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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 Risk of Postpartum Sexual Dysfunction: A Link to Posttraumatic Stress Disorder Symptoms and Depression Symptoms(Routledge Journals, Taylor & Francis Ltd, 2024) Kocoglu, Ferdane; Asci, Oezlem; Bal, Meltem DemirgozThe aim of this study is to determine the association of the risk of postpartum sexual dysfunction (SD) with posttraumatic stress disorder (PTSD) and depression symptoms. This cross-sectional study was conducted by collecting data from eight different family health centers (n = 147). Data were collected with 'Descriptive Information Form', 'City Birth Trauma Scale (CityBiTS)', 'Edinburg Postpartum Depression Scale (EPDS)' and 'Female Sexual Function Index (FSFI)'. Data were evaluated with Chi-square test, Fisher's exact test, Student's t-test, Spearman's correlation and logistic regression analysis. The risk of SD in women between 6 and 12 months postpartum was 53.1%, and the risk of depression was 19%. Based on self-report data, 16.3% of women met all Diagnostic and Statistical Manual of Mental Disorders (DSM-5) criteria for PTSD in relation to birth-specific events. There was a negative correlation between the FSFI and the CityBiTS (r=-0.208) and EPDS total scores (r=-0.335). It was found that CityBiTS scores were not a significant factor affecting the risk of SD (p > 0.05), but an increase in EDPS scores increased the likelihood of SD (OR:1.22, p < 0.05). Half of the women are at risk of SD in the first postpartum year. As postpartum depression and PTSD symptoms increase, sexual function decreases.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 prevalence of obstetric violence experienced by women during childbirth care and its associated factors in Turkiye: A cross-sectional study(Elsevier Sci Ltd, 2023) Asci, Oezlem; Bal, Meltem DemirgozObjective This study determined the prevalence of obstetric violence experienced by women during child-birth and related factors in Turkiye.Design Cross-sectional studySetting This study was conducted in the mother-child health and gynecology outpatient clinics of the training and research hospital in Turkiye.Participants The study was completed with 513 women who gave birth in the last two years between January and May 2022.Methods Data were collected using a questionnaire prepared by the researchers. Bivariate and mul-tivariate logistic regression analyzed the relationship between obstetric violence and socio-demographic and obstetric characteristics.Findings Obstetric violence was reported by 76.4% of the women: 44.4% physical abuse, 44.4% aban-donment of care, 26.5% non-consented care, 25.1% non-dignified care, 3.3% non-confidential care, and 0.4% discrimination. Low income (OR = 1.98), physician-attended birth (OR = 2.91), vaginal birth (OR = 6.04), and newborn admission to the neonatal care unit (OR = 2.99) were associated with higher reporting of obstet-ric violence. Primiparous women (OR = 0.51), whose pain was controlled by non-pharmacological methods (OR = 0.34) and who received companion support (OR = 0.24) were less likely to report experiencing ob-stetric violence ( p < 0.05).Key conclusions Approximately three out of four Turkish women report that they have been exposed to obstetric violence during childbirth. In Turkiye, vaginal birth is the type of childbirth with the highest rate of obstetric violence reporting. Women who are low-income and multiparous, who are deprived of midwife, companion, and pain control support during childbirth, are more likely to experience obstetric violence. Implications for practice Supporting low-income women, protecting women from traumatic acts and unnecessary interventions in a vaginal birth, increasing births under the attendance of midwives, and providing pain control with non-pharmacological methods, and companion support during labor may be protective factors against obstetric violence. & COPY; 2023 Elsevier Ltd. All rights reserved.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.
