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    Birth-related PTSD symptoms and related factors following preterm childbirth in Turkey
    (Springer, 2023) Isbir, Gozde Gokce; Inci, Figen; Akik, Burcu Komurcu; Abreu, Wilson; Thomson, Gill
    Objective: To examine factors associated with birth-related post-traumatic stress disorder (PTSD) among women who had preterm birth in their last pregnancy in Turkey.Methods: 304 women were asked to report sociodemographic factors, perinatal factors, birth-related factors, preterm birth/premature infant characteristics, and social support factors and PTSD symptoms. Data were collected using online surveys between November 2020 and February 2021. Hierarchical multiple linear regression was used. Results: The prevalence of birth-related PTSD symptoms following preterm birth was 71.1%. Older age, the woman being positively affected by her own mother's birth experience, not having traumatic experience in pregnancy and in the postnatal period, lower stress level after traumatic events experienced during birth, not feeling that their life/physical integrity was at risk during birth, having amniotomy, feeling psychologically well after childbirth, not being negatively affected by witnessing other parents' happy moments with their babies in friend/family groups, the absence of infant illness and mother's reporting higher positive interactions with healthcare team were associated with decreased likelihood of birth-related PTSD. Except for age and traumatic event in the postnatal period, all the variables explained 43% of the variance with a small effect size (f(2) = 0.04). Stress level after the traumatic events experienced during labor was the strongest predictor of birth-related PTSD symptoms (beta = 0.33). Conclusion: Wellbeing of mother and baby, facilitating interventions at labor, and positive communication with the healthcare team was associated with lower birth-related PTSD symptoms. The study findings highlighted on birth-related PTSD symptoms in mothers of preterm infants in Turkey.
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    Experiences with Nausea and Vomiting During Pregnancy in Turkish Women Based on Roy Adaptation Model: A Content Analysis
    (ELSEVIER SCIENCE INC, 2013) Isbir, Gozde Gokce; Mete, Samiye
    Purpose: This qualitative study aimed to explore how Turkish women experience nausea and vomiting in pregnancy based on the Roy Adaptation Model. Methods: To collect data, in-depth interviews were undertaken with 35 pregnant women who had nausea and vomiting. The sample of the study included pregnant women who were in their first 12 weeks of gestation, did not have medical problems and had nausea, retching and/or vomiting for at least the last 3 days. Data were collected in semi-structured interview form based on the Roy Adaptation Model and with a background data sheet. Data were analyzed using direct content analysis. Results: Data were classified into four adaptive modes according to the Roy Adaptation Model. The behaviors in the physiological mode were nausea, vomiting, fatigue, changes in sleep patterns, inadequate nutrition, inguinal pain, burning sensation and irritation in the throat, ketosis, and urinary incontinence. The behaviors in the self-concept mode were feeling weak, crying, inadequate self-care, changes in sexual intercourse, and social isolation. The behaviors in the role function mode were being unable to fulfill the responsibilities at home and work. The behaviors in the interdependence mode were dissatisfaction with relationships. Conclusion: The study findings help nursing staff detect the stimuli and the behaviors of pregnant women with nausea and vomiting. Further research may evaluate the impact of a counseling program prepared under the guidance of a nursing model on nausea and vomiting in pregnancy. Copyright (C) 2013, Korean Society of Nursing Science. Published by Elsevier. All rights reserved.
