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Amaç: Bu çalışmanın amacı gebelerin anksiyete ve prenatal bağlanma düzeylerinin saptanması, ilişkili bazı faktörlerin incelenmesi ve anksiyete ile prenatal bağlanma arasındaki ilişkinin değerlendirilmesidir. Gereç ve Yöntem: Çalışma, Sakarya Eğitim ve Araştırma Hastanesi gebe polikliniğine başvuru yapan gebeler üzerinde gerçekleştirilen kesitsel tipte bir araştırmadır. Çalışma grubu 502 gebeden oluşmuştur. Anksiyete düzeyinin değerlendirilmesi için Beck Anksiyete Ölçeği, prenatal bağlanma düzeyinin değerlendirilmesi için ise Prenatal Bağlanma Envanteri kullanılmıştır. Bulgular: Çalışmaya katılan gebelerin yaş ortalaması 28.07±4.71 yıl (min:18, max:40) idi. Gebelerin Beck Anksiyete Ölçeğinden aldığı puan ortalaması 15.10±9.37 puan, Prenatal Bağlanma Envanterinden aldığı puan ortalaması 44.31±9.45 olarak bulunmuştur. Gebelerin Beck Anksiyete Ölçeğinden aldıkları puanlar ile Prenatal Bağlanma Envanterinden aldıkları puanlar arasında negatif yönde orta düzeyde bir ilişki bulunmuştur. Sonuç: Gebelikte yaşanan anksiyete bozukluğu maternal ve fetal sağlığı olumsuz etkilemekte prenatal bağlanmayı zayıflatmaktadır.
Purpose: This study was conducted in order to compare the observation results of patients who were undergoing inguinal herni surgery with a laparoscopic total extraperitoneal herniorafi or one of their methods with Lichtenstein herniorafi. In this comparative identifying study, 318 patients were taken to study operating with one of the methods of laparoscopic total extraperitoneal hernioraphy (n=159) or Lichtenstein hernioraphy (n=159). The research data used in comparisons such as post-operative complications, rest and post-effort pain levels, the duration of staying in the hospital and returning to work, the rate of sickness, the healing of the wound, the amount of sickness, the satisfaction of the surgery and the general health status were collected using the "Patient indicative characteristics information form" and the "Herniaphic Assessment Form". Results: The average tracking time for TEP and LH patients was 6.67 ± 2.95 and 4.23 ± 3.06 years respectively. Patients with TEP surgery were shorter after surgery, and the development of scars after surgery was more short. Seroma development is more observed in the TEP group than in the LH group, while paresthesia is less observed and permanent sensational loss is never observed. Patients with TEP repair found they feel healthier than those with LH repair. The result: in the TEP fist repair method, it has been found that despite the formation of more seromas and hematomas, the TEP repair has fewer paresthesia and permanent nerve damage consequences than the LH repair. When the TEP inguinal hernial repair is well learned, similar results can be obtained by the LH herniorafi method in terms of the development of the nuts.
Purpose: The aim of this study was to determine the anxiety and prenatal attachment levels of pregnant women, examine certain related factors and evaluate the relationship between anxiety and prenatal attachment. Materials and Methods: The study is a cross-sectional study conducted on pregnant women applying to the pregnancy polyclinic of Sakarya Education and Research Hospital. The study group consisted of 502 pregnant women. Beck Anxiety Scale and Prenatal Attachment Inventory were used to determine the anxiety level of the prenatal attachment level, respectively. Results: Mean age of women participating in the study was 28.07±4.71 years (min:18, max:40). The mean scores of the pregnant women in the Beck Anxiety Scale and Prenatal Attachment Inventory were determined as 15.10±9.37 and 44.31±9.45, respectively. A negative medium level relationship is found between the points obtained in the Beck Anxiety Scale and the Prenatal Attachment Inventory. Conclusion: Anxiety disorders experienced during pregnancy have a negative impact on the maternal and fetal health and weaken the prenatal attachment.
Field : Sağlık Bilimleri
Journal Type : Uluslararası
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