Determinatıon of baby-related concern of loss and subcutaneous practice skills in pregnants

Yıl 2025, Cilt: 18 Sayı: 2, 244 - 253, 15.08.2025

Aslı Eker , Ebru Yıldız Karadeniz , Gülfidan Karadeniz

https://doi.org/10.26559/mersinsbd.1677984

Öz

Aim: The study was planned to determine pregnant women’s concerns abouttheir baby’s health and their subcutaneous injection skills. Method: The measurement tools were applied by the researchers through face-to-face interviews during the pregnant women’s visit to the clinic. Results: Regarding subcutaneous injection, more than half of the pregnant women expressed concerns that their baby might experience organ problems or developmental issues related to intelligence , and almost all of them reported fear of loosing their baby. When the pregnant women's ability to perform subcutaneous injection correctly was examined, it was determined that the most common mistakes were made at the stage of injecting into the tissue. Conclusion: It is suggested that providing training through videos and demonstrations may help ensure proper application and reduce application-related concerns.

Anahtar Kelimeler

Pregnancy , high risk pregnancy , subcutaneous practice

Gebelerde bebeğe ilişkin kayıp korkusu ve SC uygulama becerilerinin belirlenmesi

Öz

Amaç: Bu çalışma, subkütan enjeksiyon uygulayan hamile kadınların bebek sağlık konusundaki endişelerini ve enjeksiyon uygulama becerilerini belirlemek amacıyla planlandı. Yöntem: Ölçme araçları, hamile kadınların kliniğe başvurusu sırasında yüz yüze görüşme yöntemiyle araştırmacılar tarafından uygulandı. Bulgular: Gebelerin yarısından fazlası subkütan enjeksiyon nedeniyle bebeklerinin organlarında ve zekâsında problem olacağı endişesi taşırken, neredeyse tamamı da bebeklerini kaybetme korkusu yaşamaktaydı. Gebelerin subkütan enjeksiyonu doğru bir şekilde yapabilme yetenekleri incelendiğinde ise en sık yapılan hataların dokuya enjeksiyon aşamasında meydana geldiği belirlendi. Sonuç: Video ve gösterim yoluyla eğitim verilmesinin doğru uygulamayı sağladığı ve uygulamaya dair endişeleri azalttığı düşünülmektedir.

