Riskli Gebeliklerde Sosyal Desteğin Maternal Stres ve Anksiyete Üzerine Etkisi

Yıl 2022, Cilt: 7 Sayı: 3, 543 - 548, 30.09.2022

Birsen Topuz , Nuray Egelioğlu Cetişli

Öz

Amaç: Bu çalışmada, riskli gebeliklerde sosyal destek ile maternal stres ve anksiyete arasındaki ilişkinin belirlenmesi amaçlanmaktadır.
Gereç ve Yöntem: Türkiye’de bir üniversite hastanesinin perinatoloji kliniğine Ekim 2019-Ocak 2020 arasında başvuran ve dâhil edilme kriterlerini karşılayan 432 gebe ile yürütülen bu araştırma tanımlayıcı tiptedir. Veriler, Birey Tanıtım Formu, Sağlık Bakanlığı Risk Değerlendirme Formu, Çok Boyutlu Algılanan Sosyal Destek Ölçeği (ÇBASDÖ), Perinatal Anksiyete Tarama Ölçeği (PATÖ) ve Algılanan Stres Ölçeği (ASÖ) ile toplanmıştır. Veriler tanımlayıcı istatistikler ve korelasyon analizi kullanılarak analiz edilmiştir.
Bulgular: Gebelerin ÇBASDÖ puan ortalaması 58,51±17,06; ASÖ puan ortalaması 14,04±5,97 ve PATÖ puan ortalaması 36,10±18,04 olarak bulunmuş; %41,2’sinin orta, %36,1’inin şiddetli ve %22,7’sinin minimal düzeyde anksiyete yaşadıkları belirlenmiştir. Riskli gebelerin ÇBASDÖ puan ortalamaları ile ASÖ (r= -0.217; p=0.000) ve PATÖ (r= -0.143; p= 0.003) arasında istatistiksel olarak anlamlı zayıf negatif korelasyon, ASÖ puan ortalamaları ile PATÖ puan ortalamaları arasında (r= 0.570; p=0.000) ise istatistiksel olarak anlamlı orta düzeyde pozitif korelasyon olduğu bulunmuştur.
Sonuç: Sağlık profesyonellerinin riskli gebeliği olan gebelerin ihtiyaç duydukları sosyal desteğe sahip olup olmadıklarını sorgulamaları ve gebenin sosyal destek sistemlerini harekete geçirmeleri gerekmektedir.

Anahtar Kelimeler

Anksiyete, Maternal stres, riskli gebelik, sosyal destek

Destekleyen Kurum

Herhangi bir kurum tarafından desteklenmemiştir.

Proje Numarası

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The Effect of Social Support on Maternal Stress and Anxiety in Risky Pregnancy

Öz

Objective: This study aimed to determine the correlation between social support on maternal stress and anxiety in risky pregnancies.
Material and Method: This descriptive study was conducted with 432 pregnant women who met the acceptance criteria in the perinatology clinic of a university hospital in Turkiye from October 2019 to January 2020. The data were collected by the Individual Identification Form, the Ministry of Health Risk Assessment Form, the Perinatal Anxiety Screening Scale (PASS), the Multidimensional Scale of Perceived Social Support (MSPSS) and the Perceived Stress Scale (PSS). The data were analyzed using descriptive statistics and correlation analysis.
Results: The mean MSPSS score of the pregnant women was 58.51±17.06; the mean PSS score was found to be 14.04±5.97 and the mean PASS score was found to be 36.10±18.04. It was determined that 41.2% of the pregnant women had moderate anxiety, 36.1% had severe anxiety and 22.7% had minimal anxiety. It was found a statistically significant weak negative correlation between the MSPSS mean scores of risky pregnants and PSS (r= -0.217; p=0.000) and PASS (r= -0.143; p= 0.003), and a statistically significant moderate positive correlation between the PSS mean scores and PASS mean scores (r= 0.570; p=0.000).
Conclusion: Health professionals need to question whether pregnant women with risky pregnancies have the social support they need and should activate the social support systems of the pregnant women.

