Babaların Öz Yeterlikleri ve Doğum Sonu Güvenlik Hislerinin Değerlendirilmesi

Yıl 2024, Cilt: 13 Sayı: 4, 1733 - 1740, 25.12.2024

Vesile Koçak , Kamile Altuntuğ , Emel Ege

https://doi.org/10.37989/gumussagbil.1366627

Öz

Bu çalışma ile doğum sonu babaların özyeterlilikleri ile güvenlik hislerinin nasıl olduğu ve etkileyen faktörleri değerlendirmek amaçlanmıştır. Çalışmaya 18 yaş üzeri, sağlıklı yenidoğana sahip, doğum sonu lohusa kliniğinde bulunan, çalışmaya katılmaya gönüllü olan babalar dahil edilmiştir. Örneklem büyüklüğü evren içinden olasılıksız rastlantısal örneklem seçim yöntemiyle 143 babadan oluşmuştur. Çalışmanın verileri Kişisel Bilgi Formu, Genel Öz Yeterlik Ölçeği, Doğum Sonu Annelerin Güvenlik Hisleri Ölçek Formları ile elde edilmiştir. Çalışmanın yürütülebilmesi için etik kurul onayı alınmıştır. Veriler yüz yüze görüşme yolu ile öz bildirim yoluyla elde edilmiştir. Babaların Genel Öz Yeterlik Ölçeği ortalama puanı 34,51±5,08 olarak, Babaların Doğum Sonu Güvenlik Hisleri Ölçeği 35,08±6,28, Alt Boyutlarından Güçlendirici Davranış 9,97±4,15, Genel İyilik 10,00±2,16, Annenin İyiliği 7,81±2,09 ve Aileye Yakınlık 7,28±1,08 olarak bulunmuştur. Babaların genel öz yeterlilik ile doğum sonu babaların güvenlik hisleri puan ortalaması arasında zayıf yönde pozitif yönlü bir korelasyon olduğu tespit edilmiştir (p<0,05). Çalışma sonucunda deneyimsiz babaların doğum sonu güvenlik hislerinin daha düşük olduğu tespit edilmiştir. Ayrıca doğum sonu döneme hazırlık, destek ve danışmanlık, anne ve bebeğin sağlığından emin olmanın babalar için doğum sonu güvende hissetmek için önemli faktörler olduğu sonucuna varılmıştır. Bu kapsamda özellikle ilk kez babalığı deneyimleyenler olmak üzere babaların doğum sonu sürece hazırlanması, destek ve danışmanlık verilmesi, daha kapsamlı çalışmaların yapılması önerilmektedir.

Anahtar Kelimeler

Babalar, Öz Yeterlik, Doğum Sonu

Etik Beyan

Necmettin Erbakan Üniversitesi Meram Tıp Fakültesi İlaç ve Tıbbi Cihaz Dışı Araştırmalar Etik Kurulu 2018/1606 sayılı kararı ile etik kurul onayı alınmıştır.

Destekleyen Kurum

Bulunmamaktadır

Teşekkür

Araştırmaya katılarak destek veren tüm babalara teşekkür ederiz.

Evaluation of Fathers' Self-Efficacy and Postpartum Sense of Security

Öz

The aim of this study was to evaluate the general self-efficacy and postpartum sense of security of fathers after birth and the influencing factors. Fathers who were over 18 years old, had healthy newborns, were in the postpartum maternity clinic, and volunteered to participate in the study were included in the study. The sample size consisted of 143 fathers using the non-probability random sample selection method from the population. The data of the study were obtained through the Personal Information Form, General Self-Efficacy Scale, and Postpartum Fathers' Sense of Security Scale Forms. Ethics committee approval was obtained to conduct the study. Data were obtained through self-reports. Fathers' General Self-Efficacy Scale mean score was 34.51±5.08, Fathers' Postpartum Sense of Security Scale was 35.08±6.28, Reinforcing Behavior. Sub-dimensions was 9.97±4.15, General Well-Being was 10.00±2.16, Mother's Well-Being was 7.81±2.09, and Family Wellbeing was 7.81±2.09. Closeness was found to be 7.28±1.08. There was a weak positive correlation between fathers' general self-efficacy and fathers' postpartum sense of security score (p<0.05). As a result of the study, it was determined that inexperienced fathers had a lower sense of security after birth. It was also concluded that preparation for the postpartum period, support and counseling, and being confident in the health of the mother and baby are important factors for fathers to feel safe after birth. In this context, it is recommended that fathers, especially those who experience fatherhood for the first time, be prepared for the postpartum process, provide support and consultancy, and conduct more comprehensive studies.

