Düşük Doğum Ağırlıklı Prematüre Bebeklerin Annelerinde Maternal Bağlanma ve Etkileyen Faktörlerin İncelenmesi
Öz
Giriş ve Amaç: Bu çalışmanın amacı prematüre bebeğe sahip annelerde anne bebek bağlanması düzeyi ve etkileyen faktörleri belirlemektir.
Gereç ve Yöntemler: Tanımlayıcı ve analitik tipte gerçekleştirilen bu araştırma bir üniversite hastanesinin Yenidoğan polikliniğine gelen prematüre bebeğe sahip 218 anne ile gerçekleştirilmiştir. Araştırmanın verileri “Veri Toplama Formu”, “Maternal Bağlanma Ölçeği” kullanılarak yüz yüze veri toplama yöntemi ile toplanmıştır.
Bulgular: Araştırmaya katılan annelerin anne yaşı ve algılanan ekonomik düzey ile Maternal Bağlanma Ölçeği arasında istatistiksel olarak anlamlı bir fark saptanmıştır (p<0.05). Bebeğin doğum şekli ve beslenme şekli ile Maternal Bağlanma Ölçeği arasında istatistiksel olarak anlamlı bir fark saptanmıştır (p<0.05). Bebeklerin gestasyon haftaları ile Maternal Bağlanma Ölçeği arasında pozitif yönde ve Yenidoğan Yoğun Bakım Ünitesi’nde yatış süreleri ile negatif yönde anlamlı bir ilişki olduğu belirlenmiştir (p<0.05).
Sonuç: Yenidoğanların gestasyon haftası arttıkça ve Yenidoğan Yoğun Bakım Ünitesi’nde yatış süreleri azaldıkça maternal bağlanmanın pozitif yönde arttığı görülmüştür. Güvenli bir bağlanmanın sağlanması için annenin bebeğini en kısa sürede görmesi ve sık sık ziyaret etmesi gerekir. Hemşire ve ebeler tarafından annenin bebeğini kucağına alması, emzirmesi ve bakımına katılması desteklenmeli ve teşvik edilmelidir.
Anahtar Kelimeler
Prematüre Bebek Maternal Bağlanma Hemşirelik Bakımı Premature Infant Maternal Attachment Nursing Care
Destekleyen Kurum
YOKTUR
Proje Numarası
YOKTUR
Teşekkür
Çalışmamıza katılım sağlarak katkıda bulunan tüm annelere teşekkür ederiz.
Kaynakça
- Aagaard, H, Uhrenfeldt, L, Spliid, M, Fegran, L, Parents’ experiences of transition when their infants are discharged from the Neonatal Intensive Care Unit: a systematic review protocol, JBI Evidence Synthesis, 2015, 13(10), 123-132.
- World Health Organization (WHO). Preterm Birth; WHO: Geneva, Switzerland, 2018. Available from: https://www.who.int/news-room/fact-sheets/detail/preterm-birth
- Baum, N, Weidberg, Z, Osher, Y, Kohelet, D, No longer pregnant, not yet a mother: giving birth prematurely to a very-low-birth-weight baby, Qualitative Health Research, 2012, 22(5), 595-606.
- Garfield, L, Holditch-Davis, D, Carter, C.S, McFarlin, B.L, Schwertz, D, Seng, J. S., et el., Risk factors for postpartum depressive symptoms in low-income women with very low-birth-weight infants, Advances in Neonatal Care, 2015, 15(1), E3-E8.
- Blackburn, C, Harvey, M, “We Weren't Prepared for This”: Parents' Experiences of Information and Support Following the Premature Birth of Their Infant, Infants & Young Children, 2019, 32(3), 172-185.
- Zamanzadeh, V, Valizadeh, L, Mohammadi, E, Zahed, P.Y, Arzani, A, Experience of mothers with premature infants from separation. Journal of Babol University of Medical Sciences, 2014, 16 (6), 16-25.
- Spinelli, M, Frigerio, A, Montali, L, Fasolo, M, Spada, M.S, Mangili, G, ‘I still have difficulties feeling like a mother’: The transition to motherhood of preterm infants mothers, Psychology & health, 2016, 31(2), 184-204.
- Shillington, J, McNeil, D, Forsythe, P.L, Transition from the neonatal intensive care unit to home: a concept analysis, Advances in Neonatal Care, 2021, 21(5), 399-406.
