatal and post¬natal period. Journal of Anatolia Nursing and Health Sciences. 10(1), 113-21.
CR  - Korttila, K. (1991). Anaesthesia for ambulatory surgery: firm definitions of “home readiness needed” Annals of Medicine, 23(6), 635-636. http://dx.doi.org/10.3109/07853899109148095.
CR  - Le Compte, W.A., Oner, N. (1976). Development of the Turkish edition of the State-trait anxiety inventory. Cross-Cul¬tural Anxiety, 1, 51-67.
CR  - Liabsuetrakul, T., Vittayanont, A., Pitanupong, J. (2007). Clinical applications of anxiety, social support, stressors, and self-esteem measured during pregnancy and postpartum for screening postpartum depression in Thai women. Journal of Obstetrics and Gynaecology Research, 33(3), 333-40.
CR  - Malagon-Maldonado, G., Connelly, C.D., Bush. R.A. (2017). Predictors of readiness for hospital discharge after birth: Building evidence for practice. Worldviews on Evidence-Based Nursing, 14(2), 118-27 https://doi. org/10.1111/wvn.12208
CR  - Matthies, L.M., Müller, M., Doster, A., Sohn, C., Wallwiene, M., Reck, C., Wallwiener, S. (2019). Maternal–fetal attach¬ment protects against postpartum anxiety: the mediating role of postpartum bonding and partnership sat¬isfaction. Archives of Gynecology and Obstetrics, 301(1), 107-17. https://doi.org/10.1007/s00404-019-05402-7.
CR  - Paul, I.M., Downs, D.S., Schaefer, E.W., Beiler, J.S., Weisman, C.S. (2013). Postpartum anxiety and maternal-infant health outcomes. Pediatrics, 131(4), 1218-24. https://doi.org/10.1542/peds.2012-2147
CR  - Pawluski, J.L., Lonstein, J.S., Fleming, A.S. (2017). The neurobiology of postpartum anxiety and depression. Trends in Neurosciences, 40(2), 106-20. https://doi.org/10.1016/j.tins.2016.11.009
CR  - Şenol, K.D., Özkan, S.A., Şahin, N.H. (2017). An investigation of postpartum mothers’ readiness for hospital discharge and the affecting factors. Journal of Human Sciences, 14(2), 1484-91. https://doi.org/10.14687/jhs.v14i2.4586
CR  - Tietz, A., Zietlow, A.L., Reck, C. (2014). Maternal bonding in mothers with postpartum anxiety disorder: the crucial role of subclinical depressive symptoms and maternal avoidance behaviour. Archives of Women’s Mental Health, 17(5), 433-42. https://doi.org/10.1007/s00737-014-0423-x
CR  - Türkmen, H., Özbaşaran, F. (2017). Examination of Status of Readiness for Hospital discharge among puerperant women who gave vaginal delivery. Journal of Duzce University Health Sciences Institute, 7(1), 24-29.
 
Weiss, M.E., Piacentine, L.B. (2006). Psychometric properties of the readiness for hospital discharge scale J Nurs Meas, 14(3), 163-80. https://doi.org/10.1891/jnm-v14i3a002
CR  - Weiss, M.E., Ryan, P., Lokken, L. (2006). Validity and reliability of the perceived readiness for discharge after birth scale. Journal of Obstetric, Gynecologic & Neonatal Nursing, 35(1), 34-45. https://doi.org/10.1111/j.1552- 6909.2006.00020.x
CR  - Yanıkkerem, E., Esmeray, N., Karakuş, A., Üstgörül, S., Baydar, Ö., Göker, A. (2018). Factors affecting readiness for discharge and perceived social support after childbirth. Journal of Clinical Nursing, 27(13-14), 2763-75 https://doi.org/10.1111/jocn.14248
CR  - Yıldız, D., Akbayrak, N. (2014). The effect of postpartum education and counseling services given to primipar a mothers during postpartum period on infant care, anxiety level and role of motherhood. Gulhane Medi¬cal Journal, 56(1), 36-41. https://doi.org/105455/gulhane.24869.
UR  - https://doi.org/10.47115/jshs.1122385
L1  - https://dergipark.org.tr/tr/download/article-file/2451731
ER  -