Anahtar Kelimeler

Gebelik , yüksek riskli gebelik , subkütan uygulama

Kaynakça

• Küçüker A. Anticoagulation during pregnancy. Jinekoloji-Obstetrik ve Neonatoloji Tıp Dergisi 2013;10(37): 1546-1550. https://dergipark.org.tr/en/download/article-file/934326
• Tepebaş MU. Examining distress and anxiety levels as predictors of mental health of women during pregnancy. Institute of Social Sciences Master's Thesis, Istanbul Sabahattin Zaim University 2019.
• Serin Ü, Ateş NA, Kocatürk AA. Midwifery approach to thromboembolism and anticoagulant use during pregnancy. CBU-SBED 2020;7(1):81-83. https://doi.org/10.34087/cbusbed.575944 https://dergipark.org.tr/en/download/article-file/1016728
• Harrison V, Moore D, Lazard L. Supporting perinatal concern in the digital age; a qualitative exploration of stressors and support strategies. BMC Pregnancy Childbirth 2020;20:363. https://doi.org/10.1186/s12884-020-02990-0 https://link.springer.com/article/10.1186/s12884-020-02990-0
• Juarez Padilla J, Lara-Cinisomo S, Navarrete L, Lara M. Perinatal concern symptoms: rates and risk factors in mexican women. International journal of environmental research and public health 2021;18(1):82. https://doi.org/10.3390/ijerph18010082 https://www.mdpi.com/1660-4601/18/1/82
• Dağlar G, Nur N, Bilgiç D, Kadıoğlu M. Affective disorder during pregnancy. KASHED 2015;2(1):27-40. https://dergipark.org.tr/en/download/article-file/207497
• Şen E, Şirin A. Factors affecting the anxiety, depression and perceived social support levels of pregnant women diagnosed with preterm. Gaziantep Med J 2013;19(3):159-163. https://doi.org/10.5455/GMJ-30-2013-149 https://dergipark.org.tr/en/download/article-file/73812
• Çiftçi B, Avşar G. Site selection in subcutaneous heparin applications. ACU Journal of Health Sciences 2017;(4):192-197. http://journal.acibadem.edu.tr/en/download/article-file/1701613
• Sümbüloğlu K, Sümbüloğlu V. Sampling methods and sample size in clinical and field research. Hatipoğlu Publisher, Ankara, 2005.
• Büyükyılmaz F, Çulha Y, Karaman A. Safe practice recommendations for preventing complications in subcutaneous drug injections. GOP Taksim EAH JAREN 2018; 4(2):108-11. https://doi.org/10.5222/jaren.2018.108 https://jag.journalagent.com/jaren/pdfs/JAREN_4_2_108_111.pdf
• Turan N, Aydın GÖ, Kaya N. Current approaches in subcutaneous injection application. HSP 2019; 6(2): 406-411. https://doi.org/10.17681/hsp.449018 https://dergipark.org.tr/en/download/article-file/837511
• Baltacı N, Başer M. Anxiety experienced in risky pregnancies, prenatal attachment and the role of the nurse. DEUHFED 2020; 13 (3): 206-212. https://doi.org/10.46483/deuhfed.565338 https://dergipark.org.tr/en/download/article-file/1203430
• Baltacı N, Koç E, Odabaşoğlu E. The relationship between pregnant women's fears about COVID-19 and their prenatal attachment. STED 2023; 32(3): 220-229. https://doi.org/10.17942/sted.1179628 https://dergipark.org.tr/en/download/article-file/2668945
• Aksu G. Examining the effect of video-assisted training given to patients with type 2 diabetes mellitus on subcutaneous insulin administration skills and blood glucose levels. Graduate Education Institute Master's Thesis, Istanbul Sabahattin Zaim University, 2021.
• Yıldız E, Cecen S, Lafcı D, Eker A. The effect of repeated video‐training session on metered doseinhaler skills among individuals with COPD: Prospective randomised controlled study. JCN 2022; 31(9-10):1339-1347. https://doi.org/10.1111/jocn.15990 https://onlinelibrary.wiley.com/doi/epdf/10.1111/jocn.15990
• Aslan Ü, Korkmaz M. Insulin administration knowledge-skill levels of individuals with diabetes: rights and wrongs. DEUHFED 2015;8(1):18-26. https://dergipark.org.tr/tr/download/article-file/753261
• Goodman JH, Chenausky KL, Freeman MP. Concern disorders during pregnancy: a systematic review. J Clin Psychiatry 2014; 75(10):1177. https://doi.org/10.4088/JCP.14r09035 https://pubmed.ncbi.nlm.nih.gov/25373126/
• Ferreira CR, Orsini MC, Vieira CR, do Amarante Paffaro AM, Silva RR. Prevalence of concern symptoms and depression in the third gestational trimester. Arch Gynecol Obstet 2015;291: 999-1003. https://doi.org/10.1007/s00404-014-3508-x https://link.springer.com/article/10.1007/s00404-014-3508-x
• Heaman M. Psychosocial impact of high- risk pregnancy: hospital and home care. Clin Obstet Gynecol 1998;41:626-39. https://journals.lww.com/clinicalobgyn/Fulltext/1998/09000/Psychosocial_Impact_of_High_Risk__Pregnancy_.17.aspx
• Mehran P, Simbar M, Shams J, Ramezani-Tehrani F, Nasiri N. History of perinatal loss and maternal-fetal attachment behaviors. Women and Birth 2013; 26: 185-189. https://doi.org/10.1016/j.wombi.2013.04.005 https://www.sciencedirect.com/science/article/pii/S1871519213000632
• Bakır N, Ölçer Z, Oskay Ü. Prenatal attachment level of high-risk pregnant women and affecting factors. International Refereed Journal of Gynaecological Diseases and Maternal Child Health 2014;1(1):25-37. https://doi.org/10.17367/JACSD.2014019296 https://www.guvenplus.com.tr/imagesbuyuk/JINEKOLOJI-01.pdf#page=34
• Hess C, Teti D, Hussey-Gardner B. Self-Efficacy and parenting of high-risk infants: the moderating role of parent knowledge of infant development. J Appl Dev Psychol 2004;25:423-37. https://doi.org/10.1016/j.appdev.2004.06.002 https://www.sciencedirect.com/science/article/pii/S0193397304000516?via%3Dihub
• Karataş Baran G, Şahin S, Öztaş D, Demir P, Desticioğlu R. Evaluation of pregnant women's perceived stress levels and causes of stress. Cukurova Medical Journal 2020;45(1):170-180. https://doi.org/10.17826/cumj.633534 https://dergipark.org.tr/en/download/article-file/943764
• Dönmez S, Dağ H, Kazandı M. Determining anxiety and depression risk levels in pregnant women before amniocentesis. ACU Journal of Health Sciences 2012;3: 255-61. http://journal.acibadem.edu.tr/en/download/article-file/1701388
• Bahadır Yılmaz E, Şahin E. Factors associated with prenatal distress levels of pregnant women. J Psychiatric Nurs 2019; 10(3):197-203. https://doi.org/10.14744/phd.2019.17363 https://jag.journalagent.com/phd/pdfs/PHD_10_3_197_203.pdf
• Üzar-Özçetin YS, Erkan M. Psychological resilience, perceived stress and psychosocial health in high-risk pregnant women. Cukurova Med J 2019;44(3): 1017-1026. https://doi.org/10.17826/cumj.502989 https://dergipark.org.tr/en/download/article-file/809241