Araştırma Makalesi
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Doğum sonu dönemde eş desteği, postpartum depresyon ve emzirme öz yeterliliği arasındaki ilişkinin değerlendirilmesi

Yıl 2023, , 153 - 159, 31.01.2023
https://doi.org/10.16899/jcm.1206828

Öz

Giriş: Bu çalışmada doğum sonu dönemde dönemde eş desteği, postpartum depresyon ve emzirme öz-yeterliliği arasındaki ilişkinin değerlendirilmesi amaçlanmıştır.
Gereç ve Yöntem: Tanımlayıcı korelasyonel tipte planlanan bu çalışma postpartum dönemdeki 300 kadın ile gerçekleştirilmiştir. Veriler “Doğum Sonu Erken Dönemde Eş Destek Ölçeği (PSSAWEPP)”, “Edinburgh Postpartum Depresyon Ölçeği (EPDS)” ve “Postpartum Emzirme Öz-Yeterlilik Ölçeği-Kısa Formu (BSES-SF)” kullanılarak toplanmıştır.
Bulgular: Kadınların algıladıkları eş desteği düzeyi ile doğum sonrası depresyon (PPD) durumları arasında negatif bir ilişki vardır (p<.001). Kadınların doğum sonrası depresyon durumu ile emzirme öz-yeterlik düzeyleri arasında negatif korelasyon bulunmuştur (p<.05). MANOVA analizi, eş desteğinin emzirme öz yeterliliğini etkilemediğini göstermiştir (p>0.05). Eşiyle ilişkisinden duyduğu memnuniyet (p=0,000 η2=0,055) ve eşinin çalışma durumu (p=0,040 η2=0,014) kadınların PPD puanları üzerinde istatistiksel olarak anlamlı bir etkiye sahiptir; ayrıca tek çocuğu olan kadınların emzirme öz yeterliliği diğerlerine göre daha düşüktür (p=0,000 η2=0,051).
Sonuç: Çalışma bulgularımız, kadınların erken postpartum dönemde algıladıkları eş desteğinin doğum sonrası depresyon ve emzirme öz yeterliliğinin prediktörü olabileceğini ve kadınları eş desteği açısından değerlendirmeleri gerektiğinin anlaşılması açısından önemlidir. Obstetri alanında çalışan sağlık profesyonelleri, erken postpartum dönemdeki tüm kadınları rutin bakımın bir parçası olarak PPD semptomları açısından objektif tarama araçlarını kullanarak değerlendirmeli ve risk altındaki kadınlar için psikiyatri konsültasyonu ile iş birliği içinde destekleyici girişimler planlamalıdır.

