Türkiye’de Emzirme Konusunda Yapılan Hemşirelik Lisansüstü Tez Çalışmalarının İncelenmesi

Year 2019, Volume: 7 Issue: Ek - IRUPEC 2019 Kongresi Tam Metin Bildirileri, 557 - 563, 10.12.2019

Menekşe Nazlı Aker

Abstract

Bu çalışma, Türkiye’de son beş yılda emzirme konusunda yapılmış hemşirelik alanındaki lisansüstü tez çalışmalarını incelemek amacıyla yapılmıştır.

Yöntem:
Çalışmada verilerin toplanması amacıyla alan yazın taraması yapılmış, daha sonra Yükseköğretim Kurulu Ulusal Tez Merkezi Veri Tabanı’nda “emzirme” anahtar kelimesi ile tarama yapılmıştır. Tarama sonunda 52 lisansüstü tez belirlenmiş ve bu tezlerin künye bilgilerine ulaşılmıştır.

Bulgular:
Ulusal Tez Merkezi Veri Tabanı’nda tüm bilim dalları incelendiğinde emzirme konusunda yapılan tezlerden %44.1’inin hemşirelik alanında yapıldığı görülmüştür. Hemşirelik alanında yapılan tezlerden 44’ü yüksek lisans, 8’i doktora düzeyinde yapılmıştır. Bu araştırmalardan 51’inde nicel, 1’inde nitel yöntem kullanılmıştır. Nicel yöntemle yapılan tezlerin 18’i yarı deneysel/deneysel, 28’i tanımlayıcı/kesitsel, 4’ü metadolojik, 1’i olgu-kontrol çalışmasıdır. En çok araştırılan konular; hemşireler tarafından verilen emzirme eğitimi ve emzirme danışmanlığının emzirme üzerine etkileri (%25), farklı gruplarda (adölesan, obez, sezaryen doğum yapan, vb.) emzirme öz yeterliliği ve emzirme başarısı (%23.07), emzirme öz yeterliliğini etkileyen faktörler (%15.4) ve emzirme ile ilgili ölçeklerin Türkçe’ye uyarlanma çalışmalarıdır (%7.7). Bu çalışmaların sadece biri babalar ile yapılmış olup, diğer bütün çalışmalarda anneler çalışmaya dahil edilmiştir.

Sonuç:
Araştırma sonuçlarına göre; hemşireler tarafından verilen emzirme eğitimi ve danışmanlığının annelerin emzirme özyeterlilik algısını, emzirme başarısını, emzirmeye yönelik olumlu uygulamalarını arttırdığı, sadece anne sütü ile beslenme süresini uzattığı, doğum sonu depresyon riskini düşürdüğü ve yaşam kalitesini yükselttiği belirlenmiştir. Emzirme eğitimlerine ve emzirme danışmanlığına gebelik döneminde başlanması ve bu eğitimlere babalarında dâhil edilmesinin önemli olduğu vurgulanmıştır. Emzirme öz yeterliliğinin anne bebek bağlanması, uyku düzeni, eşler arasındaki ilişki, evlilik uyumu, doğum sonu konfor, annenin sosyal desteği gibi faktörlerden etkilendiği saptanmıştır. Ayrıca farklı gruplardaki bireylerin ihtiyaçlarının belirlenmesi ve bu ihtiyaçlara göre emzirme danışmanlığının planlanması gerektiği belirtilmiştir.
Emzirme konusundaki lisansüstü tez çalışmaların büyük çoğunluğunun hemşireler tarafından yürütülmüş olması, hemşirelerin bu konuda önemli rolü olduğunu ortaya koymaktadır. Bu konuda kanıtların geliştirilmesi için hemşirelik alanında randomize kontrollü çalışmaların artırılması ve babaların da çalışmalara dahil edilmesi önerilmektedir.