- Bowlby, J, Attachment and loss, Volume I: Attachment. 2nd ed. New York: Basic Books Inc; 1982.
- Kavlak, O, Şirin, A, Maternal bağlanma ölçeğinin Türk toplumuna uyarlanması, Uluslararası İnsan Bilimleri Dergisi, 2009, 6(1), 189-202.
- Hill, R, Flanagan, J, The maternal–infant bond: Clarifying the concept, International journal of nursing knowledge, 2020, 31(1), 14-18.
- Korja, R, Latva, R, Lehtonen, L, The effects of preterm birth on mother–infant interaction and attachment during the infant's first two years, Acta obstetricia et gynecologica Scandinavica, 2012, 91(2), 164-173.
- Rocha, N.A.C.F, dos Santos Silva, F.P, Dos Santos, M.M, Dusing, S.C, Impact of mother–infant interaction on development during the first year of life: A systematic review, Journal of Child Health Care, 2020, 24(3), 365-385.
- Çelebi, E.Z, Okumuş, F, Comparison of mother-infant relationship in Turkish primiparous women in accordance with vajinal birth and cesarean section, Bezmialem Science, 2021, 9(1), 53-60.
- Kesebir, S, Kavzoğlu, S.Ö, Üstündağ, M.F, Bağlanma ve psikopatoloji, Psikiyatride Güncel Yaklaşımlar, 2011, 3(2), 321-342.
- Balcı, M.E, Geçkil, E, Yenidoğan yoğun bakım ünitesinde uzun süre yatan prematüre bebeklerin annelerinde maternal bağlanma düzeyi ve ilişkili faktörlerin belirlenmesi, Journal of Education and Research in Nursing, 2021, 18 (4), 383–388.
- Özyurt, G, Özyurt, A, Öztürk, T, Yaman, A, Berk, A.T, Evaluation of maternal attachment, self-efficacy, levels of depression, and anxiety in mothers who have babies diagnosed with retinopathy of prematurity, Ophthalmic Epidemiology, 2018, 25, 140-146.
- Kurt, F, Kucukoglu, S, Ozdemir, A., Ozcan, Z, The effect of kangaroo care on maternal attachment in preterm infants, Nigerian journal of clinical practice, 2020, 23(1), 26-32.
- Çelebi, E.Z, Çayır, G, Ebeveyn-Bebek bağlanmasını etkileyen faktörler: Lisansüstü tezler incelenerek yapılan bir sistematik derleme, Kadın Sağlığı Hemşireliği Dergisi, 2021, 7(1), 23-47.
- Bilgin, Z, Alpar, Ş.E, Kadınların maternal bağlanma algısı ve anneliğe ilişkin görüşleri, Sağlık Bilimleri ve Meslekleri Dergisi, 2018, 5(1), 6- 15.
- Ustunsoz, A, Guvenc, G, Akyuz A, Oflaz, F, Comparison of maternal and paternal-fetal attachment in Turkish couples, Midwifery, 2010, 26, e1-9.
- Yılmaz Dereli, S, Beji Kızılkaya, N, Levels of coping with stres, depression and prenatal attachment and affecting factors of pregnant women, Journal of General Internal Medicine, 2010, 20(3), 99-108
- Alan, H, Doğum sonu dönemde sosyal desteğin anne bebek bağlılığına etkisi [Yüksek Lisans Tezi] Konya, Türkiye: Selçuk Üniversitesi Sağlık Bilimleri Enstitüsü, 2011.
- Yarcheski, A, Mahon, N.E, Yarcheski, T.J, Hanks, M.M, Cannella, B.L, A meta-analytic study of predictors of maternal-fetal attachment, International Journal of Nursing Studies, 2009, 46(5), 708-715.
- Ayvaz, S, Hocaoğlu, Ç, Tiryaki, A, Ak, I, Trabzon il merkezinde doğum sonrası depresyon sıklığı ve gebelikteki ilişkili demografik risk etmenleri, Türk Psikiyatri Dergisi, 2006, 17(4), 243-251.
- Rookesh, Z, Kaviani, M, Zarshenas, M, Akbarzadeh, M, Comparison of maternal-infant attachment in cesarean delivery based on robson classification: A cross-sectional study. Iranian Journal of Nursing and Midwifery Research, 2021, 26(6), 500.