Kaynakça

  • 1. Akbay AS, Tascı Duran E. How does spousal support affect women’s quality of life in the postpartum period in Turkish culture? Asian Women 2018;4(3):29–45.
  • 2. Hotun Sahin N, Dissiz M, Dinc H, Soypak F. Erken lohusalık sürecinde kadınların algıladıkları eş desteği: ölçek geliştirme çalışması. Journal of Anatolia Nursing and Health Sciences 2014;17(2):73–79.
  • 3. Kızılırmak A, Calpbinici P, Tabakan G, Bahtışen K. Correlation between postpartum depression and spousal support and factors affecting postpartum depression. Health Care Women Int 2021;42(12):1325–39.
  • 4. Uludag E, Ozturk S. The effect of partner support on self-efficiency in breastfeeding in the early postpartum period. American Journal of Family Therapy 2020;48(2):211–19.
  • 5. Edwards LM, Le HN, Garnier-Villarreal M. A systematic review and meta-analysis of risk factors for postpartum depression among Latinas. Matern Child Health J.2021;25(4):554–64.
  • 6. Nurbaeti I, Deoisres W, Hengudomsub P. Association between psychosocial factors and postpartum depression in South Jakarta, Indonesia. Sex Reprod Healthc 2019;20:72–76.
  • 7. Serhan N, Ege E, Ayranci U, Kosgeroglu N. Prevalence of postpartum depression in mothers and fathers and ıts correlates. J Clin Nurs 2013;22(1–2):279–84.
  • 8. Çankaya S. The effect of psychosocial risk factors on postpartum depression in antenatal period: a prospective study. Arch Psychiatr Nurs 2020;34(3):176–83.
  • 9. Desta M, Memiah P, Kassie B, Ketema DB, Amha H, Getaneh T, Sintayehu M. Postpartum depression and ıts association with ıntimate partner violence and ınadequate social support in Ethiopia: a systematic review and meta-analysis. J Affect Disord 2021;279:737–48.
  • 10. Yoruk, S, Acıkgoz, A, Turkmen H, Karlıdere T. The prevalence of postpartum depression and the correlation of perceived social support and quality of life with postpartum depression: a longitudinal study. P R Health Sci J 2020;39(4):327-335.
  • 11. Ozcan Keser N, Boyacıoglu NE, Dinc H. Postpartum depression prevalence and risk factors in Turkey: a systematic review and meta-analysis. Arch Psychiatr Nurs 2017;31(4):420–28.
  • 12. Chipojola R, Chiu HY, Huda MH, Lin YM, Kuo SY. Effectiveness of theory-based educational interventions on breastfeeding self-efficacy and exclusive breastfeeding: a systematic review and meta-analysis. Int J Nurs Stud 2020;109, 1-8.
  • 13. Kılcı H, Çoban A. The correlation between breastfeeding success in the early postpartum period and the perception of self-efficacy in breastfeeding and breast problems in the late postpartum. Breastfeed Med 2016;11(4), 188-195.
  • 14. Yang X, Gao LL, Ip WY, Chan WCS. Predictors of breast feeding self-efficacy in the ımmediate postpartum period: a cross-sectional study. Midwifery 2016;41:1–8.
  • 15. Zubaran C, Foresti K. The correlation between breastfeeding self-efficacy and maternal postpartum depression in Southern Brazil. Sex Reprod Healthc 2013;4(1):9–15.
  • 16. Cox JL, Holden JM, Sagovsky R. Detection of postnatal depression: development of the 10-ıtem edinburgh postnatal depression scale. Br J Psychiatry 1987;150:782–86.
  • 17. Engindeniz AN, Kuey L, Kultur S. Edinburgh Doğum Sonrası Depresyon Ölçeği Türkçe formu geçerlilik ve güvenilirlik çalışması. Bahar Sempozyumları 1996;1, 51-52.
  • 18. Dennis CL, Faux S. Development and psychometric testing of the Breastfeeding Self-Efficacy Scale. Res Nurs Health 1999;22(5), 399-409.
  • 19. Alus Tokat M, Okumus H, Dennis CL. Translation and psychometric assessment of the Breast-Feeding Self-Efficacy Scale-Short form among pregnant and postnatal women in Turkey. Midwifery 2010;26(1):101–8.
  • 20. Al Nasr, RS, Altharwi K, Derbah MS, Gharibo SO, Fallatah SA, Alotaibi SG, Almutairi KA, Asdaq SMB. Prevalence and predictors of postpartum depression in Riyadh, Saudi Arabia: a cross sectional study. PLoS One 2020;15(2):1-13.
  • 21. Almutairi AF, Salam M, Alanazi S, Alweldawi M, Alsomali N, Alotaibi N. Impact of help-seeking behavior and partner support on postpartum depression among Saudi women. Neuropsychiatr Dis Treat 2017;13:1929–36.
  • 22. Bolak Boratav H, Toker O, Kuey L. Postpartum depression and ıts psychosocial correlates: a longitudinal study among a group of women in Turkey. Women and Health 2016;56(5):502–21.
  • 23. Beck CT. Postpartum depression stopping the thief that steals motherhood. AWHONN Lifelines 1999;3(4):41–44.
  • 24. Ayhan Baser D. The evaluation of the relationship between postpartum depression and breastfeeding. Ankara Medical Journal 2018;18(3):276-285.
  • 25. Ngo LTH, Chou HF, Gau ML, Liu CY. Breastfeeding self-efficacy and related factors in postpartum Vietnamese women. Midwifery 2019;70:84–91.
  • 26. Webber E, Benedict J. Postpartum Depression: A multi-disciplinary approach to screening, management and breastfeeding support. Arch Psychiatr Nurs 2019;33(3):284–89.
  • 27. Dennis CL, Janssen PA, Singer, J. Identifying women at‐risk for postpartum depression in the immediate postpartum period. Acta Psychiatr Scand 2004;110(5), 338-346.
  • 28. Hinic K. Predictors of breastfeeding confidence in the early postpartum period. J Obstet Gynecol Neonatal Nurs 2016 Sep-Oct;45(5):649-60.
  • 29. Dennis CL. The Breastfeeding Self‐Efficacy Scale: psychometric assessment of the short form. J Obstet Gynecol Neonatal Nurs 2003;32(6):734–44.

