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Amaç: Epidural analjezi uygulanmadan normal doğum yapanlar ve epidural analjezi uygulanarak normal doğum yapanlar arasındaki duygu durum farklılıklarını değerlendirmeyi amaçladık. Gereç ve Yöntemler: Çalışmaya Ocak 2018 ile Mart 2018 arası zaman diliminde doğum için doğum ünitesine gelen gebeler kabul edildi. Gebelere duygu durumlarını değerlendirmek için SCL-90 duygu durum testi uygulandı. Epidural analjezi uygulanmaksızın normal spontan vajinal doğum yapan gebeler ile kontrol gurubu oluşturularak karşılaştırma yapıldı. Karşılaştırmalar arasındaki değerlendirmeler Mann Whitney U testi ile yapıldı. Bulgular: Toplam 100 gebe Grup I ve Grup II olmak üzere 50’şer kişilik iki gruba ayrıldı. Grup I’deki gebeler epidural analjezi uygulanmadan normal spontan doğumu gerçekleştiren grubu oluştururken, Grup II’dekiler ise epidural analjezi ile normal spontan doğumu gerçekleşen gebelerden oluşmaktaydı. Grup I’in yaş ortalaması 27,34±5 yıl, Grup II’deki gebelerin yaş ortalaması ise 28,5±3,5 yıldı. Grup I’in Somatizasyon, Anksiyete, Kişiler Arası Duyarlılık, Öfke, Fobik, Ek ve Genel Semptom İndeksi puan ortalamaları, Grup II’ye göre istatistiksel olarak anlamlı yüksekti (Öfke p=0,001, Fobik p=0,014, Ek p=0,033, Genel Semptom İndeksi p=0,001 diğerleri için p<0,001). Grup II’de yaş ile sadece Anksiyete alt ölçeği pozitif yönde istatistiksel olarak anlamlı ilişkili saptandı (p=0,020). Sonuç: Somatizasyon, Anksiyete, Kişiler Arası Duyarlılık, Öfke, Fobik puan ortalamaları, Epidural analjezi uygulanmadan normal doğum yapan gebelerde, epidural analjezi uygulanarak normal doğum yapan gebelere göre istatistiksel olarak anlamlı yüksek bulundu.
Purpose: We aimed at evaluating the differences in the emotional state between normal births without the application of epidural analgesis and the application of epidural analgesis between normal births. Tools and Methods: The pregnancies that came to the birth unit for birth in the time period between January 2018 and March 2018 were accepted to study. The SCL-90 emotional state test was applied to evaluate emotional conditions. The comparison was made by creating a control group with normal spontaneous vaginal births without the application of epidural analgesics. The comparison was made by the Mann Whitney U test. Results: A total of 100 pregnancies were divided into two groups of 50 people, including Group I and Group II. Pregnancies in Group I formed a group that performed normal spontaneous birth without the application of epidural analgesia, while pregnancies in Group II consisted of pregnancies that performed normal spontaneous birth with epidural analgesia. The average age of group I was 27.34±5 years, while the average age of pregnancies in group II was 28.5±3,5 years. The Group I’s Sumatisation, Anxiety, Interpersonal Sensitivity, Anger, Fobic, Additional and General Symptoms Index ratings were statistically significantly higher compared to Group II (Anger p=0,001, Fobic p=0,014, Additional p=0,033, General Symptoms Index p=0,001 for others p<0,001). In Group II, the age and the low scale of anxiety were statistically significantly related in a positive direction (p=0,020). Results: Somatization, Anxiety, Interpersonal Sensitivity, Anger, Fobic scores, Epidural analgesis in normal birth pregnancies, Epidural analgesis in normal birth pregnancies, Epidural analgesis in normal birth pregnancies were statistically significantly high compared to normal birth pregnancies.
Aim: We aimed to evaluate the emotional state differences between vaginal delivery and vaginal delivery with epidural analgesia experience. Materials and Methods: Pregnant women who came to the delivery unit for delivery between the periods of January 2018 and March 2018 were accepted for the study. The SCL-90 Emotional State Test was conducted to pregnant women to assess their emotional states. The control group -vaginal delivery with epidural analgesia- was compared with spontaneous vaginal delivery without epidural analgesia. The comparisons were made using the Mann Whitney U test. Results: A total of 100 pregnant women were divided into two groups of 50 women as Group I and Group II. Group I gave birth spontaneous vaginal delivery without epidural analgesia; Group II gave birth spontaneous vaginal delivery with epidural analgesia. Group I has a mean age of 27.34±5 years and Group II has a mean age of 28.5±3.5 years. The mean scores of Somatization, Anxiety, Interpersonal Sensitivity, Anger, Phobic, Attachment and General Symptom Index of Group I were statistically higher than Group II (Anger p = 0,001, Phobic p = 0,014, Additional p = 0,033, General Symptom P = 0.001 for the others and p <0.001 for the others). In Group II, only the anxiety subscale was positively correlated with age (p = 0,020). Conclusion: Somatization, Anxiety, Interpersonal Sensitivity, Anger, Phobic score averages were found to be statistically higher in pregnant women who had vaginal delivery without epidural analgesia than pregnant women who had vaginal delivery with epidural analgesia.
Alan : Sağlık Bilimleri
Dergi Türü : Ulusal
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