Gebeliğin Planlı Olma Durumu Ve Gebelik Sayısının Gebelerdeki Sosyal Görünüş Kaygı Düzeyine Etkisi

Yıl 2021, Cilt: 3 Sayı: 2, 106 - 111, 06.05.2021

Sümeyye Altıparmak Ayşe Nur Yılmaz

https://doi.org/10.37990/medr.866115

Cited By: 2

Öz

Amaç: Bu araştırmada, gebelik sayısı ve gebeliğin planlı olma durumunun gebelerdeki sosyal görünüş kaygı düzeyine etkisini incelemek amaçlanmıştır.
Yöntem: Kesitsel nitelikte yapılan araştırmanın örneklemini Türkiye’nin doğusundaki bir kamu hastanesine rutin muayene için müracaat eden 426 gebe oluşturmuştur. Veriler, “Kişisel Tanıtım Formu” ve “Sosyal Görünüş Kaygısı Ölçeği (SGKÖ)” ile toplanmıştır. İstatistiksel değerlendirmede; tanımlayıcı istatistiklerin (sayı, yüzde, ortalama, standart sapma, min-max) yanı sıra, Cronbach’s alfa, pearson korelasyon, ki-kare ve bağımsız gruplarda t testi kullanılmıştır.
Bulgular: Bu araştırmada gebelikteki sosyal görünüş kaygısının gebelik sayısından etkilenmediği ancak plansız gebelik yaşayan kadınların planlı gebelik yaşayan kadınlara oranla daha yüksek sosyal görünüş kaygı düzeyine sahip olduğu belirlendi (p<0.05). Ayrıca ilkokul mezunu gebelerin lise ve üniversite mezunu gebelerden anlamlı düzeyde daha yüksek sosyal görünüş kaygı düzeyine sahip olduğu saptandı (p<0.05). Gebelerin yaşları ve gebelik haftası arttıkça sosyal görünüş kaygı düzeylerinin de anlamlı düzeyde azaldığı görüldü. Geliri giderden az olan gebelerin geliri giderinden fazla olan gebelere oranla ve geleneksel aile yapısına sahip olan gebelerin çekirdek aile yapısına sahip olanlara oranla daha yüksek sosyal görünüş kaygı düzeyine sahip olduğu belirlendi (p< 0.05).
Sonuç: Bu araştırmada gebelerdeki sosyal görünüş kaygısının gebelik sayısından etkilenmediği ancak plansız gebeliklerde daha fazla sosyal görünüş kaygısı yaşandığı ve gebelikte sosyal görünüş kaygısının yaş, eğitim durumu, ekonomik durum, aile yapısı ve gebelik haftasından etkilendiği belirlendi.

Anahtar Kelimeler

Gebe, Gebeliğin Planlı Olması, Gebelik Sayısı, Sosyal Görünüş Kaygısı

The Effect of Being Planned Pregnancy and Number of Pregnancies on Social Appearance Anxiety Level of Pregnant Women

Öz

Aim: In this study, it was aimed to examine the effect of being planned pregnancy and number of pregnancies on the social appearance anxiety level of pregnant women.
Material and Method: Cross-sectional nature of the sample of the research conducted in a public hospital in eastern Turkey has created 426 pregnant women who were admitted for routine examination. The data were collected using “Personal Information Form” and “Social Appearance Anxiety Scale (SAAS)”. In statistical evaluation; In addition to descriptive statistics (number, percentage, mean, standard deviation, min-max), Cronbach’s alpha, pearson correlation, chi-square and independent groups t test were used.
Results: In this study, it was determined that social appearance anxiety during pregnancy was not affected by the number of pregnancies, but women who had an unplanned pregnancy had a higher level of social appearance anxiety compared to women who had a planned pregnancy (p=0.008). In addition, it was found that primary school graduates had a significantly higher level of social appearance anxiety than high school and university graduates (p=0.009). It was observed that as the age and gestational week of the pregnant increased, their social appearance anxiety levels decreased significantly (p=0.002; p=0.039, respectively). It was determined that pregnant women whose income was less than their expenses had a higher level of social appearance anxiety compared to pregnant women with a traditional family structure compared to those with a nuclear family structure (p= 0.036; p=0.008, respectively).
Conclusion: In this study, social appearance anxiety in pregnant women was not affected by the number of pregnancies. However, social appearance anxiety was experienced more in unplanned pregnancies and social appearance anxiety during pregnancy was affected by age, educational status, economic status, family structure and gestational week.

