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Öğe Association of Postpartum Smoking Relapse With Breastfeeding and Body Mass Index(Lippincott Williams & Wilkins, 2019) Duman, Mesude; Tashan, Sermin Timur; Ozan, Yeter DurgunObjective: This study aimed to determine the relationship between smoking relapse and breastfeeding and body mass index in the postpartum period. Methods: This descriptive, cross-sectional study was conducted between November 2016 and November 2017 in the polyclinic for children's health and common illnesses at a university hospital in eastern Turkey. One hundred eleven women who met the inclusion criteria constituted the sample of the study. The data were evaluated using the analyses of percentage, arithmetic mean, standard deviation, independent-samples t test, analysis of variance, and multiple linear regression. Results: In the study, the week of pregnancy period when the women quit smoking was 8.19 +/- 5.17, and the week of postpartum smoking relapse was 8.47 +/- 11.76. Furthermore, 72.1% of the women stated that they wanted to quit smoking permanently. The study determined that the status of wanting to quit smoking permanently, the status of smoking while breastfeeding, and gained weight during the last gestation are important predictors of postpartum smoking relapse. Originality and Value: Knowledge on the characteristics of the women who started smoking again in the postpartum period is important for helping women who have quitted smoking in pregnancy but who are prone to relapse as a risk group by health care personnel.Öğe The effect of relaxation exercises training on pregnancy-related anxiety after perinatal loss: A pilot randomized control trial(Elsevier Science Inc, 2022) Duman, Mesude; Ozan, Yeter Durgun; Derya, Yesim Aksoy; Tashan, Sermin TimurBackground: Pregnancy-related anxiety is quite frequent during pregnancy after perinatal loss, and it is likely to cause negative effects on the mother and the foetus. amongst independent nursing practices, progressive muscle relaxation exercises are considered to be one of alternative treatment methods to relax pregnant women physically and psychologically. Purpose: The aim of this study is to examine the effect of progressive muscle relaxation exercises on the pregnancy-related anxiety levels of pregnant women who have experienced a perinatal loss. Methods: One hundred and four pregnant women who had experienced a perinatal loss were randomly assigned to an intervention group (n = 31) or a control group (n = 33) and participated in a 12-week trial. The intervention group received training on progressive muscle relaxation exercises, while the control group was provided only with routine healthcare services. The Pregnancy-Related Anxiety Questionnaire-R2 was used to evaluate the level of pregnancy-related anxiety. Results: The intervention group showed improvement in comparison to the control group at the end of the intervention. After the intervention, the measured levels of pregnancy related anxiety, fear of giving birth, and worries about bearing a handicapped child significantly decreased in the intervention group compared to the pre-intervention levels and the control group, and the difference between the groups was statistically significant (p<0.001, p<0.001, and p<0.001, respectively). However, there were no significant differences in the levels of concern about own appearance between the groups after the intervention (p>0.05). Conclusion: According to the results of the study, progressive muscle relaxation led to a decrease in the pregnancy-related anxiety levels of the pregnant women who had experienced a perinatal loss. (c) 2020 Elsevier Inc. All rights reserved.