Prenatal kayıp yaşamış gebelere uygulanan duygusal özgürlük tekniği ve müziğin psikolojik gelişim, iyi olma durumu ve kortizol düzeyine etkisi
Küçük Resim Yok
Tarih
2021
Yazarlar
Dergi Başlığı
Dergi ISSN
Cilt Başlığı
Yayıncı
İnönü Üniversitesi
Erişim Hakkı
info:eu-repo/semantics/openAccess
Özet
Amaç: Araştırma, prenatal kayıp yaşamış gebelere uygulanan duygusal özgürlük tekniği ve müziğin psikolojik gelişim, iyi olma durumu ve kortizol düzeyine etkisini belirlemek amacıyla yapıldı. Materyal ve Metot: Araştırma, Ekim 2020-Nisan 2021 tarihleri arasında, Elazığ Fethi Sekin Şehir Hastanesi'nin kadın doğum polikliniklerine başvuru yapan toplam 159 gebe ile randomize kontrollü olarak yürütüldü (53 DÖT, 53 müzik, 53 kontrol). Araştırmada DÖT grubundaki gebelere bir hafta ara ile iki kez DÖT uygulandı; müzik grubundaki gebelere bir hafta ara ile iki kez müzik dinletildi. İlk girişimden sonraki bir hafta boyunca gebeler girişimlere evde devam etti. Verilerin toplanmasında SUDS, SUE Skalası, TSBE, WHO-5 İyi Olma İndeksi kullanıldı ve kortizol değerlendirmesi için tükürük numunesi alındı. Bulgular: DÖT ve müzik girişimi sonrası gebelerin SUE skalasına göre kaygı düzeylerinin farklılık gösterdiği, en düşük kaygı düzeyinin DÖT grubuna ait olduğu ve kontrol grubunun kaygısının anlamlı düzeyde arttığı belirlendi (p<0.001). DÖT ve müzik grubundaki gebelerde girişimler sonrasında TSBE ve WHO-5 İyi Olma İndeksi puan ortalamalarının kontrol grubuna göre istatistiksel olarak önemli düzeyde yüksek ve tükürük kortizol ortancalarının önemli düzeyde düşük olduğu bulundu (p<0.05). Gruplararası karşılaştırmada WHO-5 İyi Olma İndeksi üzerinde DÖT uygulamasının daha etkili olduğu belirlendi (p<0.001; a>b>c). Ayrıca girişimler sonrası kontrol grubundaki gebelerin tükürük kortizol ortancalarının DÖT ve müzik grubundaki gebelere göre istatistiksel olarak anlamlı şekilde yüksek olduğu belirlendi (p<0.001). Sonuç: Prenatal kayıp yaşamış gebelere uygulanan DÖT ve müziğin kaygıyı azalttığı, psikolojik gelişimi sağladığı, iyilik halini geliştirdiği ve tükürük kortizol düzeyini düşürdüğü belirlendi.
Aim: The research is conducted to determine for the purpose of the effect of emotional freedom technique and music applied to pregnant women having experienced prenatal loss on psychological development, well-being status, and cortisol level. Material and Method: The research is conducted in a randomized controlled manner with a total of 159 pregnant women who applied to the gynecology outpatient clinics of Elazig Fethi Sekin City Hospital between October 2020 and April 2021 (53 EFT, 53 music, 53 control). In the research, EFT was applied to the pregnant women in the EFT group twice, with an interval of one week; pregnant women in the music group were listened to music twice, with a one-week interval. Pregnant women continued the attempts for one week after the first attempt. SUDS, SUE Scale, PTGI, WHO-5 Well-Being Index were used to collect data, and a saliva sample was taken. Results: It was determined that the anxiety levels of the pregnant women differed according to the SUE scale after the EFT and music attempt, the lowest level of anxiety belonged to the EFT group, and the anxiety of the control group increased significantly (p<0.001). It was found that PTGI and WHO-5 Well-Being Index mean scores were statistically significantly higher and salivary cortisol medians were significantly lower in pregnant women in the EFT and music group compared to the control group after attempts (p<0.05). In the intergroup comparison, it was determined that the application of EFT was more effective on the WHO-5 Well-Being Index (p<0.001; a>b>c). In addition, after the attempts, the median salivary cortisol levels of the pregnant women in the control group were found to be statistically significantly higher than those in the pregnant women EFT and music group (p<0.001). Conclusion: It was determined that EFT and music applied to pregnant women having experienced prenatal loss reduced anxiety, provided psychological development, improved well-being, and decreased salivary cortisol level.
Aim: The research is conducted to determine for the purpose of the effect of emotional freedom technique and music applied to pregnant women having experienced prenatal loss on psychological development, well-being status, and cortisol level. Material and Method: The research is conducted in a randomized controlled manner with a total of 159 pregnant women who applied to the gynecology outpatient clinics of Elazig Fethi Sekin City Hospital between October 2020 and April 2021 (53 EFT, 53 music, 53 control). In the research, EFT was applied to the pregnant women in the EFT group twice, with an interval of one week; pregnant women in the music group were listened to music twice, with a one-week interval. Pregnant women continued the attempts for one week after the first attempt. SUDS, SUE Scale, PTGI, WHO-5 Well-Being Index were used to collect data, and a saliva sample was taken. Results: It was determined that the anxiety levels of the pregnant women differed according to the SUE scale after the EFT and music attempt, the lowest level of anxiety belonged to the EFT group, and the anxiety of the control group increased significantly (p<0.001). It was found that PTGI and WHO-5 Well-Being Index mean scores were statistically significantly higher and salivary cortisol medians were significantly lower in pregnant women in the EFT and music group compared to the control group after attempts (p<0.05). In the intergroup comparison, it was determined that the application of EFT was more effective on the WHO-5 Well-Being Index (p<0.001; a>b>c). In addition, after the attempts, the median salivary cortisol levels of the pregnant women in the control group were found to be statistically significantly higher than those in the pregnant women EFT and music group (p<0.001). Conclusion: It was determined that EFT and music applied to pregnant women having experienced prenatal loss reduced anxiety, provided psychological development, improved well-being, and decreased salivary cortisol level.
Açıklama
Anahtar Kelimeler
Ebelik, Midwifery
