Premenstruel sendrom ile postpartum depresyon gelişme riski arasındaki ilişkinin incelenmesi
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Dosyalar
Tarih
2019
Yazarlar
Dergi Başlığı
Dergi ISSN
Cilt Başlığı
Yayıncı
Düzce Üniversitesi
Erişim Hakkı
info:eu-repo/semantics/openAccess
Özet
Amaç: Bu çalışma 2 hafta -12 ay arası bebeği olan annelerde gebelikten önce premenstruel sendrom (PMS) varlığı ile postartum depresyon (PPD) gelişme riski arasındaki ilişkiyi incelemek amacıyla yapılmıştır. Gereç ve Yöntem: Bu araştırma kesitsel ve tanımlayıcı tiptedir. Düzce Üniversitesi Sağlık Uygulama ve Araştırma Hastanesi Çocuk Sağlığı ve Hastalıkları polikliniğine 01.03.2019-31.05.2019 tarihleri arasında başvuran, 2 hafta - 12 ay arası sağlıklı bebeği olan anneler dahil edilmiştir. Çalışmamızın veri kaynağını 29 sorudan oluşan sosyodemografik soru anketi, Edinburgh Postpartum Depresyon Ölçeği (EPDÖ) ve Premenstruel Sendrom Ölçeği (PMSÖ) kullanılmıştır. Çalışmadaki tüm verilerin tanımlayıcı istatistiki verileri hesaplanmıştır. Sürekli nicel değişkenlerin normallik varsayım kontrolü Kolmogorow Smirnov testi ile yapılmıştır. Nicel değişkenlerin gruplar arası karşılaştırılmasında Mann Whitney U testi kullanılmıştır.Kategorik değişkenler arasındaki ilişkiler Pearson Chi Square, Fisher Freeman Halton ve Fisher Exect testleriyle incelendi. Nicel değişkenler arasındaki ilişkiler Speerman korelasyon analizi ile değerlendirildi. p<0,05 istatistiksel olarak anlamlı kabul edildi. Bulgular: Çalışmamızda annelerin %23.5' inde PPD gelişme riskinin olduğu, %46,3' ünde ise PMS varlığı tespit edilmiştir. EPDÖ' nden >=13 alan ve PMSÖ >=111 alan annelerin oranı %76,4 (55/72), EPDÖ <13 grubunda olan ve PMSÖ >=111 alan annelerin oranı olan %37 (87/235)' den anlamlı düzeyde daha yüksektir (p<0,01). EPDÖ' nden >=13 alan ve PMSÖ <=110 alan annelerin oranı %23,6 (17/72), EPDÖ' nden <13 alan ve PMSÖ <=110 olan annelerin oranı olan % 63 (148/235)' den istatistiksel olarak daha düşüktür (p<0,05). PPD riski olan annelerin PPD riski olmayan annelere göre PMSÖ toplam puanı ve iştah hariç depresif duygulanımın, anksiyetenin, yorgunluğun, sinirlilik, depresif düşüncenin, ağrının, uyku değişimlerinin ve şişkinliğin puan ortalamaları karşılaştırıldığında gruplar arasındaki farkın istatistiksel olarak anlamlı olduğu görülmüştür(p<0,05).Annelerin sosyodemografik özelliklerine baktığımızda ise annenin eşiyle ilişkisinin çok iyi olması vegebelik sayısının artmasının PPD gelişme riskini azalttığı bulunmuştur (p<0,05). iii Sonuç: Çalışmamızın sonucunda annelerin premenstruel sendromlu olma durumunun doğum sonrası depresyon gelişme riskini anlamlı derecede arttırdığı bulunmuştur.
