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Öğe Desire avoid of pregnancy in nulliparous women: The effect of personality and sociodemographic characteristics(2023) Güney, Esra; Okyay, Esra KarataşThe study was aim to determine the effect of personality and sociodemographic characteristics on the avoidance of pregnancy by nulliparous women. The cross- sectional study was conducted through nullipar women's groups on social media platforms (Instagram, Facebook Messenger and WhatsApp etc.). 602 women who volunteered to fill out the questionnaire participated in the study, whose sample consisted of women who had not given birth before, and the study data were collected in November 2022. Data collection forms were created using the Google forms application. Personal Information Form, Ten-Item Personality Inventory (TIPI), and Desire to Avoid Pregnancy (DAP) were used to collect the data. Mean, percentile distribution, standard deviation, t test, one-way ANOVA and simple linear regression analysis were used for statistical analysis. In the study, it was determined that those who were 21 years of age and under, those with a high education level, those who were not working, those who did not think about giving birth, and those who planned a cesarean delivery in the future had higher pregnancy avoidance scores (p<0.05). The simple linear regression model showed that age, education level, future pregnancy planning status, planned future birth, openness to experiences and conscientiousness personality traits are important determinants of the desire to avoid pregnancy in women (respectively ?=-.0.379; ?=0.118; ?=-0.345; ?=0.107; ?=0.202; ?=0.203; p<0.001 for all; p<0.05 for birth planned in the future only). Pregnancy avoidance can be seen in nulliparous women who are 21 years of age or younger, have a high level of education, are not working, do not think about giving birth, have a low desire to conceive in the future, plan a future cesarean section, have openness to experiences and conscientiousness personality traits.Öğe Determination of Depression, Anxiety, Stress and Coronavirus Anxiety Levels of Parents Waiting for PCR Test Results(2022) Güney, Esra; Mevhibe, Mevhibe ÇobanAim: This study aimed to determine the depression, anxiety, stress and coronavirus anxiety levels of parents waiting for PCR test results. Methods: The cross-sectional study was conducted between April-October 2021. The sample of the study consisted of 372 parents determined by power analysis. Data were collected from parents awaiting their children’s PCR test results in the pediatric COVID service of the Training and Research Hospital in a province in the Eastern Anatolia Region. Data were collected using a personal information form, Depression, Anxiety, Stress Scales (DASS-21) and Coronavirus Anxiety Scale (CAS). The results were evaluated at p<0.05 significance level. Results: According to the study, it was determined that parents with had ?3 children, who were ?36 years old, married for ?11 years, educated at high school and below had higher levels of depression, anxiety, stress and coronavirus anxiety. It was determined that the level of anxiety experienced by the parents was 2.16±4.39 in women and 1.26±3.39 in men, and the difference between the parents’ mean total score on the Coronavirus Anxiety Scale was statistically significant (p<0.05). On the other hand, it was determined that the difference between depression, anxiety and stress between men and women was not statistically significant (p>0.05). Conclusion: It was determined that PCR testing from their children due to the suspicion of COVID-19 caused depression, anxiety, stress and anxiety in parents, and the anxiety level of women was higher than men. Accordingly, parents should be given the opportunity to determine their anxiety and stress and take initiatives for it, and appropriate counseling services should be provided to reduce anxiety and stress during the pandemic process.