Sezaryen Hastalarında Uygulanan Bölgesel ve Genel Anestezinin Doğum Sonrası Depresyon İle İlişkisi

Öz

Amaç: Çalışmanın amacı sezaryen ile doğum yapan kadınlara verilen anestezi tipi ile doğum sonrası depresyon sıklığı arasındaki ilişkiyi araştırmaktır.
Gereç ve Yöntem: Çalışma prospektif olarak sezaryen hastalarında yapıldı. Çalışmaya 58 genel anestezi (GA) hastası ve 61 spinal anestezi (SA) hastası dahil edildi. Ameliyattan hemen önce hastalardan anestezi endişelerini araştıran bir form olan Durumluk-Sürekli Kaygı Envanteri-1'i (STAI-1) doldurmaları istendi. Edinburg Doğum Sonrası Depresyon Ölçeği, doğumdan altı hafta sonra dolduruldu. Veriler IBM SPSS 20 istatistiksel analiz programı ile analiz edildi.
Bulgular: GA ve SA grupları arasında yaş, eğitim, sosyoekonomik düzey ve gebelik sayısı açısından fark yoktu (p <0.05). Her iki grupta da yüksek STAI-1 ortalama değerleri vardı ancak aralarındaki fark önemsizdi (p> 0.05). Edinburg Doğum Sonrası Depresyon Ölçeği, GA grubunun% 15.5'inde ve SA grubunun% 8.1'inde depresyon düzeylerinin yüksek olduğunu göstermiştir. Bu fark istatistiksel olarak anlamlı olarak bulunmuştur (p <0.01).
Sonuç: Bu çalışma, GA uygulanan hastalarda, doğum sonu depresyon oranının SA uygulanan hastalara göre daha yüksek olduğunu göstermiştir. Bu nedenle, hastanın dikkatle incelenmesinden sonra anestezi tipinin seçilmesi çok önemlidir.

Anahtar Kelimeler

• Anestezi öncesi anksiyete
• anestezi
• sezaryen
• doğum sonrası depresyon

The Relation of Regional and General Anesthesia Applied in Cesarean Patients with Postpartum Depression

Öz

Abstract Aim: The purpose of the study is to investigate the relationship between the frequency of depression and the type of anesthesia given to the women that deliver by cesarean section. Methods: The study was carried out prospectively on cesarean patients. The study included 58 patients with general anesthesia (GA) and 61 patients with spinal anesthesia (SA). Right before the surgery the patients filled State Trait Anxiety Inventory-1(STAI-1), a form surveying the anesthesia concerns. Edinburg Postpartum Depression Scale was filled six weeks after the delivery.The data were analyzed by IBM SPSS 20 statistical analysis program. Results: The difference between the GA and SA groups were insignificant in terms of age, education, socio-economic level and number of pregnancy (p<0.05). Both groups had high STAI-1 mean values but the difference between them were insignificant (p>0.05). Edinburg Postpartum Depression Scale indicated that depression points were high in 15.5% of the GA group and 8.1% of the SA group. This was statistically significant (p< 0.01). Conclusion: This study showed that postpartum depression rate was higher in patients that had GA compared to the patients with SA. Thus, it is crucial to select the type of anesthesia after careful examination of the patient.

Anahtar Kelimeler

• Pre-anesthetic anxiety
• anesthesia
• cesarean
• postpartum depression

Kaynakça

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