Turkiye Klinikleri Journal of Nursing Sciences

.: ORIGINAL RESEARCH
The Relationship Between Postpartum Poor Sleep Quality, Fatigue and Postpartum Depression: A Descriptive Research Study of the North West of Türkiye
Kadınlarda Doğum Sonrası Kötü Uyku Kalitesi, Yorgunluk ve Postpartum Depresyon Arasındaki İlişki: Türkiye'nin Kuzey Batısında Tanımlayıcı Bir Çalışma
Sevde ÇUBUKÇU AKSUa , Pelin PALAS KARACAb
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 Nurs Sci. 2023;15(4):971-80
doi: 10.5336/nurses.2023-96174
Article Language: EN
Full Text
ABSTRACT
 Objective: The study was conducted to examine the relationship between poor sleep quality, fatigue and depression prevalence in women in the 2nd and 6th weeks postpartum in Türkiye. Material and Methods: The research was planned as descriptive-correlational study. The study was conducted with 379 women. The study was conducted in three phases in a city hospital located in the Marmara Region of Türkiye. The data was collected using a form including the demographic/obstetric characteristics of the women, Visual Similarity Scale for Fatigue (VAS-F), Edinburgh Postpartum Depression Scale (EPDS) and Pittsburg Sleep Quality Index. Results: Of the women, 58.2% were multiparous and 50.2% gave birth with cesarean section. Midwives and nurses were involved in 4.3% of the prenatal care and 53.9% of postpartum care. The rate of poor sleep quality was 90.6% in the 2nd week of postpartum and 87.6% in the 6th week of postpartum. The rate of postpartum depression was 29.6%. The mean scores of the primiparous and multiparous women on ''VAS-F'' in the 6th week were higher compared to the mean scores in the 2nd week. The risk of postpartum depression increased with ''VAS-F'' in the 2nd week of postpartum and the ''EPDS'' scores were found to be high in all patients with poor sleep quality. Conclusion: It is recommended that each woman be evaluated individually regarding fatigue, depression and sleep quality in the postpartum period and an intervention plan should be developed for the identified causes.

Keywords: Postpartum; sleep quality; fatigue; postpartum depression
ÖZET
 Amaç: Araştırma, Türkiye'de kadınların postpartum 2 ve 6. haftalardaki kötü uyku kalitesi, yorgunluk ve depresyon prevalansı ile aralarındaki ilişkinin incelenmesi amacıyla yapılmıştır. Gereç ve Yöntemler: Tanımlayıcı tipte yapılan çalışmaya postpartum dönemdeki 379 kadın katılmıştır. Batı Marmara bölgesindeki bir şehir hastanesinde üç aşamalı yürütülen çalışmada veriler; kadınların demografik ve obtetrik özelliklerini içeren form, Yorgunluk Görsel Benzerlik Skalası [Visual Similarity Scale for Fatigue (VAS-F)], Edinburg Postpartum Depresyon Ölçeği [Edinburgh Postpartum Depression Scale (EPDS)] ve Pittsburg Uyku Kalitesi Ölçeği [Pittsburg Sleep Quality Index (PSQI)] ile toplanmıştır. Bulgular: Kadınların %58,2''si multipar olup, %50,2'si sezaryen ile doğum yapmıştır. Ebe ve hemşireler prenatal bakımın %4,3''ünde postpartum bakımın ise %53,9'unda yer almıştır. Kadınların doğum sonrası 2. hafta kötü uyku kalitesi %90,6 ve 6. hafta %87,6 iken, postpartum depresyon oranı %29,6 bulunmuştur. Primipar ve multipar kadınların 6. haftadaki ''VASF'' puan ortalamaları, 2. haftadaki puan ortalamalarına göre daha yüksek bulunmuştur. Doğum sonrası 2. haftada postpartum depresyon riski yorgunlukla artmış olup, kötü uyku kalitesi olanların tamamında EPDS puanları yüksek bulunmuştur. Sonuç: Postpartum dönemde yorgunluk, depresyon ve uyku kalitesi ile ilgili her kadının ayrı ayrı değerlendirilmesi ve belirlenen nedenlere yönelik bir müdahale planı geliştirilmesi önerilmektedir.

Anahtar Kelimeler: Postpartum; uyku kalitesi; yorgunluk; postpartum depresyon
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