Doğum sırasında verilen destekleyici hemşirelik bakımının annelik hüzünleri ve doğum memnuniyeti üzerindeki etkisi

Abstract

Amaç: Bu çalışmanın amacı, doğum yapan gebe kadınlara verilen destekleyici hemşirelik bakımının annelik hüznü ve doğum memnuniyeti üzerindeki etkisini belirlemektir. Gereç ve Yöntemler: Araştırma türü deneysel olarak tasarlanmıştır. Çalışmaya müdahale grubunda 23 ve kontrol grubunda 24 olmak üzere sağlıklı fetüslere sahip toplam 47 kadın dahil edilmiştir. Kontrol grubundaki gebe kadınlar standart hastane bakımı almıştır. Müdahale grubundaki gebe kadınlar doğum sırasında Fiziksel, Duygusal, Bilgilendirici ve Savunucu unsurları içeren destekleyici hemşirelik bakımı almıştır. Veriler Doğum ve Doğumdan Memnuniyet Anketi (Türkçe versiyonu), Stein'ın Annelik Hüzün Ölçeği (Türkçe versiyonu) ve Gebe Bilgi Formu ile toplanmıştır. Bulgular: Her iki gruptaki kadınların sosyodemografik ve gebelik özellikleri benzerdi. Müdahale grubunda doğum memnuniyetinin kontrol grubuna göre daha yüksek olduğu bulunmuştur (p<0,001). Müdahale grubunda, doğumun ikinci evresinin süresi ve 4. ve 15. günlerdeki annelik hüznü skorları daha düşüktü (p<0,001). Annelik hüznü ile doğum memnuniyeti arasında anlamlı bir korelasyon belirlendi (r=0,611; p<0,001). Sonuç: Doğum sırasında gebe kadınlara verilen destekleyici bakımın doğumun ikinci evresini kısalttığı, annelerin doğum memnuniyetini artırdığı ve annelik hüznünü azalttığı bulundu. Doğum memnuniyeti arttıkça annelik hüznü düzeyinin azaldığı bulundu.

Keywords

• Annelik hüznü
• destekleyici bakım
• travay
• doğum memnuniyeti

The effect of supportive nursing care during labor on maternity blues and birth satisfaction

Abstract

Aims: The purpose of this study is to determine the effect of supportive nursing care given to pregnant women in labor on maternity blues and birth satisfaction. Methods: The type of research was randomised controlled trial. A total of 47 women with healthy fetuses, 23 in the intervention group and 24 in the control group, were included in the study. Pregnant women in the control group received standard hospital care. Pregnant women in the intervention group received supportive nursing care including physical, emotional, informational and advocating elements during labor. Data were collected with The Gratification from Labor and Delivery Questionnaire (Turkish version), Stein’s Maternity Blues Scale (Turkish version) and Pregnant Information Form. Results: Sociodemographic and pregnancy characteristics of women in both groups were similar. Birth satisfaction in the intervention group was found to be higher than in the control group (p<0.001). In the intervention group, the duration of the second stage of labor and maternity blues scores on days 4 and 15 were lower (p<0.001). A significant correlation was determined between maternity blues and birth satisfaction (r=0.611; p<0.001). Conclusion: Supportive care given to pregnant women during labor was found to shorten the second stage of labor, increase mothers’ birth satisfaction, and decrease maternity blues. It was found that as birth satisfaction increased, the level of maternity blues decreased.

Keywords

• Maternity blues
• supportive care
• labor
• birth satisfaction

Ethical Statement

Erciyes University Clinical Research Ethics Committee (Decision No: 2017-70, Date: 03.02.2017).

Thanks

We thank all of the mothers participating in the present study and the midwives and nurses who were our guides in the process. Also, we thank to Dr. George Stein for permit to use Maternity Blues Scale.

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