ARTICLE
TITLE

Problems experienced by mothers in postpartum period and their associations with quality of lifeAnnelerin dogum sonunda yasadiklari sorunlar ve yasam kalitesi ile iliskisi

SUMMARY

This study was conducted to determine the relationship between problems regarding mothers’ own care in the postpartum period and baby care, and quality of life. Sample size of the study conducted in descriptive type was found to be 176. Mothers consulting Family Health Centers (FHC) in the 4-6 weeks postpartum were taken in the sample group in the province of Konya.To collect data, a 21-item questionnaire formed by the researcher and Maternal Postpartum Quality of Life Questionnaire (MAPP-QOL) were used. The mean scale of the mothers’ (MAPP-QOL) was lower among those who experienced trouble bathing, among those who experienced trouble nourishing, among those who experienced trouble dealing with emotionality, among those who experienced trouble in the care of the perineum, among those who experienced trouble in breast care, among those who experienced trouble breastfeeding, and among those who experienced trouble in the care of other children than the ones who did not experience any trouble. The difference between mothers’ having trouble or not in their own self-care in the postpartum period and MAPP-QOL mean scores was found statistically significant (p<0.05).MAPP-QOL mean scores of mothers was determined lower among those who experienced trouble in their baby’s sucking, among those who experienced trouble in their baby’s sleeping, among those who experienced trouble in their baby’s among those who experienced trouble in their baby’s umbilical cord care, among those who experienced trouble in their baby’s gas pain, among those who experienced trouble in their baby’s skin care and dressing, among those who experienced trouble in their baby’s following of the vaccination than among those who did not experience trouble. The difference between mothers’ having trouble or not in baby care in the postpartum period and MAPP-QOL mean scores was found statistically significant (p<0.05). It was seen that the quality of life score of mothers not experiencing trouble in baby care was higher.It was indicated that mothers encountered many troubles in their own care and infant care in the postpartum period, and so those troubles experienced affected adversely the  quality of life of mothers in the postpartum period. When nursing care for the prevention of these factors includes appropriate support and training, both mother and baby’s health is protected and developed and compliance with the process of mother is facilitated, and it will raise the quality of life of mother in the postpartum period. ÖzetBu çalisma dogum sonu dönemdeki annelerin kendi bakimlari ve bebek bakimina yönelik yasanan sorunlar ve yasam kalitesi ile iliskisini belirlemek amaciyla yapilmistir. Tanimlayici türde yapilan çalismanin örnek büyüklügü belirlenerek 176 olarak bulunmustur. Konya il merkezinde Aile Saglik Merkezlerine (ASM) basvuran dogum sonu 4-6 haftalarinda olan anneler örneklem grubuna alinmistir.Verilerin toplanmasinda arastirmaci tarafindan olusturulan 21 soruluk anket formu ve Dogum Sonu Yasam Kalitesi Ölçegi kullanilmistir (DSYKÖ). Annelerin DSYKÖ puan ortalamasinin, banyo yapmada sorun yasayanlarda, beslenmede sorun yasayanlarda, duygusal bas etmede sorun yasayanlarda, perine bakiminda sorun yasayanlarda, meme bakiminda sorun yasayanlarda, emzirme sorunu yasayanlarda ve diger çocuklarin bakiminda sorun yasayanlarda düsük oldugu, sorun yasamayanlarda yüksek oldugunu saptanmistir. Annelerin dogum sonu dönemde kendi öz bakimlarinda sorun yasayip yasamamasi ile DSYKÖ puan ortalamalari arasindaki fark istatistiksel olarak anlamli bulunmustur (p<0,05).Annelerin DSYKÖ puan ortalamalarinin, bebeginde emme sorunu yasayanlarda, bebeginde uyku sorunu yasayanlarda, bebegin göbek bakiminda sorun yasayanlarda, bebeginde gaz sancisi sorunu yasayanlarda, bebegin cilt bakimi ve giydirilmesinde sorun yasayanlarda, bebeginin asilarinin takibinde sorun yasayanlarda, sorun yasamayanlara göre daha düsük oldugu saptanmistir. Annelerin dogum sonu dönemde bebek bakiminda sorun yasayip yasamamasi ile DSYKÖ puan ortalamalari arasindaki fark istatistiksel olarak anlamli bulunmustur (p<0,05). Bebek bakiminda sorun yasamayan annelerin yasam kalitesi puaninin daha yüksek oldugu görülmüstür.Dogum sonu dönemdeki annelerin kendi bakimlari ve bebek bakiminda birçok sorunla karsilastiklari, yasanan bu sorunlarin annelerin dogum sonu yasam kalitesini olumsuz etkiledigi belirlenmistir. Bu faktörlerin önlenmesine yönelik hemsirelik yaklasiminin; uygun destek ve egitimi içermesi, hem anne, bebek sagligi korunup gelistirilmesi hem de annenin dogum sonu sürece uyumunu kolaylastiracak ve dogum sonu yasam kalitesini yükseltecektir.

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