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Yıl:2014; Cilt: 15; Sayı: 2>> Özet
TAM METİN
Anadolu Psikiyatri Dergisi; 2014;15(2):157-164
Gebelerin prenatal risklerinin ruhsal belirtilere etkisi
NT Oran, A Bilge, HÖ Can, YÇ Koçak, M Demirelöz, S Karslıoğlu, N Soğukpınar
Ege Üniversitesi, İzmir
Amaç: Bu araştırmada, gebelerin prenatal risk indikatör puanlarının ruhsal semptomlarına etkisinin incelenmesi amaçlanmıştır. Yöntem: Kesitsel tipte planlanan araştırma, İzmir ilinde yer alan bir kamu doğumevi hastanesi gebe polikliniğine başvuran, kendi ifadesine göre herhangi bir psikiyatrik tanı almadığını belirten 142 gebe üzerinde yürütülmüştür. Araştırmada veri kaynağı olarak gebelerin sosyo-demografik ve obstetrik özelliklerini belirlemeye ilişkin soru formu, gebelerin risk durumunu belirlemeye yönelik Prenatal Risk İndikatörü ve ruhsal belirtilerini taramaya yönelik Kısa Semptom Envanteri kullanılmıştır. Bulgular: Araştırmada risk indikatörüne göre gebelerde en çok karşılaşılan risk faktörleri; mevcut gebeliğinde idrar yolu enfeksiyonu geçirme, nullipar olma, geç ya da yetersiz sayıda prenatal bakım alma ve yetersiz kilo alımı olarak belirlenmiş olup, gebelerin yaklaşık yarısının riskli olduğu saptanmıştır. Ayrıca, KSE puanlarının düşük olduğu, riskli gebelerde paranoid düşünceler puanlarının yüksek, pozitif yönde anlamlı ilişki olduğu ve tüm gebelerin fobik anksiyete puanlarının eşit olduğu belirlenmiştir. Sonuç: Riskli gebelerin paranoid düşüncelere sahip olduğu, tüm gebelerin ise fobik anksiyeteyi eşit yaşadığı saptanmıştır.
Influence of prenatal risks of pregnant women on mental symptoms
Objective: In this study, it was aimed to investigate the influence of prenatal risk indicator scores of pregnant women on mental symptoms. Methods: This cross-sectional study was carried out with 142 pregnant women who were admitted to obstetrics clinic of a state hospital in Izmir province and who stated that they were not diagnosed with any psychiatric diseases. A form questioning socio-demographic and obstetric characteristics of pregnant women, prenatal risk indicator aiming at determining risk of pregnant women and brief symptom inventory (BSI) aiming at screening mental symptoms were used for data collection. Results: The most common risk factors according to risk indicator were detected as experiencing urinary tract infection during the current pregnancy, being nulliparous, receiving late or insufficient prenatal care and inadequate weight gain and almost half of the pregnant women were found to be high risk. In addition, it was found that BSI scores were low, paranoid thought scores were high in high risk women and there was a positive correlation and phobic anxiety scores of all pregnant women were equal. Conclusion: High risk pregnant women were detected to have paranoid thoughts and all pregnant women found to experience phobic anxiety equally.

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