Öğe Ebeveynlerin Aşı Öncesi Kaygı Düzeylerinin Belirlenmesi(2022) Cengizhan, Sıdıka Özlem; Güney, Esra; Uçar, TubaGiriş: Araştırma, 0-2 yaş arasında çocuğu olan ebeveynlerin aşı öncesi kaygı düzeylerini belirlemek amacıyla yapıldı. Yöntem: Kesitsel tipte yapılan araştırma, Mayıs-Eylül 2020 tarihleri arasında Adıyaman İl merkezine bağlı bir Aile Sağlığı Merkezinde (ASM) yürütüldü. Araştırmaya ASM’ye kayıtlı 0-2 yaş arası çocuğu olan ebeveynlerin tamamı alındı (n=488). Veriler Kişisel Bilgi Formu, Durumluk Kaygı Ölçeği (DKÖ) ve Sürekli Kaygı Ölçeği (SKÖ) ile toplandı. Bulgular: Araştırmaya katılan ebeveynlerin DKÖ puan ortalamasının kadınlarda 36,90±8,99, erkeklerde 36,50±10,61 olduğu (p>0,05); SKÖ puan ortalamasının kadınlarda 44,93±8,45, erkeklerde 38,74±8,26 olduğu saptandı (p<0,05). Araştırmada ebeveynler arasında 30 yaş ve üzerindekilerin (p=0,004), gelir düzeyi yüksek olanların (p=0,010) ve aşı konusunda kararsız olup yaptıranların (p<0,001) DKÖ puan ortalamalarının daha yüksek olduğu belirlendi. Ayrıca ebeveynler arasında okur-yazar olmayanların (p<0,001), gelir düzeyi düşük olanların (p<0,001), çocuğu sağlıklı olmayanların (p=0,008), çocuğunu 18. ayda aşıya getirenlerin (p=0,020), aşı konusunda kararsız olup yaptıranların (p=0,030) ve aşı konusunda bilgi sahibi olmayanların (p=0,026) SKÖ puan ortalamalarının daha yüksek olduğu belirlendi. Sonuç: Araştırma sonuçları, aşılama öncesi anne ve babaların durumluk kaygı düzeylerinin benzer olduğu, annelerin yaşadığı sürekli kaygı düzeyinin babalardan daha fazla olduğunu gösterdi. Ayrıca ebeveynlerin durumluk ve sürekli kaygılarının bazı değişkenlerden etkilendiği belirlendi.Öğe The Effects of Family Planning Methods Used Among Women in Turkey on Depression, Anxiety and Stress Levels(2022) Barut, Sümeyye; Güney, Esra; Uçar, TubaObjective: This study was planned to determine the effects of family planning methods used among women in Turkey on depression, anxiety and stress. Materials and Methods: This descriptive and comparative study was carried out with 453 married women using an online survey. The data were collected using a “Personal Information Form” and the “Short Form of the Depression, Anxiety and Stress Scale”. Results: In the study, it was determined that the stress and anxiety levels of the women who used one of the hormonal contraceptive, intrauterine device, condom and tube ligation methods were lower than the levels of the women who did not use any method. The stress and anxiety levels of the women who did not use any family planning method or used traditional methods were higher than any of the modern methods. Conclusion: It may be stated that the provision of counseling about modern family planning methods for women and their spouses by midwives and nurses can reduce mental problems that could result from the use of family planning methods.Öğe Fetal hareket sayımının doğum öncesi anne bağlanması üzerine etkisi(İnönü Üniversitesi, 2016) Güney, EsraAraştırma, gebelikte fetal hareket sayımının doğum öncesi anne bağlanması üzerine etkisini belirlemek amacıyla yapıldı. Materyal ve Metot: Araştırma Temmuz 2015-Haziran 2016 tarihleri arasında Malatya Merkez Yeşilyurt ve Battalgazi ilçelerine bağlı bulunan altı ASM'de yürütüldü. Power analizi yapıldığında örneklem büyüklüğü her bir grup için en az 55 gebe olarak hesaplandı (55 deney, 55 kontrol). Deney ve kontrol grubuna ilk görüşmede verilerin toplanmasında kullanılan Kişisel Bilgi Formu ve