İkinci ve Üçüncü Trimester Gebelerin Fiziksel Aktivite Düzeyi ve Fiziksel Aktivite Engelleri

Yıl 2019, Cilt: 5 Sayı: 3, 1731 - 1745, 31.12.2019

Zeynep Daşıkan , Özlem Güner , Tuğçe Bozkurt

https://doi.org/10.30569/adiyamansaglik.643369

Cited By: 4

Öz

Amaç:  Gebeliğin ikinci ve üçüncü trimestirinde olan sağlıklı gebe kadınların
fiziksel aktivite düzeyi ve engelleri ile etkileyen faktörlerin belirlenmesi
amaçlanmıştır.

Gereç ve Yöntem: Araştırma tanımlayıcı ve kesitsel niteliktedir.
Çalışma Şubat-Mayıs  2016 tarihleri arasında İzmir de kamusal bir
üniversite hastanesinin gebe izlem polikliniğine başvuran ve sağlıklı 246 gebe
ile yürütülmüştür. Verilerin toplanmasında Tanıtıcı Özellikler Formu, Fiziksel
Aktivite Engelleri Formu ve Egzersiz Davranışları Anketi (EDA) kullanılmıştır.
Verilerin analizinde; spearman korelasyon analizi, kruskal-wallis varyansı ve
mann-whitney U testi kullanılmıştır

Bulgular: Araştırmaya katılan kadınların yaş ortalaması 27.85+4.01 ve gebelik haftası
ortalaması 26.33+3.69’dur. Kadınların  %78’i gebelik öncesi Fiziksel
Aktivite algısını aktif ifade etmiş, gebelikte ise bu oran Egzersiz
Davranışları Anketine göre %54.1’i aktif olarak saptanmıştır.Araştırmaya
katılan gebe kadınların en fazla yaşadıkları fiziksel aktivite engelleri
sırasıyla;  motivasyon/ istek eksikliği (%50.4),  bilgi eksikliği
(%32.5) zaman yokluğu (%30.1), aile/eş desteğinin olmaması (%28.5)  uygun
olmayan hava koşulları (%26) ve bir işte çalışmak (%24) olarak belirlenmiştir.
Gelir durumu düşük olan, çekirdek ailede yaşayan, multigravida, plansız
gebeliği olan ve gebelik öncesi aktivitesini hareketsiz algılayan kadınların
Egzersiz Davranışları Anketi  medyan değeri yüksek saptanmıştır
(p<0.05).

Sonuç: Gebe kadınların yaklaşık yarısı inaktifdir. Fiziksel aktivite yapmadaki
engellerin başında motivasyon eksikliği gibi kişisel engeller yer
almaktadır.  Sağlık profesyonelleri gebe kadınlara, fiziksel aktivite ve
yararları hakkında danışmalık yapmalı ve davranışa dönüştürmesi konusunda
destekleyici olmalıdır.

Anahtar Kelimeler

Gebelik, fiziksel aktivite, yararları, engeller, prenatal bakım

Destekleyen Kurum

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Proje Numarası

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Teşekkür

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Physical Activity Level and Barriers of Second and Third Trimester Pregnant Women

Öz

Aim: The aim of this study was to determine the physical activity level
and barriers, the factors affecting them of healthy pregnant women in the
second and third trimesters of pregnancy.

Material and Method: The research was descriptive and
cross-sectional. The study was carried out with 246 healthy pregnant women at
the antenatal care  of a public university hospital in İzmir between
February-May 2016. Descriptive Characteristic Form, Physical Activity Barriers
Form and Leisure-Time Physical Activity Questionnaire (LTPA) was used for data
collect. The analysis of data was analyzed by Spearman Correlation,
Kruskal-Wallis Variance, and Mann-Whitney U test.

Result: The women age mean in the study was 27.85+4.01. Women participating
in our study were expressed as active 78% of the physical activity 
perception before pregnancy and this rate was declared as active 54.1% in
pregnancy according to Leisure-Time Physical Activity Questionnaire Physical
activity barriers experienced by the participants were as follows; lack of
motivation / request (50.4%), lack of information (32.5%), lack of time
(30.1%), lack of family / spouse support (28.5%), inappropriate weather
conditions (26%) and working life (24%). Leisure-Time Physical Activity
Questionnaire median values were statistically significantly increased in women
with low-income status, living in nuclear family, having multigravida, having
an unplanned pregnancy and perceived motionless the activity before pregnancy.

Conclusion: About half of pregnant women are inactive. Personal barriers such as
lack of motivation are the main obstacles in physical activity. Health
professionals should advise pregnant women about the physical activity 
and  benefits, and motivate them to do.

Anahtar Kelimeler

Pregnancy, physical activity, exercise, benefits, barriers, prenatal care

Proje Numarası

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Kaynakça

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