Evaluation of the correlation between spousal support, postpartum depression, and breastfeeding self-efficacy in the postpartum period

Yıl 2023, , 153 - 159, 31.01.2023
https://doi.org/10.16899/jcm.1206828

Öz

Aim: This study aimed to determine the correlation between spousal support, postpartum depression (PPD), and breastfeeding self-efficacy (BSES) in the postpartum period.
Methods: This descriptive correlational study was performed on 300 postpartum women. Data collected with using The Perceived Spousal Support among Women in Early Postpartum Period Scale (PSSAWEPP), The Edinburgh Postpartum Depression Scale (EPDS) and Postpartum Breastfeeding Self-Efficacy Scale-Short Form (BSES-SF).
Results: There was a negative correlation between women's perceived level of spousal support and their postpartum depression (PPD) status (p<.001). A negative correlation was found between the PPD status of women and the level of breastfeeding self-efficacy (p<.05). MANOVA analysis showed that spousal support did not affect breastfeeding self-efficacy (p>0.05). And satisfaction with the relationship with their spouse (p=0.000 η2=0.055) and the employment status of the spouse (p=0.040 η2=0.014) have a statistically significant effect on the PPD scores of women; also the breastfeeding self-efficacy of women with a single child is lower than others (p=0.000 η2=0.051).
Conclusion: Our study findings are important for to realize that spousal support perceived by women in the early postpartum period may be a predictor of PPD and breastfeeding self-efficacy, and they should evaluate women in terms of spousal support. Health care professionals working in obstetrics should assess all women in early postpartum period as a part of routine care for symptoms of PPD by using objective screening tools and plan supporting initiatives in cooperation with psychiatric consultation for the women at risk.

