Problems experienced by mothers in postpartum period and their associations with quality of life Annelerin doğum sonunda yaşadıkları sorunlar ve yaşam kalitesi ile ilişkisi

This study was conducted to determine the relationship between problems regarding mothers’ own care in the postpartum period and baby care, and quality of life. Sample size of the study conducted in descriptive type was found to be 176. Mothers consulting Family Health Centers (FHC) in the 4-6 weeks postpartum were taken in the sample group in the province of Konya. To collect data, a 21-item questionnaire formed by the researcher and Maternal Postpartum Quality of Life Questionnaire (MAPP-QOL) were used. The mean scale of the mothers’ (MAPP-QOL) was lower among those who experienced trouble bathing, among those who experienced trouble nourishing, among those who experienced trouble dealing with emotionality, among those who experienced trouble in the care of the perineum, among those who experienced trouble in breast care, among those who experienced trouble breastfeeding, and among those who experienced trouble in the care of other children than the ones who did not experience any trouble. The difference between mothers’ having trouble or not in their own self-care in the postpartum period and MAPP-QOL mean scores was found statistically significant (p<0.05). MAPP-QOL mean scores of mothers was determined lower among those who experienced trouble in their baby’s sucking, among those who experienced trouble in their baby’s sleeping, among those who experienced trouble in their baby’s among those who experienced trouble in their baby’s umbilical cord care, among those who experienced trouble in their baby’s gas pain, among those who experienced trouble in their baby’s skin care and dressing, among those who experienced trouble in their baby’s following of the vaccination than among those who did not experience trouble. The difference between mothers’ having trouble or not in baby care in the postpartum period and MAPP-QOL mean scores was found statistically significant (p<0.05). It was seen that the quality of life score of mothers not experiencing trouble in baby care was higher. It was indicated that mothers encountered many troubles in their own care and infant care in the postpartum period, and so those troubles experienced affected adversely the quality of life of mothers in the postpartum period. When nursing care for the prevention of these factors includes appropriate support and training, both mother and baby’s health is protected and developed and compliance with the process of mother is facilitated, and it will raise the quality of life of mother in the postpartum period. Ozet Bu calisma dogum sonu donemdeki annelerin kendi bakimlari ve bebek bakimina yonelik yasanan sorunlar ve yasam kalitesi ile iliskisini belirlemek amaciyla yapilmistir. Tanimlayici turde yapilan calismanin ornek buyuklugu belirlenerek 176 olarak bulunmustur. Konya il merkezinde Aile Saglik Merkezlerine (ASM) basvuran dogum sonu 4-6 haftalarinda olan anneler orneklem grubuna alinmistir. Verilerin toplanmasinda arastirmaci tarafindan olusturulan 21 soruluk anket formu ve Dogum Sonu Yasam Kalitesi Olcegi kullanilmistir (DSYKO). Annelerin DSYKO puan ortalamasinin, banyo yapmada sorun yasayanlarda, beslenmede sorun yasayanlarda, duygusal bas etmede sorun yasayanlarda, perine bakiminda sorun yasayanlarda, meme bakiminda sorun yasayanlarda, emzirme sorunu yasayanlarda ve diger cocuklarin bakiminda sorun yasayanlarda dusuk oldugu, sorun yasamayanlarda yuksek oldugunu saptanmistir. Annelerin dogum sonu donemde kendi oz bakimlarinda sorun yasayip yasamamasi ile DSYKO puan ortalamalari arasindaki fark istatistiksel olarak anlamli bulunmustur (p<0,05). Annelerin DSYKO puan ortalamalarinin, bebeginde emme sorunu yasayanlarda, bebeginde uyku sorunu yasayanlarda, bebegin gobek bakiminda sorun yasayanlarda, bebeginde gaz sancisi sorunu yasayanlarda, bebegin cilt bakimi ve giydirilmesinde sorun yasayanlarda, bebeginin asilarinin takibinde sorun yasayanlarda, sorun yasamayanlara gore daha dusuk oldugu saptanmistir. Annelerin dogum sonu donemde bebek bakiminda sorun yasayip yasamamasi ile DSYKO puan ortalamalari arasindaki fark istatistiksel olarak anlamli bulunmustur (p<0,05). Bebek bakiminda sorun yasamayan annelerin yasam kalitesi puaninin daha yuksek oldugu gorulmustur. Dogum sonu donemdeki annelerin kendi bakimlari ve bebek bakiminda bircok sorunla karsilastiklari, yasanan bu sorunlarin annelerin dogum sonu yasam kalitesini olumsuz etkiledigi belirlenmistir. Bu faktorlerin onlenmesine yonelik hemsirelik yaklasiminin; uygun destek ve egitimi icermesi, hem anne, bebek sagligi korunup gelistirilmesi hem de annenin dogum sonu surece uyumunu kolaylastiracak ve dogum sonu yasam kalitesini yukseltecektir.