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Öğe Effects of anxiety and social support levels on the prenatal attachment of pregnant women with preeclampsia(Cukurova Univ, Fac Medicine, 2021) Kara, Pinar; Nazik, EvsenPurpose: This study was carried out to determine the effect of the social support and anxiety levels of pregnant women diagnosed with preeclampsia (PE) on prenatal attachment. Materials and Methods: The study with a descriptive and case-control design was conducted on 313 pregnant women (PE=101, control=212). The data were collected by using the personal information form, Multidimensional Scale of Perceived Social Support (MSPSS), State-Trait Anxiety Inventory (SAI-TAI), and Prenatal Attachment Inventory (PAI). Results: The scores of MSPSS in the PE group were found to be lower than in the control group while the SAI scores were found to be higher than in the control group. A positive significant relationship was found between the MSPSS total mean score and the PAI total mean score of the pregnant women in both the preeclampsia group and the control. Conclusion: This study has demonstrated that preeclamptic pregnant women experience more anxiety and need more social support. It has also shown that social support is effective in increasing prenatal binding levels in both preeclamptic and healthy pregnant women. It is therefore recommended for health care professionals to evaluate the anxiety, social support, and prenatal binding levels of pregnant women at risk and especially those being followed-up at the clinic during the antenatal follow-ups.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 Perception and readiness for inter-professional education of health discipline students: A cross-sectional study(Churchill Livingstone, 2022) Kara, Pinar; Yikar, Seda Karacay; Cercer, Zehra; Tosunoz, Ipek Kose; Arslan, Sevban; Nazik, EvsenBackground: Interprofessional education (IPE) is a concept focusing on the improvement of a good teamwork environment bringing professionals from diffferent professions together to obtain high-quality health care and improve health outcomes. Determining health discipline students' IPE perceptions and readiness is important to develop, implement and maintain effective IPE programs. Objectives: This study aims to determine perception and readiness for interprofessional education of health discipline students. Design: This study utilized a descriptive and cross-sectional design. Settings: A public university in Turkey. The study was conducted with students enrolled in Faculty of Health Sciences, Medical Faculty, Faculty of Dentistry, or Vocational School of Health Services. Participants: The participants included 646 health discipline students who were enrolled in nursing, midwifery, medical, dentistry, medical imaging technology, first and emergency aid, and elderly care departments. Methods: Data were collected through the Data Collection Form, the Interdisciplinary Education Perception Scale (IEPS-TR) and the Readiness for Inter-professional Learning Scale (RIPLS). Results: The participants' IEPS-TR and RIPLS total mean scores were found 65.81 +/- 19.86 and 67.90 +/- 13.53, respectively. The IEPS-TR and RIPLS mean scores and the variables such as choosing the department willingly and being satisfied with the department indicated a statistically significant correlation (p < 0.05). In addition, RIPLS mean scores and the variables such as age, and willingness to take classes with other healthcare students indicated a statistically significant correlation (p < 0.05). However, no statistically significant correlation was found between the IEPS-TR and RIPLS total mean scores and department-related variables (p > 0.05). The participants' IEPS-TR and RIPLS mean scores demonstrated a positive and significant relationship (r = 0.314, p < 0.001). Conclusions: This study showed that health discipline students had a high level of perception of interdisciplinary education and were ready for interprofessional education. The study also demonstrated that students' perception of interdisciplinary education increased with the increase in their readiness for this education.