Anahtar Kelimeler

Fathers, Self Efficacy, Postpartum

Kaynakça

• 1. Solmeyer, A.R, and Feinberg, M.E, (2011). “Mother and Father Adjustment During Early Parenthood: The Roles of İnfant Temperament and Coparenting Relationship Quality”. Infant Behavior & Development, 34(4), 504-514. https://doi.org/10.1016/j.infbeh.2011.07.006
• 2. Kvist, L.J. and Persson, E.K. (2009). “Evaluation of Changes İn Postnatal Care Using The "Parents' Postnatal Sense of Security" İnstrument and An Assessment Of The İnstrument's Reliability and Validity”. BMC Pregnancy and Childbirth, 9, 35. https://doi.org/10.1186/1471-2393-9-3
• 3. Nilsson, I, Danbjørg, D.B, Aagaard, H, Strandberg-Larsen, K, Clemensen, J. and Kronborg, H. (2015). “Parental Experiences of Early Postnatal Discharge: A Meta-Synthesis”. Midwifery, 31(10), 926–934. https://doi.org/10.1016/j.midw.2015.07.004
• 4. Saisto, T, Salmela-Aro, K, Nurmi, J.E. and Halmesmaki, E. (2008). “Longitudinal Study on the Predictors of Parental Stress in Mothers and Fathers of Toddlers”. Journal of Psychosomatic Obstetrics and Gynaecology, 29(3), 213-222. https://doi.org/10.1080/01674820802000467
• 5. Skreden, M, Skari, H, Malt, U.F, Pripp, A.H, Björk, M.D, Faugli, A. and Emblem, R. (2012). “Parenting Stress and Emotional Wellbeing in Mothers and Fathers of Preschool Children”. Scandinavian Journal of Public Health, 40(7), 596-604. https://doi.org/10.1177/1403494812460347
• 6. Werner-Bierwisch, T, Pinkert, C, Niessen, K, Metzing, S. and Hellmers, C. (2018). “Mothers' and Fathers' Sense of Security In The Context of Pregnancy, Childbirth and The Postnatal Period: An İntegrative Literature Review”. BMC Pregnancy and Childbirth, 18(1), 473. https://doi.org/10.1186/s12884-018-2096-3
• 7. Spiteri, G, Borg Cunen, N, Borg Xuereb, R. (2022). “Midwives and the Transition to Fatherhood”. In: Borg Xuereb, R., Jomeen, J. (eds) Perspectives on Midwifery and Parenthood. Springer, Cham. https://doi.org/10.1007/978-3-031-17285-4_12
• 8. Steen, M.S, Downe, N. and Bamford, L. (2012). “Not-Patient And Not-Visitor: A Metasynthesis Fathers' Encounters with Pregnancy, Birth and Maternity Care”. Midwifery, 28 (4), 422-431, https://doi.org/10.1016/j.midw.2011.06.009
• 9. Hjälmhult, E. and Lomborg, K. (2012). “Managing The First Period at Home with a Newborn: A Grounded Theory Study of Mothers’ Experiences”. Scandinavian Journal Of Caring Sciences, 26(4), 654-662. https://doi.org/10.1111/j.1471-6712.2012.00974.x
• 10. Persson, E. K, Fridlund, B, Kvist, L.J, and Dykes, A.K. (2012). “Fathers' Sense Of Security During The First Postnatal Week-A Qualitative İnterview Study in Sweden”. Midwifery, 28(5), e697–e704. https://doi.org/10.1016/j.midw.2011.08.010
• 11. Persson, E.K, Fridlund, B, Kvist, L.J, and Dykes, A.K. (2011). “Mothers' Sense of Security in The First Postnatal Week: Interview Study”. Journal of Advanced Nursing, 67(1), 105-116. https://doi.org/10.1111/j.1365-2648.2010.05485.x
• 12. Persson, E.K, Fridlund, B, and Dykes, A.K. (2007). “Parents' Postnatal Sense of Security (PPSS): Development of The PPSS Instrument”. Scandinavian Journal of Caring Sciences, 21(1), 118–125. https://doi.org/10.1111/j.1471-6712.2007.00442.x