Keywords

Emzirme, hemşirelik, bebek beslenmesi

References

• References 1. The results of 2018 Turkey Demographic and Health Survey were announced at the national meeting in Ankara. http://www.hips.hacettepe.edu.tr/eng/tdhs2018/ 2. Öztürk R, Ergün S, Özyazıcıoğlu N. The effects of education concerning breast milk and breastfeeding during antenatal period on breastfeeding success and breastfeeding self-efficacy. Balıkesir University, Institute of Health Sciences, Department of Nursing. Master Thesis, Balıkesir:2018. 3. Güldür A, Beydağ KD. Evaluation of self-efficiency and post- labor breastfeeding behavior of mothers that completed A breastfeeding education program and mothers that was not educated in accordance with such A program. Okan University, Health Sciences Institute, Department of Nursing. Master Thesis, Istanbul: 2016. 4. Aylyyeva G, Topatan S. For healthy generations: The effects on breastfeeding behaviorof the lactation consultants provided on mothers in postpartum period. Ondokuz Mayıs University, Health Sciences Institute, Department of Nursing. Master Thesis, Samsun: 2019. 5. Özgüneş Z.Ö., Balcı S. The effect of breastfeeding education provided to mothers on a successful breastfeeding. Haliç University, Health Sciences Institute, Department of Nursing. Master Thesis, İstanbul: 2019. 6. Menekşe D, Çınar N. The effect of breastfeeding education provided to pregnant women who expect twins on their breastfeeding intent. Haliç University, Health Sciences Institute, Department of Nursing. PhD Thesis, Sakarya: 2018. 7. Ayran G, Çelebioğlu A. Effect of breastfeeding training given to parents on the level of breastfeeding self-efficacy, exclusive breastfeeding duration and parent-baby bonding. Atatürk University, Institute of Health Sciences, Department of Child Health and Diseases Nursing. PhD Thesis, Erzurum: 2018. 8. Aygör H, Ege E. The effect of breastfeeding coulseling to primiparous mothers on optimal duration of breastfeeding, postnatal depression and quality of life. Selçuk University, Institute of Health Sciences, Department of Nursing. PhD Thesis, Konya: 2017. 9. Yeşil Y,Öztürk Can H. The effect of individual and group breast feeding training of future mother and father at postpartum period on breast feeding self-efficacy and attitude. Ege University, Institute of Health Sciences, Master Thesis, İzmir: 2015. 10. Akgün P, Koyun A. The effect of information,motivationn,behavior skills model-based training on breastfeading success:A hypothetical model. Afyonkarahisar University of Health Sciences, Graduate School of Education, Department of Obstetrics, Gynecology and Diseases Nursing. Master Thesis. Afyonkarahisar: 2019. 11. Şahin E, Yavan T. Evaluation of the effect of planned discgarged education that is given during postpartum period and consultation on self care agency and breastfeeding. GATA, Sciences Institute, Department of Obstetrics, Gynecology and Diseases Nursing. PhD Thesis,.Ankara: 2015. 12. Gürarslan Baş N, Arıkan D. The impact of breastfeeding consultation given to the mothers that gave birth by cesarean section on initial breastfeeding time body temprature and sucking success of the newborn. Atatürk University, Institute of Health Sciences, Department of Child Health and Diseases Nursing. PhD Thesis. Erzurum: 2014. 13. Karagöz A., Avcı Ö. Antenatal eğitimin emzirme öz-yeterlilik algısı ve emzirme sürecine etkisi. İstanbul Medipol Selçuk University, Health Sciences Institute, Department of Nursing. Master Thesis. İstanbul: 2018. 14. Akyüz Y, Beydağ KD. The relationship between of women gave birth maternal attachment and self-efficacy in breastfeeding. Okan University, Health Sciences Institute, Department of Nursing. Master Thesis.İstanbul: 2017. 15. Aslan Y, Ege E. Breastfeeding self-efficacy of mothers and relationship with depression risk. Selçuk University, Health Sciences Institute, Department of Nursing. Master Thesis.Konya: 2016. 16. Balsak HN, Çevik S. Relationship between post-partum comfort and breastfeeding self suffiency in mothers. Gaziantep University, Health Sciences Institute, Department of Nursing. Master Thesis. Gaziantep: 2018. 17. Ceylan S., Şahin S. The comparison of breastfeeding self-efficacy and success of obese and normal weight mothers in the early period. Yıldırım Beyazıt University, Health Sciences Institute, Department of Nursing. Master Thesis. Ankara: 2016. 