Gebelikte Distres ile Prenatal Bağlanma Arasındaki İlişki

Year 2023, Volume: 5 Issue: 2, 201 - 207, 26.08.2023

Hava Özkan , Ayla Kanbur , Hediye Karakoç , Ayşe Nur Aksoy

Abstract

Giriş: Bu çalışmanın amacı, gebelikte distres ie prenatal bağlanma arasındaki ilişkiyi incelemektir.
Gereç ve Yöntem: Araştırma ilişki arayıcı tasarımda, Erzurum ilinde bulunan kadın doğum hastenesinin Non-stress Test biriminde Mayıs-Eylül 2014 tarihleri arasında başvuran gebeler üzerinde yapıldı. Çalışmaya dahil edilme kriterlerini karşılayan toplam 310 gebe katıldı. Veriler, Tilburg Gebelikte Distres Ölçeği ve Prenatal Bağlanma Envanteri kullanılarak toplandı. Veriler sayı, ortalama ve yüzde olarak sunuldu. Ayrıca Pearson korelasyon analizi, bağımsız örneklem t-testi ve tek yönlü varyans analizi yapıldı.
Bulgular: TPDS ortalama puanı 17,48±6,98 iken PAI puanı 53,63±12,75 idi. Gebelerin %8,1'inin distres (TPDS skoru ≥28) tanısı aldığı görüldü. Prenatal bağlanma puanı sıkıntılı tanılı gebelerde 45,40±13,54, sıkıntısız tanılı gebelerde 54,35±12,45 olarak belirlendi (p=0,001).
Sonuç: Gebelerin distres düzeyleri ile prenatal bağlanma puan ortalamaları arasında ters bir ilişki bulunmuştur. Gebelerin distres puanları arttıkça doğum öncesi bağlanma puan ortalamaları azalmaktadır. Gebelik takiplerinde psikolojik değerlendirme yapılması önemlidir.

Keywords

Gebelik, Ebe, Prenatal Bağlanma, Distres

The Relationship Between Distress and Prenatal Attachment During Pregnancy

Abstract

Purpose: This study aimed to examine the relationship between the distress levels of pregnant women and prenatal
attachment.
Method: It was a cross-sectional study that was conducted on pregnant women applying to Maternity Hospital Non-Stress
Test unit in Anatolia between May and September 2014. A total of 310 pregnant women who met the inclusion criteria
participated in the study. Data were collected using the Tilburg Pregnancy Distress Scale (TPDS) and Prenatal Attachment
Inventory (PAI) questionnaires. The data were presented with numbers, mean, and percentages. Moreover, Pearson’s
correlation analysis, independent samples t-test, and one-way analysis of variance were performed to analyze the data.
Statistical significance level was accepted as p<0.05.
Results: While the TPDS mean score was 17.48±6.98, the mean PAI score was 53.63±12.75. It was observed that 8.1%
of pregnant women were diagnosed with distress (TPDS score ≥28). The prenatal attachment score was determined as
45.40±13.54 in pregnant women diagnosed with distress and 54.35±12.45 in women diagnosed without distress (p=0.001).
A significant correlation was found between the prenatal attachment and the distress mean scores (r= -0.245, p=0.001).
Conclusion and Suggestions: A negative and weak relationship was found between the distress levels of pregnant women
and their prenatal attachment mean score. As the distress scores increased in pregnant women, the prenatal attachment
mean scores decreased. So, it is important to determine the level of mother-infant attachment. In this context, it may be
suggestable to carry out studies involving more centers and other variables that can be affected.

Keywords

Distress, Midwifery, Pregnant, Attachment.

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