Öğe Perceptions of interdisciplinary education and readiness for inter-professional education of nursing students: A sample of three different cities in Turkey(Churchill Livingstone, 2021) Tosunoz, Ipek Kose; Yikar, Seda Karacay; Cercer, Zehra; Kara, Pinar; Arslan, Sevban; Nazik, EvsenBackground: In recent years, interprofessional education has been described as an opportunity for all healthcare professionals to enhance nursing quality by learning together and about one another. Determining perceptions and readiness of nurses regarding interprofessional education is important for effective education planning. Objectives: The aim of the study is to determine readiness for interprofessional learning and perceptions of interdisciplinary education of nursing students. Design: Descriptive and cross-sectional study. Settings: Nursing departments of public universities, in three different cities in Turkey. Methods: This study was conducted with 738 thirdand fourth-year nursing students. The data of the study was collected using Student Information Form, Readiness for Inter-professional Learning Scale (RIPLS), and Interdisciplinary Education Perception Scale (IEPS). The data was analyzed using descriptive statistics, Student's t-test, Kruskal-Wallis test, one-way analysis of variance (ANOVA), and correlation. Results: Mean age of the students was 21.56 +/- 1.48, and the majority (72.9%) were women. Of the students, 58.9% chose their profession willingly, 56% chose the department as their first choice, 41.2% wanted to receive education with other healthcare students, and 84% reported having prior teamwork experience. Students' mean total scores of RIPLS and IEPS were respectively 69.78 +/- 11.32 and 69.19 +/- 16.62. There was a statistically significant difference between RIPLS mean scores and choosing the occupation willingly, order of choice, being satisfied with the choice of department, and willingness to study with other healthcare students, and between IEPS mean scores and choosing the occupation willingly, order of choice and being satisfied with the department choice (p < 0.05). Conclusion: Nursing students in three different cities had good readiness levels for interprofessional education and perception levels of interdisciplinary education, and differed according to certain demographical qualities. In addition, there was a positive relationship between readiness of inter-professional education, and perceptions of the students.Öğe POST-TRAUMATIC STRESS DISORDER AND AFFECTING FACTORS IN PREGNANT WOMEN IN THE COVID-19 PANDEMIC(Medicinska Naklada, 2021) Kara, Pinar; Nazik, Evsen; Nazik, Hakan; Ozer, DilaraBackground: Post-traumatic stress disorder (PTSD) causes adverse obstetric outcomes in pregnants. COVID-19 pandemic can cause PTSD symptoms in pregnant women. This descriptive study aims to determine the post-traumatic stress disorder and affecting factors in pregnant women in the COVID-19 pandemic. Subjects and methods: A total of 445 pregnant women completed Data Collection Form and DSM-5 Post-Traumatic Stress Disorder Checklist (PCL-5). Results: The mean total PCL-5 score of the pregnant women was found to be 57.27 +/- 17.90. There was a significant difference between PCL-5 and gestational week, parity, the idea that the COVID-19 outbreak would cause a problem in childbirth, the presence of a COVID-19 in one of the family members/a loved one, the status of following COVID-19 -related developments (p<0.05). Conclusions: It is important for health professionals to evaluate the psychological effects of the pandemic in pregnants during antenatal period.Öğe Prevalence of Lower Urinary Tract Symptoms in Pregnant Adolescents and the Influencing Factors(Elsevier Science Inc, 2020) Aydin, Arzu; Kocaoz, Semra; Kara, PinarStudy Objective: To determine the prevalence of lower urinary tract symptoms (LUTS) and associated risk factors in pregnant adolescents. Design: Descriptive study. Setting: The obstetrics and gynecology outpatient departments of a training and research hospital in Turkey. Participants: Two hundred six pregnant adolescents younger than the age of 19 years. Interventions: None. Questionnaire-based data and the Bristol Female Lower Urinary Tract Symptoms-Short Form (BFLUTS-SF) were collected from pregnant adolescents. Main Outcome Measures: Comparisons were made with independent samples t test, one-way analysis of variance, Mann-Whitney U, and Kruskal-Wallis tests, and linear regression for the analysis of the potential risk factors. Results: The prevalence of at least 1 of the LUTS in pregnant adolescents was 78.6% (162/206). The prevalence of storage symptoms was more than those of urinary incontinence and voiding symptoms. Among LUTS, the prevalence of nocturia, urgency, frequency, bladder pain, and urinary incontinence was 59.3% (122/206), 54.4% (112/206), 39.3% (81/206), 37.4% (77/206), and 27.2% (56/206), respectively. Of pregnant adolescents with LUTS, 30.2% (49/162) of pregnant adolescents with LUTS reported seeking treatment for LUTS in this study. The total median scores from the BFLUTS-SF increased with gestational week, but no statistical significant difference was identified (P > .05). According to the results of the linear regression analysis, daily coffee consumption, smoking, chronic coughing, constipation, and urinary tract infection history were found to be associated with the total mean score on the BFLUTS-SF in pregnant adolescents. Conclusion: LUTS were found to be common among pregnant adolescents, with storage symptoms being the most frequently reported. Prenatal education could increase the number of adolescents who seek treatment, thereby improving the clinical course of LUTS.