18. Fata S, Ünsal Atan Ş. The effect on breastfeeding self-sufficiency of fatique on mothers i̇n postpartum period. Ege University, Health Sciences Institute, Department of Obstetrics, Gynecology and Diseases Nursing. Master Thesis. İzmir: 2014. 19. Gıynaş T, Akçay Didişen N. Effect of mothers' social support perception during postnatal period on breastfeedingself-efficacy perceptioni. Ege University, Institute of Health Sciences, Department of Child Health and Diseases Nursing. Master Thesis, İzmir: 2017. 20. Karakoç Geçici A, Geçkil E. The effect of the kangaroo care in premature babies on breastfeeding self-efficiency and breastfeeding success of mother. Necmettin Erbakan University, Health Sciences Institute, Department of Nursing. Master Thesis. Konya: 2018. 21. Şeker A, Vefikuluçay Yılmaz D. Relationship between sleep quality and breastfeeding self-efficacy of mothers in postpartum period. Mersin University, Health Sciences Institute, Department of Nursing. Master Thesis. Mersin: 2018. 22. Uludağ E. Öztürk S. Influence of spousal support in early postpartum period on breastfeeding self-efficacy. Atatürk University, Health Sciences Institute, Master Thesis.Erzurum: 2017. 23. Uzar Akça E, Uyar Hazar H. The relationship between breast feeding self-efficacy in pregnancy and feeding infants with exclusive breastfeeding in the second month after birth. Adnan Menderes University, Health Sciences Institute, Master Thesis.Aydın: 2016. 24. Yılmaz A, Hacıhasanoğlu Aşılar R. Investigation of the relationship between social support perceived by pregnant women and prenatal breastfeeding self-efficacy. Erzincan Binali Yıldırım University, Health Sciences Institute, Department of Nursing. Master Thesis. Erzincan: 2018. 25. Yılmaz Fındık F, Yağmur Y. The effect of marital adjustment on prenatal breast-feeding self- efficacy in pregnants. İnönü University, Health Sciences Institute, Department of Nursing. Master Thesis.Malatya: 2019. 26. Buldur E, Akçay Didişen N. The reliability and validity study of the partner breastfeeding influence scale. Ege University, Institute of Health Sciences, Department of Child Health and Diseases Nursing. Master Thesis. İzmir: 2019. 27. Akçay İ, Demirgöz Bal M. Breastfeeding motivations of primiparous mothers and the affecting factors. Marmara University, Institute of Health Sciences. Master Thesis. İstanbul: 2019. 28. Albayrak T, Akçay Didişen N. Phenomenological determination of the breastfeeding processes of mothers with multiple babies. Ege University, Institute of Health Sciences, Department of Child Health and Diseases Nursing. Master Thesis.İzmir: 2017. 29. Arga Z, Küçükoğlu S. Comparison of maternal attachment, breastfeeding self-efficacy and perceived insufficent milk in adolescent and non-adolescent mothers. Atatürk University, Institute of Health Sciences, Department of Child Health and Diseases Nursing. Master Thesis. Erzurum: 2019. 30. Aydın A, Pasinlioğlu T. Reliability and validity study of the prenatal breastfeeding self-efficacy scale. Atatürk University, Health Sciences Institute, Department of Obstetrics, Gynecology and Diseases Nursing. Phd Thesis.Erzurum: 2016. 31. Aydın Ç, Aytekin Özdemir A. Effects of breastfeeding supporting system on full breastfeeding and suction success in preterm infants. Atatürk University, Institute of Health Sciences, Department of Child Health and Diseases Nursing. Master Thesis. Erzurum: 2019. 32. Beşirik S, Gözen D. The effect of the breastfeeding and distraction methods on acute pain management with infants. İstanbul University, Institute of Health Sciences, Department of Child Health and Diseases Nursing. Master Thesis. İstanbul: 2016. 33. Boybay Koyuncu S, Yayan HE. Effect of Yoga on Breastfeeding Qualification and Maternal Attachment in Postpartum Primiparous Mothers. İnönü University, Institute of Health Sciences, Department of Nursing. Phd Thesis. Malatya: 2019. 34. Çapuk H, Güngörmüş Z. Effect of breastfeeding and delivery method of mothers wi̇th 1-8 months-old babies on maternal attachment. Gaziantep University, Institute of Health Sciences, Department of Public Health Nursing. Master Thesis. Yüksek Lisans Tezi. Gaziantep: 2018. 35. Çırpanlı C, Demirtaş Hiçyılmaz B. Postpartum breastfeeding success of mothers who delivered by cesarean section. Ankara University, Institute of Health Sciences, Department of Nursing. MasterThesis. Ankara: 2018. 