DÖABÖ ön test olarak uygulandı. Deney grubuna ayrıca fetal hareket sayma eğitimi verildi. Her iki grupta yer alan gebelerle yapılan 4 hafta sonraki görüşmede DÖABÖ son test olarak uygulandı. Verilerin analizinde sayı, yüzde, ki kare, bağımlı ve bağımsız gruplarda t testi kullanıldı. Bulgular: DÖABÖ ön test toplam puan ortalaması deney grubunda 70.78±6.78, kontrol grubunda 71.58±7.54 olup, gruplar arasında puan ortalamaları yönünden önemli fark bulunmadı (p>0.05). DÖABÖ son test toplam puan ortalaması deney grubunda 78.41±6.65, kontrol grubunda 72.25±7.16 olup, gruplar arasında puan ortalamaları yönünden istatistiksel olarak önemli fark olduğu belirlendi (p<0.05). Sonuç: Fetal hareket sayımının doğum öncesi anne bağlanmasını arttırdığı belirlendi.Öğe Gebelerin, cinsel yaşam ve cinselliğe karşı tutumlarının değerlendirilmesi(2023) Güney, Esra; Bal, ZeynepAMAÇ: Bu çalışma, gebelerin cinsel yaşam ve cinselliğe karşı tutumları - nın değerlendirilmesi amacıyla yapılmıştır. GEREÇ ve YÖNTEMLER: Kesitsel tipte tasarlanan araştırma, 30 Nisan– 30 Mayıs 2022 tarihleri arasında yürütüldü. Çalışmaya, 18 yaş ve üzeri, sağlıklı 298 gebe dâhil edildi. Veriler toplanırken Kişisel Bilgi Formu ve Gebelikte Cinselliğe Karşı Tutum Ölçeği (GCKTÖ) kullanıldı. BULGULAR: Çalışmada gebelerin %50,7sinin (n=151) cinselliğe kar - şı olumlu tutum sergiledikleri ve GCKTÖ toplam ve alt boyutlarının toplam puan ortalamalarının sırasıyla, 112,36±14,21, 28,17±6,17, 38,13±6,66 ve 46,06±7,06 olduğu belirlendi. Ayrıca ?29 yaş olan, ?üni- versite düzeyinde eğitime sahip olan, sağlık güvencesi olan, gelir durumu iyi ve evlilik süresi 15 yıl olan gebelerin GCKTÖ toplam puan ortalama- sının daha yüksek olduğu belirlendi (p<0,05). SONUÇ: Sağlık profesyonelleri tarafından prekonsepsiyonel dönemde ve prenatal bakım verilirken kadının, eksik veya yanlış bildiği konu - lar açıkça dile getirilmeli, cinsellik hakkında eğitim ve danışmanlık verilmelidir.Öğe Gebelikteki Beden İmajının Emzirme Tutumu ve Doğum Sonu Emzirme Sürecine Etkisi(Zeynep Kamil Tıp Bülteni, 2018) Güney, Esra; Uçar, TubaÖz: Amaç: Araştırmanın amacı, gebelikteki beden imajının emzirme tutumu ve doğum sonu emzirme sürecine etkisini belirlemektir. Gereçler ve Yöntem: Araştırmanın örneklemini bir kamu hastanesinin Kadın Doğum Polikliniklerine başvuran 242 gebe oluşturdu. Gebelere ilk görüşmede Kişisel Bilgi Formu, Emzirme Tutumunu Değerlendirme Ölçeği (ÇYBBİÖ) ve Çok Yönlü Beden–Benlik İlişkileri Ölçeği (ETDÖ) yüz yüze görüşme yöntemiyle uygulandı. İkinci görüşme doğum sonu altıncı ayda annelere telefonla ulaşılarak yapıldı. Bu görüşmede annelere Emzirme Sürecini Değerlendirme Formu uygulandı (n=113). Verilerin analizinde tanımlayıcı istatistiksel yöntemler, Kruskal Wallis testi ve spearman korelasyon analizi kullanıldı. Bulgular: Gebelerin %61.2’sinin 18-25 yaş aralığında olduğu, %31.4’ünün lise mezunu, %85.1’inin çalışmadığı ve %66.1’inin orta düzeyde gelire sahip olduğu belirlendi. Gebelerin çoğu (%81) son trimesterdaydı. Gebelerin ÇYBBİÖ puan ortalaması 209.02±19.80; ETDÖ puan ortalaması 107.95±12.74’dür. ÇYBBİÖ puan ortalaması ile ETDÖ puan ortalamaları arasında pozitif yönlü anlamlı ilişki saptandı (p<0.01; r=0.249). Doğum sonu dönemde annelerin % 77’si bebeklerini emzirmiş, emziren annelerin % 54.1’si 5-6 ay emzirmiş, % 49.4’ü bebeklerini 6 ay sadece anne sütü ile, % 50.6’sı ise karışık olarak beslemişlerdir. Emzirme durumu, emzirme süresi ve bebeğin doğum sonu 6 aylık süre içindeki beslenme şekli ile ÇYBBİÖ puan ortalamaları arasında anlamlı fark olmadığı belirlendi (p>0.05). Sonuç: Gebelikte pozitif beden imajına sahip kadınların, emzirme tutumlarının daha yüksek olduğu bulundu. Gebelikteki beden imajının doğum sonu emzirme sürecini