Araştırma Makalesi
Yıl 2022,
Cilt: 31 Sayı: 4, 289 - 298, 06.09.2022
Öz
Amaç: Gebelik kolestazı fetal ve maternal sağlığı olumsuz etkilemesi ve fetal mortalite riski açısından gebelikte görülebilen önemli bir sağlık problemidir. Bu araştırmada, gebelik kolestazı yaşayan kadınların yaşadığı deneyimlerin kendileri tarafından açıklaştırmaları amaçlanmıştır. Gereç ve Yöntem: Araştırma nitel araştırma tasarımında olup, gebelik kolestazı olan 12 kadının deneyimlerini anlamak için yapılmıştır. Veriler yarı yapılandırılmış bireysel görüşme formu kullanılarak toplanmıştır. Bu çalışmada CORE-Q rehberi temel alınmıştır.
Bulgular: Kadınların gebelik kolestazı deneyimleri olumsuz gebelik deneyimi, yaşam kalitesinde bozulma, prenatal bağlanma, gebelik planı ve baş etme yöntemleri olmak üzere beş ana tema ve sekiz alt tema altında incelenmiştir.
Sonuç: Gebelik kolestazı kadınların kaşınmasına neden olarak uyku problemi yaşamalarına, sosyal yaşamlarının bozulmasına, beden imajından memnuniyetsizliğe ve psikolojik problemlere neden olarak gebeliğin olumsuz deneyimlenmesine ve yaşam kalitesinin bozulmasına neden olmuştur. Ayrıca bebeğini kaybetme korkusu ya da bebeğin sağlığının olumsuz etkilenmesi düşüncesi prenatal bağlanmanın bozulmasına neden olmuştur. Sağlık profesyonelleri kolestazı olan gebelere kaşıntısını hafifletecek uygulamalar konuşunda bilgilendirme ve danışmanlık yapmalıdır.
Anahtar Kelimeler
Kaynakça
- 1. Herrera CA, Manuck TA, Stoddard GJ, Varner MW, Esplin S, Clark EA, et al. Perinatal outcomes associated with intrahepatic cholestasis of pregnancy. The Journal of Maternal-Fetal & Neonatal Medicine. 2018;31(14):1913-20.
- 2. Arafa A, Dong J-Y. Association between intrahepatic cholestasis of pregnancy and risk of gestational diabetes and preeclampsia: a systematic review and meta-analysis. Hypertension in Pregnancy. 2020;39(3):354-60.
- 3. Abide CY, Ergen EB, Kilicci C. Association between gestational weight gain and maternal and neonatal outcomes. Eastern Journal of Medicine. 2018;23(2):115-20.
- 4. Wood AM, Livingston EG, Hughes BL, Kuller JA. Intrahepatic cholestasis of pregnancy: a review of diagnosis and management. Obstetrical & Gynecological Survey. 2018;73(2):103-9. 5. Piechota J, Jelski W. Intrahepatic cholestasis in pregnancy: review of the literature. Journal of Clinical Medicine. 2020;9(5):1361.
- 6. Franks WL, Crozier KE, Penhale BL. Women’s mental health during pregnancy: A participatory qualitative study. Women and Birth. 2017;30(4):e179-e87. 7. Mirzakhani K, Khadivzadeh T, Faridhosseini F, Ebadi A. Pregnant women’s experiences of the conditions affecting marital well-being in high-risk pregnancy: A qualitative study. International Journal of Community Based Nursing and Midwifery. 2020;8(4):345.
- 8. Shojaeian Z, Khadivzadeh T, Sahebi A, Kareshki H, Tara F. Knowledge Valuation by Iranian Women with High-Risk Pregnancy: A Qualitative Content Analysis. International Journal of Community Based Nursing and Midwifery. 2020;8(3):243.
- 9. Sandelowski M. Whatever happened to qualitative description? Research in Nursing & Health. 2000;23(4):334-40.
