Sezaryen Sonrası Annelerin Postpartum Yaşam Kalitesi Üzerine Ev Tabanlı Eğitim Programının Etkisi

Yıl 2022, Cilt 11, Sayı 1, 193 - 201, 19.03.2022

Nilay ŞENER Filiz OKUMUŞ

https://doi.org/10.37989/gumussagbil.789942

Öz

Bu çalışmanın amacı, ev tabanlı bir eğitim programının lohusalık dönemindeki kadınlarda sezaryen sonrası yaşam kalitesine etkisini belirlemektir. Çalışma, prospektif, kontrol gruplu, tek kör bir çalışma olarak tasarlandı. İstanbul'da bir aile sağlığı merkezinde, 30'u evde eğitim grubu, 30'u kontrol grubu ve standart danışmanlık olmak üzere sezaryen olan 60 kadın ile gerçekleştirildi. Çalışma verileri Doğum Sonu Yaşam Kalitesi Ölçeği (DSYKÖ) aracı kullanılarak toplanmıştır. Çalışmada annelerin yaş ortalaması 29.55’tir. Müdahale sonrası DSYKÖ toplam puan ve standart sapma (SS) kontrol grubu için 17.93 (SS: 1.09) ve ev tabanlı eğitim grubu için 19.27 (SS:0.90) olup gruplar arasında istatistiksel olarak anlamlı bir fark olduğu bulundu (p <0.001). Bu çalışmanın sonuçları, ev tabanlı eğitim programının, kadınların sezaryen sonrası yaşam kalitesini etkilediğini göstermiştir. Bu sonuçlar doğum sonrası dönemde evde sağlık bakımı ve danışmanlığın önemini vurgulamaktadır.

Anahtar Kelimeler

Doğum sonu dönem, Yaşam kalitesi, Sağlık eğitimi, Sezaryen

Effect of Home-Based Education Program on Mothers’ Postpartum Quality of Life After Cesarean Delivery

Öz

The aim of this study was to determine the effect of a home-based educational program on postpartum quality of life in puerperant women after caesarean delivery. The study was designed as a prospective, controlled, single-blinded study. It was conducted in a family health centre in Istanbul with 60 women, including 30 home-based educational group and 30 standard counselling as a control group woman who had a caesarean delivery. The study data were collected by using a questionnaire, namely, the Maternal Postpartum Quality of Life (MAPP-QOL) Tool. The mothers’s mean age was 29.55 years. The post- intervention means and standard deviations (SDs) in the total scores of the MAPP-QOL were 17.93 (SD: 1.09) and 19.27 (SD: 0.90) for the control and home-based education groups, respectively, and we found that the difference was statistically significant (p <0.001). The study’s results showed that the home-based educational program had an effect on the women’s postpartum quality of life after caesarean delivery. These results emphasised the importance of home health care and counselling in the postpartum period.