Kaynakça

  • 1. Akbay AS, Tascı Duran E. How does spousal support affect women’s quality of life in the postpartum period in Turkish culture? Asian Women 2018;4(3):29–45.
  • 2. Hotun Sahin N, Dissiz M, Dinc H, Soypak F. Erken lohusalık sürecinde kadınların algıladıkları eş desteği: ölçek geliştirme çalışması. Journal of Anatolia Nursing and Health Sciences 2014;17(2):73–79.
  • 3. Kızılırmak A, Calpbinici P, Tabakan G, Bahtışen K. Correlation between postpartum depression and spousal support and factors affecting postpartum depression. Health Care Women Int 2021;42(12):1325–39.
  • 4. Uludag E, Ozturk S. The effect of partner support on self-efficiency in breastfeeding in the early postpartum period. American Journal of Family Therapy 2020;48(2):211–19.
  • 5. Edwards LM, Le HN, Garnier-Villarreal M. A systematic review and meta-analysis of risk factors for postpartum depression among Latinas. Matern Child Health J.2021;25(4):554–64.
  • 6. Nurbaeti I, Deoisres W, Hengudomsub P. Association between psychosocial factors and postpartum depression in South Jakarta, Indonesia. Sex Reprod Healthc 2019;20:72–76.
  • 7. Serhan N, Ege E, Ayranci U, Kosgeroglu N. Prevalence of postpartum depression in mothers and fathers and ıts correlates. J Clin Nurs 2013;22(1–2):279–84.
  • 8. Çankaya S. The effect of psychosocial risk factors on postpartum depression in antenatal period: a prospective study. Arch Psychiatr Nurs 2020;34(3):176–83.
  • 9. Desta M, Memiah P, Kassie B, Ketema DB, Amha H, Getaneh T, Sintayehu M. Postpartum depression and ıts association with ıntimate partner violence and ınadequate social support in Ethiopia: a systematic review and meta-analysis. J Affect Disord 2021;279:737–48.
  • 10. Yoruk, S, Acıkgoz, A, Turkmen H, Karlıdere T. The prevalence of postpartum depression and the correlation of perceived social support and quality of life with postpartum depression: a longitudinal study. P R Health Sci J 2020;39(4):327-335.
  • 11. Ozcan Keser N, Boyacıoglu NE, Dinc H. Postpartum depression prevalence and risk factors in Turkey: a systematic review and meta-analysis. Arch Psychiatr Nurs 2017;31(4):420–28.
  • 12. Chipojola R, Chiu HY, Huda MH, Lin YM, Kuo SY. Effectiveness of theory-based educational interventions on breastfeeding self-efficacy and exclusive breastfeeding: a systematic review and meta-analysis. Int J Nurs Stud 2020;109, 1-8.
  • 13. Kılcı H, Çoban A. The correlation between breastfeeding success in the early postpartum period and the perception of self-efficacy in breastfeeding and breast problems in the late postpartum. Breastfeed Med 2016;11(4), 188-195.
  • 14. Yang X, Gao LL, Ip WY, Chan WCS. Predictors of breast feeding self-efficacy in the ımmediate postpartum period: a cross-sectional study. Midwifery 2016;41:1–8.
  • 15. Zubaran C, Foresti K. The correlation between breastfeeding self-efficacy and maternal postpartum depression in Southern Brazil. Sex Reprod Healthc 2013;4(1):9–15.
  • 16. Cox JL, Holden JM, Sagovsky R. Detection of postnatal depression: development of the 10-ıtem edinburgh postnatal depression scale. Br J Psychiatry 1987;150:782–86.
  • 17. Engindeniz AN, Kuey L, Kultur S. Edinburgh Doğum Sonrası Depresyon Ölçeği Türkçe formu geçerlilik ve güvenilirlik çalışması. Bahar Sempozyumları 1996;1, 51-52.
  • 18. Dennis CL, Faux S. Development and psychometric testing of the Breastfeeding Self-Efficacy Scale. Res Nurs Health 1999;22(5), 399-409.
  • 19. Alus Tokat M, Okumus H, Dennis CL. Translation and psychometric assessment of the Breast-Feeding Self-Efficacy Scale-Short form among pregnant and postnatal women in Turkey. Midwifery 2010;26(1):101–8.
  • 20. Al Nasr, RS, Altharwi K, Derbah MS, Gharibo SO, Fallatah SA, Alotaibi SG, Almutairi KA, Asdaq SMB. Prevalence and predictors of postpartum depression in Riyadh, Saudi Arabia: a cross sectional study. PLoS One 2020;15(2):1-13.
  • 21. Almutairi AF, Salam M, Alanazi S, Alweldawi M, Alsomali N, Alotaibi N. Impact of help-seeking behavior and partner support on postpartum depression among Saudi women. Neuropsychiatr Dis Treat 2017;13:1929–36.
  • 22. Bolak Boratav H, Toker O, Kuey L. Postpartum depression and ıts psychosocial correlates: a longitudinal study among a group of women in Turkey. Women and Health 2016;56(5):502–21.
  • 23. Beck CT. Postpartum depression stopping the thief that steals motherhood. AWHONN Lifelines 1999;3(4):41–44.
  • 24. Ayhan Baser D. The evaluation of the relationship between postpartum depression and breastfeeding. Ankara Medical Journal 2018;18(3):276-285.
  • 25. Ngo LTH, Chou HF, Gau ML, Liu CY. Breastfeeding self-efficacy and related factors in postpartum Vietnamese women. Midwifery 2019;70:84–91.
  • 26. Webber E, Benedict J. Postpartum Depression: A multi-disciplinary approach to screening, management and breastfeeding support. Arch Psychiatr Nurs 2019;33(3):284–89.
  • 27. Dennis CL, Janssen PA, Singer, J. Identifying women at‐risk for postpartum depression in the immediate postpartum period. Acta Psychiatr Scand 2004;110(5), 338-346.
  • 28. Hinic K. Predictors of breastfeeding confidence in the early postpartum period. J Obstet Gynecol Neonatal Nurs 2016 Sep-Oct;45(5):649-60.
  • 29. Dennis CL. The Breastfeeding Self‐Efficacy Scale: psychometric assessment of the short form. J Obstet Gynecol Neonatal Nurs 2003;32(6):734–44.
Toplam 29 adet kaynakça vardır.

Ayrıntılar

Birincil Dil İngilizce
Konular Sağlık Kurumları Yönetimi
Bölüm Orjinal Araştırma
Yazarlar

Meltem Uğurlu 0000-0002-9183-219X

Nazan Karahan 0000-0002-3546-8450

Gizem Arslan 0000-0002-2962-4816

Kazım Emre Karaşahin 0000-0002-4624-4874

Yayımlanma Tarihi 31 Ocak 2023
Kabul Tarihi 26 Ocak 2023
Yayımlandığı Sayı Yıl 2023

Kaynak Göster

AMA Uğurlu M, Karahan N, Arslan G, Karaşahin KE. Evaluation of the correlation between spousal support, postpartum depression, and breastfeeding self-efficacy in the postpartum period. J Contemp Med. Ocak 2023;13(1):153-159. doi:10.16899/jcm.1206828