Turkiye Klinikleri Journal of Pediatrics

.: ORIGINAL RESEARCH
Annelerin 1-4 Ay Arası Bebeklerini Sarsmalarına Neden Olan Etkenler: Tanımlayıcı Bir Çalışma
Factors Causing Mothers to Shake Their Babies Between 1-4 Months: A Descriptive Study
Çiğdem ERDOĞANa, Sibel Serap CEYLANa, Türkan TURANa
aPamukkale Üniversitesi Sağlık Bilimleri Fakültesi, Çocuk Sağlığı ve Hastalıkları Hemşireliği ABD, Denizli, Türkiye
Turkiye Klinikleri J Pediatr. 2022;31(2):106-12
doi: 10.5336/pediatr.2021-85891
Article Language: TR
Full Text
ÖZET
 maç: Doğumdan sonraki ilk aylar, bebeğine yeni alışmaya çalışan anneler için oldukça zor bir dönemdir. Özellikle sık ağlayan bebeğe sahip anneler için daha da zor olabilir. Bu çalışmanın amacı, 1-4 ay arası bebeklerin anneleri tarafından sarsılma ve sallanmalarına neden olabilecek etkenlerin belirlenmesidir. Gereç ve Yöntemler: Tanımlayıcı ve kesitsel tipteki araştırmamıza toplam 180 anne dâhil edildi. Araştırmanın verileri, Edinburgh Doğum Sonrası Depresyon Ölçeği, Kırılgan Bebek Algısı Ölçeği ve anne ve bebek tanımlayıcı özellikler formu kullanılarak toplandı. Bulgular: Anne ve bebeklere ait değişkenler ile bebeğin anneleri tarafından sarsılma durumları incelendiğinde hiçbir değişkenin etkili olmadığı görüldü. Ayrıca bebeklerin gün içinde sallanma sıklığı 5,3±3,2, uyuması için sallanma sıklığı 5,7±3,8, arabasında sallanma sıklığı 2,9±2,8 ve havaya atılıp tutulma oyunu oynama sıklığı 3,4±3,3 olarak belirlenmiştir. Ağlama sıklığı fazla olan bebekler, ağlamayan bebeklere göre yaklaşık 1,5 kat daha fazla sallanmaktadır. Annelerin depresyon puan ortalamaları 12,1±7 ve kırılgan bebek algısı puan ortalamaları 31,9±5,3 olarak bulundu. Korelasyon analizinde, annelerin depresyon ölçeği puanı ve kırılgan bebek algısı ölçeği puanı ile bebeklerini sallamaları arasında istatistiksel olarak anlamlı bir ilişki bulunamadı. Bebekleri ağlamaya başladığında annelerin tercih ettikleri ilk 3 uygulamanın sırasıyla kucakta sallama (%66,6), emzirme/mama verme (%63,8) ve emzik verme (%23,3) idi. Bebeklerin ağlaması sürdüğünde annelerin tercih ettikleri ilk 3 uygulamanın ise sırasıyla kucakta sallama (%61,1), emzirme/mama verme (%58,3) ve havaya atıp tutma oyunu oynama (%53,8) olduğu belirlendi. Sonuç: Özellikle koronavirüs hastalığı-2019 salgınında gündeme gelen kısıtlamalar ile birlikte çocuklara yönelik istismarın arttığının kaydedildiği bu dönemde, çalışmamızın sonucunda araştırmada yer alan annelerin bebeklerinin sarsılmış bebek sendromu açısından düşük risk taşıdığı belirlendi.

Anahtar Kelimeler: Postpartum depresyon; kırılgan bebek algısı; sarsılmış bebek sendromu; anne; bebeğin ağlaması
ABSTRACT
 Objective: The first months after birth is a very difficult period for mothers who are trying to get used to their baby. In particular, it can be even more difficult for mothers with frequent crying babies. The aim of this study is to determine the factors that may cause shaking and shaking of babies aged 1-4 months by their mothers. Material and Methods: A total of 180 mothers were included in our descriptive and cross-sectional study. Research data were compiled using the Edinburgh Postpartum Depression Scale, the Fragile Infant Scale, and the mother and infant descriptive characteristics form. Results: When the variables of mothers and babies and the state of being shaken by their mothers were examined, it was seen that none of the variables were effective. In addition, the frequency of swinging during the day was 5.3±3.2, the frequency of rocking to sleep was 5.7±3.8, the frequency of swinging in the car was 2.9±2.8, and the frequency of playing the game of being thrown into the air was 3.4±3.3. Babies with a high frequency of crying shake about 1.5 times more than babies who do not cry. The mothers' mean depression scores were found to be 12.1±7, and the fragile infant perception mean score was 31.9±5.3. In the correlation analysis, no statistically significant relationship was found between mothers' depression scale score and fragile baby perception scale score and shaking their babies. The first three practices preferred by the mothers when their babies started to cry were shaking (66.6%), breastfeeding/feeding (63.8%) and pacifier (23.3%), respectively. It was determined that the first three practices preferred by the mothers when the babies continued to cry were shaking (61.1%), breastfeeding/ feeding (58.3%), and playing the throwing game (53.8%), respectively. Conclusion: The results of our study showed that the babies of the mothers included in the study had a low risk for shaken baby syndrome, especially in this period when abuse against children increased with the restrictions that came to the fore in the coronavirus disease-2019 epidemic. Keywords: Postpartum depression; vulnerable baby percepti

Keywords: Postpartum depression; vulnerable baby perception; shaken baby syndrome; mother; baby cry
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