Öğe The effect of sleep hygiene education and relaxation exercises on insomnia among postmenopausal women: A randomized clinical trial(Wiley, 2018) Duman, Mesude; Tashan, Sermin TimurAim: This study used a randomized controlled trial model to determine the effect of progressive relaxation exercises and sleep hygiene training given to postmenopausal women with insomnia. Methods: A total of 161 postmenopausal women with insomnia were recruited and randomly assigned to experimental (n = 81) and control (n = 80) groups. The experimental group received sleep hygiene and progressive relaxation exercise training, but the control group only received routine health care. The relaxation exercise training was repeated once a week for 8 weeks. The study determined the effect of the intervention on insomnia symptoms. The data were collected between 15 June and 15 September 2015 and evaluated using descriptive statistics, independent samples t-test, chi-squared test, and Cronbach alpha analysis. Results: The mean (SD) score of the experimental group on the Women's Health Initiative Insomnia Rating Scale was 14.03 (3.4) pretest and 7.09 (3.4) posttest. The difference between the pretest and posttest scores was statistically significant (P < .001), as was the difference between the rates of insomnia symptoms between the groups posttest (P < .001). Conclusion: The findings of study suggest that nurses teaching progressive relaxation exercises and sleep hygiene would benefit postmenopausal women who suffer from insomnia.Öğe Gebelikte Stria Gravidarumu Etkileyen Faktörler ve Vajinal Yırtık ile İlişkisi(2021) Yüksekol, Özlem Doğan; Duman, Mesude; Taşhan, Sermin TımurAmaç: Gebelikte, kadınlarda yüksek oranda stria gravidarum görülebilmekte ve bu durum kadınlarda estetik açıdan sorun olarak algılanabilmekte, yoğun olarak görülen stria gravidarum, vajinal yırtık riskini artırabilmektedir. Bu çalışma, stria gravidarumu etkileyen faktörler ve vajinal yırtık arasındaki ilişkiyi belirlemek amacıyla yapılmıştır. Gereç ve Yöntemler: Kesitsel ve ilişki arayıcı tipte olan bu araştırma, 15 Kasım 2019 ve 15 Şubat 2020 tarihleri arasında yapılmıştır. Araştırmanın evrenini, Fırat Üniversitesi Tıp Fakültesi Hastanesi, Kadın Sağlığı ve Hastalıkları Polikliniği ve Elazığ Şehir Hastanesi’nin obstetri polikliniğine vajinal doğum yaptıktan sonra kontrole gelen kadınlar oluşturmuştur. Çalışmanın örneklemini, 550 vajinal doğum yapmış kadın oluşturmuştur. Veriler, anket formu ve Fitzpatrick cilt tipi skalası ile toplanmıştır. Verilerin değerlendirilmesinde tanımlayıcı istatistikler, bağımsız gruplarda t-testi, ki-kare ve lojistik regresyon analizi kullanılmıştır. Bulgular: Araştırmaya katılan kadınların yaş ortalaması 28,15±4,75 olarak bulunmuştur. Kadınların 414 (%75,3)’ünde stria varlığı tespit edilmiştir. Araştırmada, ailede stria gravidarum varlığı, cilt tipi ve gebelikte alınan kilonun stria gravidarum gelişimini etkilediği belirlenmiştir. Stria gravidarum ile vajinal yırtık arasında anlamlı ilişki bulunamamıştır (p=0,450). Sonuç: Araştırmada, kadınların çoğunda stria gravidarum görüldüğü saptanmıştır. Ayrıca cilt tipi, ailede stria gravidarum öyküsü ve gebelikte alınan kilonun stria gravidarum için risk faktörü olduğu belirlenmiştir. Araştırmanın sonuçlarına göre stria gravidarum ile vajinal yırtık arasındaki ilişkiyi inceleyen kapsamlı çalışmalar yapılması, stria gravidarum açısından risk oluşturan gebelere danışmanlık yapılması önerilmektedir.Öğe Kronik Hastalığı Olan Kadınların ÜremeSağlığı Davranışlarının İncelenmesi(2019) Duman, Mesude; Taşhan, Sermin Tımur; Serin, Emine KaplanAmaç: Araştırma kronik hastalığı olan kadınların üreme sağlığı davranışlarını incelemek amacıyla yapılmıştır. Gereç ve Yöntem: Araştırma tanımlayıcı türdedir. 