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Öğe Compassion Fatigue and Satisfaction in Nurses and Midwives during the COVID-19 Pandemic in Turkey(Marmara Univ, Inst Health Sciences, 2022) Kocoglu, Ferdane; Asci, Ozlem; Bal, Meltem DemirgozObjective: To examine the levels of compassion fatigue and compassion satisfaction of nurses and midwives during the COVID-19 pandemic and the influencing factors. Methods: This descriptive study was carried out with the participation of Turkish midwives and nurses. In the study using the convenience sampling method, data were collected online using an online questionnaire. The questionnaire, created through the Google form, was shared between May and June 2021 in the midwife and nurse groups (Facebook, Instagram, WhatsApp) on electronic platforms. Compassion fatigue (CF) and compassion satisfaction (CS) consisting of the burnout (BO) and secondary traumatic stress (STS) subcomponents were assessed by the Professional Quality of Life scale. The study was completed with 402 nurses and midwives from various units. Descriptive statistics, and the Mann-Whitney U and Kruskal-Wallis tests were used in the analysis of the data. Results: Among the participants, the rate of dissatisfaction with the clinic worked was 24.6% and the turnover intention rate was 70.6%. During the pandemic period, 75.6% of the participants reported that they were exposed to verbal violence, 7.7% to physical violence, and 74.4% to mobbing behaviors. Low CS was found in 24.9% of the participants, a high level of BO in 27.1%, and high STS in 32.8%. Conclusion: Violence and mobbing against nurses and midwives should be prevented in order to increase the professional quality of lifeÖğe Development and psychometric properties of the Respectful Maternity Care Scale (RMCS)(Routledge Journals, Taylor & Francis Ltd, 2023) Dissiz, Melike; Bal, Meltem Demirgoz; Yilmaz, Zeynep Dilsah Karacam; Bingol, Fadime Bayri; Asci, OzlemAims/Background: The Respectful Maternity Care Scale (RMCS) was developed specifically to assess the health care that women receive during pregnancy, labour and the postnatal period. The aim of this study was to investigate the validity and reliability of the RMCS.Design/Methods: This study used a methodological design. The RMCS, a self-report instrument, was developed in consultation with professionals and women who had given birth, based on the literature. It was tested for content and construct validity. Reliability was assessed using Cronbach's alpha, test-retest method, and adjusted item-total correlation. The study sample consisted of 405 women between 6 weeks and 12 months postpartum who were admitted to a family health centre in Istanbul between April and June 2023.Results: The scale's content validity index is 0.92. The scale consists of 29 items and 3 sub-dimensions, which explain 61% of the total variance. chi(2)/df was less than 5 and RMSEA was less than 0.08, which confirms the validity of this model. The corrected item-total correlations were acceptable, and the Cronbach's alpha coefficient was 0.96.Conclusion: The RMCS has been shown to be valid and reliable and can be used to assess respectful maternity care among Turkish women.Öğe Falls during Pregnancy in Turkish Women: Prevalence, Affecting Factors and Treatment-Seeking Behaviors(Mashhad University of Medical Sciences, 2021) Asci, Ozlem; Kocaoz, Semra; Kara, Pinar; Tas, FerdaneBackground & aim: Physiological, anatomical and hormonal changes that occur during pregnancy could increase pregnant women's risk of falling, which could lead to negative outcomes for both women and fetuses. This study aims was to identify the prevalence and influencing factors of falls in Turkish women during pregnancy as well as these women's treatment-seeking behavior. Methods: This retrospective and descriptive study was conducted with 622 pregnant women who presented for prenatal follow-up at Nigde Training and Research Hospital in Turkey using the convenience sampling method. The data were collected with the "Structured Questionnaire Form" and "Trait Anxiety Inventory", and analyzed using SPSS 24.0 software using descriptive statistics, Chi-squared and Student's t-tests and logistic regression analysis. Results: The prevalence of falls in pregnant women at term was found as 17.7%. The falls most commonly occurred at home (62.3%), on stairs (16.8%), and on wet (16.8%) or uneven ground (13.9%). The rates of injury and going to a hospital after such a fall were 63.6% and 14.2%, respectively. Trait anxiety mean scores did not show a significant difference in terms of pregnancy fall history (p>0.05). Regression analysis revealed a significant relationship between a fall history during pregnancy and medication use (OR=1.680; p=0.025) and clothing style (OR=1.836; p=0.025). Conclusion: Approximately two out of ten pregnant women have a history of falling, with the falls usually being associated with preventable causes. It is recommended that pregnant women be informed by midwives and other healthcare professionals about falls, avoiding risk factors and seeking medical treatment. © 2021 Mashhad University of Medical Sciences. All right reserved.Öğe Noncyclical and cyclical mastalgia in turkish women: Prevalans, risk factors, health-care seeking and quality of life(Taylor & Francis Inc, 2022) Bolat, Haci; Asci, Ozlem; Kocaoz, Servet; Kocaoz, SemraOur aim in this study was to determine the prevalence of cyclical and noncyclical mastalgia, its underlying risk factors, and to examine its effect on women's quality of life. This study was conducted on 415 women, among whom the prevalence of mastalgia was found as 20.7%. It was found that experiencing intense stress, daily coffee and chocolate consumption, breast surgery history and the menstruation pattern were risk factors associated with mastalgia. Some domains of quality of life were found to be negatively affected in women who had mastalgia. Awareness among women about the risk factors of mastodynia and lifestyle changes is needed to improve mastalgia management.