Yıl 2020, Cilt 6 , Sayı 2, Sayfalar 134 - 150 2020-08-31

THE EFFECT OF PAIN ON THE QUALITY OF LIFE IN PREGNANCY
GEBELİKTE AĞRININ YAŞAM KALİTESİ ÜZERİNE ETKİSİ

Ezgi ÖZEL [1] , Nurgül GÜNGÖR TAVŞANLI [2]


In this study, to determine the effects of pain on quality of life during pregnancy, what pain of life quality experienced during pregnancy so that affects the determination during pregnancy impression, raising women's quality of life, aims to maintain a healthy pregnancy. It consisted of pregnant women between the ages of 18-41 (n = 400) who stated that they had a pain according to VAS followed by the Central Efendi State Hospital for 5 months between 1 February and 30 June 2017 after the Ethics Committee Approval. 'Sociodemographic Questionnaire Form of Pregnant Women', 'Visual Analogue Scale', 'Short Form 36 - SF 36' and 'McGill-Melzack Pain Question Form' were used in the data collection phase. In the analysis of the data, 16.00 SPSS for Windows statistical analysis program, Frequency, Percent distribution, Independent samples t test for the normal distribution of numerical variables in the independent two group comparisons, Mann Whitney U test for the cases in which the numerical variables were not normally distributed. The average age of women participating in the study 27,72 ± 5,221 (min = 18, max = 41). 50,75% (n =203) of the pregnant women were primary school graduates and 67,50% (n = 270) were housewives.The mean week of pregnancy was 32.50 ± 6.602 (Min =10, Max =42). A statistically significant difference was found between the McGillpain scale total score and the quality of life subscales (energy-vitality-vitality, mental health, social functioning). 