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    Risk factors associated with post-traumatic stress symptoms following childbirth in Turkey
    (ELSEVIER SCI LTD, 2016) Isbir, Gozde Gokce; Inci, Figen; Bektas, Murat; Yildiz, Pelin Dikmen; Ayers, Susan
    Objective: this study examined factors associated with symptoms of post-traumatic stress (PTS) following childbirth in women with normal, low-risk pregnancies in Nigde, Turkey. Design: a prospective longitudinal design where women completed questionnaire measures at 20+ weeks' gestation and 6-8 weeks after birth. Setting: eligible pregnant women were recruited from nine family healthcare centres in Nigde between September 2013 and July 2014. Participants: a total of 242 women completed questionnaires at both time points. Measures: PTS symptoms were measured using the Impact of Event Scale-Revised (IES-R) 6-8 weeks after birth. Potential protective or risk factors of childbirth self-efficacy, fear of childbirth, adaptation to pregnancy/motherhood, and perceived social support were measured in pregnancy and after birth. Perceived support and control during birth was measured after birth. Demographic and obstetric information was collected in pregnancy using standard self-report questions. Findings: PTS symptoms were associated with being multiparous, having a planned pregnancy, poor psychological adaptation to pregnancy, higher outcome expectancy but lower efficacy expectancy during pregnancy, urinary catheterization during labour, less support and perceived control in birth, less satisfaction with hospital care, poor psychological adaptation to motherhood and increased fear of birth post partum. Regression analyses showed the strongest correlates of PTS symptoms were high outcome and low efficacy expectancies in pregnancy, urinary catheterization in labour, poor psychological adaptation to motherhood and increased fear of birth post partum. This model accounted for 29% of the variance in PTS symptoms. Conclusions: this study suggests women in this province in Turkey report PTS symptoms after birth and this is associated with childbirth self-efficacy in pregnancy, birth factors, and poor adaptation to motherhood and increased fear of birth post partum. Implications for practice: maternity care services in Turkey need to recognise the potential impact of birth experiences on women's mental health and adaptation after birth. The importance of self-efficacy in pregnancy suggests antenatal education or support may protect women against developing post partum PTS, but this needs to be examined further. (C) 2016 Elsevier Ltd. All rights reserved.
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    The effect of counselling on nausea and vomiting in pregnancy in Turkey
    (ELSEVIER IRELAND LTD, 2016) Isbir, Gozde Gokce; Mete, Samiye
    Objectives: The aim of this study was to assess the effects of follow-up counselling on the duration and severity of nausea and vomiting in pregnant women. Study design: This study is quasi-experimental and included 62 pregnant women with nausea and vomiting. The group that received counselling was considered to be the experimental group, and the group that received a standard outpatient clinic service was the control group. Data were collected with a demographic data form, that is, the Nausea and Vomiting in Pregnancy Instrument and Pregnancy Unique Quantification of Emesis and Nausea. Significance tests of the differences between two mean values, the Mann-Whitney U test and survival analyses were used to test the hypotheses. Results: In pregnant women with mild or moderate nausea and vomiting, nausea and vomiting terminated in a significantly shorter time in the experimental group than in the control group (p <0.001), but this difference was not significant for pregnant women with severe nausea and vomiting (p > 0.05). In addition, the number of weekly telephone follow-ups in the experimental group was significantly smaller (p < 0.001). Conclusion: Counselling effectively reduced the duration and severity of mild or moderate nausea and vomiting during pregnancy. However, it did not affect the duration of severe nausea and vomiting during pregnancy. (C) 2015 Elsevier B.V. All rights reserved.
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    The effects of antenatal education on fear of childbirth, maternal self-efficacy and post-traumatic stress disorder (PTSD) symptoms following childbirth: an experimental study
    (W B SAUNDERS CO-ELSEVIER INC, 2016) Isbir, Gozde Gokce; Inci, Figen; Onal, Hatice; Yildiz, Pelin Dikmen
    Background: Fear of birth and low childbirth self-efficacy is predictive of post-traumatic stress disorder symptoms following childbirth. The efficacy of antenatal education classes on fear of birth and childbirth self-efficacy has been supported; however, the effectiveness of antenatal classes on post-traumatic stress disorder symptoms after childbirth has received relatively little research attention. Purpose: This study examined the effects of antenatal education on fear of childbirth, maternal self-efficacy and post-traumatic stress disorder symptoms following childbirth. Design: Quasi-experimental study. Methods: The study was conducted in a city located in the Middle Anatolia region of Turkey and data were collected between December 2013 and May 2015. Two groups of women were compared an antenatal education intervention group (n = 44), and a routine prenatal care control group (n = 46). The Wijma Delivery Expectancy/Experience Questionnaire, Version A and B, Childbirth Self-efficacy Inventory and Impact of Event Scale-Revised was used to assess fear of childbirth, maternal self-efficacy and PTSD symptoms following childbirth. Results: Compared to the control group, women who attended antenatal education had greater childbirth self efficacy, greater perceived support and control in birth, and less fear of birth and post-traumatic stress disorder symptoms following childbirth (all comparisons, p < 0.05). Conclusions: Antenatal education appears to alleviate post-traumatic stress disorder symptoms after childbirth. (C) 2016 Elsevier Inc All rights reserved.
