GİRİŞ ve AMAÇ: Çalışmanın amacı Manisa’nın bir ilçesinde doğum sonrası depresyon (DSD) belirti sıklığını ve DSD belirtisi ile ilişkili etmenleri belirlemektir. YÖNTEM ve GEREÇLER: Kesitsel tipteki araştırmanın evrenini Manisa İli Alaşehir İlçesi’nde 2016 yılında canlı doğum yapan kadınlar (n=1464) oluşturmaktadır. Örnek büyüklüğü 345 olarak hesaplanmıştır. Araştırmanın bağımlı değişkeni DSD belirtisi varlığıdır ve Edinburg Postpartum Depresyon Ölçeği (EPDÖ) ile belirlenmiştir. Bağımsız değişkenler sosyoekonomik, psiko-sosyal ve doğurganlığa ilişkin etmenleri içermektedir. Veri yüz-yüze görüşme yöntemi ile toplanmış Ki-kare, t testi ve Lojistik regresyon analizi ile çözümlenmiştir. BULGULAR: Katılımcıların %24,7’sinde depresif belirti saptanmıştır. PPD belirtisi görülme riski ilkokul mezunu ve altı öğrenimi olanlarda 4,4 kat, geniş ailede yaşayanlarda 2,8 kat, depresyon öyküsü olanlarda 3,1 kat, premenstüel sendrom öyküsü olanlarda 4,8 kat, eşinin desteği az olanlarda 2,8 kat ve hayatında ciddi stres olan kadınlarda 9,4 kat anlamlı olarak fazladır. TARTIŞMA ve SONUÇ: Her dört kadından birinde DSD belirtisi saptanmıştır. Öğrenim düzeyinin düşüklüğü, geniş ailede yaşama, depresyon ve premenstrüel sendrom öyküsü olması, eş desteğinin olmaması, ciddi stres varlığı DSD belirti riskini arttırmaktadır. DSD değerlendirmesi birinci basamakta doğum sonu bakım yönetim rehberinde yer almakta olup, doğum sonrası izlemlerinde EDPÖ’nün rutin uygulanması önemlidir.
The aim of the study is to determine the frequency of the symptoms of postpartum depression (DSD) in a district of Manisa and the factors associated with the symptoms of DSD. Method and Requirements: The universe of the study of the cut-thype is formed by women who lived in 2016 (n=1464) in Manisa's Algeria District. The size of the sample is estimated to be 345 . The study’s dependent variable is the presence of the symptoms of DSD and was determined by the Edinburgh Postpartum Depression Scale (EPDÖ). Independent variables include socio-economic, psychosocial and fertility-related factors. The data is collected through the Ki-quare, t test and logistical regression analysis. 24.7 percent of participants were diagnosed with depressive symptoms. The risk of PPD symptoms is 4.4 times higher in primary school graduates and six-school students, 2.8 times in large families, 3.1 times in depressed people, 4.8 times in premenstrual syndrome, 2.8 times in those who have less support from their spouses and 9.4 times significantly higher in women with serious stress in their lives. One in four women has a symptom of DSD. The low level of learning, having a history of living in a wide family, depression and premenstrual syndrome, lack of co-support, the presence of severe stress increases the risk of DSD symptoms. The DSD assessment is included in the birth end care management guide in the first stage, and it is important for the routine implementation of the EDPO in postpartum surveys.
INTRODUCTION: The purpose of this study was to determine the prevalence of postpartum depression (PPD) symptoms in a district of Manisa and identifying the related with the PPD symptom. METHODS: The universe of this cross-sectional study was taken as the live-born women in Alaşehir District in Manisa in 2016. The smallest sample size was calculated as 345. Dependent variable was symptom postpartum depression. It was eveluated with Edinburgh Postpartum Depression Scale (EPDS). The independent variables include socioeconomic, fertility and psycho-social factors. Data were collected by face to face interviews and analyzed with chi-square, t test, Logistic regression analysis. RESULTS: Depressive symptom prevalence was 24.7%. The risk of having PPD symptoms was 2.8 times more in the large family, 4.4 times more in women who are illiterate or primary school graduates, 3.1 times more in women with a history of depression, 4.8 times more in women with a history of premenstrual syndrome, 2.8 times more women with fewer husband support, 9.4 times more in women with severe stress in their lives. DISCUSSION AND CONCLUSION: One in four women was determined PPD symptom. The low level of education, living in large family, depression story, premenstrual syndrome story, less spouse support and serious stress in life increase the risk of PPD symptoms. It is important that routine postpartum implementation of EPDS is followed.
Alan : Sağlık Bilimleri
Dergi Türü : Ulusal
Benzer Makaleler | Yazar | # |
---|
Makale | Yazar | # |
---|