- 10. Tong A, Sainsbury P, Craig J. Consolidated criteria for reporting qualitative research (COREQ): a 32-item checklist for interviews and focus groups. International Journal for Quality in Health Care. 2007;19(6):349-57.
- 11. Palinkas LA, Horwitz SM, Green CA, Wisdom JP, Duan N, Hoagwood K. Purposeful sampling for qualitative data collection and analysis in mixed method implementation research. Administration and Policy in Mental Health and Mental Health Services Research. 2015;42(5):533-44.
- 12. Morse JM, Field PA. Qualitative research methods for health professionals (second ed.). Thousand Oaks, CA: SAGE Publications; 1995. 13. Cypress BS. Rigor or reliability and validity in qualitative research: Perspectives, strategies, reconceptualization, and recommendations. Dimensions of Critical Care Nursing. 2017;36(4):253-63.
- 14. Janighorban M, Allahdadian M, Mohamadi F, Dadkhah A, Eslami A-a. Need for consultation and training during bed rest in women with high risk pregnancy experience: a qualitative study. International Journal of Pediatrics. 2016;4(5):1705-14.
- 15. Janighorban M, Heidari Z, Dadkhah A, Mohammadi F. Women's needs on bed rest during high-risk pregnancy and postpartum period: A qualitative study. Journal of Midwifery and Reproductive Health. 2018;6(3):1327-35.
- 16. World Health Organization. WHOQOL Measuring Quality of Life. 2017.
- 17. Lagadec N, Steinecker M, Kapassi A, Magnier AM, Chastang J, Robert S, et al. Factors influencing the quality of life of pregnant women: a systematic review. BMC Pregnancy and Childbirth. 2018;18(1):1-14.
- 18. Saadati F, Sehhatiei Shafaei F, Mirghafourvand M. Sleep quality and its relationship with quality of life among high-risk pregnant women (gestational diabetes and hypertension). The Journal of Maternal-Fetal & Neonatal Medicine. 2018;31(2):150-7.
- 19. Hayase M, Shimada M, Seki H. Sleep quality and stress in women with pregnancy-induced hypertension and gestational diabetes mellitus. Women and Birth. 2014;27(3):190-5.
- 20. Mohaddesi H, Bahadory F, Khalkhali H, Baghi P. Comparison of quality of life in low risk pregnant with high-risk pregnant women in perinatology clinic of Kowsar ward Shahid Motahari Hospital in Urmia. Avicenna Journal of Nursing and Midwifery Care. 2013;21(4):69-95.
- 21. Marron SE, Tomas-Aragones L, Boira S, Campos-Rodenas R. Quality of life, emotional wellbeing and family repercussions in dermatological patients experiencing chronic itching: a pilot study. Acta Derm Venereol. 2016;96(3):331-5.
- 22. Korman N, Zhao Y, Pike J, Roberts J, Sullivan E. Increased severity of itching, pain, and scaling in psoriasis patients is associated with increased disease severity, reduced quality of life, and reduced work productivity. Dermatology Online Journal. 2015;21(10).
- 23. Şanlı Y, Dinçer Y, Bayram S, Oskay Ü. Triangülasyon metodu ile yüksek riskli gebelerde mevcut stresörler ve baş etme yöntemleri: Bir devlet hastanesi örneği. Sürekli Tıp Eğitimi Dergisi. 2018;27(5):333-42.
- 24. Laza Vasquez C, Pulido Acuña G, Castiblanco Montañez R. The phenomenology of the study of the experience of high-risk pregnancy. Enfermería Glob. 2012;11(28):295-305.
- 25. Gourounti C, Karapanou V, Karpathiotaki N, Vaslamatzis G. Anxiety and depression of high risk pregnant women hospitalized in two public hospital settings in Greece. International Archives of Medicine. 2015;8(25).