Gebelik süresince hormonal ve fiziksel değişikliklerin meydana gelmesi, gebenin fiziksel ve ruhsal fonksiyonlarını etkilemekte, yaşam kalitesinde değişikliğe neden olmaktadır. Bu bağlamda çalışmanın amacı, gebelikte deneyimlenen ağrının yaşam kalitesi üzerine etkisini saptamaktadır. Araştırmaya, 18-41 yaş arası 400 gebe dahil edilmiştir. Veriler sosyo-demografik form, görsel analog skala (VAS), Short Form 36, McGill- Melzack ağrı soru formları kullanılarak toplanmıştır. Elde edilen verilerin analizinde frekans, yüzde, bağımsız iki grup karşılaştırılmalarında sayısal değişkenlerin normal dağılım gösterdiği durumlarda parametrik, normal dağılım göstermediği durumlarda ise parametrik olmayan testler kullanılmıştır. Gebelik haftalarının ortalaması ise 32.50±6.602 olarak saptanmıştır. Araştırmaya katılan gebelerin %70’si bel, %27’si sırt, %24’ü kasık ağrısı duyduğunu belirtmiştir. Bel, sırt ve baş ağrısı yaşayanların gebelik haftası ile ağrı bölgeleri arasında istatistiksel olarak anlamlı ilişki tespit edilmiştir (p=0.001, p=0.011 ve p<0.01). Gebeliğin özellikle son trimesterında yaşanan ağrının, gebelerin yaşam kalitelerini azalttığı sonucuna varılmıştır. McGill-Melzack Ağrı Soru Formu puanlarına göre ağrı arttıkça gebelerin yaşam kalitelerinin düştüğü tespit edilmiştir.
  • 1. Taşkın L. Doğum ve Kadın Sağlığı Hemşireliği içinde Kadın Sağlığına Giriş, 10. Baskı, Sistem Ofset Matbaacılık, Ankara; 2011:1-16.
  • 2. Nygaarda H.I, Valbøa A, Pethick S.V, Bøhmer T, Does Oral Magnesium Substitution Relieve Pregnancy-induced Leg Cramps? European Journal of Obstetrics & Gynecology and Reproductive Biology. 2008; 141(1):23-26.
  • 3. Kovacs M.F, Garcia E, Royuela A, González L, Abraira V, Prevalence and Factors Associated With Low Back Pain and Pelvic Girdle Pain During Pregnancy, SPINE. 2012; 37(17):1516-1533.
  • 4. Skliut M, Jamieson G.D, Imaging of Headache in Pregnancy, Currrent Pain and Headache Reports. 2016; 20(10): 56.
  • 5. Nacir, B., Karagöz, A., & Erdem, H. R. Gebelikte Görülen Bel Agrilari/Low Back Pain in Pregnancy. Turkish Journal of Rheumatology, 2009; 24(1), 39.
  • 6. Olsson CB, Nilsson-Wikmar L, Grooten WJ Determinants for Lumbopelvic Pain 6 Months Postpartum. Disabil. Rehabil. 2012; 34(5):416- 422.
  • 7. Mogren M.I, Pohjanen A. I, Low Back Pain and Pelvic Pain During Pregnancy, SPINE.2005; 30 (8): 983-991.
  • 8. Kamysheva E, Wertheim E, Skouteris H, Paxton JS, Milgrom J, Frequency, Severity, and Effect on Life of Physical Symptoms Experienced During Pregnancy, Journal of Midwifery & Women’s Health. 2009; 54 (1): 43-49.
  • 9. Carvalho Coelho Costa E.M, Lima Cavalcanti L, Alves de Lira Terceiro C, Ravy Lacerda Pinto D, Silva Neves M, Cozer Araújo G, Cursino de Menezes Couceiro T, Low Back Pain During Pregnancy, Rev Bras Anestesiol. 2017; 67(3):266-270.
  • 10. Ibanez G, Khaled A, Renard JF, Rohani S, Nizard J, Back Pain during Pregnancy and Quality of Life of Pregnant Women. Prim Health Care. 2017;7(1):2-6.
  • 11. Forger F, Ostensen M, Schumacher A, Villiger PM, Impact of Pregnancy on Health Related Quality of Life Evaluated Prospectively in Pregnant Women with Rheumatic Diseases by the SF-36 Health Survey, Ann Rheum Dis.2005; 64(10): 1494-1499.
  • 12. Garshasbi A , Zadeh SF, The Effect of Exercise on The Intensity of Low Back Pain in Pregnant Woman, International Journal of Gynecology and Obstetrics.2005; 88 (3); 271-275.
  • 13. Babadağlı B, Gebelik Yaşının Gebelikte Yaşanan Fizyolojik ve Psikolojik Değişikliklere Etkisi, Atatürk Üniversitesi Hemşirelik Yüksekokulu Dergisi, 2008; 11: 3.
  • 14. Gutke A, Ostgaard HC, Oberg B, Predicting Persistent Pregnancy-Related Low Back Pain.Spine. 2008; 33(12): 386-93.
  • 15. Larsen EC, Wilken-Jensen C, Hansen A, Jensen DV, Johansen S, Minck H, Wormslev M, Davidsen M, Hansen TM, Symptom-giving pelvic girdle relaxation in pregnancy, I: Prevalence and risk factors. Acta Obstet Gynecol Scand.1999; 78 (2):105-110.
  • 16. Bjelland EK, Eskild A, Johansen R, et al. Pelvic girdle pain in pregnancy: the impact of parity. American Journal of Obstetrics & Gynecology 2010;203:146.e1-6.
  • 17. Olsson C, Nilsson-wikmar L, Health-related Quality of Life and Physical Ability Among Pregnant Women with and without Back Pain in late Pregnancy, Acta Obstet Gynecol Scand 2004; 83 (4): 351-3.
  • 18. Kamysheva E, Wertheim E, Skouteris H, Paxton JS, Milgrom J, Frequency, Severity, and Effect on Life of Physical Symptoms Experienced During Pregnancy, Journal of Midwifery & Women’s Health. 2009; 54 (1): 43-49.