ise etkilemediği belirlendi. Başlık (İngilizce): Breastfeeding Attitude of Body Image in Pregnancy and Effect on Breastfeeding Process Öz (İngilizce): Objective: The aim of this research is to determine the effect of the body image of pregnancy on the breastfeeding attitude and the postpartum breastfeeding process. Material and Methods: The sample of the study consisted of 242 pregnant women who applied to the Obstetrics and Gynecology Clinic of a public hospital. Personal information form, Breastfeeding Attitudes of The Evaluation Scale (BAES) and The Multidimensional Body- Self Relations Questionnaire (MBSRQ) were administered by face-to-face interview method at the first visit. At the end of the sixth month, mothers were contacted by telephone and the Breastfeeding Process Evaluation Form was applied (n = 113). In the analysis of the data, descriptive statistical methods, Kruskal Wallis test and Spearman correlation analysis were used. Results: It was determined that 61.2% of pregnants were in the age range of 18-25 years, 31.4% of them were high school graduates, 85.1% were not working and 66.1% had a moderate level of income. The mean of the mean scores of the pregnant women were 209.02 ± 19.80; The average score of BAES is 107.95 ± 12.74. There was a significant positive correlation between the mean scores of MBSRQ scale and BAES scores (p <0.000, r = 0.249). During the postnatal period, 77% of the mothers nursed their babies, 54.1% of the mothers suckled for 5-6 months, 49.4% of them fed their babies for 6 months only with breast milk and 50.6% mixed. It was determined that there was no significant difference between the nutritional status of the breastfeeding status, duration of breastfeeding and the baby during 6 months of postpartum period and MBSRQ points average (p> 0.05). Conclusion: Women with a positive body image in pregnancy were found to have higher breastfeeding attitudes. It was determined that the body image in the pregnancy did not affect the postnatal breastfeeding process.Öğe Mental Health of COVID-19 Pandemic from Pregnancy to Postpartum Period: A Longitudinal Study(2023) Cengizhan, Sidika Özlem; Güney, Esra; Baransel, Esra Sabancı; Okyay, Esra Karataş; Uçar, TubaObjective: This study aimed to determine the effect of stress levels of prenatally diagnosed or contacted pregnant women on anxiety and depression symptoms in the post- partum period and compare them with those who had a healthy pregnancy period. Materials and Methods: This internet-based longitudinal study was conducted with pregnant women with COVID- 19(+) (n=91), contact with COVID-19(+) (n=74), and healthy pregnant women (n=220). Results: Severe anxiety was found in 51.4% of COVID- 19(+) pregnant women, and depression was found in 28.7%. NuPDQ and BAI mean scores of positive pregnant women were higher than contact and healthy pregnant women. When the EPDS score averages were compared, it was determined that the postpartum period mean scores of those who were positive during pregnancy and were in contact were higher than those of healthy pregnant wom- en. There is a positive correlation between the psychologi- cal effects of pregnant women from COVID-19 and social isolation and NuPDQ (r=0.316, r=0.279), BAI (r=0.337, r=0.293) and EPDS (r=0.333, r=0.311) respectively rela- tionship was determined. Conclusion: Our results point to the need to provide ur- gent psychosocial support in the postpartum period to women who were diagnosed and/or had contact with COVID-19 during pregnancy.