Öz

This study was performed to evaluate psychosocial health status and health practices of pregnant women in Turkey. This comparative descriptive study was conducted at a pregnancy polyclinic of Zonguldak Maternity and Children's Hospital in T between 12.04.2012 – 03.04.2013. A total of 1086 pregnant women participated in the study. Data were collected by using Pregnant Information Form, Pregnancy Psychosocial Health Assessment Scale and Health Practices Questionnaire in Pregnancy-II. Numerical and percentage values, student t test, Mann Whitney-U test, One-Way Analysis of Variance (ANOVA), Kruskal-Wallis variance analysis  and correlation analysis were used for data analysis. In this study, there is a positive correlation between psychosocial health status and health practices of pregnant women (p < .050). However, psychosocial health status and health practices of pregnant women show significant differences based on some characteristics of pregnant women such as age, marital status, family type, education level, employment status, presence of social insurance, economic income, number of children, number of abortion and curettage, chronic disease status, BMI before pregnancy, number of pregnancy, pregnancy planning status, complication associated with pregnancy and social support (p < .050). Besides physical assessments, evaluation of psychosocial health status and health practices of pregnant women, early diagnosis of risky conditions and provision of protective and therapeutic services are recommended during pregnancy follow-ups.

GEBELERİN PSİKOSOSYAL SAĞLIK DURUMLARI VE SAĞLIK UYGULAMALARININ DEĞERLENDİRİLMESİ

Öz

Bu çalışma, gebe kadınların psikososyal sağlık durumlarını ve sağlık uygulamalarını değerlendirmek amacıyla yapıldı. Tanımlayıcı-karşılaştırmalı tipteki araştırma, Zonguldak Kadın Doğum ve Çocuk Hastalıkları Hastanesi’nin Gebe Polikliniği’nde 04.12.2012 – 04.03.2013 tarihleri arasında yürütüldü. Çalışmaya toplam 1086 gebe katıldı. Veriler Gebe Bilgi Formu, Gebelikte Psikososyal Sağlığı Değerlendirme Ölçeği ve Gebelikte Sağlık Uygulamaları Ölçeği kullanılarak toplandı. Verilerin değerlendirilmesinde sayı ve yüzde değerleri, student t testi, Mann-Whitney U testi, Tek Yönlü Varyans Analizi (ANOVA), Kruskal-Wallis varyans analizi ve korelasyon analizi kullanıldı. Bu çalışmada, gebelerin psikososyal sağlık durumları ile sağlık uygulamaları arasında pozitif yönde bir ilişki bulunmaktadır (p < .050). Bununla birlikte, gebelerin psikososyal sağlık durumları ve sağlık uygulamaları gebelerin bazı özelliklerine (yaş, medeni durum, aile tipi, eğitim düzeyi, çalışma durumu, eşin eğitim düzeyi, eşin çalışma durumu, sosyal güvence varlığı, ekonomik gelir, çocuk sayısı, düşük ve küretaj sayısı, kronik hastalık durumu, gebelik öncesi BKI, gebelik sayısı, gebelik sürecini planlama durumu, gebelik ile ilgili komplikasyon durumu ve sosyal destek durumu) göre anlamlı farklılıklar göstermektedir (p < .050). Gebe izlemlerinde fiziksel değerlendirmelerin yanı sıra gebelerin psikososyal sağlık durumları ve sağlık uygulamalarının değerlendirilmesi, riskli durumların erken dönemde tanılanarak koruyucu ve tedavi edici hizmetlerin sağlanması önerilmektedir.

Anahtar Kelimeler

• Gebe,Psikososyal Sağlık

Kaynakça

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