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    Determining the Cultural Care Needs of Infertile Couples in Turkey: A Qualitative Study Guided by the Cultural Competence Model
    (Springer, 2022) Derya, Yesim Aksoy; Altiparmak, Sumeyye; Ay, Cigdem Karakayali; Ozsahin, Zeliha
    The cultural competence model is an ethnographic model created to improve the cultural understanding of people's status in the context of health, health promotion and illness. This study aimed to use the Purnell Model for Cultural Competence for determining the cultural care needs of couples undergoing infertility treatment. This study with a qualitative design was conducted at a private in vitro fertilization center in eastern Turkey. The sample of the study consisted of 10 infertile couples with unexplained infertility problems (n = 20). The 12 cultural domains were used as a basis in determining the cultural care needs of the infertile couples, and these domains formed the themes. Data were collected using the method of interpretative phenomenological analysis. The emotions defined in the spirituality theme were seeing it as destiny or seeing it as a test to be passed in terms of religion and visiting holy tombs, applying to faith healers and making vows. The first three emotions that came to the fore in the pregnancy and childbearing theme were feelings of deficiency/illness/stigmatization, deterioration in body image and unsatisfactory inability to feel love for own child. In the healthcare practitioners theme, it was determined that compliance with treatment was partially sufficient, but the religious-cultural influence was high.
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    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 Karakayali
    Objective 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.