15 Ekim 2016- 15 Ekim 2017 tarihleri arasında Adıyaman’da özel bir hastanenin dâhili polikliniklerine başvuran veya dahili kliniklerinde yatan ve en az bir kronik hastalık tanısı konulmuş 160 evli kadın ile yürütülmüştür. Araştırmanın yapıldığı tarihlerde polikliniğe başvuran veya klinikte yatan,kronik bir hastalığı bulunan ve üreme çağında olan toplam kadın sayısı 297’dir. Araştırmada herhangi bir örneklem hesabına gidilmemiş olup örneklem seçim kriterlerine uyan ve araştırmaya kabul eden kadınların tamamı örnekleme alınmıştır. Verilerin toplanmasında “Katılımcı Bilgi Formu” kullanılmıştır. İstatistiksel analizde yüzdelik, aritmetik ortalama ve standart sapma kullanılmıştır. Araştırmanın yapılabilmesi için gerekli kurum izni ve etik kurul onayı alınmıştır.Bulgular: Araştırmaya katılan kadınların %88.1’i hastalıklarının gelecekte çocuk sahibi olma kararını etkilemediğini, %40’ı hastalık tanısı konulduktan sonra gebelik geçirdiğini, %63.8’i hastalıklarından ve kullandıkları ilaçlardan dolayı emzirme sürelerinin kısaldığını, %13.8’i hastalık tanısı konulduktan sonra perinatal kayıp yaşadığını ve %10’u cinsel yaşamının hastalıktan etkilendiğini belirtmiştir. Ayrıca kadınların %71.9’unun şu an modern bir korunma yöntemikullandığı ve modern korunma yöntemleri kullanan kadınların %26.5’inin kondomu tercih ettiği belirlenmiştir. Sonuç: Araştırma kronik hastalığın çocuk sahibi olma düşüncesini etkilemediğini ancak, emzirme sürelerini kısalttığını göstermiştir. Kronik hastalığı olan kadınlar yüksek oranda kontraseptif kullanmaktadır. Hemşirelerin kronik hastalığa sahip kadınlarda olası üreme sağlığı sorunlarına ilişkin daha duyarlı olması, üreme sağlığı sorunlarını daha dikkatli ele alması ve gerekli ek sağlık bakımı sunması önerilmektedir.Öğe Postmenopozal dönemdeki kadınlara verilen uyku hijyeni eğitimi ve gevşeme egzersizinin uyku kalitesine etkisi(İnönü Üniversitesi, 2016) Duman, MesudeBu araştırma; postmenopozal dönemdeki kadınlara verilen uyku hijyeni eğitiminin ve progresif gevşeme egzersizinin uyku kalitesine etkisini belirlemek amacıyla ön test- son test kontrol gruplu gerçek deneme modeli olarak yapılmıştır. Materyal ve metod: Araştırmanın evreni; Diyarbakır il merkezinde bulunan Kayapınar 10 Nolu ASM'ye kayıtlı doğal yolla menopoza girmiş ve uykusuzluk problemi olan postmenopozal dönemdeki kadınlar oluşturmuştur. Örneklem büyüklüğü; araştırmaya alınma kriterlerine uyan 81 deney, 80 kontrol grubu ile toplam 161 postmenopozal kadınla tamamlanmıştır. Deney ve kontrol grubuna ilk ev ziyaretinde KSİUÖ ve kişisel bilgi formu uygulanmıştır. Deney grubuna ilk gün ev ziyaretinde uyku hijyeni eğitimi ve eğitim kitapçığı, ikinci gün tekrar ev ziyareti ile PGE eğitimi ve CD'si verilmiştir. Haftada bir gün PGE eğitimi tekrarı yapılarak, toplamda 8 hafta PGE yapılması sağlanmıştır. Deney ve kontol grubuna öntestten 4 ve 12 hafta sonra KSİUÖ tekrar uygulanmıştır. Veriler 15 Haziran-15 Ekim 2015 tarihleri arasında toplanmıştır. Veriler tanımlayıcı istatistik, bağımsız gruplarda t-testi, ki-kare testi, Mauchly's testi, McNemar X2 testi ve Cronbach Alpha analizi kullanılarak değerlendirilmiştir. Bulgular: Deney grubundaki kadınların kontol grubuna göre KSİUÖ'den aldıkları puan ortalaması ön testte 14.03±3.4, ara testte 9.69±3.09, son testte 7.09±3.4 olup, ön test, ara test ve son testten aldıkları puanlar arasındaki farkın istatistiksel olarak önemli olduğu saptanmıştır (p<0.001). Deney ve kontrol grubundaki kadınların son test uykusuzluk problemi oranları arasındaki farkın istatistiksel olarak önemli olduğu; deney grubundakilerin uykusuzluk problemi oranlarının daha düşük olduğu saptanmıştır (p<0.001). Sonuç: Postmenopozal dönemdeki kadınlara verilen uyku hiyeni eğitimi ve progresif gevşeme egzersizi uyku kalitesini arttırmıştır.