Turkiye Klinikleri Journal of Health Sciences

.: ORIGINAL RESEARCH
Doğumda Algılanan Destekleyici Bakım ve Travmatik Doğum Algısı Arasındaki İlişkinin Belirlenmesi: Kesitsel Çalışma
Determining the Correlation between Supportive Care Perceived in Labor and Traumatic Childbirth Perception: Cross-Sectional Study
Meryem MÜSLÜMANa, Serap EJDER APAYb
aKahramanmaraş Türkoğlu İlçe Sağlık Müdürlüğü Önsenhopuru Sağlık Evi, Kahramanmaraş, Türkiye
bAtatürk Üniversitesi Sağlık Bilimleri Fakültesi, Ebelik Bölümü, Erzurum, Türkiye
Turkiye Klinikleri J Health Sci. 2022;7(2):376-85
doi: 10.5336/healthsci.2021-83330
Article Language: TR
Full Text
ÖZET
 Amaç: Bu araştırma, lohusaların doğumda algıladığı destekleyici bakım ve travmatik doğum algısı arasındaki ilişkiyi ve etkileyen faktörleri belirlemek amacıyla yapılmıştır. Gereç ve Yöntemler: Araştırma; Gaziantep Cengiz Gökçek Kadın Doğum ve Çocuk Hastalıkları Hastanesi ve Şehitkâmil Devlet Hastanesi Ağustos 2019-Eylül 2020 tarihleri arasında, araştırmaya alınma kriterlerine uyan 454 lohusa ile tamamlanmıştır. Araştırma verilerinin toplanmasında Tanıtıcı Bilgi Formu, 'Doğumda Verilen Destekleyici Bakıma İlişkin Kadının Algısı Ölçeği (DVDBİKAÖ)' ve 'Travmatik Doğum Algısı Ölçeği (TDAÖ)' kullanılmıştır. Verilerin değerlendirilmesinde tanımlayıcı istatistik, Pearson korelasyon, tek yönlü varyans analizi, t-testi, Mann-Whitney U ve Kruskal-Wallis testleri kullanılmıştır. Bulgular: DVDBİKAÖ 'rahat hissetmesini sağlayan davranışlarv alt boyut 46,74±8,40, 'bilgilendirici davranışlar' alt boyut 26,58±2,70, 'rahatsız edici davranışlar' alt boyut puan ortalamalarının 37,57±3,07 ve toplam puan ortamalarının 110,90±12,22; TDAÖ puan ortalamalarının ise 61,77±22,32 olduğu saptanmıştır. Lohusaların DVDBİKAÖ 'rahatsız edici davranışlar' alt boyut ve toplam puan ortalamaları ile TDAÖ puan ortalamaları arasında pozitif yönde anlamlı bir ilişki olduğu saptanmıştır (p<0,05). Sonuç: Lohusaların rahatsız edici davranış algıları arttıkça, travmatik doğum algısının arttığı ve doğumda destekleyici bakım azaldıkça, travmatik doğum algısının arttığı saptanmıştır.

Anahtar Kelimeler: Destekleyici bakım; doğum; ebe; loğusa; travma
ABSTRACT
 Objective: This study was conducted to evaluate the correlation between supportive care and factors affecting perceived by postpartum women in labor and traumatic childbirth perception. Material and Methods: The study was completed with 454 postpartum women who met the inclusion criteria in Gaziantep Cengiz Gökçek Maternity and Children's Diseases Hospital and Şehitkâmil Public Hospital between August 2019 and September 2020. The data of the study were collected using the Introductory Information Form, 'Scale of Woman's Perception of Supportive Care Given to Woman in Labor (SWPSCGWL)' and 'Scale of Traumatic Childbirth Perception (STCP)'. Descriptive statistics, Pearson's Correlation, one-way analysis of variance, t-test, Mann-Whitney U test and Kruskal-Wallis test were used to evaluate the data. Result: It was determined that the mean score of SWPSCGWL comforting behaviors subscale was 46.74±8.40, the mean score of informative behaviors subscale was 26.58±2.70, the mean score of disturbing behaviors subscale was 37.57±3.07 and the total mean score was 110.90±12.22. The mean score of STCP was 61.77±22.32. It was determined that there was a positive significant correlation between the postpartum women's SWPSCGWL disturbing behaviors subscale and total mean scores and their STCP mean scores (p<0.05). Conclusion: It was determined that the perception of traumatic birth increased as the perception of disturbing behavior of the postpartum women increased, and the perception of traumatic birth increased as the supportive care at birth decreased.

Keywords: Supportive care; birth; midwife; postpartum; trauma
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