COVID-19 Pandemisi Sırasında Yenidoğan Yoğun Bakım Ünitesi Annelerinin Kaygı ve Depresyonu

Year 2022, Volume: 19 Issue: 3, 524 - 529, 27.12.2022

Aslı Okbay Güneş , Neslihan Atlı

https://doi.org/10.35440/hutfd.1123087

Abstract

Amaç: Pandemi döneminde COVID-19 dışında herhangi bir nedenle bebeği yenidoğan yoğun bakım ünitesine (YYBB) yatırılan annelerde kaygı ve depresyon prevalansını ve YYBB'de kalma süresinin annelerin kaygı ve depresyonuna etkisini belirlemek.
Materyal ve metod: YYBB anneleri bebeklerinin hastanede yatış sürelerine göre üç gruba ayrıldı. Bebeklerin hastanede yatış süresi birinci grup annelerde (G1) < 7 gün, ikinci grupta (G2) ≥ 7- <14 gün, üçüncü grupta (G3) ≥ 14- < 30 gündü. Annelerin kaygı düzeyleri “Durumluk Sürekli Kaygı Envanteri (STAI)” ile değerlendirildi ve 40'ın üzerinde bir kesme puanı, olası klinik kaygı düzeylerini tanımlamak için kullanıldı. Depresyon “Edinburgh Doğum Sonrası Depresyon Ölçeği (EPDS)” ile değerlendirildi ve kesme puanının 12'nin üzerinde olması doğum sonu depresyon varlığı için olası risk olarak kabul edildi.
Bulgular: Yüz elli anne arasında (her grupta n=50), tüm annelerin STAI-Durumluk puanları >40 idi ve bu da klinik kaygı düzeylerini gösteriyordu. Annelerin 73'ünün (%48.7) EPDS puanı >12 idi. Grup 3’teki annelerin STAI-Durumluk puanları G2'deki annelerden daha yüksekti (p=0.029). Depresyon puanları üç grup arasında farklılık göstermedi.
Sonuç: Tüm YYBB annelerinin kaygılı olduğu ve yaklaşık yarısının depresif olduğu saptandı. YYBB'de daha uzun süre kalan bebeklerin annelerinde ortalama durumluk kaygı düzeyleri daha yüksekti.

Keywords

Anksiyete, COVID-19 pandemisi, depresyon, maternal, yenidoğan yoğun bakım ünitesi

Supporting Institution

Yoktur.

Anxiety and Depression of Neonatal Intensive Care Unit Mothers During the COVID-19 Pandemic

Abstract

Background: To determine the prevalence of anxiety and depression of the mothers whose babies were admitted to neonatal intensive care unit (NICU) for any reason other than COVID-19 during the pandemic, and the effect of duration of NICU stay on mothers' anxiety and depression.
Materials and Methods: The NICU mothers were divided into three groups according to duration of hospitalization of their babies. The duration of hospitalization of the babies was < 7 days for the first group of the mothers (G1), ≥ 7- <14 days for the second group (G2), and ≥ 14- < 30 days for the third group (G3). The anxiety level of the mothers was assessed with "State Trait Anxiety Inventory (STAI)", and a cut-off score above 40 was used to define probable clinical levels of anxiety. Depression was evaluated with “Edinburgh Postpartum Depression Scale (EPDS)”, and a cut-off score above 12 was considered as probable risk for presence of postpartum depression.
Results: Among 150 mothers (in each group n=50), the STAI-State scores of all mothers were > 40, indicating clinical levels of anxiety. Seventy three (48.7%) of the mothers had a EPDS score > 12. The STAI-State scores of the mothers in G3 were higher than the mothers in G2 (p=0.029). Depression scores did not differ between the three groups.
Conclusions: All the NICU mothers were found to be anxious and nearly half of them were depressive. Mean state anxiety levels were higher in mothers of babies who stayed longer in NICU.

Keywords

Anxiety, COVID-19 pandemic, depression, maternal, neonatal intensive care unit

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