Anahtar Kelimeler

Pregnant, Planned Pregnancy, Number of Pregnancies, Social Appearance Anxiety

Kaynakça

• Referance 1. Kılıç M, Karakuş Ö. The study of the relationships between social appearance anxiety, self-esteem and loneliness level among university students. Journal of Human Sciences. 2016;13(3):3837-3852.
• Referance 2. Hart TA, Flora DB, Palyo SA, et. al. Development and Examination of the Social Appearance Anxiety Scale. Assessment. 2008;15:48-59.
• Referance 3. Doğan T. Adaptatıon of The Socıal Appearance Anxıety Scale (SAAS) to Turkısh: A valıdıty and reliability study. H. U. Journal of Education. 2010;39:151-159.
• Referance 4. Yücesoy Ö. The precurser relations among the values which the university students have their social appearance anxiety and their irrational belief. Master's thesis, Istanbul Sabahattin Zaim University, Istanbul, 2019.
• Referance 5. İsmail M. Sexual self-schema and social appearance anxiety as predictors of happiness. Master's thesis, Istanbul Ticaret University, Istanbul, 2018.
• Referance 6. Alemdağ S, Öncü E. The investigation of participation physical activity and social appearance anxiety at the preservice teachers. International Journal of Sport Culture and Science. 2015; 3(Special Issue 3):287-300.
• Referance 7. Makas S, Çelik E. Investıgatıon of relatıonshıps between early maladaptıve Schemas and socıal appearance anxıety. Electronic Journal of Social Sciences. 2018;17(67):926-937.
• Referance 8. Özorhan EY, Pasinlioğlu T. Determination of body image perception of pregnant women during pregnancy. Maltepe Medical Journal. 2012;4(4):16.
• Referance 9. Gür EY, Pasinlioğlu T. Determınıng status of perception of the pregnant women regarding body image during pregnancy. Midwifery and Health Sci. 2020;3(2):71-81.
• Referance 10. Aksoy Derya Y, Gök Uğur H, Özşahin Z. Effects of demographic and obstetric variables with body image on sexual dysfunction in pregnancy: A cross‐sectional and comparative study. International Journal of Nursing Practice. 2020; e12829.
• Referance 11. Demir E. Determination of the effect of sociodemographic characteristics of pregnant women on ordinary complaints and quality of life in pregnancy. Master's Thesis, Erzincan Binali Yıldırım University, Erzincan, 2019.
• Referance 12. İnanir S, Cakmak B, Nacar MC, et. al. Body Image perception and self-esteem during pregnancy. Internatıonal Journal of Women’s Health and Reproductıon Scıences. 2015;3(4):196-200.
• Referance 13. Babacan Gümüş A, Çevik N, Hataf Hyusni S, et.al. Characterıstıcs assocıated wıth self-esteem and body ımage ın pregnancy. Anatolian Journal of Clinical Investigation. 2011; 5(1).
• Referance 14. Çırak R, Özdemir F. Determınatıon of body image perception in pregnancy of adolesan. Anatolian Journal of Nursing and Health Sciences. 2015; 18(3):214-221.
• Referance 15. Kök G, Güvenç G, Bilsel H, et. al. Does Body Image Perceptions of Women Differ During Pregnancy? Journal of nursıng educatıon and research. 2018;15:209-214.
• Referance 16. Sağıroğlu A. The relationship between body image, pregnancy, and birth fear and self-esteem during pregnancy. Master's Thesis, Üsküdar University, Istanbul, 2019.
• Referance 17. Özkan TK, Küçükkelepçe DŞ, Özkan SA. The relationship between prenatal attachment and body ımage during pregnancy and affecting factors. Celal Bayar University Journal of Health Sciences Institute. 2020;7(1); 49-54.
• Referance 18. Kumcağız H. Pregnant women, body image and self-esteem according to the examination of some of the variables. Journal of Human Sciences. 2012;9(2):691-703.
• Referance 19. Gurung RA, Dunkel-Schetter C, Collins N, et. al. Psychosocial predictors of prenatal anxiety. Journal of Social and Clinical Psychology. 2005;24(4):497-519.
• Referance 20. Glazier RH, Elgar FJ, Goel V, et. al. Stress, social support, and emotional distress in a community sample of pregnant women. Journal of Psychosomatic Obstetrics & Gynecology. 2004; 25(3-4):247-255.
