Erken Gebelik Kaybı Yaşayan Kadınlarda Posttravmatik Stres Bozukluğu Belirtileri ve İlişkili Faktörler

Öz

Amaç: Gebelik kaybı sonrası kadınlar korku, kaygı, stres, öfke veya suçluluk gibi duygular yaşayabilir ve bu duygularla baş edemezse posttravmatik stres bozukluğuna yol açabilir. Çalışmada erken gebelik kaybı yaşayan kadınlarda posttravmatik stres bozukluğu belirtileri ve ilişkili faktörlerin belirlenmesi amaçlanmıştır. Gereç ve Yöntem: Tanımlayıcı türdeki araştırmanın örneklemini bir devlet hastanesinin Kadın Hastalıkları ve Doğum Servisi’ne erken gebelik kaybı ile yatan (<20 hafta) 132 kadın oluşturmuştur. Veriler Kişisel Bilgi Formu, Postravmatik Stres Bozukluğu Soru Listesi-Sivil Versiyonu, Durumluk-Sürekli Kaygı Envanteri ve Stres ile Başa Çıkma Tarzları Ölçeği kullanılarak toplanmıştır. Bulgular: Kadınlarda posttravmatik stres bozukluğu (PTSB) belirtileri %62.9’dur. PTSB belirtileri arttıkça durumluk ve sürekli kaygı da artmaktadır (r=0.692-0.752; p<0.01). PTSB belirtileri azaldıkça kendine güvenli, iyimser ve sosyal destek arama yaklaşımı puanları; belirtiler arttıkça da çaresiz ve boyun eğici yaklaşım puanları artmaktadır (r=0.246-0.579; p<0.01). Sonuç: Gebelik kaybı sonrası kadınların PTSB belirtileri yüksektir. Durumluk, sürekli kaygı, çaresiz, boyun eğici ve sosyal destek arama yaklaşımı ile sağlık durumu, istenen gebelik durumu PTSB belirtileri ile ilişkilidir.

Anahtar Kelimeler

• Anksiyete
• Stres ile başa çıkma
• gebelik kaybı
• posttravmatik stress.

Posttraumatic Stress Disorder Symptoms and Related Factors in Women with Early Pregnancy Loss

Öz

Aim: Women may experience emotions such as fear, anxiety, stress, anger or guilt after pregnancy loss, and it can lead to posttraumatic stress disorder if the women cannot cope with these emotions. This study aimed to identify posttraumatic stress disorder symptoms and related factors in women with early pregnancy loss. Material and Methods: The sample of this descriptive study consisted of 132 women hospitalised with early pregnancy loss in an Obstetrics and Gynecology service of a state hospital (<20 weeks). Data were collected using the Personal Information Form, Posttraumatic Stress Disorder Checklist - Civilian Version, the State-Trait Anxiety Inventory and the the Ways of Coping with Stress Scale. Results: Posttraumatic stress disorder (PTSD) symptoms were found in 62.9% of the women. As women’s PTSD symptoms increased, their state and trait anxiety also increased (r=0.692–0.752; p<0.01). As the symptoms of PTSD decreased, the scores of self-confidence, optimism, and search for social support approaches increased, and as the symptoms increased, the scores of the desperate and submissive approaches increased (r=0.246–0.579; p<0.01). Conclusion: PTSD symptoms are high in women after pregnancy loss. SAI, TAI, desperate, submissive and social support, health status, and wanted pregnancy variables are associated with PTSD.

Anahtar Kelimeler

• Anxiety
• coping with stress
• pregnancy loss
• posttraumatic stress.

Kaynakça

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