Öğe Relationship between menopausal symptoms and sleep quality in women during the climacteric period: a cross-sectional study(Taylor & Francis Inc, 2022) Kocoglu, Ferdane; Kocaoz, Semra; Kara, Pinar; Asci, OzlemThe aim of this study was to evaluate the relationship between the menopausal symptoms and sleep quality in women in the climacteric period. This cross-sectional study was conducted on 383 women aged 40-64 years at the Cancer Early Diagnosis Screening and Training Centre. The data were collected with the questionnaire form, Menopause Rating Scale (MRS) and the Pittsburgh Sleep Quality Index (PSQI). The sleep quality was poor in 77.8% of the women in the study. A significant relationship was found between PSQI scores and the somatic and psychological subscale scores of the MRS in the presence of other variables that could affect sleep according to multiple linear regression analysis (p < .05). We recommend training and consulting services provided by health care professionals and further experimental studies on the subject to decrease the negative effects of the somatic and psychological symptoms found to worsen sleep quality in women in the climacteric period.IMPACT STATEMENT What is already known on this subject? Sleep problems are a common health problem in women in the climacteric period. What do the results of this study add? The most common menopausal symptoms were joint and muscle problems, physical and emotional fatigue, nervousness, hot flushes, unhappiness, anxiety, and sleep problems in order of frequency. There was a weak positive significant relationship between the total PSQI score and the psychological and urogenital subscale scores of the MRS, in addition to a moderate positive significant relationship between the total PSQI scores and the total and somatic subscale scores of the MRS. What are the implications of these findings for clinical practice and/or further research? We believe effective management of the somatic and psychological symptoms during the climacteric period with health care staff providing training and consultancy services to the women aimed at decreasing the symptoms according to evidence-based procedures could help improve the sleep quality. Conducting multicenter studies with a larger subject group where the effect of menopausal symptoms on sleep quality in addition to that of multifactorial causes are evaluated in depth is recommended.Öğe Relationship Between Surgical Fear Level and Postoperative Pain, Nausea-Vomiting, and Sleep Quality in Laparoscopic Sleeve Gastrectomy Patients: A Regression Study(Mary Ann Liebert, Inc, 2023) Odabasi, Gamze; Celik, Gulden Kucukaka; Asci, OzlemObjective: This study aims to evaluate the relationship between surgical fear level and postoperative pain, nausea-vomiting, and sleep quality in patients undergoing laparoscopic sleeve gastrectomy.Methods: The data for the descriptive and cross-sectional study were collected using the Descriptive Information Form, Surgical Fear Questionnaire, Visual Analog Scale, Rhodes Index of Nausea Vomiting and Retching, and Richard-Campbell Sleep Questionnaire. The study was conducted with 105 patients. The extent of the relationship between the predictors was evaluated through stepwise multiple linear regression analysis.Results: Preoperative surgical fear was determined as an effective factor in the severity of pain and sleep quality at the postoperative fourth hour. Concerning the increase of the severity of pain at the 12th and 24th hours, body mass index and accompanying comorbidities, postoperative nausea-vomiting, presence of chronic disease among the complaints, and age were effective factors. Pre-hospitalization sleep quality and comorbidity status of the patients were determined as predictors of postoperative sleep quality.Conclusions: Surgical fear of the patients was determined to increase the fourth-hour pain severity and decrease postoperative sleep quality. Some characteristics of the patients were associated with an increase in postoperative pain and nausea-vomiting symptoms and a decrease in sleep quality.Öğe The breastfeeding experiences of COVID-19-positive women: A qualitative study in Turkey(Wiley, 2022) Asci, Ozlem; Bal, Meltem Demirgoz; Ergin, AylaAim The aim of the study was to determine the breastfeeding experiences of COVID-19-positive women. Methods This was a qualitative study of 14 women diagnosed with COVID-19. One-to-one telephone interviews were conducted and recorded. The data were analyzed thematically. Results Three main themes were identified. Theme 1 was increased emotional load, outlining the emotional effects of the disease in the women, such as feeling sad and inadequate, in addition to anxiety and fear. Theme 2 was breastfeeding during the disease, which illustrated the effects of the treatment process on the women, the disease-related symptoms, their influence on breastfeeding attitudes and behavior, and the effects of social media and television. Theme 3 was perceived social support and need, defining the social support perceived and expected by the women during isolation with needs. Conclusion Women who could not get the professional support they expected had to face the difficult choice between taking medical treatment and breastfeeding. Many women refused drug treatment for COVID-19 and continued to breastfeed with all the resultant emotional and physical difficulties, as they believed in the benefits of mother's milk. The experiences of the women were discussed with an approach that enabled developing health care services further. It was concluded that Turkish health care professionals need to develop an evidence-based and female-centered approach for COVID-19 management in breastfeeding women.