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    The Effects of Intrapartum Supportive Care on Fear of Delivery and Labor Outcomes: A Single-Blind Randomized Controlled Trial
    (LIPPINCOTT WILLIAMS & WILKINS, 2017) Isbir, Gozde Gokce; Sercekus, Pinar
    Background: Supportive care during labor, the primary role of intrapartum nurses and midwives, provides comfort to prepartum women and helps facilitate a positive labor experience. It has been argued that supportive care during labor reduces fear and anxiety as well as the resultant side effects. However, evidence supporting this argument is insufficient. Purpose: The aim of this study was to assess the effects of intrapartum supportive care on fear of delivery and on the key parameters of the labor process. Methods: This study used a single-blind randomized controlled trial approach. Randomized block assignment was used to assign 72 participants to either the intervention group (n = 36) or the control group (n = 36). Three women in the intervention group and six in the control group were later excluded from the study because they received emergency cesarean delivery. The intervention group received continuous supportive care, and the control group received routine hospital care. Results: No significant differences were identified between the two groups at baseline. The intervention group reported less fear of delivery during the active and transient phases of labor, higher perceived support and control during delivery, lower pain scores during the transient phase of labor, and a shorter delivery period than the control group (p < .05). However, no significant difference in the use of oxytocin during delivery between the two groups was reported. Conclusions/Implications for Practice: The results of this evidence-based study suggest that continuous support during labor has clinically meaningful benefits for women and that all women should receive this support throughout their labor and delivery process.
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    The Turkish version of perceived support and control in birth scale
    (TAYLOR & FRANCIS LTD, 2015) Inci, Figen; Isbir, Gozde Gokce; Tanhan, Fuat
    Objective: This is a methodological study carried out to evaluate the validity and reliability of the Turkish version of the Support and Control in Birth Scale (SCIB). Methods: This study included 339 post-partum women. The validity of the Turkish version of the scale was assessed in terms of content and construct validity. Reliability was evaluated using the internal consistency coefficient, the test-retest correlation coefficient and the item correlation between the subscales. Results: The internal consistency coefficient of the scale was 0.84 (p<0.01). There were significant correlations between sub-scales (rho = 0.122, 0.129, 0.263, p<0.05), and the test-retest correlation coefficient of the scale was also significant (rho = 0.86, alpha = 0.000). As in the original scale, a three-factor structure was examined, which explained 42.85% of the total variance. The model was verified by a confirmatory factor analysis. Conclusion: The Turkish version of the SCIB is a reliable and valid instrument for measuring the perceived support and control during birth among Turkish women.
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    Using a Nursing Theory or a Model in Nursing PhD Dissertations: A Qualitative Study From Turkey
    (WILEY-BLACKWELL, 2015) Mete, Samiye; Isbir, Gozde Gokce
    PurposeThe aim of this study was to reveal experiences of nursing students and their advisors using theories and models in their PhD dissertations. MethodsThe study adopted a descriptive qualitative approach. This study was performed with 10 PhD candidates and their five advisors from nursing faculty. ResultsThe results of the study were categorized into four. These are reasons for using a theory/model in a PhD dissertation, reasons for preferring a given model, causes of difficulties in using models in PhD dissertations, and facilitating factors of using theories and models in PhD of dissertations. ConclusionsIt was also reported to contribute to the methodology of research and professional development of the students and advisors. AmacHemirelik alannda model veya teori kullanlarak yaplan doktora tezlerinde yaanlan deneyimleri belirlemek amacyla yaplmtr. YontemKalitatif yontem kullanlarak yaplan tanmlayc bir aratrmadr. Aratrmann orneklemini hemirelik alannda doktora yapan on orenci ile onlarn danman olan be oretim uyesi oluturmaktadr. BulgularSonuclar dort kategoride toplanmtr; doktora tezinde model/teori kullanma nedenleri, secilen model/teoriyi tercih etme nedenleri, doktora tezinde model/teori kullanmnda yaanlan guclukler, doktora tezinde model/teori kullnmn kolaylatrc faktorler. SonuclarDoktora tezinde model kullanmak aratrmann metodolojisine ve orenci ve danmann profesyonel geliimine katk salamtr.