Anahtar Kelimeler

Caesarean section, Health education, Quality of life, Postpartum period

Kaynakça

• 1. Van der Woude, D.A, Pijnenborg, J.M. and de Vries, J. (2015). "Health Status and Quality of Life in Postpartum Women: A Systematic Review of Associated Factors". Eur J Obstet Gynecol Reprod Biol, 185, 45-52.
• 2. Aksakalli, M, Capik, A, Ejder Apay, S, Pasinlioglu, T. and Bayram, S. (2012). "Determination of Support Needs and Post-Partum Support Levels of Post-Partum Women". J Psychiatr Nurs, 3 (3), 129-135.
• 3. Aksu, S, Varol, F.G. and Hotun Sahin, N. (2017). "Long-Term Postpartum Health Problems in Turkish Women: Prevalence and Associations with Self-Rated Health". Contemp Nurse, 53 (2), 167-181.
• 4. Bağcı, S. and Altuntuğ, K. (2016) "Problems Experienced by Mothers in Postpartum Period and Their Associations with Quality of Life" [Turkish: Annelerin Doğum Sonunda Yaşadıkları Sorunlar ve Yaşam Kalitesi ile İlişkisi]. J Hum Sci, 13(2), 3266-79 doi:10.14687/jhs.v13i2.3884
• 5. Petrou, S, Kim, S.W, McParland. P. and Boyle, E.M. (2017) "Mode of Delivery and Long-Term Health-Related Quality-of-Life Outcomes: A Prospective Population-Based Study". Birth, 4 (2), 110-119.
• 6. Torkan, B, Parsay, S, Lamyian, M. and Kazemnejad, A. (2009). "Postnatal Quality of Life in Women After Normal Vaginal Delivery and Caesarean Section". BMC Pregnancy Childbirth, 9, 1-7.
• 7. Duman, N.B. and Karataş, N. (2011) "The Effect of Home Care Service Given to Postpartum Early Discharged Women Who Had a Cesarean Section on The Maternal Health and Power of Self-Care" [Turkish: Sezaryen Sonrası Erken Taburcu olan Kadınlara Verilen Evde Bakım Hizmetinin Anne Sağlığına ve Öz. J Heal Sci, 20 (1), 54-67.
• 8. Kisa, S. and Zeyneloğlu, S. (2016). "Opinions of Women Towards Cesarean Delivery and Priority İssues Of Care in The Postpartum Period". Appl Nurs Res, 30, 70-75.
• 9. Zubaran, C, Foresti, K, Schumacher, M.V, Muller, L.C. and Amoretti, A.L. (2009). "An Assessment of Maternal Quality of Life in The Postpartum Period in Southern Brazil: A Comparison of Two Questionnaires". Clinics, 64 (8), 751-756.
• 10. Killien, M.G, Habermann, B. and Jarret, M. (2001) "Influence of Employment Characteristics on Postpartummothers’ Health". Women Heal, 33 (1-2), 63-81.
• 11. Thompson, J, Roberts, C.L, Currie, M. and Ellwood, D.A. (2002). "Prevalence and Persistence of Health Problems After Childbirth: Associations with Parity and Method of Birth". Birth, 29 (2), 83-94.
• 12. WHO. (1997). "Programme On Mental Health WHOQOL Measuring Quality Of Life". World Heal Organ Div Ment Heal Prev Subst Abus., (1), 1-13.
• 13. Lagadec, N, Steinecker, M, Kapassi, A, Magnier, A.M, Chastang, J, Robert, S, Gaouaou, N. and Ibanez, G. (2018). "Factors İnfluencing The Quality of Life of Pregnant Women: A Systematic Review". BMC Pregnancy Childbirth, 23, 18 (1), 455.
• 14. Emmanuel, E. and Sun, J. (2014). "Health Related Quality of Life Across The Perinatal Period Among Australian Women". J Clin Nurs, 23 (11-12), 1611-1619. doi:10.1111/jocn.12265
• 15. Kohler, S, Sidney Annerstedt, K, Diwan, V, Lindholm, L, Randive, B, Vora, K. and de Costa, A. (2018). "Postpartum Quality of Life in Indian Women After Vaginal Birth and Cesarean Section: A Pilot Study Using The EQ-5D-5L Descriptive System". BMC Pregnancy Childbirth, 18 (1), 427.
• 16. Sadat, Z, Taebi, M, Saberi, F. and Kalarhoudi, MA. (2013). "The Relationship Between Mode of Delivery and Postpartum Physical and Mental Health Related Quality of Life". Iran J Nurs Midwifery Res, 18 (6), 499-504.
• 17. Çelik, A.S, Türkoğlu, N. and Pasinlioğlu, T. (2013). "Examination of The Postpartum Life Quality of Mothers" [Turkish: Annelerin Doğum Sonu Yaşam Kalitesinin Belirlenmesi]. J Anatolia Nurs Heal Sci, 17 (3), 151-157.
• 18. Suplee, P.D, Bingham, D. and Kleppel, L. (2017). "Nurses’ Knowledge and Teaching of Possible Postpartum Complications". MCN Am J Matern Nurs, 42(6), 338-344. 19. McCarter-Spaulding, D. (2015). "Effectiveness of Postpartum Education in The Reducing Symptoms of Postpartum Depression". J Obstet Gynecol Neonatal Nurs, 44, S58.
• 20. Moshki, M, Baloochi Beydokhti, T. and Cheravi, K. (2014). "The Effect of Educational İntervention on Prevention of Postpartum Depression: an Application of Health Locus Of Control". J Clin Nurs, 23 (15-16), 2256-2263.
• 21. Sanar, S.P. and Demirci, H. (2018)."Evaluation of The Effectiveness of Planned Education for Mothers in Puerperant School: Healty Generations By The Concious Mothers". J Biotechnol Strateg Heal Res, 2 (3), 174-181.