Öğe The Impact of Childhood Sexual Abuse on Adult Female Sexual Function and Sexual Distress: A Systematic Review and Meta-Analysis(Turkiye Sinir Ve Ruh Sagligi Dernegi, 2024) Asci, Ozlem; Bal, Meltem Demirgoz; Kocoglu, FerdaneObjective: In this study, it was aimed to examine the impacts of exposure to childhood sexual abuse (CSA) on women's sexual function and sexual distress. Method: In this systematic review and meta -analysis study, eight international (EBSCO, Psyc-Info, Proquest, PubMed, Science Direct, Scopus, Ovid, Web of Science) and two national electronic databases (Dergipark and Thesis Database of the Turkish Council of Higher Education) were searched. Studies reporting outcomes of sexual function and sexual distress in women with and without a history of CSA were included. The data were synthesized by meta -analysis and narrative methods. Results: Two dissertations and five research articles published between 2010 and 2021 were included in the study. In some studies that were not included in the meta -analysis, it was reported that there was no difference in the prevalence of sexual dysfunction, and sexual satisfaction in women with and without a history of CSA. Meta -analysis results demonstrated lower sexual function (sexual arousal, MD: -0.83, p<0.001; sexual desire, MD: -0.55, p<0.001; lubrication, MD: -0.78, p<0.01; pain, MD: -0.52, p<0.001) and more sexual distress (SMD: -0.79, p<0.05) in women with CSA history. Conclusion: This study showed that CSA negatively affects female sexual function and increases sexual distress. Healthcare professionals should be aware that women with a CSA history may have worse sexual functions and more sexual distress. More research is needed on the role of CSA in the etiology of sexual function problems and its possible mechanisms of action.Öğe The impact of the COVID-19 pandemic on the contraceptive use and fertility preferences and behaviors of married women in Turkey(Springer Heidelberg, 2023) Kocoglu, Ferdane; Asci, Ozlem; Kocaoz, SemraPurposeThe aim of this study is to examine the effect of the COVID-19 pandemic on the contraceptive use and fertility preferences and behaviors of married women living in Turkey.DesignThis study used a cross-sectional design.MethodsThis web-based study was conducted with the participation of 327 women. Data were collected using a questionnaire that consists of 52 questions about the participants' socio-demographic and obstetric characteristics, contraceptive use, and fertility preferences, as well as the effects of COVID-19 on them. Descriptive statistics, chi-square, McNemar, and Wilcoxon signed-rank tests were used to assess the data.FindingsApproximately one in every five women stated that health services related to contraceptives were interrupted due to the pandemic. Except for the use of traditional methods before and during the pandemic, no significant difference was found between the participants' use of modern contraceptives. Compared to the pre-pandemic period, the participants' desire to have children decreased significantly in the post-pandemic period.ConclusionsCompared to the pre-pandemic period, there was a decrease in the rate of unintended pregnancy and elective abortion in women. There was no significant change in the rates of using modern contraceptives during the pandemic. During the pandemic, the use of coitus interruptus, one of the traditional methods, increased significantly, while the rate of having children decreased.Clinical evidenceFamily health centers should evaluate what women of reproductive age need and plan strategic interventions to meet their unmet needs so that they can easily access family planning services during circumstances such as the COVID-19 pandemic.Öğe The use of hydrotherapy in the first stage of labour: A systematic review and meta-analysis(Wiley, 2024) Ergin, Ayla; Asci, Ozlem; Bal, Meltem Demirgoz; Ozturk, Gizem Gunes; Karacam, ZekiyeAim: To explore the effect of hydrotherapy applied in the first stage of labour on the health of mother and newborn.Methods: This systematic review and meta-analysis was carried out by following PRISMA. The studies were obtained by scanning EBSCO, PubMed, Science Direct, Ovid, Web of Science and Scopus electronic databases. Twenty studies published between 2013 and 2023 were included.Results: The total sample size of the studies was 8254 (hydrotherapy: 2953, control: 5301). Meta-analyses showed that the perception of pain decreased, comfort level and vaginal birth rate were higher and assisted vaginal birth rate and APGAR scores in the first minute were lower in women who underwent hydrotherapy. There was no difference between groups in terms of the duration of the first and second stage of labour, episiotomy, perineal trauma, intrapartum and postpartum bleeding amounts, use of pain medication and labour augmentations, APGAR scores in the fifth minute, positive neonatal bacterial culture and neonatal intensive care unit need.Conclusion: This study revealed that the results that hydrotherapy decreased the perception of pain and assisted birth, increased the rate of vaginal birth and comfort level and did not adversely affect the health of the mother and baby during the birth process.
