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An analysis of the relationship between insomnia-fatigue levels of the mothers and their depression and maternal attachment status

Songul Aktas, Dilek Kucuk Alemdar.




Abstract

The study was conducted to investigate the relationship between the insomnia-fatigue levels of the mothers with infants and their depression and maternal attachment status. The universe of this descriptive study consisted of the mothers with infants who applied to a state hospital in the north of Turkey with the mothers admitted to the pediatric polyclinic. The sample comprised 194 mothers who were selected by a simple random sampling method and who agreed to participate in the study. In the G power analysis, the sample calculation was performed based on the relationship between two means. As a result of the analysis, the sample was calculated as 178 people. This number was increased to 194 to improve the power of the research. As data collection tools, a Mother Introductory Information Form for descriptive features, Brief Fatigue Form, Sleep Status Rating Scale for Mothers, Beck Depression Scale and Maternal Attachment Scale were used. In the statistical analysis, arithmetic means, standard deviations and percentages were used for descriptive variables. Spearman correlation analysis was used to examine the relationships between the quantitative variables. The average age of the mothers was found as 29.28±5.52 and 52.7% of them were primary school graduates. 86.1% had planned pregnancy and 64.9% had a cesarean section. 68.7% of the mothers stated that they could take their baby on their laps more than one hour and 45.6% were breastfeeding them. It was determined that the mean fatigue scores of the mothers were 4.33±2.56, the mean insomnia score was 4.23±1.24, the Beck depression score was 14.01±11.06 and the maternal attachment score was 99.22±6.74. In our study, there was a significant weak relationship in the positive direction between maternal fatigue and insomnia levels and depression status (p 0.05). It was determined that there was a weak correlation in the positive direction between the fatigue-insomnia levels and the depression status of the mothers. In the light of these results, by identifying the factors that cause fatigue and insomnia, it could be suggested to prevent the maternal depression and to strengthen maternal attachment of the mothers with infants aged 2-6 months through social support provided by health professionals.

Key words: Postpartum, infant, fatigue-insomnia, depression, maternal attachment






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