Öğe Psychosocial Aspects of Gynecologic Cancer(2018) Uçar, Tuba; Güney, Esra; Bal, ZeynepGynecologic cancers are among major health problems in terms of mortality and morbidity in women all over the world. There is a possibility of loss of reproductive organs after diagnosis of cancer, and diagnosis can cause some psychosocial reactions due to the special meaning attributed to the reproductive organs of women. The psychosocial aspects of the reactions of women to gynecological cancers may vary based on the developmental process of cancer, developmental stages of life and type of cancer. This review discusses the psychosocial aspects of gynecologic cancers based on the cancer development process, the developmental stages of life and type of cancer. ( Sakarya Med J, 2018, 8(4):678-685 ).Öğe The Relationship between Fear of Childbirth and the Desire to Avoid Pregnancy among Young Unmarried Women(2022) Güney, Esra; Okyay, Esra Karataş; Uçar, TubaObjectives: This study was conducted to determine the relationship between fear of childbirth among young unmarried women and their desire to avoid pregnancy. Materials and Methods: The study was carried out using a web-based survey shared with young unmarried women through young unmarried women’s groups on social media and communication platforms (WhatsApp, Facebook Messenger, Instagram, etc.). The sample of the study consisted of 551 women who voluntarily agreed to fill out the survey. To collect the data, a Personal Information Form, the Desire to Avoid Pregnancy (DAP) Scale, and the Childbirth Fear - Prior to Pregnancy Scale (CF-PPS) were used. Results: According to the results of the study, there was a positive, weak, and statistically significant relationship between CF-PPS and DAP (p<0.001). It was found that the participants had moderate levels of fear of childbirth and moderate levels of desire to avoid pregnancy. Additionally, it was determined that the fear of childbirth and desire to avoid pregnancy levels of the participants who were not working and those who were at or over the age of 24 were the lowest, and the fear of childbirth and desire to avoid pregnancy levels of the participants who had not witnessed/watched childbirth before and those who did not envision their labor were high. Conclusions: Consequently, it was determined that women who experience the fear of childbirth may display behaviors of avoiding pregnancy. Accordingly, it may be argued that reducing the childbirth fear levels of young unmarried women is highly important for their experience of healthy pregnancies. Thus, it is recommended to provide effective counseling for young unmarried women regarding pregnancy and childbirth.Öğe The Relationship Between Social Support and Spousal Support Perceived by Women in the Postpartum Period and Readiness for Discharge(2022) Uçar, Tuba; Bal, Zeynep; Gökbulut, Nilay; Kantar, Ezgi Can; Güney, EsraAim: The study was conducted to determine the relationship between puerperal hospital readiness for discharge and social and spousal support. Materials and Methods: The descriptive and correlational study was conducted with 388 women over the age of 18 who were hospitalized in the puerperium ward of a public hospital between October 2018 and March 2019. Personal Information Form, Multidimensional Scale of Perceived Social Support (MSPSS), Spouse Support Scale Perceived by Women in Early Postpartum Period (SSSPWEPP) and Readiness for Hospital Discharge Scale–New Mother Form (RHD-NMF) were used to collect the data. Results: The mean score of postpartum women from RHD-NMF was 171.41±28.55 with 89.9% of them to be ready for discharge. It was found that there was a weak positive correlation between total scores from RHD-NMF and MSPSS and its sub-dimensions (family, friends) (r=.164, r=.177, r=.156, respectively; p<0.01); it was determined that there was a weak positive correlation between total