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Yıl:2016; Cilt: ; Sayı: 9>> Özet
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Literatür Sempozyum; 2016;(9):21-26
Postpartum Depresyon ve Hemşirelik Yaklaşımı
DY Koçak, NB Duman
Hitit Üniversitesi, Çorum
Postpartum dönem doğum sonu ilk 6 haftalık süreci kapsamaktadır. Depresyon doğum sonu ilk 1 yıl içinde başlamış ise “postpartum depresyon (PPD) “ olarak tanımlanmaktadır. Postpartum dönemde üreme hormonlarındaki ani düşüş gibi fizyolojik etkiler ve annenin gebelik öncesi dönemde veya gebelik döneminde depresyon geçirmesi, ailede depresyon öyküsü, düşük sosyoekonomik düzey, sigara kulllanımı, stres yaratan kötü yaşam olayları, yenidoğan bebeğin bakım sorumluluğunun fazla olması, annede kendi bakımı ve yeni doğan bakımı ile yetersizlik hissi ve annelik rolünü yerine getiremeyeceği endişesi gibi psikolojik etkiler postpartum depresyon gelişmesinde etkili olabilmektedir. Duygu durum değişiklikleri, ağlama ve karamsarlık, değersizlik hissi, sinirlilik, sosyal izolasyon, cinsel istekte azalma, dikkat dağınıklığı, kararsızlık, intihar düşüncesi ve iştahta azalma, kilo değişikliği, uyku sorunları, bebek bakımında yetersizlik hissi, halsizlik, anksiyete, suçluluk hissi, unutkanlık postpartum depresyon belirtileri olarak belirtilmektedir. Postpartum süreçte verilecek hemşirelik bakımında annenin doğum sonu süreçte ev ziyaretleri ile izlenerek risk faktörlerinin ve postpartum depresyon belirtilerinin sorgulanması önem taşımaktadır. Ayrıca kadın doğum alanında çalışan hemşire ve ebelerin postpartum depresyon belirtilerini erken süreçte fark edebilmesi için eğitim almış olması gereklidir. Bakımda sağlık profesyonellerinin anneye ve yakınlarına destek sağlaması, sosyal destek sistemleri güçlendirilmesi önerilmektedir.
Postpartum Depression and Nursing Approach
Postpartum period includes the first 6 weeks postpartum period. Postpartum depression is started within the first one year, is defined as “postpartum depression (PPD) ‘’. Physiological effects such as suddenly decline in reproductive hormones during the postpartum period and psychological effects such as the mother’s undergo depression before pregnancy or during pregnancy, family history of depression, low socioeconomic status, smoking, experience stressful life events, responsibility newborn care, feelings of inadequacy self-care for mothers and newborn care, worrying about not fulfill the parental role may also influence the development of postpartum depression. Symptoms of postpartum depression are mood changes, crying and sadness, feelings of worthlessness, irritability, social isolation, decreased sexual desire, attention deficit, instability, suicidal thoughts, and decreased appetite, weight changes, sleep problems, feeling of inadequacy in baby care, fatigue, anxiety, guilt, forgetfulness. given to nursing care following the postpartum period, home visit is important to questioned the risk factors of the mother and symptoms of postpartum depression. In addition, nurses and midwives must be trained to be able to realize of the symptoms of postpartum depression in the early process. In the care health professionals must provide social support to mother and the relatives of the mother, strengthening social support systems.

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