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 The effects of gestational diabetes on lower urinary tract symptoms of pregnant women: a case-control study(Taylor & Francis Inc, 2022) Yavuz, Adem; Kocaoz, Semra; Kara, Pinar; Destegul, EmreGestational diabetes mellitus (GDM) and lower urinary tract symptoms (LUTS) are common health problems in pregnant women. The aim of this case-control study was to evaluate the effects of GDM on LUTS in pregnant women. This study was conducted with 44 pregnant women diagnosed with GDM and 44 pregnant without GDM. Patients with GDM had significantly lower likelihood of experiencing urgency (7.069-fold lower likelihood); whereas they had significantly greater likelihoods for urinary incontinence (UI) during sexual intercourse (OR: 0.185; 5.4-fold higher), need for clothing change due to UI (OR: 0.268; 3.7-fold higher), and adverse effects on daily life due to UI (OR: 0.338; 2.9-fold higher) compared to women without GDM (p < .05 for all). Although pregnant women with GDM appear to have a lower likelihood of urgency, this may be associated with the adverse effects of GDM since the likelihoods for UI-related outcomes were increased and quality of life was reduced among pregnant women with GDM compared to those without GDM.Impact statementWhat is already known on this subject? Lower urinary tract symptoms (LUTS) are very common among pregnant women, and negatively affect social, sexual and working life. There are many risk factors that affect the development of LUTS in pregnant women. It is stated that gestational diabetes mellitus (GDM) may be a predisposing factor in the development of LUTS in women.What do the results of this study add? Women with GDM experienced storage symptoms at a lower frequency (especially urgency) compared to the control group. In addition, we determined worse quality of life among women with GDM who experienced a greater frequency of urinary incontinence.What are the implications of these findings for clinical practice and/or further research? It may be beneficial to provide training on the prevention and management of LUTS to all pregnant women, especially women with GDM, and to increase the sensitivity of health professionals on the subject.Öğe USE OF ABDOMINAL BINDER AFTER CESAREAN SECTION(AVES, 2021) Kara, Pinar; Nazik, EvşenCesarean section is a surgical operation in which the fetus is delivered alive or dead by making abdominal and uterine incisions. As of the 21st century, cesarean section is among the most frequently performed surgical operations in the world. Since it is an abdominal surgery, women may experience problems such as nausea, vomiting, pain, abdominal distension, incision infection, etc. in the early postoperative period after cesarean section. In addition, maternal obstetric outcomes such as major obstetric hemorrhage, postpartum hemorrhage (PPH-hemorrhage), bleeding complications and peripartum hysterectomy can develop in women. Further, the mother may experience various problems related to meeting the postpartum basic care needs and have difficulties in providing newborn care. International postpartum care guidelines emphasize the importance of diagnosing PPH in women at an early stage, performing effective interventions, optimal pain management, providing early mobilization, and supporting functional recovery. It is stated in the literature that possible transmission of analgesics used in pain management to newborns should be considered. In the post-cesarean period, women experience high levels of pain and may use large amounts of analgesics. Inability to control the pain prevents deep breathing and coughing, and may lead to interruption of sleep, negative mood swings, prolonged hospital stay and delayed recovery. PPH can develop in women in the postpartum stage and increases maternal mortality. The care given in the postpartum period is important for achieving optimal maternal-neonatal health. In the literature, it has been shown that the abdominal binder, which is a noninvasive nursing intervention, is used in the post-cesarean period and can contribute to supporting care. In this review were examined the effects of abdominal binder use after cesarean section on pain level, analgesic use, postpartum blood loss, postpartum functional recovery and complications. © 2021, AVES. 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