Turkiye Klinikleri Journal of Health Sciences

.: ORIGINAL RESEARCH
Quality of Sexual Life, Well-Being, Dyspareunia and Related Factors in Women in Postpartum Period: A Cross-Sectional Study of the North West of Türkiye
Doğum Sonrası Dönemde Kadınlarda Cinsel Yaşam Kalitesi, İyi Oluş, Disparoni ve İlişkili Faktörler: Türkiye'nin Kuzey Batısında Kesitsel Bir Çalışma
Sevde AKSUa, Celalettin ÇEVİKb
aDepartment of Nursing, Balıkesir University Faculty of Health Sciences, Balıkesir, Türkiye
bDepartment of Public Health Nursing, Balıkesir University Faculty of Health Sciences, Balıkesir, Türkiye
Turkiye Klinikleri J Health Sci. 2023;8(1):37-46
doi: 10.5336/healthsci.2022-92459
Article Language: EN
Full Text
ABSTRACT
 Objective: The study was carried out to determine the level of sexual life quality, well-being, dyspareunia and related factors in postpartum women. Material and Methods: The planned cross-sectional study was conducted in a university hospital in the Marmara Region with 432 women between October 2019 and April 2020. Data; the introductory information form was collected with the World Health Organization- 5 Well-Being Index and the Sexual Life Quality Scale- Women Questionnaire. The dependent variables of the study are postpartum dyspareunia, well-being and quality of sexual life. Results: In 36.3% of the participants have dyspareunia and 38.4% of the participants are depressed and sexual quality of life score is 44.04±5.44. In multivariate analysis, dyspareunia risk was determined to increase due to the states such as having high school education, 3-4 years of marriage period, having chronic disease in pregnancy, not finding their partner attractive, experiencing dyspareunia before and during pregnancy, having depressive symptoms (p<0.05). Depressive symptoms; being in the 18-29 age group, having education at primary level, having a multipara pregnancy, having chronic disease during pregnancy, having a cesarean delivery, having a curettage, not perceiving the spouse attractive, during pregnancy and after birth increased the state of experiencing dyspareunia (p<0.05). Conclusion: More than one-third of the participants have poor mood, have postpartum dyspareunia. In the light of these results, it is suggested that healthcare professionals should evaluate women as a whole in the postpartum period, but should provide more specific training and counselling services to risky groups.

Keywords: Sexual quality of life; dyspareunia; well-being; postpartum
ÖZET
 Amaç: Araştırma, kadınlarda doğum sonrası cinsel yaşam kalitesi, iyilik hâli, disparoni ve ilişkili faktörlerin düzeyini belirlemek amacıyla yapılmıştır. Gereç ve Yöntemler: Kesitsel tipte planlanan çalışma, Marmara Bölgesi'ndeki bir üniversite hastanesinde Ekim 2019-Nisan 2020 tarihleri arasında 432 kadın ile yapılmıştır. Veriler; tanıtıcı bilgi formu, Dünya Sağlık Örgütü-5 İyilik Hali İndeksi ve Cinsel Yaşam Kalitesi Ölçeği-Kadın Soru Formu ile toplanmıştır. Araştırmanın bağımlı değişkenleri doğum sonrası disparoni, iyilik hâli ve cinsel yaşam kalitesidir. Bulgular: Katılımcıların %36,3'ünde disparoni, %38,4'ünde depresyon görülmüş olup, cinsel yaşam kalitesi puanı 44,04±5,44'tür. Çok değişkenli analizde, lise mezunu olmak, 3-4 yıllık evlilik süresi, gebelikte kronik hastalık bulunması, eşini çekici bulmama, gebelik öncesi ve gebelikte disparoni yaşama gibi durumlara bağlı olarak disparoni riskinin arttığı belirlendi (p<0,05). Gebelik ve doğum sonrası döneminde disparoni yaşayan kadınlardan; 18-29 yaş grubunda, ilköğretim mezunu, multipar, gebeliğinde kronik bir hastalığı olan, sezaryen ile doğum yapan, küretaj öyküsü olan ve eşini çekici görmeyenlerde depresif belirti görülme riskinin arttığı tespit edilmiştir (p<0,05). Sonuç: Katılımcıların doğum sonrası 1/3'ünden fazlasında depresyon ve disparoni tespit edilmiştir. Bu sonuçlar ışığında sağlık profesyonellerinin doğum sonrası dönemde kadınları bir bütün olarak değerlendirmeleri, ancak riskli gruplara daha spesifik eğitim ve danışmanlık hizmetleri vermeleri önerilmektedir.

Anahtar Kelimeler: Cinsel yaşam kalitesi; disparoni; iyilik hâli; postpartum
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