Öğe The relationship between the social support level perceived by patients with gynecologic cancer and mental adjustment to cancer(Elsevier Ireland Ltd, 2016) Yagmur, Yurdagul; Duman, MesudeObjective: To determine the relationship between the level of the social support perceived by patients with gynecologic cancer and their mental adjustment to cancer. Methods: The present descriptive study enrolled women with gynecologic cancer receiving care in the Diyarbakir province of Turkey between November 2013 and October 2014. Data were obtained via the Multidimensional Scale of Perceived Social Support questionnaire and the scale of Mental Adjustment to Cancer. Results: Among 190 women with gynecologic cancer, all subscales of perceived social support had a positive correlation with the subscale fighting spirit (r = 034-0.56; P < 0.001 for all), and a negative correlation with the subscales of helplessness/hopelessness (r = -0.25 to -0.48; P < 0.001 for all) and fatalism (r = -0.20 to -0.30; P < 0.01 for all) in the Mental Adjustment to Cancer scale. Conclusion: Among patients with gynecologic cancer, the response styles to cancer were considerably affected by the perceived level of social support. Raising the awareness of society and healthcare professionals will increase the level and quality of social support provided for patients with gynecologic cancer. (C) 2016 International Federation of Gynecology and Obstetrics. Published by Elsevier Ireland Ltd. All rights reserved.Öğe Sociodemographic and obstetric characteristics as predictors of anxiety during pregnancy(2020) Duman, Mesude; Durgun Ozan, YeterAim: This study aimed at determining the effect of sociodemographic and obstetric characteristics of pregnant women on their anxiety levels. Material and Methods: Designed as a descriptive study, it was conducted in Obstetric polyclinics of a University Hospital located in Eastern Turkey. The study consisted of 793 pregnant women admitted to the specified obstetric polyclinics for follow-up from July 15th, 2018 to December 31st, 2018. Descriptive characteristics form and Spielberger’s State Anxiety Inventory-SAI were used in data collection. Results: The study determined that the educational level, parity, infertility treatment, complications during pregnancy and infections during pregnancy are important predictors of SAI score during pregnancy. (R=0.238, R2=0.057, F=9.432, p0.001).Conclusion: Study results demonstrated that educational level, parity, infertility treatment, complications during pregnancy and infection in the first trimester of pregnancy were significant predictors of anxietyÖğe Turkish adaptation of Desire to Avoid Pregnancy Scale: A validity and reliability study(Wiley, 2022) Dogan Yuksekol, Ozlem; Duman, Mesude; Timur Tashan, SerminAim The purpose of the study was to adapt the Desire to Avoid Pregnancy Scale into Turkish and to study its validity and reliability. Methods The methodological study design was used. The study sample consisted of 510 nonpregnant women in a university hospital of a province in the east of Turkey between the dates of August 2019-February 2020. Personal information form and Turkish form of the scale were administered to women. The contraceptive intention scale was used as a parallel form. Results In the study, it was determined that the scale consisted of 14 items as a result of exploratory factor analysis. As a result of the item analysis, it was determined that the scale item total correlations were between r = 0.71 and 0.92. The Cronbach alpha coefficient of the scale was 0.97. The item-total correlation of the scale and parallel form reliability showed a high level of agreement. Conclusion It was determined that the Desire to Avoid Pregnancy Scale is a valid and reliable measurement tool for determining the wishes of Turkish women regarding pregnancy.