36. Ekin G, Şahin E. Effect on breastfeeding efficacy on social appearance anxiety. Ordu University, Institute of Health Sciences, Department of Nursing. Master Thesis. Ordu: 2019. 37. Ertop F, Egelioğlu Cetişli N. Postpartum depression and breastfeeding behaviors of overweight, obese and non-obese pregnant women. İzmir Katip Çelebi University, Institute of Health Sciences, Department of Nursing. Master Thesis. İzmir: 2017. 38. Hangül B, Özsoy S. The effect of breastfeeding duration on postmenopausal osteoporosis. Adnan Menderes University, Health Sciences Institute, Department of Obstetrics, Gynecology and Diseases Nursing. Master Thesis. Aydın: 2016. 39. Işık G, Egelioğlu Cetişli N. The effect of gestational diabetes on depression and breastfeeding self-efficacy in pregnancy and postpartum period. İzmir Katip Çelebi University, Institute of Health Sciences, Department of Nursing. Master Thesis.İzmir: 2017. 40. Karakuş Türker T, Gözen D. Comparing the effects of kangaroo care and breastfeeding in reducing the pain due to hepatitis B vaccination in newborns. İstanbul University, Institute of Health Sciences, Department of Nursing. Master Thesis.İstanbul: 2018. 41. Mızrak B,Özerdoğan N. Adaptation of breastfeeding motivation scale to the Turkish, determination of factoring breastfeeding motivation. Eskişehir Osmangazi University, Institute of Health Sciences, Department of Nursing. Phd Thesis. Eskişehir: 2017. 42. Özkardeş T, Egelioğlu Cetişli N. The effect of preeclampsia on breastfeeding self efficacy and postpartum depression. İzmir Katip Çelebi Üniversitesi / Sağlık Bilimleri Enstitüsü / Hemşirelik Anabilim Dalı / Kadın Hastalıkları ve Doğum Hemşireliği Bilim Dalı. Yüksek Lisans Tezi. İzmir: 2019. 43. Öztürk E, Yanıkkerem E. Breastfeeding success, self-efficacy and fear of breastfeeding in obese and non-obese women. Manisa Celal Bayar University, Health Sciences Institute, Department of Obstetrics, Gynecology and Diseases Nursing. Master Thesis. Manisa: 2018. 44. Öztürk S, Timur Taşhan S. The Relationship between implementation of the traditional methods of postnatal care and breast-feeding and health literacy. İnönü University, Institute of Health Sciences, Department of Nursing. Master Thesis.Malatya: 2019. 45. Sarper C, Akkuzu G. The effect of early skin to skin contact on breastfeeding success on cesareans under spinal anestesia. Başkent University, Institute of Health Sciences, Department of Nursing. Master Thesis.Ankara: 2015. 46. Suadiye N., Emül TG. Determining the factors affecting breastfeeding attitudes of adolescent mothers. Mersin University, Institute of Health Sciences, Department of Nursing. Master Thesis. Mersin: 2018. 47. Şahin S, Sinan Ö. Examination of breastfeeding and comfort conditions of postnatal mothers. Ankara Yıldırım Beyazıt University, Institute of Health Sciences, Department of Nursing. Master Thesis.Ankara: 2017. 48. Tatarlar A. Aluş Tokat M. The effect of birth fear on lactation, sucking ability and first breastfeeding results. Dokuz Eylül University, Health Sciences Institute, Department of Obstetrics, Gynecology and Diseases Nursing. Master Thesis.İzmir: 2015. 49. Türkdoğan M, Akcan A. Monitoring brestfeeding behaviours of primiparous who are in or not in risky age-groups prospectively. Akdeniz University, Institute of Health Sciences, Department of Nursing. Master Thesis.Antalya: 2018. 50. Yeyğel Özcan Ç, Aluş Tokat M. Comparison of breastfeeding results of mothers who have received and who have not received oxytocin induction during vaginal delivery. Dokuz Eylül University, Institute of Health Sciences, Department of Nursing. Master Thesis.İzmir: 2014. 51. Yılmaz AN, Aksoy Derya Y. Birth of action started and labour start those who planned cesarean postpartum breastfeeding and mother-infant bonding comparison of levels. University, Institute of Health Sciences. Master Thesis.Malatya: 2018. 52. Yılmaz F, Yurt S. Factors cause to quit feeding with breast milk and effect of breastfeeding duration to mother child bonding. Maltepe University, Institute of Health Sciences, Department of Nursing. Master Thesis.İstanbul: 2017. 53. Yol E, Tezel T. Assessment of breast self- efficacy and breastfeeding success of children with indirect hyperbilirubinemia. Ankara University, Institute of Health Sciences, Department of Nursing. Master Thesis. Ankara: 2017.