- Lai, Y.L, Hung, C.H, Stocker, J, Chan, T-F, Liu, Y, Postpartum fatigue, baby-care activities, and maternal–infant attachment of vaginal and cesarean births following rooming-in, Applied Nursing Research, 2015, 28, 116–120.
- Smith, E.R, Bergelson, I, Constantian, S, Valsangkar, B, Chan, GJ, Barriers and enablers of health system adoption of kangaroo mother care: A systematic review of caregiver perspectives, BMC Pediatrics, 2017, 17, 35.
Investigation of Maternal Attachment and Affecting Factors in Mothers of Low Birth Weight Premature Infants
Öz
Objective: The aim of this study is to determine mother-infant attachment of mothers with premature infants and the factors affecting attachment.
Materials and Methods: This descriptive and analytical study was conducted with 218 mothers with premature infants who came to the neonatal outpatient clinic of a university hospital. The data of the study were collected by face-to-face data collection method using “Data Collection Form” and “Maternal Attachment Scale”.
Results: A statistically significant difference was found between maternal age and perceived economic level of mothers participating in the study and Maternal Attachment Scale (p<0.05). A statistically significant difference was found between the delivery type and feeding style of the baby and Maternal Attachment Scale (p<0.05). It was determined that there was a positive correlation between the gestational weeks of the babies and Maternal Attachment Scale, and a negative correlation with the length of stay in the Neonatal Intensive Care Unit (p<0.05).
Conclusion: It was observed that maternal attachment increased positively as the gestational week of the newborns and the length of stay in the Neonatal Intensive Care Unit decreased. In order to ensure a secure attachment, the mother should see her baby as soon as possible and visit it frequently. Nurses and midwives should support and encourage mothers to hold their babies, breastfeed and participate in their care.
Anahtar Kelimeler
Proje Numarası
YOKTUR
Kaynakça
- Aagaard, H, Uhrenfeldt, L, Spliid, M, Fegran, L, Parents’ experiences of transition when their infants are discharged from the Neonatal Intensive Care Unit: a systematic review protocol, JBI Evidence Synthesis, 2015, 13(10), 123-132.
- World Health Organization (WHO). Preterm Birth; WHO: Geneva, Switzerland, 2018. Available from: https://www.who.int/news-room/fact-sheets/detail/preterm-birth
- Baum, N, Weidberg, Z, Osher, Y, Kohelet, D, No longer pregnant, not yet a mother: giving birth prematurely to a very-low-birth-weight baby, Qualitative Health Research, 2012, 22(5), 595-606.
- Garfield, L, Holditch-Davis, D, Carter, C.S, McFarlin, B.L, Schwertz, D, Seng, J. S., et el., Risk factors for postpartum depressive symptoms in low-income women with very low-birth-weight infants, Advances in Neonatal Care, 2015, 15(1), E3-E8.
- Blackburn, C, Harvey, M, “We Weren't Prepared for This”: Parents' Experiences of Information and Support Following the Premature Birth of Their Infant, Infants & Young Children, 2019, 32(3), 172-185.
- Zamanzadeh, V, Valizadeh, L, Mohammadi, E, Zahed, P.Y, Arzani, A, Experience of mothers with premature infants from separation. Journal of Babol University of Medical Sciences, 2014, 16 (6), 16-25.
- Spinelli, M, Frigerio, A, Montali, L, Fasolo, M, Spada, M.S, Mangili, G, ‘I still have difficulties feeling like a mother’: The transition to motherhood of preterm infants mothers, Psychology & health, 2016, 31(2), 184-204.
- Shillington, J, McNeil, D, Forsythe, P.L, Transition from the neonatal intensive care unit to home: a concept analysis, Advances in Neonatal Care, 2021, 21(5), 399-406.
- Bowlby, J, Attachment and loss, Volume I: Attachment. 2nd ed. New York: Basic Books Inc; 1982.
- Kavlak, O, Şirin, A, Maternal bağlanma ölçeğinin Türk toplumuna uyarlanması, Uluslararası İnsan Bilimleri Dergisi, 2009, 6(1), 189-202.
- Hill, R, Flanagan, J, The maternal–infant bond: Clarifying the concept, International journal of nursing knowledge, 2020, 31(1), 14-18.
- Korja, R, Latva, R, Lehtonen, L, The effects of preterm birth on mother–infant interaction and attachment during the infant's first two years, Acta obstetricia et gynecologica Scandinavica, 2012, 91(2), 164-173.