• 13. Karlström, A, Nystedt, A. and Hildingsson, I. (2015). “The Meaning of A Very Positive Birth Experience: Focus Groups Discussions With Women”. BMC Pregnancy and Childbirth, 15. https://doi.org/10.1186/s12884-015-0683-0
• 14. Ledenfors, A. and Berterö, C. (2016). “First-Time Fathers' Experiences of Normal Childbirth”. Midwifery, 40, 26–31. https://doi.org/10.1016/j.midw.2016.05.013
• 15. Persson, E. and Kvist, L.J. (2014). “Postnatal Sense of Security, Anxiety and Risk For Postnatal Depression”. Journal of Womens Health, Issues and Care, 3. https://doi.org/10.4172/2325-9795.1000141
• 16. Widarsson, M, Engström, G, Tydén, T, Lundberg, P. and Hammar, L.M. (2015). “Paddling upstream: Fathers' Involvement During Pregnancy as Described By Expectant Fathers And Mothers”. Journal of Clinical Nursing, 24(7-8), 1059–1068. https://doi.org/10.1111/jocn.12784
• 17. Vance, A.J. and Brandon, D.H. (2017). “Delineating Among Parenting Confidence, Parenting Self-Efficacy and Competence”. Advances in Nursing Science, 40(4), E18–E37. https://doi.org/10.1097/ANS.0000000000000179
• 18. Bandura, A. (1997). “Self-efficacy: The exercise of control”. W H Freeman/Times Books/ Henry Holt & Co.
• 19. French, D.P, Olander, E.K, Chisholm, A. and Mc Sharry, J. (2014). “Which Behaviour Change Techniques are Most Effective At İncreasing Older Adults' Self-Efficacy And Physical Activity Behaviour? A Systematic Review”. Annals Of Behavioral Medicine: A Publication Of The Society of Behavioral Medicine, 48(2), 225–234. https://doi.org/10.1007/s12160-014-9593-z
• 20. Brunstad, A, Aasekjær, K, Aune, I. and Nilsen, A.B.V. (2020). “Fathers' Experiences During The First Postnatal Week At Home After Early Discharge Of Mother And Baby From The Maternity Unit: A Meta-Synthesis”. Scandinavian Journal Of Public Health, 48(4), 362–375. https://doi.org/10.1177/1403494818809856
• 21. Pålsson, P, Persson, E.K, Ekelin, M, Kristensson, I, Kvist, L.J. (2017). “First-Time Fathers Experiences Of Their Prenatal Preparation in Relation To Challenges Met in The Early Parenthood Period: Implications For Early Parenthood Preparation”, Midwifery, 50. 86-92, https://doi.org/10.1016/j.midw.2017.03.021
• 22. Aypay, A. (2010). “The Adaptation Study of General SelfEfficacy (GSE) Scale to Turkish”, Inonu University Journal of The Faculty of Education; 11(2):113- 31.
• 23. Koçak, V, Altuntuğ, K, Geçkil, E. and Ege, E. (2015). “Babaların Doğum Sonu Güvenlik Hisleri Ölçeğinin Geçerlilik ve Güvenirliğinin İncelenmesi”. Anadolu Hemşirelik ve Sağlık Bilimleri Dergisi, 18(3),172-180. https://doi.org/10.17049/ahsbd.60358
• 24. Erbaş, N. and Demirel, G. (2019). “Babaların Doğum Sonu Güvenlik Hisleri ve Etkileyen Faktörler”. Dokuz Eylül Üniversitesi Hemşirelik Fakültesi Elektronik Dergisi, 12 (3), 179-185. Retrieved from https://dergipark.org.tr/en/pub/deuhfed/issue/54244/735081