Aim: This study was conducted to investigate the relationship between the presence of premenstrual syndrome (PMS) and the risk of developing postartum depression (PPD) before pregnancy in mothers with infants between 2 weeks and 12 months. Method: This research is cross-sectional and descriptive. Mothers with healthy infants between 2 weeks and 12 months were admitted to the Pediatric Outpatient Clinic of Düzce University Health Application and Research Hospital between 01.03.2019-31.05.2019. The data source of our study was a sociodemographic questionnaire consisting of 29 questions, Edinburgh Postpartum Depression Scale (EPDS) and Premenstrual Syndrome Scale (PMSÖ). Descriptive statistical data of all data in the study were calculated. The normality hypothesis of continuous quantitative variables was checked by Kolmogorow Smirnov test. Mann Whitney U test was used to compare quantitative variables between groups. Pearson Chi Square, Fisher Freeman Halton and Fisher Exect tests were used to investigate relationships between categorical variables. The relationships between quantitative variables were evaluated by Speerman correlation analysis. p<0.05 was considered statistically significant. Results: In our study, it was found that 23.5% of the mothers had the risk of developing PPD, and 46.3% had PMS. 76.4% (55/72) of the mothers who received>= 13 from EPDS and PMSÖ> = 111 were significantly higher than the rate of 37% (87/235) of the mothers who received EPDS <13 and who received PMSÖ >= 111 higher (p <0.01). The rate of mothers who received> = 13 from EPDS and those who received PSSÖ <= 110 was statistically significant from 23.6% (17/72), and 63% (148/235) from those who received <13 from EPDS and those with PMSÖ <= 110 as is lower (p<0,05).The difference between the groups was found to be statistically significant when compared the mean scores of PMSÖ total score and depressive affect, anxiety, fatigue, irritability, depressive thought, pain, sleep changes and bloating except appetite, compared to those without PPD risk(p<0,05). When the sociodemographic characteristics of the mothers were examined, it was found that the relationship between the mother and her husband was very good and v the increase in the number of pregnancies decreased the risk of developing PPD (p<0,05). Conclusion: As a result of our study, it was found that mothers with premenstrual syndrome significantly increased the risk of developing postpartum depression.
Aim: This study was conducted to investigate the relationship between the presence of premenstrual syndrome (PMS) and the risk of developing postartum depression (PPD) before pregnancy in mothers with infants between 2 weeks and 12 months. Method: This research is cross-sectional and descriptive. Mothers with healthy infants between 2 weeks and 12 months were admitted to the Pediatric Outpatient Clinic of Düzce University Health Application and Research Hospital between 01.03.2019-31.05.2019. The data source of our study was a sociodemographic questionnaire consisting of 29 questions, Edinburgh Postpartum Depression Scale (EPDS) and Premenstrual Syndrome Scale (PMSÖ). Descriptive statistical data of all data in the study were calculated. The normality hypothesis of continuous quantitative variables was checked by Kolmogorow Smirnov test. Mann Whitney U test was used to compare quantitative variables between groups. Pearson Chi Square, Fisher Freeman Halton and Fisher Exect tests were used to investigate relationships between categorical variables. The relationships between quantitative variables were evaluated by Speerman correlation analysis. p<0.05 was considered statistically significant. Results: In our study, it was found that 23.5% of the mothers had the risk of developing PPD, and 46.3% had PMS. 76.4% (55/72) of the mothers who received>= 13 from EPDS and PMSÖ> = 111 were significantly higher than the rate of 37% (87/235) of the mothers who received EPDS <13 and who received PMSÖ >= 111 higher (p <0.01). The rate of mothers who received> = 13 from EPDS and those who received PSSÖ <= 110 was statistically significant from 23.6% (17/72), and 63% (148/235) from those who received <13 from EPDS and those with PMSÖ <= 110 as is lower (p<0,05).The difference between the groups was found to be statistically significant when compared the mean scores of PMSÖ total score and depressive affect, anxiety, fatigue, irritability, depressive thought, pain, sleep changes and bloating except appetite, compared to those without PPD risk(p<0,05). When the sociodemographic characteristics of the mothers were examined, it was found that the relationship between the mother and her husband was very good and v the increase in the number of pregnancies decreased the risk of developing PPD (p<0,05). Conclusion: As a result of our study, it was found that mothers with premenstrual syndrome significantly increased the risk of developing postpartum depression.
Açıklama
YÖK Tez No: 600868
Anahtar Kelimeler
Aile Hekimliği, Family Medicine, Depresyon, Depression, Depresyon-postpartum, Depression-postpartum, Postpartum dönem, Postpartum period, Premenstrüel sendrom, Premenstrual syndrome, Ölçekler, Scales, Premenstruel sendrom, Postpartum depresyon, Edinburgh Postpartum Depresyon Ölçeği, Premenstruel Sendrom Ölçeği, premenstrual syndrome, postpartum depression, edinburgh postpartum depression scale, premenstrual syndrome scale