- Rocha, N.A.C.F, dos Santos Silva, F.P, Dos Santos, M.M, Dusing, S.C, Impact of mother–infant interaction on development during the first year of life: A systematic review, Journal of Child Health Care, 2020, 24(3), 365-385.
- Çelebi, E.Z, Okumuş, F, Comparison of mother-infant relationship in Turkish primiparous women in accordance with vajinal birth and cesarean section, Bezmialem Science, 2021, 9(1), 53-60.
- Kesebir, S, Kavzoğlu, S.Ö, Üstündağ, M.F, Bağlanma ve psikopatoloji, Psikiyatride Güncel Yaklaşımlar, 2011, 3(2), 321-342.
- Balcı, M.E, Geçkil, E, Yenidoğan yoğun bakım ünitesinde uzun süre yatan prematüre bebeklerin annelerinde maternal bağlanma düzeyi ve ilişkili faktörlerin belirlenmesi, Journal of Education and Research in Nursing, 2021, 18 (4), 383–388.
- Özyurt, G, Özyurt, A, Öztürk, T, Yaman, A, Berk, A.T, Evaluation of maternal attachment, self-efficacy, levels of depression, and anxiety in mothers who have babies diagnosed with retinopathy of prematurity, Ophthalmic Epidemiology, 2018, 25, 140-146.
- Kurt, F, Kucukoglu, S, Ozdemir, A., Ozcan, Z, The effect of kangaroo care on maternal attachment in preterm infants, Nigerian journal of clinical practice, 2020, 23(1), 26-32.
- Çelebi, E.Z, Çayır, G, Ebeveyn-Bebek bağlanmasını etkileyen faktörler: Lisansüstü tezler incelenerek yapılan bir sistematik derleme, Kadın Sağlığı Hemşireliği Dergisi, 2021, 7(1), 23-47.
- Bilgin, Z, Alpar, Ş.E, Kadınların maternal bağlanma algısı ve anneliğe ilişkin görüşleri, Sağlık Bilimleri ve Meslekleri Dergisi, 2018, 5(1), 6- 15.
- Ustunsoz, A, Guvenc, G, Akyuz A, Oflaz, F, Comparison of maternal and paternal-fetal attachment in Turkish couples, Midwifery, 2010, 26, e1-9.
- Yılmaz Dereli, S, Beji Kızılkaya, N, Levels of coping with stres, depression and prenatal attachment and affecting factors of pregnant women, Journal of General Internal Medicine, 2010, 20(3), 99-108
- Alan, H, Doğum sonu dönemde sosyal desteğin anne bebek bağlılığına etkisi [Yüksek Lisans Tezi] Konya, Türkiye: Selçuk Üniversitesi Sağlık Bilimleri Enstitüsü, 2011.
- Yarcheski, A, Mahon, N.E, Yarcheski, T.J, Hanks, M.M, Cannella, B.L, A meta-analytic study of predictors of maternal-fetal attachment, International Journal of Nursing Studies, 2009, 46(5), 708-715.
- Ayvaz, S, Hocaoğlu, Ç, Tiryaki, A, Ak, I, Trabzon il merkezinde doğum sonrası depresyon sıklığı ve gebelikteki ilişkili demografik risk etmenleri, Türk Psikiyatri Dergisi, 2006, 17(4), 243-251.
- Rookesh, Z, Kaviani, M, Zarshenas, M, Akbarzadeh, M, Comparison of maternal-infant attachment in cesarean delivery based on robson classification: A cross-sectional study. Iranian Journal of Nursing and Midwifery Research, 2021, 26(6), 500.
- Lai, Y.L, Hung, C.H, Stocker, J, Chan, T-F, Liu, Y, Postpartum fatigue, baby-care activities, and maternal–infant attachment of vaginal and cesarean births following rooming-in, Applied Nursing Research, 2015, 28, 116–120.
- Smith, E.R, Bergelson, I, Constantian, S, Valsangkar, B, Chan, GJ, Barriers and enablers of health system adoption of kangaroo mother care: A systematic review of caregiver perspectives, BMC Pediatrics, 2017, 17, 35.
Ayrıntılar
| Birincil Dil | Türkçe |
|---|---|
| Konular | Hemşirelik |
| Bölüm | Araştırma Makalesi |
| Yazarlar | |
| Proje Numarası | YOKTUR |
| Yayımlanma Tarihi | 30 Haziran 2023 |
| Yayımlandığı Sayı | Yıl 2023 |