scores from RHD-NMF and SSSPWEPP and its sub-dimensions (emotional, physical, social) (r=.249, r=.199, r=.194, r=.232, respectively;p<0.01). Conclusion and Suggestions: In the study, it was determined that most of the puerperant women were ready for discharge. Readiness for discharge and social support, family support and friend support. In addition, it was determined that as the physical, emotional and social support of the spouse increased, the readiness for discharge from the hospital increased. In addition, it was found that the most important variables affecting readiness for discharge from the hospital were the support of friends and physical support of the spouse.Öğe THE RELATIONSHIP BETWEEN THE PARTICIPATION OF MOTHERS IN BABY CAREGIVING AND POST-TRAUMATIC STRESS DISORDERS IN THE NEONATAL INTENSIVE CARE UNIT(2022) Elgin, Tuğçe; Güney, EsraThe study was carried out to determine the relationship between the participation of mothers in baby caregiving in the neonatal intensive care unit and post-traumatic stress disorders. This cross-sectional study was conducted in Sivas Numune Hospital Neonatal Intensive Care Unit between April and October 2021. Data of the study were collected with a face-to-face survey method conducted with 284 mothers. In the study, it was determined that mothers; who had a high level of education, were employed, had a nuclear family structure, were breastfeeding, and received discharge training had higher participation in caregiving. On the contrary, it was determined that mothers; who were housewives, whose baby was of the gender they did not want, who evaluated the health status of their baby and themselves as moderate, and who had more than one child had more post-traumatic stress disorder. As the result of the research, to increase mothers' education level, informing them and supporting them psychologically during this period are recommended.Öğe Sırt masajının sezaryen sonrası ağrı ve konfora etkisi(İnönü Üniversitesi, 2020) Güney, EsraAmaç: Araştırma, sırta uygulanan masajın sezaryen sonrası ağrı ve konfor düzeyine etkisini belirlemek amacıyla yapıldı. Materyal ve Metot: Araştırma Mayıs 2019-Kasım 2019 tarihleri arasında İnönü Üniversitesi Turgut Özal Tıp Merkezi Eğitim ve Araştırma Hastanesinde yer alan Kadın Hastalıkları Servisinde sezaryen ile doğum yapan kadınlarla randomize kontrollü olarak yürütüldü. Verilerin toplanmasında Kişisel Bilgi Formu, ağrıyı değerlendirmek için VAS, konforu değerlendirmek için DSKÖ kullanıldı. Power analizi yapıldığında örneklem büyüklüğü her bir grup için en az 81 kadın olarak hesaplandı (81 deney, 81 kontrol). Deney grubuna sezaryenden sonra 10. ve 22. saatlerde iki kez derin doku masajı uygulandı. İlk masaj öncesi deney ve kontrol gruplarına kişisel bilgi formu, VAS, DSKÖ; her iki masaj öncesi ve sonrası olmak üzere dört kez VAS uygulandı. İkinci masaj sonrası iki gruba da DSKÖ tekrar uygulandı. Verilerin analizinde tanımlayıcı istatistik ve bağımlı-bağımsız gruplarda t testi kullanıldı. Bulgular: Sezaryen sonrası birinci ve ikinci masaj öncesi ve sonrası yapılan ölçümlerde deney grubundaki kadınların masaj sonrası ağrı düzeylerinin kontrol grubuna göre daha düşük olduğu ve gruplar arasındaki farkın deney grubu lehine istatistiksel olarak önemli olduğu belirlendi (p<0.001). İkinci masaj sonrası deney grubundaki kadınların DSKÖ toplam ve alt boyutları puan ortalamalarının kontrol grubuna göre daha yüksek olduğu ve gruplar arasındaki farkın deney grubu lehine istatistiksel olarak önemli olduğu belirlendi (p<0.001). Sonuç: Sırta uygulanan masajın sezaryen sonrası ağrı düzeyini azalttığı ve konfor düzeyini arttırdığı bulundu. Anahtar Kelimeler: Ağrı, doğum sonu dönem, ebelik, konfor, sırt masajı