• 25. Suıd, N.R. and Özkan, H. (2023). “Babaların Doğum Sonu Güvenlik Hisleri ve Etkileyen Faktörlerin Belirlenmesi”. YOBÜ Sağlık Bilimleri Fakültesi Dergisi, 4 (1), 32-43. Retrieved from https://dergipark.org.tr/en/pub/yobusbf/issue/76614/1158914
• 26. Entsieh, A.A. and Hallström, I.K. (2016). “First-Time Parents' Prenatal Needs For Early Parenthood Preparation-A Systematic Review and Meta-Synthesis of Qualitative Literature”. Midwifery, 39, 1–11. https://doi.org/10.1016/j.midw.2016.04.006
• 27. García-Calvente, M.D, Lozano, M.D, Lopez, E, Rodríguez, I, Navarro, G.M. and Ruzzante, N.H. (2010). “Gender Analysis of Primary Care Professionals' Perceptions and Attitudes to Informal Care”. Gaceta Sanitaria, 24, 293-302. https://doi.org/10.1016/j.gaceta.2010.02.011
• 28. Salonen, A.H, Kaunonen, M, Astedt-Kurki, P, Jarvenpaa, A.L, Isoaho, H. and Tarkka, M.T. (2011). “Effectiveness Of An İnternet-Based Intervention Enhancing Finnish Parents' Parenting Satisfaction and Parenting Self-Efficacy During The Postpartum Period”. Midwifery; 27(6):832–41. https://doi.org/10.1016/j.midw.2010.08.010.
• 29. Mihelic, M, Filus, A. and Morawaska, A. “Correlates of Prenatal Parenting Expectations in New Mothers: Is Better Self-Efficacy A Potential Target For Preventing Postnatal Adjustment Difficulties?”. Prev Sci 17, 949-959 (2016). https://doi.org/10.1007/s11121-016-0682-z
• 30. Bryanton, J, Gagnon, A.J, Hatem, M. and Johnston, C. (2008). “Predictors of Early Parenting Self-Efficacy: Results of A Prospective Cohort Study. Nursing Research”, 57(4), 252–259. https://doi.org/10.1097/01.NNR.0000313490.56788.cd
• 31. Drake, E.E, Humenick, S.S, Amankwaa, L, Younger, J. and Roux, G. (2007), “”Predictors of Maternal Responsiveness”. Journal of Nursing Scholarship, 39: 119-125. https://doi.org/10.1111/j.1547-5069.2007.00156.x
• 32. Ngai, F.W, Wai-Chi, C.S. and Holroyd, E. (2007). “Translation and Validation of a Chinese Version of the Parenting Sense of Competence Scale in Chinese Mothers”. Nursing Research 56(5); 348-354. | https://doi.org/10.1097/01.NNR.0000289499.99542.94
• 33. Donithen, R. and Schoppe-Sullivan, S. (2022). “Correlates and Predictors Of Parenting Self-Efficacy in New Fathers”. Journal Of Family Psychology, 36(3), 396–405. https://doi.org/10.1037/fam0000910
• 34. Aiqing, T, Tieying, Z. and M, Y. (2021). “Factors Associated With Parents’ Postnatal Sense of Security in China: A Cross-Sectional Study”. https://doi.org/10.21203/rs.3.rs-523065/v1]
• 35. Zheng, J. and Gao, L.L. (2023). “Parenting Self-efficacy and Social Support Among Parents in Mainland China Across The First Six Months Postpartum: A Prospective Cohort Study”. Midwifery, 123, 103719. https://doi.org/10.1016/j.midw.2023.103719.
• 36. Ceylan, B. and Günay Molu, N. (2022). “COVID-19 Salgını Sırasında Anne Babaların Kaygı Düzeyi”. Genel Sağlık Bilimleri Dergisi, 4(3), 278-287. https://doi.org/10.51123/jgehes.2022.64
• 37. Ayvacı, H.K, Bağcı, H, Paparacı, İ, Demirtaş, H, Bay F. and Karakoç, H. (2022). “Doğumda Anne Memnuniyeti ve Erken Ebeveynlik Davranışı Arasındaki İlişki”. Genel Sağlık Bilimleri Dergisi, 4(3), 226-234. https://doi.org/10.51123/jgehes.2022.59