Öğe Turkish adaptation of the pregnancy-related anxiety questionnaire-revised 2: Validity and reliability study in multiparous and primiparous pregnancy(Elsevier Sci Ltd, 2018) Aksoy Derya, Yesim; Tashan, Sermin Timur; Duman, Mesude; Ozan, Yeter DurgunObjective: The purpose of this study was to create a Turkish version of the Pregnancy-Related Anxiety Questionnaire-Revised 2 (PRAQR2), which was revised for application to multiparous and primiparous pregnancy, and to explore its psychometric characteristics in multiparous and primiparous pregnancy. Design: This study was methodologically designed to assess the reliability and validity of the PRAQ-R2. Setting: The study was carried out in the obstetrics clinic of a training and research hospital in Malatya. Participants: A total of 616 healthy pregnant women (399 multiparous and 217 primiparous) constituted the sample of the study. Methods: The cultural adaptation process of the questionnaire was conducted in three phases: language validity, content validity, and pilot application. Exploratory factor analysis (EFA) and confirmatory factor analysis (CFA) were used to test the construct validity of the questionnaire. The reliability of the PRAQ-R2 was evaluated with Cronbach's alpha internal consistency coefficient, item-total correlation, test-retest analysis, and parallel forms reliability. Findings: The EFA revealed that the PRAQ-R2 consists of 10 items for the multiparous group and 11 for the primiparous group after adding the item I am anxious about the delivery because I have never experienced one before. The CFA for both groups supported the three-factor questionnaire yielded by the EFA. Good fit index values were obtained in both groups. Cronbach's alpha internal consistency coefficient ranged from 0.81 to 0.93 for the multiparous group and 0.87 to 0.94 for the primiparous group for the complete PRAQ-R2 and each of its subdimensions. In addition, the item-total correlation, test-retest analysis, and parallel forms reliability of the questionnaire were highly correlated. Conclusion: The PRAQ-R2 is a valid and reliable instrument that can be used to evaluate the level of anxiety in Turkish pregnant women irrespective of parity. Implications for practice: The use of the PRAQ-R2 in prenatal healthcare services will contribute to the early diagnosis, treatment, and management of pregnancy-related anxiety.Öğe THE TURKISH VERSION OF BODY UNDERSTANDING MEASURE FOR PREGNANCY SCALE: VALIDITY AND RELIABILITY STUDY(2023) Duman, Mesude; Yuksekol, Ozlem Dogan; Tashan, Sermin TımurThe objective of this study was to adapt the Body Understanding Measure for Pregnancy Scale into the Turkish language and to examine the psychometric properties in pregnancy. The methodological study was conducted with 508 healthy pregnant women. Language validation, content validation, and pilot scheme are the three phases of cultural adaptation of the scale. The construct validity of the scale was analyzed using both Exploratory and Confirmatory Factor Analyses. The reliability of the scale was tested using parallel-form reliability, test-retest reliability, Cronbach's ? coefficient of internal consistency, and item-total correlation. The Confirmatory Factor Analysis conducted supports the three-factor structure of the scale that is constructed by Exploratory Factor Analysis. We determined Cronbach’s ? coefficient of internal consistency to vary between 0.78 and 0.88 for the scale total and the subscales. Besides, there was a high correlation between the parallel-form reliability, test-retest reliability, and item-total correlation of the scale. The Turkish version of Body Understanding Measure for Pregnancy Scale is a validated and reliable tool designed to evaluate the body image concerns of Turkish pregnant women.