Anahtar Kelimeler

Anxiety, maternal stress, risky pregnancy, social support

Proje Numarası

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Kaynakça

• Güleç D, Eminov A, Kavlak O. Investigation of anxiety and depression level and nursing care satisfaction in high risk pregnant women. CBU-SBED. 2020;7:70-75.
• Aksoy YE, Yılmaz SD, Aslantekin F. Prenatal attachment and social support in risk pregnancies. Turkiye Klinikleri J Health Sci. 2016;1:163- 169.
• Öztürk N, Aydın N. Effects of maternal prenatal stress on fetus development. Turkiye Klinikleri Psychiatry-Special Topics. 2018;11:16- 21.
• Tanpradit K, Kaewkiattikun K. The effect of perceived stress during pregnancy on preterm birth. Int J Womens Health. 2020;12:287.
• Yanık D, Özcanarslan F. The relationship between perceived social support and the level of coping with stress in the risky pregnant. J Midwifery and Health Sci. 2019;2:96-104.
• Baran GK, Şahin S, Öztaş D, Demir P, Desticioğlu R. Assessment of perceived stress levels and stress factors in pregnant women. Cukurova Med J. 2020;45:170-180.
• Gümüşdaş M, Apay SE, Özorhan E. Comparison of psycho-social health in pregnant women with and without risk. HSP. 2014;1:32-42.
• Alio AP, Lewis CA, Scarborough K, Harris K, Fiscella K. A community perspective on the role of fathers during pregnancy: A qualitative study. BMC Pregnancy Childbirth. 2013;13:60.
• Ölçer Z, Bakır N, Oskay Ü. Perceptions of social support and self-sufficiency in high-risk pregnancies. Journal of Anatolia Nursing and Health Sciences. 2016;19:25-33.
• Razee H, van der Ploeg HP, Blignault I, et al. Beliefs, barriers, social support, and environmental influences related to diabetes risk behaviours among women with a history of gestational diabetes. Health Promot J Austr. 2010;21:130-137.
• Racine N, Plamondon A, Hentges R, Tough S, Madigan S. Dynamic and bidirectional associations between maternal stress, anxiety, and social support: The critical role of partner and family support. J Affect Disord. 2019;252:19-24.
• Eker D, Arkar H, Yaldız H. Factorial structure, validity, and reliability of Revised Form of the Multidimensional Scale of Perceived Social Support. Turkish Journal of Psychiatry. 2001;12:17-25.
• Bilge A, Öğce F, Genç RE, Oran NT. Psychometric compatibility of the Turkish version of The Perceived Stress Scale. Journal of Ege University School of Nursing. 2009;25: 61-72.
• Yazıcı E, Mutu Pek T, Uslu Yuvacı H, et al. Perinatal Anxiety Screening Scale validity and reliability study in Turkish (PASS-TR validity and reliability). Psychiatry and Clinical Psychopharmacology. 2019;29:609- 617.
• Jonsdottir SS, Thome M, Steingrimsdottir T, et al. Partner relationship, social support and perinatal distress among pregnant Icelandic women. Women Birth. 2017;30:e46-e55.
• Byrn M, Penckofer S. The relationship between gestational diabetes and antenatal depression. JOGNN. 2015;44:246-255.
• Caplan M, Keenan-Devlin LS, Freedman A, et al. Life time psychosocial stress exposure associated with hypertensive disorders of pregnancy. Am J Perinatol. 2021;38:1412-1419.
• Malakouti J, Sehhati F, Mirghafourvand M, Nahangi R. Relationship between health promoting lifestyle and perceived stress in pregnant women with preeclampsia. J Caring Sci. 2015;4:155.
• Spyridou A, Schauer M, Ruf-Leuschner M. Prenatal screening for psychosocial risks in a high risk-population in Peru using the KINDEX interview. BMC Pregnancy and Childbirth. 2016;16:13.
• Hui AL, Sevenhuysen G, Harvey D, Salamon E. Stress and anxiety in women with gestational diabetes during dietary management. Diabetes Educ. 2014;40:668-677.
• Özçetin YSÜ, Erkan M. Resilience, perceived stress and psychosocial health of high-risk pregnant women. Cukurova Med J. 2019;44:1017- 1026.
• Kang YT, Yao Y, Dou J, et al. Prevalence and risk factors of maternal anxiety in late pregnancy in China. Int J Environ Res Public Health. 2016;13:468.
• Pisoni C, Garofoli F, Tzialla C, et al. Complexity of parental prenatal attachment during pregnancy at risk for preterm delivery. J Matern Fetal Neonatal Med. 2016;29:771-776.
• Byatt N, Hicks-Courant K, Davidson A, et al. Depression and anxiety among high-risk obstetric inpatients. Gen Hos Psychiatry. 2014;36:644- 649.
• Tang X, Lu Z, Hu D, Zhong X. Influencing factors for prenatal Stress, anxiety and depression in early pregnancy among women in Chongqing, China. J Affect Disord. 2019;253:292-302.
• Littleton HL, Breitkopf CR, Berenson AB. Correlates of anxiety symptoms during pregnancy and association with perinatal outcomes: a metaanalysis. Am J Obstet Gynecol. 2007;196:424-432.