Comparison of Health Practices and Depression in Planned and Unplanned Pregnancies

Yıl 2024, Cilt: 13 Sayı: 2, 94 - 102, 31.12.2024

Emine Kınık , Handan Özcan

https://doi.org/10.46971/ausbid.1436026

Öz

Aim: The aim of this study was to compare health practices and depression in planned and unplanned pregnancies. Subjects and Methods: The study was designed as a descriptive cross-sectional study. The research sample consists of a total of 230 pregnant women with planned and unplanned pregnancy. The population of this descriptive study consists of pregnant women attending the obstetrics clinics of a public hospital. The sample consisted of 230 pregnant women calculated with the g-power program (115 planned pregnancies and 115 correspondingly selected unplanned pregnancies). The data were collected using the Descriptive Information Form, the Health Practices in Pregnancy Questionnaire, and the Beck Depression Inventory. Results: The mean age of the pregnant women was 29.06±5.71 (min: 18, max: 42). The Health Practices in Pregnancy Questionnaire scores of pregnant women were 127.10±12.03 for planned pregnancies and 124.06±12.00 for unplanned pregnancies. Women with planned pregnancies received 9.97±8.56 from the Beck Depression Inventory, and those with unplanned pregnancies received 10.83±7.75. No significant difference was found between the mean scores of the Health Practices in Pregnancy Questionnaire (p=0.058) and the Beck Depression Inventory (p=0.425) depending on the pregnancy planning status. When planned and unplanned pregnancies are evaluated separately, there is a negative correlation between Beck Depression Inventory and Health Practices in Pregnancy Questionnaire scores (p=0.006, r=0.179). As the Beck Depression Inventory score increases, the total scores of the Health Practices in Pregnancy Questionnaire decrease. Conclusion: Women with planned pregnancy had higher total scores on the scale of health practices during pregnancy than women with unplanned pregnancy. When planned and unplanned pregnancies were evaluated separately, there was a negative relationship between Beck Depression Inventory and Health Practices in Pregnancy Questionnaire scores. In maintaining maternal and fetal health; it is important to determine the health practices and depression status of women during pregnancy starting from the preconceptional period, to plan pregnancies, and to question negative health behaviors.

Anahtar Kelimeler

Depression, health practices during pregnancy, unplanned pregnancies

Etik Beyan

This study was approved by the University of Health Sciences Scientific Research Ethics Committee (Date: 06.12.2019, Number: 19/89). Written and/or verbal consent was obtained from participants participating in the study.

Destekleyen Kurum

This research did not receive support from any funding agency/industry.

Teşekkür

The authors of this study would like to thank the participants who agreed to participate in the study.

Planlı ve Plansız Gebeliklerde Sağlık Uygulamaları ve Depresyonun Karşılaştırılması

Öz

Amaç: Bu çalışmanın amacı, planlı ve plansız gebeliklerde sağlık uygulamaları ve depresyonu karşılaştırmaktır. Örneklem ve Yöntem: Çalışma tanımlayıcı kesitsel bir çalışmadır. Araştırmanın örneklemini, planlı ve plansız gebeliği olan toplam 230 gebe oluşturmaktadır. Bu tanımlayıcı kesitsel çalışmanın evrenini, bir devlet hastanesinin kadın doğum polikliniklerine başvuran gebeler oluşturmaktadır. Örneklem, G-power programı kullanılarak hesaplanan 230 gebeden (115 planlı gebelik, 115 plansız gebelik) oluşmuştur. Veriler, Tanımlayıcı Bilgi Formu, Gebelikte Sağlık Uygulamaları Ölçeği ve Beck Depresyon Envanteri kullanılarak toplanmıştır. Bulgular: Gebelerin yaş ortalaması 29.06±5.71 (min: 18, max: 42) olarak bulunmuştur. Planlı gebeliklerde GSUÖ puanları 127.10±12.03, plansız gebeliklerde ise 124.06±12.00 olarak belirlenmiştir. Planlı gebeliklerdeki kadınların Beck Depresyon Skalası puanı 9.97±8.56, plansız gebeliklerdeki kadınların ise 10.83±7.75 olarak bulunmuştur. Gebelik planlama durumuna göre Gebelikte Sağlık Uygulamaları Ölçeği (p=0.058) ve Beck Depresyon Envanteri (p=0.425) puanları arasında anlamlı bir fark bulunmamıştır. Beck Depresyon Envanteri ile Gebelikte Sağlık Uygulamaları Ölçeği puanları arasında negatif yönlü bir ilişki vardır (p=0.006, r=0.179). Beck Depresyon Envanteri puanları arttıkça Gebelikte Sağlık Uygulamaları Ölçeği toplam puanları azalmaktadır. Sonuç: Gebeliği planlı olan kadınların gebelikte sağlık uygulamaları ölçek toplam puanları gebeliği plansız olan gebelere göre daha yüksektir. Planlı ve plansız gebelikler ayrı ayrı değerlendirildiğinde, Beck Depresyon Envanteri ve Gebelikte Sağlık Uygulamaları Ölçeği puanları arasında negatif bir ilişki bulunmuştur. Anne ve bebek sağlığının korunmasında; gebelik öncesi dönemde kadınların sağlık uygulamaları ve depresyon durumlarının belirlenmesi, gebeliklerin planlanması ve olumsuz sağlık davranışlarının sorgulanması önemli bir faktördür.

Anahtar Kelimeler

Depresyon, gebelikte sağlık uygulamaları, planlı gebelikler, plansız gebelikler

Etik Beyan

Bu çalışma Sağlık Bilimleri Üniversitesi Bilimsel Araştırmalar Etik Kurulu tarafından onaylanmıştır (Tarih: 06.12.2019, Etik Kod No: 19/89). Çalışmaya katılan katılımcılardan yazılı ve/veya sözlü onam alınmıştır.

Destekleyen Kurum

Bu araştırma herhangi bir finansman kuruluşundan/sektörden destek almamıştır.

Teşekkür

Bu çalışmanın yazarları araştırmaya katılmayı kabul eden katılımcılara teşekkür eder.

Kaynakça

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