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Öğe Effects of tele-education given based on the health belief model on mode of delivery tendencies in pregnant women(Routledge Journals, Taylor & Francis Ltd, 2022) Akca, Emine Ibici; Derya, Yesim AksoyBackground Cesarean sections, which have a high risk of maternal and neonatal complications and increase health expenditures, have become a global problem. Hence, it is extremely important to encourage women to have normal deliveries. Objective This study was conducted to determine the effects of tele-education given to nulliparous pregnant women based on the health belief model (HBM) on their normal delivery beliefs and tendencies. Methods This randomized-controlled study was conducted with 149 nulliparous pregnant women. Participants in the experimental group received a tele-education programme in 8 sessions prepared in line with the health belief model regarding normal delivery for 15 days. The data was collected by using the Pregnancy Information Form and Belief Scale for Normal Delivery (BSND). Results After the tele-education programme, the post-test BSND mean score was 89.90 +/- 14.10 in the experimental group and 78.80 +/- 12.65 in the control group, where the difference between them was significant (p < 0.01). Additionally, the post-test mean scores of participants in the experimental group in all BSND's subdimensions were significantly higher than those of the women in the control group (p < 0.05). Conclusion The tele-education given in line with the HBM increased the belief and tendency levels of the nulliparous pregnant women towards normal delivery.Öğe The impact of foot massage given to postmenopausal women on anxiety, fatigue, and sleep: a randomized-controlled trial(Lippincott Williams & Wilkins, 2022) Gokbulut, Nilay; Akca, Emine Ibici; Ay, Cigdem KarakayaliObjective This study aims to determine the impact of foot massage given to postmenopausal women on anxiety, fatigue, and sleep. Methods This randomized-controlled study was conducted with 70 women (35 experimental, 35 control) who resided in a village located in Northern Turkey. In the study, the women in the experimental group were given foot massage once every day for 7 days. No intervention was applied to the women in the control group. The data were collected using a Personal Information Form, the Fatigue Severity Scale (FSS), and the Beck Anxiety Inventory (BAI) Descriptive statistics (frequency, percentage distribution, median, and Q1-Q3), chi(2) test, Mann-Whitney U test, and Wilcoxon test were used in the analysis of the data. Results It was found that the women in the control group had lower pretest BAI scores than those in the experimental group (P < 0.05), whereas before the foot massage intervention, the women in the experimental and control groups had similar FSS scores and sleep hours (P > 0.05). After the foot massage, the FSS scores were 2.3 (1.6-3.4) in the experimental group and 5.5 (4.6-6.2) in the control group, the BAI scores were 26.0 (23.0-29.0) in the experimental group and 36.0 (31.0-43.0) in the control group, the daily sleep hours were 8.0 (8.0-10.0) in the experimental group and 7.0 (6.0-8.0) in the control group, and the differences between the groups were statistically significant (P < 0.001). Conclusions It was determined that foot massage applied during menopause increases the average daily sleep duration (hours) and reduces women's fatigue and anxiety levels.Öğe Integration of technology to clinical teaching:The impact of mobile and web-based software automation designed for midwifery students on motivation, time management and anxiety levels(Elsevier Sci Ltd, 2022) Derya, Yesim Aksoy; Akca, Emine Ibici; Ozsahin, Zeliha; Kapidere, MetinAim: This study was performed to assess the impact of a mobile and web-based software system named Midwifery Clinical Automation (EBEKO) and designed by researchers to be used in clinical practices on motivation, time management and anxiety level.Method: The sample of this randomized controlled trial consisted of 60 midwifery students who were randomly and equally assigned to the experimental and control groups. Data were collected between February and May 2019 using Student Introduction Form, Motivation Resources and Problems Scale (MRPS), Time Management Inventory (TMI) and Spielberger's State-Trait Anxiety Inventory (STAI I-II). EBEKO application was designed as a software system ensuring mutual interaction between students and instructors. Students in the experimental group and all instructors of the department of midwifery were trained in terms of using the system. Students were asked to upload the data regarding midwifery care, monitoring and trainings utilized within the clinical practices to the EBEKO. Data uploaded to the system were transferred to the screen designed for the instructors who were in charge. Instructors assessed these forms (for pregnant women/puerperal women/newborns etc.), demanded revisions, approved or returned. Approved forms corresponded to the number of forms needed by the students in the study to graduate. All students in the experimental group used EBEKO system throughout their education period (14 weeks). No interventions were made on the students in the control group. Data were analyzed through the de-scriptive statistics (frequency, percentage, mean, standard deviation, min-max values), and t-test in the dependent and independent groups. Results: Students in the experimental and control groups were found to have similar motivation, time management and anxiety level prior to the use of EBEKO. However, after the use of the application, the mean post-test motivation and time management scores of the students in the experimental group signif-icantly increased compared to the control group ( p < 0.001, p < 0.05), but no significant difference regarding the anxiety levels was present between the groups ( p > 0.05).Conclusion: EBEKO was found to positively affect the motivation and time management of midwifery students.(c) 2022 Elsevier Ltd. All rights reserved.