Gebeli̇kte Konsti̇pasyon Görülme Durumu Ve Yaşam Kali̇tesi̇ İle İli̇şki̇si̇

Abstract

Bulgular: Araştırmaya katılan gebelerin %38.8'inin konstipasyon yaşadığı bulunmuştur. Çekirdek aile tipinde olanların (%40.7), gebelik öncesi herhangi bir nedenle ameliyat olanların (%45.0), gebelikte sağlık sorunu yaşayanların (%40.9), defekasyonunu bekletenlerin (%37.3) ve gebelikten önce konstipasyon yaşayanların (%56.5) daha yüksek oranda konstipasyon yaşadıkları bulunmuştur (p<0.05). Konstipasyon yaşayan gebelerin yaşam kalitesi alan puan ortalamalarının daha düşük olduğu, ancak sadece ruhsal alanda bu düşüklüğün istatistiksel düzeyde anlamlı olduğu bulunmuştur (p=0.016). Sonuç: Konstipasyon gebelikte sık karşılaşılan bir sorun olup gebelerin yaşam kalitesini ruhsal alan dışında etkilemediği saptanmıştır. Antenatal bakım veren ebeler, hemşireler ve diğer sağlık çalışanları gebelikte görülen rahatsızlıkları ayrıntılı olarak sorgulamaları, gerekli eğitim ve bakımları sağlayarak gebelerin yaşam kalitelerini yükseltmeleri önerilmektedir. Anahtar kelimeler: Gebelik; konstipasyon; yaşam kalitesi. ABSTRACT The State of The Prevalence of Constipation in Pregnancy and its Relation with the Quality of Life Aim: This study was conducted to investigate the presence of constipation and the relationship between constipation and the quality of life in pregnancy. Methods: The research was carried out, as analytic cross-sectional, between May-September 2016 at a Non-stress Test clinic of a public hospital. The population of the study consisted of 703 pregnant women who attended this clinic. Data were collected with Descriptive Form for Pregnant Women, Simplified Criteria for Constipation Diagnosis in Pregnancy and the World Health Organization Quality of Life Scale. Data collection forms were filled using the face-to-face interview method. Descriptive statistics, chi-square and stundent t test were used for data analysis. Results: It was found that 38.8% of the pregnant women who participated in the research had constipation. Pregnant women in nuclear families (40.7%), those who had had surgery for any reason before pregnancy (45.0%), those who had health problems during pregnancy (40.9%), those who delayed defecation (37.3%), and those who had constipation before pregnancy (56.5%) were found to have a higher rate of constipation (p<0.05). It was found that the mean scores of the quality of life of the pregnant women who had constipation were lower, but only in the psychological aspect was this difference statistically significant (p=0.016). Conclusion: Constipation is a common problem in pregnancy and it has been determined that, with the exception of the psychological aspect, it does not affect the quality of life of pregnant women. It is recommended that midwives, nurses and other health personnel who provide antenatal care inquire in detail about the ailments experienced during pregnancy and improve the quality of life of pregnant women by providing the necessary education and care.

Konstipasyon Yaşayan Gebelere Verilen Eğitimin Kabızlık Yaşam Kalitesi ve Kabızlık Ciddiyeti Üzerine Etkisi

“…8 Studies in Turkey conducted to determine the prevalence of constipation determined that this prevalence varied in the range of %13 to %38. 9,10 Relaxation in the smooth muscles in the bowels caused by increased progesterone in pregnancy and the mechanical pressure of the growing uterus are among the causes of constipation. Additionally, increased renin secretion by estrogen and progesterone, conversion of angiotensinogen into firstly angiotensin 1 and the angiotensin 2 by the increased renin secretion, and increased water absorption by increased quantities of aldosterone as a result of these changes, may lead to constipation.…”