• 22. Weiss, M, Fawcett, J. and Aber, C. (2009). "Adaptation, Postpartum Concerns, and Learning Needs in The First Two Weeks After Caesarean Birth". J Clin Nurs, 18 (21), 2938-2948
• 23. Erenel, A.Ş. and Eroğlu, K. (2005). "Effect of Breastfeeding Education Model Supported Through Home Visits on The Exclusive Breastfeeding Behaviour During The Postpartum Six Month" [Turkish: Doğum Sonrası İlk Altı Ayda Ev Ziyareti Yoluyla Desteklenen Emzirme Eğitimi Modelinin Etkili Emzirme] Hacettepe Üniversitesi Hemşirelik Yüksekokulu Dergisi, 43-54.
• 24. Sword, W. and Watt, S. (2005). "Learning Needs of Postpartum Women: Does Socioeconomic Status Matter?" Birth, 32 (2), 86-92.
• 25. World Health Organization. WHO. (2016). "WHO Recommendation on Community Mobilization And Antenatal Home Visits". WHO Reprod Heal Libr Geneva World Heal Organ, (November), 1-8.
• 26. Yeo, J.H. and Chun, N. (2013). "Influence of Childbirth Experience and Postpartum Depression on Quality of Life in Women After Birth". J Korean Acad Nurs, 43 (1), 11-19.
• 27. Faul, F, Erdfelder, E, Lang, A.G. and Buchner, A. (2007). "G*Power 3: A Flexible Statistical Power Analysis Program for The Social, Behavioral, and Biomedical Sciences". In: Behavior Research Methods, doi:10.3758/BF03193146
• 28. Baglama, S.S. and Bakir, E. (2019) "Caregiver-Delivered Foot Reflexology: Effects on Patients And Caregivers". Holist Nurs Pract, 33 (6), 338-345.
• 29. Özcan, H, Oskay, Ü. and Bodur, A.F. (2019). "Effects of Kefir on Quality of Life and Sleep Disturbances in Postmenopausal Women". Holist Nurs Pract, 33 (4), 207-213.
• 30. Health Turkey Public Health Agency, Department of Women and Reproductive. (2014). "Postpartum Care Management Guide". Turkey Minist Heal Publ No 925.
• 31. Hill P.D, Aldag J.C, Hekel, B, Riner, G and Bloomfield, P. (2006). "Maternal Postpartum Quality of Life Questionnaire". J Nurs Meas,14 (3),205-20.
• 32. Altuntuğ, K. and Ege, E. (2012). "Validity and Reliability of Turkish Version of Maternal Postpartum Quality of Life Questionnaire". J Anatolia Nurs Heal Sci, 15 (3), 214-222.
• 33. de Oliveira, M, Parker, L, Ahn, H, Catunda, H, Bernardo, E, de Oliveira, M, Ribeiro, S, Calou, C, Antezana, F, Almeida, P. Castro R, Aquino, P. and Pinheiro A. (2015). "Maternal Predictors for Quality of Life during the Postpartum in Brazilian Mothers. Health", 7, 371-380.
• 34. Rezaei, N, Azadi, A, Zargousi, R, Sadoughi, Z, Tavalaee, Z. and Rezayati, M. (2016)."Maternal Health-Related Quality of Life and its Predicting Factors in The Postpartum Period in Iran". Scientifica, 1, 7.
• 35. Russ-Eft, D.F. and Steel, L.M. (1980). "Contribution of Education to Adults’ Quality of Life". Educ Gerontol. 5 (2),189-209. doi:10.1080/0360hyp800050207
• 36. Sis Çelik, A. and Pasinlioğlu, T. (2017). "Effects Of İmparting Planned Health Education on Hot Flush Beliefs and Quality of Life of Climacteric Women". Climacteric, 20 (1), 25-30.
• 37. Bahrami, N., Simbar, M. and Bahrami, S. (2013). "The Effect Of Prenatal Education on Mother’s Quality of Life During First Year Postpartum Among Iranian Women: A Randomized Controlled Trial". Int J Fertil Steril, 7 (3), 169-174.
• 38. Aguado, O, Morcillo, C, Delàs, J, Rennie, M, Bechich, S, Schembari, A, Fernández, F. and Rosell, F. (2010). "Long-Term İmplications of A Single Home-Based Educational İntervention in Patients With Heart Failure". Heart Lung, 39 (6 Suppl), S14-22.
• 39. Baker, D.W, Dewalt, D.A, Schillinger, D, Hawk, V, Ruo, B, Bibbins-Domingo, K, Weinberger, M, Macabasco-O'Connell, A, Grady, K.L, Holmes, G.M, Erman, B, Broucksou, K.A. and Pignone, M. (2011). "The Effect of Progressive, Reinforcing Telephone Education and Counseling Versus Brief Educational İntervention on Knowledge, Self-Care Behaviors and Heart Failure Symptoms". J Card Fail, 17 (10), 789-96.
• 40. Prost, A, Colbourn, T, Seward, N, Azad, K, Coomarasamy, A, Copas, A, Houweling, TA, Fottrell, E, Kuddus, A, Lewycka, S, MacArthur, C, Manandhar, D., Morrison, J., Mwansambo, C, Nair, N, Nambiar, B., Osrin, D., Pagel, C., Phiri, T, Pulkki-Brännström, A., Rosato, M., Skordis-Worrall, J, Saville, N, More, NS, Shrestha, B, Tripathy, P, Wilson, A. and Costello, A. (2013).
• "Women's Groups Practising Participatory Learning and Action to İmprove Maternal and Newborn Health in Low-Resource Settings: A Systematic Review and Meta-Analysis". Lancet, 18, 381 (9879), 1736-46.