Covid-19 İle Enfekte Emziren Kadınların Emzirme Tutumları Ve Deneyimleri: Karma Yöntemler Araştırması

Öz

Amaç: Bu araştırma; COVİD-19 ile enfekte emziren kadınların emzirme tutumları ve deneyimlerinin özünü ortaya koymak amacıyla yapılmıştır. Yöntem: Araştırmada yakınsayan paralel karma yöntem tasarımı kullanılmıştır. Çalışmaya karadeniz bölgesinde bir ilde bulunan bir toplum sağlığı merkezine COVİD-19 semptomları ile başvuran ve COVİD-19 testi pozitif olan emziren kadınlar katılmıştır. Araştırmanın nicel ve nitel verileri Temmuz 2021- Şubat 2022 tarihleri arasında çevrimiçi olarak toplanmıştır. Araştırmanın verileri “Sosyodemografik Bilgi Formu”, “Emzirme Tutumunu Değerlendirme Ölçeği” ve “Yarı Yapılandırılmış Görüşme Formu” kullanılarak toplanmıştır. Nicel bölüm için 82, nitel bölüm için 7 kadından veriler toplanmıştır. Araştırmaya başlamadan önce TC Sağlık Bakanlığı'ndan çalışma onayı ve Ondokuz Mayıs Üniversitesi Klinik Araştırmalar Etik Kurulu'ndan etik onay alınmıştır (25 Haziran 2021/ OMU KAEK2021/316). Bulgular: Çocuk sayısı, bebeklerin ayları, emzirmeye yönelik eğitim alma durumları ve bebeğin beslenme durumunun emzirme tutumunu etkilediği bulunmuştur. Emzirme tutumu değerlendirme ölçeği toplam puan ortalamasının 91,7710,63 olduğu belirlenmiştir. İçerik analizi sonucunda ise “Hastalık boyunca kadınların duyguları”, “Hastalık bebekleri nasıl etkiliyor”, “Kadın- bebek teması”, “COVİD-19 ve emzirme” ve “Kadınların destek alma durumları” olmak üzere beş tema belirlenmiştir. Sonuçlar ve Öneriler: Kadınların hastalık sürecinde emzirme tutumlarının orta düzeyde olduğu, bu süreçte; yoğun olarak korktukları ve almış oldukları desteğin onların hem ruhsal durumları hem de emzirme tutumları üzerinde etkisi olduğunu ortaya koymuştur. Bu süreçte kadınlara sürekli çevrimiçi veya telefonla destek verilmesi emzirmeye yönelik tutumları iyileştirebilir.

Anahtar Kelimeler

• Emzirme
• COVİD-19
• Ebe
• Karma Yöntemler Araştırması
• Kadın

BREASTFEEDING ATTITUDES AND EXPERIENCES OF BREASTFEEDING WOMEN INFECTED WITH COVID-19: A MIXED METHODS STUDY

Öz

Aim: The aim of this study was to learn more about the attitudes and experiences of breastfeeding women infected with COVID-19. Method: A convergent parallel mixed methods design was used to conduct the study. The study included breastfeeding women who presented COVID-19 symptoms and tested positive for COVID-19, and who sought care at a community health center in a province located in the Black Sea region of Turkey. Quantitative and qualitative data for the study were collected online between July 2021 and February 2022. Data for the study were collected using the 'Socio-demographic Information Form', the 'Breastfeeding Attitude Scale' and the 'Semi-structured Interview Form'. Data were collected from 82 women for the quantitative part and seven women for the qualitative part. Before the research began, study approval was obtained from the TR Ministry of Health and ethical approval was granted by the Clinical Research Ethics Committee of Ondokuz Mayıs University (25 June 2021/ OMU KAEK2021/316). Results: The number of children, age of the baby, breastfeeding initiation and nutritional status of the baby were found to influence breastfeeding attitudes. The overall mean score of the breastfeeding attitude rating scale was 91.7710.63. Five themes were identified as a result of the content analysis: "Women's feelings during the disease," "How the disease affects the babies," "Woman-baby contact," "COVID -19 and breastfeeding," and "Status of support for women".Conclusions and Suggestions: It was found that women's attitudes towards breastfeeding during the disease process are moderate, that they experience considerable anxiety during this time, and that the support they receive affects both their psychological state and their attitudes towards breastfeeding. During this process, continuous online or phone support may improve women's attitudes towards breastfeeding.

Anahtar Kelimeler

• Breastfeeding
• COVID -19
• Midwife
• Mixed Methods
• Women

Kaynakça

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