- 26. Dagklis T, Papazisis G, Tsakiridis I, Chouliara F, Mamopoulos A, Rousso D. Prevalence of antenatal depression and associated factors among pregnant women hospitalized in a high-risk pregnancy unit in Greece. Social Psychiatry and Psychiatric Epidemiology. 2016;51(7):1025-31.
- 27. Aksoy Derya Y, Gök Uğur H, Özşahin Z. Effects of demographic and obstetric variables with body image on sexual dysfunction in pregnancy: A cross‐sectional and comparative study. International Journal of Nursing Practice. 2020;26(3):e12829.
- 28. Watson B, Fuller-Tyszkiewicz M, Broadbent J, Skouteris H. Development and validation of a tailored measure of body image for pregnant women. Psychological Assessment. 2017;29(11):1363-75.
- 29. Roomruangwong C, Kanchanatawan B, Sirivichayakul S, Maes M. High incidence of body image dissatisfaction in pregnancy and the postnatal period: Associations with depression, anxiety, body mass index and weight gain during pregnancy. Sexual & Reproductive Healthcare. 2017;13:103-9.
- 30. Pisoni C, Garofoli F, Tzialla C, Orcesi S, Spinillo A, Politi P, et al. Complexity of parental prenatal attachment during pregnancy at risk for preterm delivery. The Journal of Maternal-Fetal & Neonatal Medicine. 2016;29(5):771-6.
- 31. Palma E, Armijo I, Cifuentes J, Ambiado S, Rochet P, Díaz B, et al. Hospitalisation in high-risk pregnancy patients: is prenatal attachment affected? Journal of Reproductive and Infant Psychology. 2021;39(1):30-42.
- 32. Demir Yıldırım A, Hotun Şahin N. Riskli gebelerde prenatal bağlanma ve risklerin değerlendirilmesi. Online Türk Sağlık Bilimleri Dergisi. 2020;5(4):661-72.
- 33. French M, Albanese A, Gossett DR. Postpartum contraceptive choice after high-risk pregnancy: a retrospective cohort analysis. Contraception. 2016;94(2):173-80.
- 34. Ali N, Aldhaheri AS, Alneyadi HH, Alazeezi MH, Al Dhaheri SS, Loney T, et al. Effect of gestational diabetes mellitus history on future pregnancy behaviors: the mutaba’ah study. International Journal of Environmental Research and Public Health. 2021;18(1):58.
- 35. Meaney S, Everard CM, Gallagher S, O'Donoghue K. Parents’ concerns about future pregnancy after stillbirth: a qualitative study. Health Expectations. 2017;20(4):555-62.
- 36. Kapucu S, Akyar İ, Korkmaz F. Konfor. Pearson Nursing Diagnosis Handbook (11 Baskı) Ankara: Pelikan; 2018. p. 929-33.
- 37. Weisshaar E, Szepietowski JC, Darsow U, Lambert J. European guideline on chronic pruritus in cooperation with the European Dermatology Forum (EDF) and the European Academy of Dermatology and Venereology (EADV). Acta Dermato-Venereologica. 2012;92(5):563-81.
- 38. Zhang L, Deng Y, Yao J, Xiao X, Yu S, Shi Y, et al. Acupuncture for patients with chronic pruritus: protocol of a systematic review and meta-analysis. BMJ Open. 2020;10(8):e034784.
- 39. Güleç D, Sevil Ü. Gebelik intrahepatik kolestazı ve hemşirelik bakımı. Ege Üniversitesi Hemşirelik Fakültesi Dergisi. 2013;29(2):93-103.
Toplam 36 adet kaynakça vardır.
Ayrıntılar
| Birincil Dil | Türkçe |
|---|---|
| Konular | Sağlık Kurumları Yönetimi |
| Bölüm | Orjinal Araştırma |
| Yazarlar | |
| Yayımlanma Tarihi | 6 Eylül 2022 |
| Yayımlandığı Sayı | Yıl 2022 Cilt: 31 Sayı: 4 |