• Referance 21. Gözüyılmaz AY, Baran GTD. A research on body-ımage and self-esteem ın marrıed adolescents accordıng to pregnancy. Ph.D. dissertation, Ankara University, Ankara, 2011.
• Referance 22. Arch JJ. Pregnancy-specific anxiety: which women are highest and what are the alcohol-related risks? Compr Psychiatry. 2013;54:217–228.
• Referance 23. Eryılmaz S. Determining the relationship between body image and depressive behaviors during pregnancy. Master's thesis, Eskşehir Osman Gazi Unıversıty. Eskişehir, 2017.
• Referance 24. Mudra S, Göbel A, Barkmann C, et. al. The longitudinal course of pregnancy-related anxiety in parous and nulliparous women and its association with symptoms of social and generalized anxiety. Journal of affective disorders. 2020;260:111-118.
• Referance 25. Insan N, Slack E, Heslehurst N, et. al. Antenatal depression and anxiety and early pregnancy BMI among White British and South Asian women: retrospective analysis of data from the Born in Bradford cohort. BMC Pregnancy and Childbirth. 2020;20:502.
• Referance 26. Madhavanprabhakaran GK, D’Souza MS, Nairy KS. Prevalence of pregnancy anxiety and associated factors. International Journal of Africa Nursing Sciences. 2015;3:1-7.
• Referance 27. Roomruangwong C, Kanchanatawan B, Sirivichayakul S, et. al. High incidence of body image dissatisfaction in pregnancy and the postnatal period: Associations with depression, anxiety, body mass index and weight gain during pregnancy. Sexual & Reproductive Healthcare. 2017;13:103-109.
• Referance 28. Johnson M P, Baker SR. Implications of coping repertoire as predictors of men's stress, anxiety and depression following pregnancy, childbirth and miscarriage: a longitudinal study. Journal of Psychosomatic Obstetrics & Gynecology. 2004; 25(2):87-98.
• Referance 29. Skouteris H, Carr R, Wertheim EH, et. al. A prospective study of factors that lead to body dissatisfaction during pregnancy. Body image. 2005;2(4):347-361.
• Referance 30. DiPietro JA, Millet S, Costigan KA, et. al. Psychosocial influences on weight gain attitudes and behaviors during pregnancy. Journal of the American Dietetic Association. 2003;103(10):1314-1319.
• Referance 31. Huang HC, Wang SY, Chen CH. Body image, maternal‐fetal attachment, and choice of infant feeding method: a study in Taiwan. Birth. 2004;31(3):183-188.
• Referance 32. Nash M. Weighty matters: Negotiating ‘fatness’ and ‘in-betweenness’ in early pregnancy. Feminism & psychology. 2012;22(3):307-323.
• Referance 33. Duncombe D, Wertheim EH, Skouteris H, et. al. How well do women adapt to changes in their body size and shape across the course of pregnancy? Journal of health psychology. 2008;13(4):503-515.
• Referance 34. Kartal B, Kızılırmak A, Zedelenmez A, et. al. Investigation of body perception in pregnant women according to physical changes in pregnancy. Çağdaş Tıp Dergisi. 2018;8(4):356-360.
• Referance 35. Coşkun AM, Arslan S, Okcu G. An analysis of pregnancy perception of pregnant women in terms of stress, demographic and obstetric characteristics. HEAD. 2020;17(1):1-8.
• Referance 36. Ucar H. The relationship between the psychosocial health status of pregnant women and the role of motherhood. Master’s thesis, Ataturk University, Erzurum, 2014.
• Referance 37. Kumcağız H, Ersanlı E, Murat, N. Gebelerin Kendilerini Algılama Ölçeği’nin geliştirilmesi ve psikometrik özellikleri. Psikiyatri Hemşireliği Dergisi. 2017;8(1):23-31.
• Referance 38. Özkan A, Arslan H. Decision on pregnancy, perception of physiological complaints and education needs. Zeynep Kamil Medical Bulletin. 2007;38(4):155-61.
• Referance 39. Chang SR, Chao Y, Kenney NJ. I am a womanand I‟m pregnant: Body image of women in Taiwan during the third trimester of pregnancy. BIRTH. 2006;33(2):147-53.
• Referance 40. Küçükkaya B, Altan Sarıkaya N, Kahyaglu Süt H, Öz S. The relation between body perception related to the weight gain during pregnancy and acceptance of pregnancy. Jaren. 2020;6(3):426-432.