  • 19. Kristiansson P: Epidemiology of back pain in pregnancy. In Interventional spine an algorithmic approach. Edited by: Slipman CWDR, Simeone FA, Mayer TG. Elsevier: Philadelphia: Saunders; 2008:1307-1310.
  • 20. Mazicioglu M, Tucer B, Ozturk A, Seri IS, Koc H, Yurdakos K, Bayrak B, Low Back Pain Prevalence in Turkish Pregnant Women. Journal of Back and Musculoskeletal Rehabilitation. 2006; 19(2-3): 89-96.
  • 21. Marcus DA, Scharff L, Turk DC. Nonpharmacological management of migraines in pregnancy. Psychosom Med.1995; 57:527–535.
  • 22. Marcus DA, Managing headache during pregnancy and lactation. Expert Rev Neurother. 2008; 8(3):385-95.
  • 23. Salvatore CA, Leg Cramp Syndrome in Pregnancy. Obstetrics and Gynecology 1961;17(5):634-9.
  • 24. Sohrabvand F, Karimi M, Frequency and Predisposing Factors of Leg Cramps in Pregnancy: A Prospective Clinical Trial. Tehran University Medical Journal 2009;67(9):661.
  • 25. Coşar Çetin F, Demirci N, Yeşilçiçek Çalık K, Çil Akıncı A, Gebeli̇kte Olağan Fi̇zi̇ksel Yakınmalar. Zeynep Kamil Tıp Bülteni. 2017; 48(4):135-141.
  • 26. Cline ME, Herman J, Show F, Marton RD Standardization of the visual analoque scale. Nurs Res.1992; 41(6):378-379.
  • 27. Kocyigit H, O Aydemir, N Olmez, A Memis, Reliability and validity of the Turkish version of Short-Form-36 (SF-36). Turkish J Drugs Therap. 1999; 121
  • 28. Melzack R, Katz J, The MC Gill Pain Questionnaire: Appraised and Current Status, Handbook of Pain Assessment, New York, The Guilford Press.1992;152-168.
  • 29. Kuğuoğlu S, Aslan FE, Olgun N. McGillMelzack ağrı soru formunun (MASF) Türkçe'ye uyarlanması. Ağrı. 2003; 47-51.
  • 30. Garshasbi A , Zadeh SF, The Effect of Exercise on The Intensity of Low Back Pain in Pregnant Woman, International Journal of Gynecology and Obstetrics.2005; 88 (3); 271-275.
  • 31. Gutke A, Ostgaard HC, Oberg B, Predicting Persistent Pregnancy-Related Low Back Pain.Spine. 2008; 33(12): 386-93. doi:10.1097/BRS.0b013e31817331a4.
  • 32. Skliut M, Jamieson G.D, Imaging of Headache in Pregnancy, Currrent Pain and Headache Reports. 2016; 20(10): 56.
  • 33. Ibanez G1,2*, Khaled A1 , Renard JF1 , Rohani S1 , Nizard J3 , Baiz N4 , Robert S1 , Chastang J1 Back Pain during Pregnancy and Quality of Life of Pregnant Women Prim Health Care 2017, 7:1. DOI: 10.4172/2167-1079.1000261
  • 34. Ng BK, Kipli M, Abdul Karim AK, Shohaimi S, Abdul Ghani NA, Lim PS, Back Pain in Pregnancy Among Office Workers: Risk Factors and its Impact on Quality of Life, Horm Mol Biol Clin Investig. 2017 Sep 4; 32(3).
  • 35. Wang J.M, Lim S.W, Jun S.Y, Cha N.H, A Study on Characteristic Factors Related to Low Back Pain and Mental Health of Pregnant Women. Journal of Korean Academy of Community Health Nursing 2009;20(3):381-389.
  • 36. Kamysheva E, Wertheim E, Skouteris H, Paxton JS, Milgrom J, Frequency, Severity, and Effect on Life of Physical Symptoms Experienced During Pregnancy, Journal of Midwifery & Women’s Health. 2009; 54 (1): 43-49.
  • 37. Ozdemir S, Bebis H, Ortabag T, Acıkel C. Evaluation of the efficacy of an exercise program for pregnant women with low back and pelvic pain: a prospective randomized controlled trial, Journal of Advanced Nursing, 2015 (71) 18, 1926-1939.
  • 38. Yikar S.K., Nazik E., "Effects of prenatal education on complaints during pregnancy and on quality of life", Patient Education And Counseling 2019; vol.102, pp.119-125.
  • 39. Nacır B., Karagöz A., Erdem H.R. Gebelikte Görülen Bel Ağrıları Turk J Rheumatol 2009; 24: 39-45.
  • 40. Lıu E., Zhou Y. Prognosis in Pregnant Females With Systemic Lupus Erythematosus Arch Rheumatol 2017;32(4):298-302
Birincil Dil tr
Konular Sağlık Bilimleri ve Hizmetleri
Bölüm Araştırma Makalesi
Yazarlar

Yazar: Ezgi ÖZEL
Kurum: Manisa Celal Bayar Üniversitesi Sağlık Bilimleri Enstitüsü, Ebelik Anabilim Dalı
Ülke: Turkey


Orcid: 0000-0002-1831-2171
Yazar: Nurgül GÜNGÖR TAVŞANLI (Sorumlu Yazar)
Kurum: Manisa Celal Bayar Üniversitesi Sağlık Bilimleri Fakültesi
Ülke: Turkey


Teşekkür Çalışmamıza katılımları ile katkı sağlayan gebelerimize teşekkür ediyoruz.
Tarihler

Başvuru Tarihi : 27 Mart 2020
Kabul Tarihi : 20 Nisan 2020
Yayımlanma Tarihi : 31 Ağustos 2020

APA Özel, E , Güngör Tavşanlı, N . (2020). GEBELİKTE AĞRININ YAŞAM KALİTESİ ÜZERİNE ETKİSİ . International Anatolia Academic Online Journal Health Sciences , 6 (2) , 134-150 . Retrieved from https://dergipark.org.tr/tr/pub/iaaojh/issue/53610/710313